Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VII - Mental Health Manual
Subpart C - Administration and Fiscal Management
Chapter 5100 - MENTAL HEALTH PROCEDURES
CONTINUITY OF CARE
Section 5100.61 - Continuity of care

(a) When a person in treatment under the act moves into or out of a State-operated mental health facility, the county administrator responsible for the person's continuity of care shall take such actions to ensure that the person receives available services as needed. In taking such actions, the administrator shall consider the person's plans to utilize private resources.

(b) Whenever a person is considered for discharge from treatment at a State facility, the director shall take steps to assure that the appropriate county administrator's office is involved in predischarge planning before the discharge. The degree of involvement by the county may be based upon the person's plans to utilize private resources.

(c) Upon discharge, the county administrator receiving the referral shall take the necessary steps to arrange for the available mental health treatment services as defined in application statutes.

(d) When a person referred for service refuses to cooperate with the county administrator after discharge, such person shall be evaluated for alternative services before the case can be closed. Such evaluations should be as clinically thorough as possible. There should be documentation of repeated efforts at reinvolving the person in voluntary treatment if treatment has been recommended and of the decisions regarding the appropriateness of commitment proceedings.