Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment
Subchapter 3 - Program Description And Pact Services
Section 450:55-3-2 - Admission criteria
Universal Citation: OK Admin Code 450:55-3-2
Current through Vol. 42, No. 1, September 16, 2024
(a) The PACT program shall maintain written admission policies and procedures that, at a minimum include the following:
(1) First
priority shall be given to people designated by the ODMHSAS as needing PACT
services. The remaining priority shall be given to people with a primary
diagnosis of schizophrenia or other psychotic disorders, such as
schizoaffective disorder or bipolar disorder with psychotic features as defined
by the current DSM. Individuals without a psychotic disorder shall be evaluated
and admitted based on the consumer's need. Admission determination and
admission shall occur within five (5) days of receipt of the referral unless
the individual is admitted or engaged in Health Home High services with the
agency, in which case the admission determination and admission shall occur no
later than fifteen days of receipt of the referral.
(2) At least four psychiatric
hospitalizations in the past 24 months or cumulative lengths of stays totaling
over 30 days in the past 24 months which can include admissions to
Community-Based Structured Crisis Care; or frequent psychiatric ER, Urgent
Recovery Clinic (URC) and/or CBSCC encounters, or incarcerated and receiving
mental health care, or are under an Assisted Outpatient Treatment order for
PACT services and with at least three (3) of the following:
(A) Persistent or recurrent severe affective,
psychotic or suicidal symptoms;
(B)
Coexisting substance abuse disorder greater than six (6) months;
(C) High risk of or criminal justice
involvement in the past 12 months which may include frequent contact with law
enforcement personnel, incarcerations, parole or probation;
(D) Homeless, imminent risk of being homeless
or residing in substandard or unsafe housing;
(E) Residing in supported housing but
clinically assessed to be able to live in a more independent living situation
if intensive services are provided; or requiring supported housing if more
intensive services are not available;
(F) Inability to participate in traditional
office-based services or evidence that they require a more assertive and
frequent non-office based services to meet their clinical needs;
(G) Inability to consistently perform the
range of practical daily living tasks required for basic adult functioning in
the community.
(3)
Individuals with a sole primary diagnosis of substance abuse, brain injury, or
Axis II disorders are not appropriate for PACT.
(4) Individuals with a history of violent
behaviors may or may not be considered for admission.
(b) Compliance with 450:55-3-2 shall be determined by on-site observation and a review of the following: clinical records, PICIS information and the PACT policy and procedures.
Added at 20 Ok Reg 683, eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 23 Ok Reg 1445, eff 7-1-06; Amended at 24 Ok Reg 1422, eff 7-1-07; Amended at 27 Ok Reg 1015, eff 7-1-10
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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