RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
The following words and terms when used in this chapter shall have the following meanings unless the context clearly indicates otherwise:
(§ 37.2-100 of the Code of Virginia)
means any act or failure to act by an employee or other person responsible for
the care of an individual in a facility or program operated, licensed, or
funded by the department, excluding those operated by the Virginia Department
of Corrections, that was performed or was failed to be performed knowingly,
recklessly, or intentionally, and that caused or might have caused physical or
psychological harm, injury, or death to a person an individual
receiving care or treatment for mental illness, mental retardation (intellectual
disability) developmental disabilities, or substance abuse (substance
use disorders). Examples of abuse include acts such as:
1. Rape, sexual assault, or other criminal sexual behavior;
2. Assault or battery;
3. Use of language that demeans, threatens, intimidates, or
4. Misuse or misappropriation of the
assets, goods, or property;
5. Use of excessive force when placing
a person an
individual in physical or mechanical restraint;
6. Use of physical or mechanical restraints on
a person an
individual that is not in compliance with federal and state laws,
regulations, and policies, professional accepted standards of practice, or the
person's his individualized services plan;
7. Use of more restrictive or intensive services or denial of
services to punish
the person an individual or that is not
consistent with his individualized services plan.
"Activities of daily living" or "ADLs" means personal care activities and includes bathing, dressing, transferring, toileting, grooming, hygiene, feeding, and eating. An individual's degree of independence in performing these activities is part of determining the appropriate level of care and services.
"Admission" means the process of acceptance into a service as defined by the provider's policies.
"Authorized representative" means a person permitted by law or 12VAC35-115 to authorize the disclosure of information or consent to treatment and services or participation in human research.
"Behavior intervention" means those principles and
methods employed by a provider to help an individual receiving services to
achieve a positive outcome and to address challenging behavior in a
constructive and safe manner. Behavior intervention principles and methods
shall be employed in accordance with the individualized services plan
and written policies and procedures governing service expectations, treatment
goals, safety, and security.
"Behavioral treatment plan," "functional plan," or "behavioral support plan" means any set of documented procedures that are an integral part of the individualized services plan and are developed on the basis of a systematic data collection, such as a functional assessment, for the purpose of assisting individuals to achieve the following:
1. Improved behavioral functioning and effectiveness;
2. Alleviation of symptoms of psychopathology; or
3. Reduction of challenging behaviors.
"Brain injury" means any injury to the brain that occurs after birth, but before age 65, that is acquired through traumatic or nontraumatic insults. Nontraumatic insults may include anoxia, hypoxia, aneurysm, toxic exposure, encephalopathy, surgical interventions, tumor, and stroke. Brain injury does not include hereditary, congenital, or degenerative brain disorders or injuries induced by birth trauma.
or "support" means the individually planned therapeutic interventions
that conform to current acceptable professional practice and that are intended
to improve or maintain functioning of an individual receiving services
delivered by a provider.
"Case management service" or "support
coordination service" means services that can include assistance to
individuals and their family members in
needed services that are responsive to the person's individual individuals
needs. Case management services include: identifying potential users of the
service; assessing needs and planning services; linking the individual to
services and supports; assisting the individual directly to locate, develop, or
obtain needed services and resources; coordinating services with other
providers; enhancing community integration; making collateral contacts;
monitoring service delivery; discharge planning; and advocating for individuals
in response to their changing needs. "Case management service "
does not include assistance in which the only function is maintaining
service waiting lists or periodically contacting or tracking individuals to
determine potential service needs.
"Clinical experience" means providing direct services to individuals with mental illness or the provision of direct geriatric services or special education services. Experience may include supervised internships, practicums, and field experience.
"Commissioner" means the Commissioner of the Department of Behavioral Health and Developmental Services.
"Community gero-psychiatric residential services" means 24-hour care provided to individuals with mental illness, behavioral problems, and concomitant health problems who are usually age 65 or older in a geriatric setting that is less intensive than a psychiatric hospital but more intensive than a nursing home or group home. Services include assessment and individualized services planning by an interdisciplinary services team, intense supervision, psychiatric care, behavioral treatment planning and behavior interventions, nursing, and other health related services.
"Community intermediate care facility/mental
retardation (ICF/MR)" means a residential facility in which care is provided
to individuals who have mental retardation (intellectual disability) or a
developmental disability who need more intensive training and supervision than
may be available in an assisted living facility or group home. Such facilities
shall comply with Title XIX of the Social Security Act standards and federal
certification requirements, provide health or rehabilitative services, and
provide active treatment to individuals receiving services toward the
achievement of a more independent level of functioning or an improved quality
"Complaint" means an allegation of a violation of these regulations or a provider's policies and procedures related to these regulations.
"Co-occurring disorders" means the presence of more
than one and often several of the following disorders that are identified
independently of one another and are not simply a cluster of symptoms resulting
from a single disorder: mental illness,
mental retardation (intellectual
disability) a developmental disability, or substance abuse (substance
use disorders) ;, or brain injury ; or developmental disability.
"Co-occurring services" means individually planned therapeutic treatment that addresses in an integrated concurrent manner the service needs of individuals who have co-occurring disorders.
"Corrective action plan" means the provider's
pledged corrective action in response to cited areas of noncompliance
documented by the regulatory authority.
A corrective action plan must be
completed within a specified time.
"Correctional facility" means a facility operated under the management and control of the Virginia Department of Corrections.
"Crisis" means a deteriorating or unstable situation
often developing suddenly or rapidly that produces acute, heightened,
emotional, mental, physical, medical, or behavioral distress
; or any
situation or circumstance in which the individual perceives or experiences a
sudden loss of his ability to use effective problem-solving and coping skills.
"Crisis stabilization" means direct, intensive nonresidential or residential direct care and treatment to nonhospitalized individuals experiencing an acute crisis that may jeopardize their current community living situation. Crisis stabilization is intended to avert hospitalization or rehospitalization; provide normative environments with a high assurance of safety and security for crisis intervention; stabilize individuals in crisis; and mobilize the resources of the community support system, family members, and others for ongoing rehabilitation and recovery.
"Day support service" means structured programs of
or training services training, assistance, and specialized supervision
in the acquisition, retention, or improvement of self-help, socialization, and
adaptive skills for adults with an intellectual disability or a
developmental disability , generally in clusters of two or more continuous
hours per day provided to groups or individuals in nonresidential
community-based settings. Day support services may provide opportunities for
peer interaction and community integration and are designed to enhance the
following: self-care and hygiene, eating, toileting, task learning, community
resource utilization, environmental and behavioral skills, social skills,
medication management, prevocational skills, and transportation skills. The
term "day support service" does not include services in which the
primary function is to provide employment-related services, general educational
services, or general recreational services.
"Department" means the Virginia Department of Behavioral Health and Developmental Services.
"Developmental disabilities" means autism or a
severe, chronic disability that meets all of the following conditions
identified in 42 CFR 435.1009: 1. Attributable to cerebral palsy, epilepsy, or any other
condition, other than mental illness, that is found to be closely related to
mental retardation (intellectual disability) because this condition results in
impairment of general intellectual functioning or adaptive behavior similar to
behavior of individuals with mental retardation (intellectual disability) and
requires treatment or services similar to those required for these individuals;
2. Manifested before the individual reaches age 18; 3. Likely to continue indefinitely; and 4. Results in substantial functional limitations in three or
more of the following areas of major life activity: a. Self-care; b. Understanding and use of language; c. Learning; d. Mobility; e. Self-direction; or f. Capacity for independent living.
"Developmental disability" means a severe, chronic disability of an individual that (i) is attributable to a mental or physical impairment, or a combination of mental and physical impairments, other than a sole diagnosis of mental illness; (ii) is manifested before the individual reaches 22 years of age; (iii) is likely to continue indefinitely; (iv) results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, or economic self-sufficiency; and (v) reflects the individual's need for a combination and sequence of special interdisciplinary or generic services, individualized supports, or other forms of assistance that are of lifelong or extended duration and are individually planned and coordinated. An individual from birth to age nine, inclusive, who has a substantial developmental delay or specific congenital or acquired condition may be considered to have a developmental disability without meeting three or more of the criteria described in clauses (i) through (v) if the individual, without services and supports, has a high probability of meeting those criteria later in life.
"Developmental services" means planned, individualized, and person-centered services and supports provided to individuals with developmental disabilities for the purpose of enabling these individuals to increase their self-determination and independence, obtain employment, participate fully in all aspects of community life, advocate for themselves, and achieve their fullest potential to the greatest extent possible.
"Direct care position" means any position that includes responsibility for: (i) treatment, case management, health, safety, development, or well-being of an individual receiving services or (ii) immediately supervising a person in a position with this responsibility.
"Discharge" means the process by which the
individual's active involvement with a service is terminated by the provider,
"Discharge plan" means the written plan that establishes the criteria for an individual's discharge from a service and identifies and coordinates delivery of any services needed after discharge.
"Dispense" means to deliver a drug to an ultimate user by or pursuant to the lawful order of a practitioner, including the prescribing and administering, packaging, labeling or compounding necessary to prepare the substance for that delivery. (§ 54.1-3400 et seq. of the Code of Virginia.)
"Emergency service" means unscheduled and sometimes
scheduled crisis intervention, stabilization, and referral assistance provided
over the telephone or face-to-face, if indicated, available 24 hours a day and
seven days per week. Emergency services also may include walk-ins, home visits,
jail interventions, and preadmission screening activities associated with the
"Group home or community residential service" means a congregate service providing 24-hour supervision in a community-based home having eight or fewer residents. Services include supervision, supports, counseling, and training in activities of daily living for individuals whose individualized services plan identifies the need for the specific types of services available in this setting.
"HCBS Waiver" means a Medicaid Home and Community Based Services Waiver.
"Home and noncenter based" means that a service is provided in the individual's home or other noncenter-based setting. This includes noncenter-based day support, supportive in-home, and intensive in-home services.
"IFDDS Waiver" means the Individual and Family
Developmental Disabilities Support Waiver.
"Individual" or "individual receiving
services" means a
person receiving services that are licensed under
this chapter current direct recipient of public or private mental
health, developmental, or substance abuse treatment, rehabilitation, or
habilitation services whether that person is referred to as a patient,
and includes the terms "consumer," " client
patient," "resident," student,
individual, "recipient," family member,
relative, or other term "client." When the
term is used in this chapter, the requirement applies to every
individual receiving licensed services from the provider.
"Individualized services plan" or "ISP" means a comprehensive and regularly updated written plan that describes the individual's needs, the measurable goals and objectives to address those needs, and strategies to reach the individual's goals. An ISP is person-centered, empowers the individual, and is designed to meet the needs and preferences of the individual. The ISP is developed through a partnership between the individual and the provider and includes an individual's treatment plan, habilitation plan, person-centered plan, or plan of care, which are all considered individualized service plans.
"Informed choice" means a decision made after considering options based on adequate and accurate information and knowledge. These options are developed through collaboration with the individual and his authorized representative, as applicable, and the provider with the intent of empowering the individual and his authorized representative to make decisions that will lead to positive service outcomes.
"Informed consent" means the voluntary written agreement of an individual, or that individual's authorized representative, to surgery, electroconvulsive treatment, use of psychotropic medications, or any other treatment or service that poses a risk of harm greater than that ordinarily encountered in daily life or for participation in human research. To be voluntary, informed consent must be given freely and without: undue inducement; any element of force, fraud, deceit, or duress; or, any form of constraint or coercion.
"Initial assessment" means an assessment conducted prior to or at admission to determine whether the individual meets the service's admission criteria; what the individual's immediate service, health, and safety needs are; and whether the provider has the capability and staffing to provide the needed services.
"Inpatient psychiatric service" means intensive 24-hour medical, nursing, and treatment services provided to individuals with mental illness or substance abuse (substance use disorders) in a hospital as defined in § 32.1-123 of the Code of Virginia or in a special unit of such a hospital.
"Instrumental activities of daily living" or
"IADLs" means meal preparation, housekeeping, laundry, and managing
A person's An individuals degree of independence in
performing these activities is part of determining the appropriate level
of care and services.
"Intellectual disability" means a disability, originating before the age of 18 years, characterized concurrently by (i) significant subaverage intellectual functioning as demonstrated by performance on a standardized measure of intellectual functioning, administered in conformity with accepted professional practice, that is at least two standard deviations below the mean and (ii) significant limitations in adaptive behavior as expressed in conceptual, social, and practical adaptive skills.
"Intensive Community Treatment (ICT) service" means a self-contained interdisciplinary team of at least five full-time equivalent clinical staff, a program assistant, and a full-time psychiatrist that:
1. Assumes responsibility for directly providing needed treatment, rehabilitation, and support services to identified individuals with severe and persistent mental illness especially those who have severe symptoms that are not effectively remedied by available treatments or who because of reasons related to their mental illness resist or avoid involvement with mental health services;
2. Minimally refers individuals to outside service providers;
3. Provides services on a long-term care basis with continuity of caregivers over time;
4. Delivers 75% or more of the services outside program offices; and
5. Emphasizes outreach, relationship building, and individualization of services.
"Intensive in-home service" means family
preservation interventions for children and adolescents who have or are at-risk
of serious emotional disturbance, including individuals who also have a
mental retardation (intellectual disability) developmental
disability. Intensive in-home service is usually time-limited and is
provided typically in the residence of an individual who is at risk of being moved
to out-of-home placement or who is being transitioned back home from an
out-of-home placement. The service includes 24-hour per day emergency response;
crisis treatment; individual and family counseling; life, parenting, and
communication skills; and case management and coordination with other services.
"Intermediate care facility/individuals with intellectual disability" or "ICF/IID" means a facility or distinct part of a facility certified by the Virginia Department of Health as meeting the federal certification regulations for an intermediate care facility for individuals with intellectual disability and persons with related conditions and that addresses the total needs of the residents, which include physical, intellectual, social, emotional, and habilitation providing active treatment as defined in 42 CFR 435.1010 and 42 CFR 483.440.
"Investigation" means a detailed inquiry or systematic examination of the operations of a provider or its services regarding an alleged violation of regulations or law. An investigation may be undertaken as a result of a complaint, an incident report, or other information that comes to the attention of the department.
"Licensed mental health professional (LMHP)" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, or certified psychiatric clinical nurse specialist.
"Location" means a place where services are or could be provided.
"Medically managed withdrawal services" means detoxification services to eliminate or reduce the effects of alcohol or other drugs in the individual's body.
"Mandatory outpatient treatment order" means an order issued by a court pursuant to § 37.2-817 of the Code of Virginia.
"Medical detoxification" means a service provided in a hospital or other 24-hour care facility under the supervision of medical personnel using medication to systematically eliminate or reduce effects of alcohol or other drugs in the individual's body.
"Medical evaluation" means the process of assessing an individual's health status that includes a medical history and a physical examination of an individual conducted by a licensed medical practitioner operating within the scope of his license.
"Medication" means prescribed or over-the-counter drugs or both.
"Medication administration" means the direct application of medications by injection, inhalation, ingestion, or any other means to an individual receiving services by (i) persons legally permitted to administer medications or (ii) the individual at the direction and in the presence of persons legally permitted to administer medications.
"Medication assisted treatment (Opioid treatment service)" means an intervention strategy that combines outpatient treatment with the administering or dispensing of synthetic narcotics, such as methadone or buprenorphine (suboxone), approved by the federal Food and Drug Administration for the purpose of replacing the use of and reducing the craving for opioid substances, such as heroin or other narcotic drugs.
"Medication error" means an error in administering a medication to an individual and includes when any of the following occur: (i) the wrong medication is given to an individual, (ii) the wrong individual is given the medication, (iii) the wrong dosage is given to an individual, (iv) medication is given to an individual at the wrong time or not at all, or (v) the wrong method is used to give the medication to the individual.
"Medication storage" means any area where medications are maintained by the provider, including a locked cabinet, locked room, or locked box.
"Mental Health Community Support Service (MHCSS)" means the provision of recovery-oriented services to individuals with long-term, severe mental illness. MHCSS includes skills training and assistance in accessing and effectively utilizing services and supports that are essential to meeting the needs identified in the individualized services plan and development of environmental supports necessary to sustain active community living as independently as possible. MHCSS may be provided in any setting in which the individual's needs can be addressed, skills training applied, and recovery experienced.
"Mental illness" means a disorder of thought, mood, emotion, perception, or orientation that significantly impairs judgment, behavior, capacity to recognize reality, or ability to address basic life necessities and requires care and treatment for the health, safety, or recovery of the individual or for the safety of others.
"Mental retardation (intellectual disability)"
means a disability originating before the age of 18 years characterized
concurrently by (i) significantly subaverage intellectual functioning as demonstrated
by performance on a standardized measure of intellectual functioning
administered in conformity with accepted professional practice that is at least
two standard deviations below the mean; and (ii) significant limitations in
adaptive behavior as expressed in conceptual, social, and practical adaptive
skills (§ 37.2-100 of the Code of Virginia).
"Missing" means a circumstance in which an individual is not physically present when and where he should be and his absence cannot be accounted for or explained by his supervision needs or pattern of behavior.
the failure by an
individual a person, or a program or facility operated, licensed, or
funded by the department, excluding those operated by the Department of
Corrections, responsible for providing services to do so, including
nourishment, treatment, care, goods, or services necessary to the health,
safety, or welfare of a person an individual receiving care or
treatment for mental illness, mental retardation (intellectual disability)
developmental disabilities, or substance abuse (substance use
"Neurobehavioral services" means the assessment, evaluation, and treatment of cognitive, perceptual, behavioral, and other impairments caused by brain injury that affect an individual's ability to function successfully in the community.
"Outpatient service" means treatment provided to individuals on an hourly schedule, on an individual, group, or family basis, and usually in a clinic or similar facility or in another location. Outpatient services may include diagnosis and evaluation, screening and intake, counseling, psychotherapy, behavior management, psychological testing and assessment, laboratory and other ancillary services, medical services, and medication services. "Outpatient service" specifically includes:
1. Services operated by a community services board or a behavioral health authority established pursuant to Chapter 5 (§ 37.2-500 et seq.) or Chapter 6 (§ 37.2-600 et seq.) of Title 37.2 of the Code of Virginia;
2. Services contracted by a community services board or a behavioral health authority established pursuant to Chapter 5 (§ 37.2-500 et seq.) or Chapter 6 (§ 37.2-600 et seq.) of Title 37.2 of the Code of Virginia; or
3. Services that are owned, operated, or controlled by a corporation organized pursuant to the provisions of either Chapter 9 (§ 13.1-601 et seq.) or Chapter 10 (§ 13.1-801 et seq.) of Title 13.1 of the Code of Virginia.
"Partial hospitalization service" means time-limited active treatment interventions that are more intensive than outpatient services, designed to stabilize and ameliorate acute symptoms, and serve as an alternative to inpatient hospitalization or to reduce the length of a hospital stay. Partial hospitalization is focused on individuals with serious mental illness, substance abuse (substance use disorders), or co-occurring disorders at risk of hospitalization or who have been recently discharged from an inpatient setting.
"Person-centered" means focusing on the needs and preferences of the individual; empowering and supporting the individual in defining the direction for his life; and promoting self-determination, community involvement, and recovery.
"Program of Assertive Community Treatment (PACT) service" means a self-contained interdisciplinary team of at least 10 full-time equivalent clinical staff, a program assistant, and a full- or part-time psychiatrist that:
1. Assumes responsibility for directly providing needed treatment, rehabilitation, and support services to identified individuals with severe and persistent mental illnesses, including those who have severe symptoms that are not effectively remedied by available treatments or who because of reasons related to their mental illness resist or avoid involvement with mental health services;
2. Minimally refers individuals to outside service providers;
3. Provides services on a long-term care basis with continuity of caregivers over time;
4. Delivers 75% or more of the services outside program offices; and
5. Emphasizes outreach, relationship building, and individualization of services.
"Provider" means any person, entity, or
organization, excluding an agency of the federal government by whatever name or
designation, that delivers (i) services to individuals with mental illness,
retardation (intellectual disability) developmental disabilities, or
substance abuse (substance use disorders) , or (ii) services to
individuals who receive day support, in-home support, or crisis stabilization
services funded through the IFDDS Waiver, or (iii) residential services for
individuals with brain injury. The person, entity, or organization shall
include a hospital as defined in § 32.1-123 of the Code of Virginia, community
services board, behavioral health authority, private provider, and any other
similar or related person, entity, or organization. It shall not include any
individual practitioner who holds a license issued by a health regulatory board
of the Department of Health Professions or who is exempt from licensing
pursuant to §§ 54.1-2901, 54.1-3001, 54.1-3501, 54.1-3601 and 54.1-3701 of the
Code of Virginia.
"Psychosocial rehabilitation service" means a program of two or more consecutive hours per day provided to groups of adults in a nonresidential setting. Individuals must demonstrate a clinical need for the service arising from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities. This service provides education to teach the individual about mental illness, substance abuse, and appropriate medication to avoid complication and relapse and opportunities to learn and use independent skills and to enhance social and interpersonal skills within a consistent program structure and environment. Psychosocial rehabilitation includes skills training, peer support, vocational rehabilitation, and community resource development oriented toward empowerment, recovery, and competency.
"Qualified Developmental Disability Professional (QDDP)" means a person who possesses at least one year of documented experience working directly with individuals who have a developmental disability and one of the following credentials: (i) a doctor of medicine or osteopathy licensed in Virginia, (ii) a registered nurse licensed in Virginia, or (iii) completion of at least a bachelor's degree in a human services field, including but not limited to sociology, social work, special education, rehabilitation counseling, or psychology.
"Quality improvement plan" means a detailed work plan developed by a provider that defines steps the provider will take to review the quality of services it provides and to manage initiatives to improve quality. It consists of systematic and continuous actions that lead to measurable improvement in the services, supports, and health status of the individuals receiving services.
"Qualified Mental Health Professional-Adult
(QMHP-A)" means a person in the human services field who is trained and
experienced in providing psychiatric or mental health services to
adults who have a mental illness; including (i) a doctor of medicine or
osteopathy licensed in Virginia; (ii) a doctor of medicine or osteopathy,
specializing in psychiatry and licensed in Virginia; (iii) an individual with a
master's degree in psychology from an accredited college or university with at
least one year of clinical experience; (iv) a social worker: an individual with
at least a bachelor's degree in human services or related field (social work,
psychology, psychiatric rehabilitation, sociology, counseling, vocational
rehabilitation, human services counseling or other degree deemed equivalent to
those described) from an accredited college and with at least one year of
clinical experience providing direct services to individuals with a diagnosis
of mental illness; (v) a person with at least a bachelor's degree from an
accredited college in an unrelated field that includes at least 15 semester
credits (or equivalent) in a human services field and who has at least three
years of clinical experience; (vi) a Certified Psychiatric Rehabilitation Provider
(CPRP) registered with the United States Psychiatric Rehabilitation Association
(USPRA); (vii) a registered nurse licensed in Virginia with at least one year
of clinical experience; or (viii) any other licensed mental health
"Qualified Mental Health Professional-Child
(QMHP-C)" means a person in the human services field who is trained and
experienced in providing psychiatric or mental health services to children who
have a mental illness. To qualify as a QMHP-C, the individual must have the
designated clinical experience and must either (i) be a doctor of medicine or
osteopathy licensed in Virginia; (ii) have a master's degree in psychology from
an accredited college or university with at least one year of clinical
experience with children and adolescents; (iii) have a social work bachelor's
or master's degree from an accredited college or university with at least one
year of documented clinical experience with children or adolescents; (iv) be a
registered nurse with at least one year of clinical experience with children
and adolescents; (v) have at least a bachelor's degree in a human services
field or in special education from an accredited college with at least one year
of clinical experience providing direct services to
and adolescents with a diagnosis of mental illness, or (vi) be a
licensed mental health professional.
"Qualified Mental Health Professional-Eligible (QMHP-E)" means a person who has: (i) at least a bachelor's degree in a human service field or special education from an accredited college without one year of clinical experience or (ii) at least a bachelor's degree in a nonrelated field and is enrolled in a master's or doctoral clinical program, taking the equivalent of at least three credit hours per semester and is employed by a provider that has a triennial license issued by the department and has a department and DMAS-approved supervision training program.
"Qualified Mental Retardation Professional
(QMRP)" means a person who possesses at least one year of documented
experience working directly with individuals who have mental retardation
(intellectual disability) or other developmental disabilities and one of the
following credentials: (i) a doctor of medicine or osteopathy licensed in
Virginia, (ii) a registered nurse licensed in Virginia, or (iii) completion of
at least a bachelor's degree in a human services field, including, but not
limited to sociology, social work, special education, rehabilitation
counseling, or psychology.
"Qualified Paraprofessional in Mental Health (QPPMH)" means a person who must, at a minimum, meet one of the following criteria: (i) registered with the United States Psychiatric Association (USPRA) as an Associate Psychiatric Rehabilitation Provider (APRP); (ii) has an associate's degree in a related field (social work, psychology, psychiatric rehabilitation, sociology, counseling, vocational rehabilitation, human services counseling) and at least one year of experience providing direct services to individuals with a diagnosis of mental illness; or (iii) has a minimum of 90 hours classroom training and 12 weeks of experience under the direct personal supervision of a QMHP-Adult providing services to individuals with mental illness and at least one year of experience (including the 12 weeks of supervised experience).
"Recovery" means a journey of healing and
transformation enabling an individual with a mental illness to live a
meaningful life in a community of his choice while striving to achieve his full
potential. For individuals with substance abuse (substance use disorders),
recovery is an incremental process leading to positive social change and a full
return to biological, psychological, and social functioning. For individuals
mental retardation (intellectual disability) a developmental
disability, the concept of recovery does not apply in the sense that
individuals with mental retardation (intellectual disability) a
developmental disability will need supports throughout their entire lives
although these may change over time. With supports, individuals with mental
retardation (intellectual disability) a developmental disability are
capable of living lives that are fulfilling and satisfying and that bring
meaning to themselves and others whom they know.
"Referral" means the process of directing an applicant or an individual to a provider or service that is designed to provide the assistance needed.
"Residential crisis stabilization service" means (i) providing short-term, intensive treatment to nonhospitalized individuals who require multidisciplinary treatment in order to stabilize acute psychiatric symptoms and prevent admission to a psychiatric inpatient unit; (ii) providing normative environments with a high assurance of safety and security for crisis intervention; and (iii) mobilizing the resources of the community support system, family members, and others for ongoing rehabilitation and recovery.
"Residential service" means providing 24-hour
support in conjunction with care and treatment or a training program in a
setting other than a hospital or training center. Residential services provide
a range of living arrangements from highly structured and intensively
supervised to relatively independent requiring a modest amount of staff support
and monitoring. Residential services include residential treatment, group
community homes, supervised living, residential crisis stabilization,
community gero-psychiatric residential, community intermediate care
facility-MR ICF/IID, sponsored residential homes, medical and social
detoxification, neurobehavioral services, and substance abuse residential
treatment for women and children.
"Residential treatment service" means providing an intensive and highly structured mental health, substance abuse, or neurobehavioral service, or services for co-occurring disorders in a residential setting, other than an inpatient service.
"Respite care service" means providing for a short-term, time limited period of care of an individual for the purpose of providing relief to the individual's family, guardian, or regular care giver. Persons providing respite care are recruited, trained, and supervised by a licensed provider. These services may be provided in a variety of settings including residential, day support, in-home, or a sponsored residential home.
"Restraint" means the use of a mechanical device, medication, physical intervention, or hands-on hold to prevent an individual receiving services from moving his body to engage in a behavior that places him or others at imminent risk. There are three kinds of restraints:
1. Mechanical restraint means the use of a mechanical device that cannot be removed by the individual to restrict the individual's freedom of movement or functioning of a limb or portion of an individual's body when that behavior places him or others at imminent risk.
2. Pharmacological restraint means the use of a medication that is administered involuntarily for the emergency control of an individual's behavior when that individual's behavior places him or others at imminent risk and the administered medication is not a standard treatment for the individual's medical or psychiatric condition.
3. Physical restraint, also referred to as manual hold, means the use of a physical intervention or hands-on hold to prevent an individual from moving his body when that individual's behavior places him or others at imminent risk.
"Restraints for behavioral purposes" means using a physical hold, medication, or a mechanical device to control behavior or involuntary restrict the freedom of movement of an individual in an instance when all of the following conditions are met: (i) there is an emergency; (ii) nonphysical interventions are not viable; and (iii) safety issues require an immediate response.
"Restraints for medical purposes" means using a physical hold, medication, or mechanical device to limit the mobility of an individual for medical, diagnostic, or surgical purposes, such as routine dental care or radiological procedures and related post-procedure care processes, when use of the restraint is not the accepted clinical practice for treating the individual's condition.
"Restraints for protective purposes" means using a mechanical device to compensate for a physical or cognitive deficit when the individual does not have the option to remove the device. The device may limit an individual's movement, for example, bed rails or a gerichair, and prevent possible harm to the individual or it may create a passive barrier, such as a helmet to protect the individual.
"Restriction" means anything that limits or prevents an individual from freely exercising his rights and privileges.
"Risk management" means an integrated system-wide program to ensure the safety of individuals, employees, visitors, and others through identification, mitigation, early detection, monitoring, evaluation, and control of risks.
"Root cause analysis" means a method of problem solving designed to identify the underlying causes of a problem. The focus of a root cause analysis is on systems, processes, and outcomes that require change to reduce the risk of harm.
"Screening" means the process or procedure for determining whether the individual meets the minimum criteria for admission.
"Seclusion" means the involuntary placement of an individual alone in an area secured by a door that is locked or held shut by a staff person, by physically blocking the door, or by any other physical means so that the individual cannot leave it.
"Serious incident" means any event or circumstance that causes or could cause harm to the health, safety, or well-being of an individual. The term serious incident includes death and serious injury. "Level I serious incident" means a serious incident that occurs or originates during the provision of a service or on the premises of the provider and does not meet the definition of a Level II or Level III serious incident. "Level I serious incidents" do not result in significant harm to individuals, but may include events that result in minor injuries that do not require medical attention, or events that have the potential to cause serious injury, even when no injury occurs. "Level II serious incident" means a serious incident that occurs or originates during the provision of a service or on the premises of the provider that results in a significant harm or threat to the health and safety of an individual that does not meet the definition of a Level III serious incident. "Level II serious incident" also includes a significant harm or threat to the health or safety of others caused by an individual. "Level II serious incidents" include:
1. A serious injury;
2. An individual who is missing;
3. An emergency room or urgent care facility visit when not used in lieu of a primary care physician visit;
4. An unplanned psychiatric or unplanned medical hospital admission;
5. Choking incidents that require direct physical intervention by another person;
6. Ingestion of any hazardous material.
7. A diagnosis of:
a. A decubitus ulcer or an increase in severity of level of previously diagnosed decubitus ulcer;
b. A bowel obstruction; or
c. Aspiration pneumonia.
"Level III serious incident" means a serious incident whether or not the incident occurs while in the provision of a service or on the providers premises and results in:
1) Any death of an individual;
2) A sexual assault of an individual;
3) A serious injury of an individual that results in or likely will result in permanent physical or psychological impairment;
4) A suicide attempt by an individual admitted for services that results in a hospital admission.
"Serious injury" means any injury resulting in
bodily hurt, damage, harm, or loss that requires medical attention by a licensed
physician, doctor of osteopathic medicine, physician assistant, or nurse
while the individual is supervised by or involved in services,
such as attempted suicides, medication overdoses, or reactions from medications
administered or prescribed by the service.
"Service" or "services" means (i) planned
individualized interventions intended to reduce or ameliorate mental illness,
retardation (intellectual disability) developmental disabilities, or
substance abuse (substance use disorders) through care, treatment, training,
habilitation, or other supports that are delivered by a provider to individuals
with mental illness, mental retardation (intellectual disability) developmental
disabilities, or substance abuse (substance use disorders). Services
include outpatient services, intensive in-home services, opioid treatment
services, inpatient psychiatric hospitalization, community gero-psychiatric
residential services, assertive community treatment and other clinical
services; day support, day treatment, partial hospitalization, psychosocial
rehabilitation, and habilitation services; case management services; and
supportive residential, special school, halfway house, in-home
services, crisis stabilization, and other residential services; and
(ii) day support, in-home support, and crisis stabilization services
provided to individuals under the IFDDS Medicaid Waiver; and (iii)
planned individualized interventions intended to reduce or ameliorate the
effects of brain injury through care, treatment, or other supports or provided
in residential services for persons with brain injury.
"Shall" means an obligation to act is imposed.
"Shall not" means an obligation not to act is imposed.
"Skills training" means systematic skill building through curriculum-based psychoeducational and cognitive-behavioral interventions. These interventions break down complex objectives for role performance into simpler components, including basic cognitive skills such as attention, to facilitate learning and competency.
"Social detoxification service" means providing nonmedical supervised care for the individual's natural process of withdrawal from use of alcohol or other drugs.
"Sponsored residential home" means a service where providers arrange for, supervise, and provide programmatic, financial, and service support to families or persons (sponsors) providing care or treatment in their own homes for individuals receiving services.
"State board" means the State Board of Behavioral Health and Developmental Services. The board has statutory responsibility for adopting regulations that may be necessary to carry out the provisions of Title 37.2 of the Code of Virginia and other laws of the Commonwealth administered by the commissioner or the department.
"State methadone authority" means the Virginia Department of Behavioral Health and Developmental Services that is authorized by the federal Center for Substance Abuse Treatment to exercise the responsibility and authority for governing the treatment of opiate addiction with an opioid drug.
"Substance abuse (
"Substance abuse intensive outpatient service" means treatment provided in a concentrated manner for two or more consecutive hours per day to groups of individuals in a nonresidential setting. This service is provided over a period of time for individuals requiring more intensive services than an outpatient service can provide. Substance abuse intensive outpatient services include multiple group therapy sessions during the week, individual and family therapy, individual monitoring, and case management.
"Substance abuse residential treatment for women with children service" means a 24-hour residential service providing an intensive and highly structured substance abuse service for women with children who live in the same facility.
"Supervised living residential service" means the provision of significant direct supervision and community support services to individuals living in apartments or other residential settings. These services differ from supportive in-home service because the provider assumes responsibility for management of the physical environment of the residence, and staff supervision and monitoring are daily and available on a 24-hour basis. Services are provided based on the needs of the individual in areas such as food preparation, housekeeping, medication administration, personal hygiene, treatment, counseling, and budgeting.
"Supportive in-home service" (formerly supportive residential) means the provision of community support services and other structured services to assist individuals, to strengthen individual skills, and that provide environmental supports necessary to attain and sustain independent community residential living. Services include drop-in or friendly-visitor support and counseling to more intensive support, monitoring, training, in-home support, respite care, and family support services. Services are based on the needs of the individual and include training and assistance. These services normally do not involve overnight care by the provider; however, due to the flexible nature of these services, overnight care may be provided on an occasional basis.
"Systemic deficiency" means violations of regulations documented by the department that demonstrate multiple or repeat defects in the operation of one or more services.
"Therapeutic day treatment for children and adolescents" means a treatment program that serves (i) children and adolescents from birth through age 17 and under certain circumstances up to 21 with serious emotional disturbances, substance use, or co-occurring disorders or (ii) children from birth through age seven who are at risk of serious emotional disturbance, in order to combine psychotherapeutic interventions with education and mental health or substance abuse treatment. Services include: evaluation; medication education and management; opportunities to learn and use daily living skills and to enhance social and interpersonal skills; and individual, group, and family counseling.
"Time out" means the involuntary removal of an individual by a staff person from a source of reinforcement to a different, open location for a specified period of time or until the problem behavior has subsided to discontinue or reduce the frequency of problematic behavior.
"Volunteer" means a person who, without financial remuneration, provides services to individuals on behalf of the provider.
A. Licenses are issued to providers who offer services to
individuals who have mental illness,
mental retardation (intellectual
disability) a developmental disability, or substance abuse (substance
use disorders); have developmental disability and are served under the IFDDS
Waiver; or have brain injury and are receiving residential services
B. Providers shall be licensed to provide specific services as defined in this chapter or as determined by the commissioner. These services include:
1. Case management;
2. Community gero-psychiatric residential;
Community intermediate care facility-MR ICF/IID;
4. Residential crisis stabilization;
5. Nonresidential crisis stabilization;
6. Day support;
7. Day treatment, includes therapeutic day treatment for children and adolescents;
8. Group home and community residential;
9. Inpatient psychiatric;
10. Intensive Community Treatment (ICT);
11. Intensive in-home;
12. Managed withdrawal, including medical detoxification and social detoxification;
13. Mental health community support;
14. Opioid treatment /medication assisted treatment;
17. Partial hospitalization;
18. Program of assertive community treatment (PACT);
19. Psychosocial rehabilitation;
20. Residential treatment;
21. Respite care;
22. Sponsored residential home;
23. Substance abuse residential treatment for women with children;
24. Substance abuse intensive outpatient;
25. Supervised living residential; and
26. Supportive in-home.
C. A license addendum shall describe the services licensed, the disabilities of individuals who may be served, the specific locations where services are to be provided or administered, and the terms and conditions for each service offered by a licensed provider. For residential and inpatient services, the license identifies the number of individuals each residential location may serve at a given time.
12VAC35-105-50. Issuance of licenses.
A. The commissioner may issue the following types of licenses:
1. A conditional license
shall may be issued to a
new provider for services that demonstrates compliance with administrative and policy
regulations but has not demonstrated compliance with all the regulations.
a. A conditional license shall not exceed six months.
b. A conditional license may be renewed if the provider is not able to demonstrate compliance with all the regulations at the end of the license period. A conditional license and any renewals shall not exceed 12 successive months for all conditional licenses and renewals combined.
c. A provider holding a conditional license for a service shall demonstrate progress toward compliance.
d. A provider holding a conditional license shall not add services or locations during the conditional period.
e. A group home or community residential service provider shall be limited to providing services in a single location, serving no more than four individuals during the conditional period.
2. A provisional license may be issued to a provider for a
service that has demonstrated an inability to maintain compliance with 12VAC35-115
("Human Rights Regulations") or these regulations, has violations of human
rights or licensing regulations that pose a threat to the health or safety of
being served receiving services, has multiple
violations of human rights or licensing regulations, or has failed to comply
with a previous corrective action plan.
a. A provisional license may be issued at any time.
b. The term of a provisional license shall not exceed six months.
c. A provisional license may be renewed; but a provisional license and any renewals shall not exceed 12 successive months for all provisional licenses and renewals combined.
d. A provider holding a provisional license for a service shall demonstrate progress toward compliance.
e. A provider holding a provisional license for a service shall not increase its services or locations or expand the capacity of the service.
f. A provisional license for a service shall be noted as a stipulation on the provider license. The stipulation shall also indicate the violations to be corrected and the expiration date of the provisional license.
3. A full license shall be issued after a provider or service demonstrates compliance with all the applicable regulations.
a. A full license may be granted to a provider for service for up to three years. The length of the license shall be in the sole discretion of the commissioner.
b. If a full license is granted for three years, it shall be
referred to as a triennial license. A triennial license shall be granted to
providers for services that have demonstrated full compliance with
all applicable regulations. The commissioner may issue a triennial
license to a provider for service that had violations during the previous
license period if those violations did not pose a threat to the health or safety
of individuals being served receiving services and the provider
or service has demonstrated consistent compliance for more than a year and has
a process in place that provides sufficient oversight to maintain compliance.
c. If a full license is granted for one year, it shall be referred to as an annual license.
d. The term of the first full renewal license after the expiration of a conditional or provisional license shall not exceed one year.
B. The commissioner may add stipulations on a license issued to a provider that may place limits on the provider or to impose additional requirements on the provider.
C. A license shall not be transferred or assigned to another provider. A new application shall be made and a new license issued when there is a change in ownership.
D. A license shall not be issued or renewed unless the
provider is affiliated with a local human rights committee. ED. No service shall be issued a license with an
expiration date that is after the expiration date of the provider license. FE. A license shall continue in effect after the
expiration date if the provider has submitted a renewal application before the
date of expiration and there are no grounds to deny the application. The
department shall issue a letter stating the provider or service license shall
be effective for six additional months if the renewed license is not issued
before the date of expiration.
The commissioner may grant a variance to a specific regulation
if he determines that such a variance will not jeopardize the health, safety,
or welfare of individuals. A provider shall submit a request for
upon demonstration by the provider requesting such variance in writing
to the commissioner. The request shall demonstrate that complying with
the regulation would be a hardship unique to the provider and that the
variance will not jeopardize the health, safety, or welfare of individuals. The
department may limit the length of time a variance will be effective. A
provider shall submit a request for a variance in writing to the commissioner.
A variance may be time limited or have other conditions attached to it. The
department must approve a variance prior to implementation. The provider
shall not implement a variance until it has been approved in writing by the
12VAC35-105-150. Compliance with applicable laws, regulations and policies.
The provider including its employees, contractors, students, and volunteers shall comply with:
1. These regulations;
2. The terms and stipulations of the license;
3. All applicable federal, state, or local laws and regulations including:
a. Laws regarding employment practices including the Equal Employment Opportunity Act;
b. The Americans with Disabilities Act and the Virginians with Disabilities Act;
c. For home and community-based services waiver settings subject to these regulations, 42 CFR § 441.301(c)(1)-(4) Home and Community-Based Services: Waiver Requirements (for person-centered planning and community-based settings);
c.d. Occupational Safety and Health
Administration regulations; d.e. Virginia Department of Health regulations; e.f. Laws and regulations of the Virginia
Department of Health Professions regulations; f.g. Virginia Department of Medical Assistance
Services regulations; g.h. Uniform Statewide Building Code; and h. i. Uniform Statewide Fire Prevention Code.
4. Section 37.2-400 of the Code of Virginia and related human rights regulations adopted by the state board; and
5.The provider's own policies. All required policies shall be in writing.
12VAC35-105-155. Preadmission screening, discharge planning, involuntary commitment, and mandatory outpatient treatment orders.
A. Providers responsible for complying with §§ 37.2-505 and 37.2-606 of the Code of Virginia regarding community services board and behavioral health authority preadmission screening and discharge planning shall implement policies and procedures that include:
1. Identification, qualification, training, and responsibilities of employees responsible for preadmission screening and discharge planning.
2. Completion of a discharge plan prior to an individual's discharge in consultation with the state facility that:
a. Involves the individual or his authorized representative and reflects the individual's preferences to the greatest extent possible consistent with the individual's needs.
b. Involves mental health,
mental retardation (intellectual
disability) developmental disability, substance abuse, social,
educational, medical, employment, housing, legal, advocacy, transportation, and
other services that the individual will need upon discharge into the community
and identifies the public or private agencies or persons that have agreed to
B. Any provider who serves individuals through an emergency custody order, temporary detention order, or mandatory outpatient treatment order shall implement policies and procedures to comply with §§ 37.2-800 through 37.2-817 of the Code of Virginia.
12VAC35-105-160. Reviews by the department; requests for information; required reporting.
A. The provider shall permit representatives from the department to conduct reviews to:
1. Verify application information;
2. Assure compliance with this chapter; and
3. Investigate complaints.
B. The provider shall cooperate fully with inspections and
investigations, and shall provide all information requested
assist representatives from by the department who conduct inspections.
C. The provider shall collect, maintain, and review at least quarterly all Level I serious incidents as part of the quality improvement program in accordance with 12VAC35-105-620 to include an analysis of trends, potential systemic issues or causes, indicated remediation, and documentation of steps taken to mitigate the potential for future incidents.
D. The provider shall collect, maintain, and report or make available to the department the following information:
1. Each allegation of abuse or neglect shall be reported to the
assigned human rights advocate and the individual's authorized
representative within 24 hours from the receipt of the initial allegation. Reported
information shall include the type of abuse, neglect, or exploitation that is
alleged and whether there is physical or psychological injury to the individual
department as provided in 12VAC35-115-230 A.
Each instance of death or serious injury Level
II and Level III serious incidents shall be reported using the
departments web-based reporting application and by phone to anyone designated
by the individual to receive such notice and to the individuals authorized
representative in writing to the department's assigned licensing
specialist within 24 hours of discovery and by phone to the individual's
authorized representative within 24 hours. Reported information shall
include the information specified by the department as required in its
web-based reporting application but at least the following: the date,
and place, and circumstances of the individual's death
or serious injury serious incident ;. For serious injuries
and deaths, the reported information shall also include the nature of the
individual's injuries or circumstances of the death and the any
treatment received ; and the circumstances of the death or serious injury.
For all other Level II and Level III serious incidents, the reported
information shall also include the consequences or risk of harm that resulted
from the serious incident. Deaths that occur in a hospital as a
result of illness or injury occurring when the individual was in a licensed
service shall be reported.
Each instance Instances of seclusion or
restraint that does not comply with the human rights regulations or approved
variances or that results in injury to an individual shall be reported to the
individual's authorized representative and the assigned human rights advocate
within 24 hours shall be reported to the department as provided in
12VAC35-115-230 C 4.
E. A root cause analysis shall be conducted by the provider within 30 days of discovery of Level II and Level III serious incidents. The root cause analysis shall include at least the following information: (i) a detailed description of what happened; (ii) an analysis of why it happened, including identification of all identifiable underlying causes of the incident that were under the control of the provider; and (iii) identified solutions to mitigate its reoccurrence.
DF. The provider shall submit, or make
available, reports and information that the department requires to establish
compliance with these regulations and applicable statutes. EG. Records that are confidential under federal
or state law shall be maintained as confidential by the department and shall
not be further disclosed except as required or permitted by law; however, there
shall be no right of access to communications that are privileged pursuant to §
8.01-581.17 of the Code of Virginia. FH. Additional information requested by the
department if compliance with a regulation cannot be determined shall be
submitted within 10 business days of the issuance of the licensing report
requesting additional information. Extensions may be granted by the department
when requested prior to the due date, but extensions shall not exceed an
additional 10 business days. GI. Applicants and providers shall not submit
any misleading or false information to the department.
12VAC35-105-170. Corrective action plan.
A. If there is noncompliance with any applicable regulation during an initial or ongoing review, inspection, or investigation, the department shall issue a licensing report describing the noncompliance and requesting the provider to submit a corrective action plan for each violation cited.
B. The provider shall submit to the department and implement a
written corrective action plan for each
regulation with which it is found to
be in violation as identified in the licensing report violation cited.
C. The corrective action plan shall include a:
Description Detailed description of the
corrective actions to be taken that will minimize the possibility that the
violation will occur again and correct any systemic deficiencies;
2. Date of completion for each corrective action; and
3. Signature of the person responsible for the service.
D. The provider shall submit a corrective action plan to the
department within 15 business days of the issuance of the licensing report.
One extension may be granted by the department when requested prior to
the due date, but extensions shall not exceed an additional 10 business days.
An immediate corrective action plan shall be required if the department
determines that the violations pose a danger to individuals receiving the
E. Upon receipt of the corrective action plan, the department
shall review the plan and determine whether the plan is approved or not
approved. The provider has an additional 10 business days to submit a revised
corrective action plan after receiving a notice that
the plan submitted has
not been approved by the department has not approved the revised plan.
If the submitted revised corrective action plan is still unacceptable, the
provider shall follow the dispute resolution process identified in
F. When the provider disagrees with a citation of a violation or the disapproval of the revised corrective action plan(s), the provider shall discuss this disagreement with the licensing specialist initially. If the disagreement is not resolved, the provider may ask for a meeting with the licensing specialist's supervisor, in consultation with the director of licensing, to challenge a finding of noncompliance. The determination of the director is final.
G. The provider shall
monitor implementation implement
and monitor of the approved corrective action plan. The
provider shall and include a plan for monitoring incorporate
corrective actions in its quality assurance improvement activities
program specified in 12VAC30-105-620.
12VAC35-105-320. Fire inspections.
The provider shall document at the time of its original
application and annually thereafter that buildings and equipment in residential
serving more than eight individuals are maintained in accordance
with the Virginia Statewide Fire Prevention Code (13VAC5-51). The provider
shall evaluate each individual and, based on that evaluation, shall provide
appropriate environmental supports and adequate staff to safely evacuate all
individuals during an emergency. This section does not apply to
correctional facilities or home and noncenter-based or sponsored residential
Physical Environment of
Residential/Inpatient Residential and
Inpatient Service Locations
A. The provider shall not operate more beds than the number for which its service location or locations are licensed.
A community ICF/MR An ICF/IID may not have
more than 12 beds at any one location. This applies to new applications for
services and not to existing services or locations licensed prior to December
checks and registry searches.
A. Providers shall comply with the requirements for
obtaining criminal history background
check checks requirements
for direct care positions as outlined in §§ 37.2-416, 37.2-506, and
37.2-607 of the Code of Virginia for individuals hired after July 1, 1999. B. Prior to a new employee beginning his duties, the
provider shall obtain the employee's written consent and personal information
necessary to obtain a search of the registry of founded complaints of child
abuse and neglect maintained by the Virginia Department of Social Services. C.B. The provider shall develop a written policy
for criminal history background checks and registry checks searches
for all employees, contractors, students, and volunteers. The policy
shall require at a minimum a disclosure statement from the employee,
contractor, student, or volunteer stating whether the person has ever been
convicted of or is the subject of pending charges for any offense and shall
address what actions the provider will take should it be discovered that an
employee, student, contractor, or volunteer a person has a founded
case of abuse or neglect or both, or a conviction or pending criminal charge. D.C. The provider shall submit all information
required by the department to complete the criminal history background checks
and registry checks searches for all employees and for
contractors, students, and volunteers if required by the provider's policy.
E.D. The provider shall maintain the following
1. The disclosure statement from the applicant stating whether he has ever been convicted of or is the subject of pending charges for any offense; and
2. Documentation that the provider submitted all information
required by the department to complete the criminal history background checks
checks searches, memoranda from the department
transmitting the results to the provider, and the results from the Child
Protective Registry check search.
12VAC35-105-440. Orientation of new employees, contractors, volunteers, and students.
New employees, contractors, volunteers, and students shall be oriented commensurate with their function or job-specific responsibilities within 15 business days. The provider shall document that the orientation covers each of the following policies, procedures, and practices:
1. Objectives and philosophy of the provider;
2. Practices of confidentiality including access, duplication, and dissemination of any portion of an individual's record;
3. Practices that assure an individual's rights including orientation to human rights regulations;
4. Applicable personnel policies;
5. Emergency preparedness procedures;
7. Infection control practices and measures; and
8. Other policies and procedures that apply to specific positions and specific duties and responsibilities.
9. Serious incident reporting, including when, how, and under what circumstances a serious incident report must be submitted and the consequences of failing to report a serious incident to the department in accordance with these regulations.
12VAC35-105-450. Employee training and development.
The provider shall provide training and development
opportunities for employees to enable them to support the individuals
receiving services and to carry out the their job
responsibilities of their jobs. The provider shall develop a training
policy that addresses the frequency of retraining on serious incident
reporting, medication administration, behavior intervention, emergency
preparedness, and infection control, to include flu epidemics. Employee
participation in training and development opportunities shall be documented and
accessible to the department.
12VAC35-105-460. Emergency medical or first aid training.
There shall be at least one employee or contractor on duty at each location who holds a current certificate (i) issued by the American Red Cross, the American Heart Association, or comparable authority in standard first aid and cardiopulmonary resuscitation (CPR) or (ii) as an emergency medical technician. A licensed medical professional who holds a current professional license shall be deemed to hold a current certificate in first aid, but not in CPR. The certification process shall include a hands-on, in-person demonstration of first aid and CPR competency.
Health and Safety Management
12VAC35-105-520. Risk management.
A. The provider shall designate a person responsible for the risk management function who has training and expertise in conducting investigations, root cause analysis, and data analysis.
B. The provider shall implement a written plan to identify,
monitor, reduce, and minimize
risks associated with harms and risk of
harm including personal injury, infectious disease, property damage or
loss, and other sources of potential liability.
C. The provider shall conduct systemic risk assessment reviews at least annually to identify and respond to practices, situations, and policies that could result in the risk of harm to individuals receiving services. The risk assessment review shall address: (i) the environment of care; (ii) clinical assessment or reassessment processes; (iii) staff competence and adequacy of staffing; (iv) use of high risk procedures, including seclusion and restraint; and (v) a review of serious incidents. This process shall incorporate uniform risk triggers and thresholds as defined by the department.
C D. The provider shall conduct and document
that a safety inspection has been performed at least annually of each service
location owned, rented, or leased by the provider. Recommendations for safety
improvement shall be documented and implemented by the provider. D E. The provider shall document serious
injuries to employees, contractors, students, volunteers, and visitors that
occur during the provision of a service or on the providers property.
Documentation shall be kept on file for three years. The provider shall
evaluate serious injuries at least annually. Recommendations for
improvement shall be documented and implemented by the provider.
12VAC35-105-580. Service description requirements.
A. The provider shall develop, implement, review, and revise its descriptions of services offered according to the provider's mission and shall make service descriptions available for public review.
B. The provider shall outline how each service offers a structured program of individualized interventions and care designed to meet the individuals' physical and emotional needs; provide protection, guidance and supervision; and meet the objectives of any required individualized services plan.
C. The provider shall prepare a written description of each service it offers. Elements of each service description shall include:
1. Service goals;
2. A description of care, treatment,
acquisition, or other supports provided;
3. Characteristics and needs of individuals to
4. Contract services, if any;
5. Eligibility requirements and admission, continued stay, and exclusion criteria;
6. Service termination and discharge or transition criteria; and
7. Type and role of employees or contractors.
D. The provider shall revise the written service description whenever the operation of the service changes.
E. The provider shall not implement services that are inconsistent with its most current service description.
F. The provider shall admit only those individuals whose
service needs are consistent with the service description, for whom services
are available, and for which staffing levels and types meet the needs of the individuals
served receiving services.
G. The provider shall provide for the physical separation of
children and adults in residential and inpatient services and shall provide
separate group programming for adults and children, except in the case of
family services. The provider shall provide for the safety of children
accompanying parents receiving services. Older adolescents transitioning from
school to adult activities may participate in
(intellectual disability) developmental day support services with
H. The service description for substance abuse treatment services shall address the timely and appropriate treatment of pregnant women with substance abuse (substance use disorders).
I. If the provider plans to serve individuals as of a result
of a temporary detention order to a service, prior to admitting those
individuals to that service, the provider shall submit a written plan for
adequate staffing and security measures to ensure the individual can
served receive services safely within the service to the department
for approval. If the plan is approved, the department will shall
add a stipulation to the license authorizing the provider to serve individuals
who are under temporary detention orders.
12VAC35-105-590. Provider staffing plan.
A. The provider shall implement a written staffing plan that includes the types, roles, and numbers of employees and contractors that are required to provide the service. This staffing plan shall reflect the:
1. Needs of the individuals
served receiving services;
2. Types of services offered;
3. The service description;
4. Number of
people individuals to be served
receive services at a given time; and
5. Adequate number of staff required to safely evacuate all individuals during an emergency.
B. The provider shall develop a written transition staffing plan for new services, added locations, and changes in capacity.
C. The provider shall meet the following staffing requirements related to supervision.
1. The provider shall describe how employees, volunteers, contractors, and student interns will be supervised in the staffing plan and how that supervision will be documented.
2. Supervision of employees, volunteers, contractors, and student interns shall be provided by persons who have experience in working with individuals receiving services and in providing the services outlined in the service description.
3. Supervision shall be appropriate to the services provided and the needs of the individual. Supervision shall be documented.
4. Supervision shall include responsibility for approving assessments and individualized services plans, as appropriate. This responsibility may be delegated to an employee or contractor who meets the qualification for supervision as defined in this section.
5. Supervision of mental health, substance abuse, or co-occurring services that are of an acute or clinical nature such as outpatient, inpatient, intensive in-home, or day treatment shall be provided by a licensed mental health professional or a mental health professional who is license-eligible and registered with a board of the Department of Health Professions.
6. Supervision of mental health, substance abuse, or co-occurring
services that are of a supportive or maintenance nature, such as psychosocial
, mental health supports, shall be
provided by a QMHP-A. An individual who is a QMHP-E may not provide this
type of supervision.
7. Supervision of
mental retardation (intellectual
disability) developmental services shall be provided by a person
with at least one year of documented experience working directly with
individuals who have mental retardation (intellectual disability) or other
developmental disabilities and holds at least a bachelor's degree in a human
services field such as sociology, social work, special education,
rehabilitation counseling, nursing, or psychology. Experience may be
substituted for the education requirement.
Supervision of individual and family developmental
disabilities support (IFDDS) services shall be provided by a person possessing
at least one year of documented experience working directly with individuals
who have developmental disabilities and is one of the following: a doctor of
medicine or osteopathy licensed in Virginia; a registered nurse licensed in
Virginia; or a person holding at least a bachelor's degree in a human services
field such as sociology, social work, special education, rehabilitation
counseling, or psychology. Experience may be substituted for the education
requirement. 9. Supervision of brain injury services shall be
provided at a minimum by a clinician in the health professions field who is
trained and experienced in providing brain injury services to individuals who
have a brain injury diagnosis including: (i) a doctor of medicine or osteopathy
licensed in Virginia; (ii) a psychiatrist who is a doctor of medicine or
osteopathy specializing in psychiatry and licensed in Virginia; (iii) a
psychologist who has a master's degree in psychology from a college or
university with at least one year of clinical experience; (iv) a social worker
who has a bachelor's degree in human services or a related field (social work,
psychology, psychiatric evaluation, sociology, counseling, vocational
rehabilitation, human services counseling, or other degree deemed equivalent to
those described) from an accredited college or university with at least two
years of clinical experience providing direct services to individuals with a
diagnosis of brain injury; (v) a Certified Brain Injury Specialist; (vi) a
registered nurse licensed in Virginia with at least one year of clinical
experience; or (vii) any other licensed rehabilitation professional with one
year of clinical experience.
D. The provider shall employ or contract with persons with
appropriate training, as necessary, to meet the specialized needs of and to
ensure the safety of individuals
being served receiving services
in residential services with medical or nursing needs; speech, language, or
hearing problems; or other needs where specialized training is necessary.
E. Providers of brain injury services shall employ or contract with a neuropsychologist or licensed clinical psychologist specializing in brain injury to assist, as appropriate, with initial assessments, development of individualized services plans, crises, staff training, and service design.
F. Direct care staff who provide brain injury services shall have at least a high school diploma and two years of experience working with individuals with disabilities or shall have successfully completed an approved training curriculum on brain injuries within six months of employment.
12VAC35-105-620. Monitoring and evaluating service quality.
The provider shall develop and implement a quality
improvement program sufficient to identify,
written policies and
procedures to monitor, and evaluate clinical and service
quality and effectiveness on a systematic and ongoing basis. The program
shall: (i) include a quality improvement plan that is reviewed and updated at
least annually; (ii) establish measurable goals and objectives; (iii) include
and report on statewide performance measures, if applicable, as required by
DBHDS; (iv) utilize standard quality improvement tools, including root cause
analysis; (v) implement a process to regularly evaluate progress toward meeting
established goals and objectives; and (vi) incorporate any corrective action
plans pursuant to 12VAC35-105-170. Input from individuals receiving
services and their authorized representatives, if applicable, about services
used and satisfaction level of participation in the direction of service
planning shall be part of the provider's quality assurance system improvement
plan. The provider shall implement improvements, when indicated.
12VAC35-105-650. Assessment policy.
A. The provider shall implement a written assessment policy. The policy shall define how assessments will be conducted and documented.
B. The provider shall actively involve the individual and authorized representative, if applicable, in the preparation of initial and comprehensive assessments and in subsequent reassessments. In these assessments and reassessments, the provider shall consider the individual's needs, strengths, goals, preferences, and abilities within the individual's cultural context.
C. The assessment policy shall designate employees or contractors who are responsible for conducting assessments. These employees or contractors shall have experience in working with the needs of individuals who are being assessed, the assessment tool or tools being utilized, and the provision of services that the individuals may require.
D. Assessment is an ongoing activity. The provider shall make reasonable attempts to obtain previous assessments or relevant history.
E. An assessment shall be initiated prior to or at admission to the service. With the participation of the individual and the individual's authorized representative, if applicable, the provider shall complete an initial assessment detailed enough to determine whether the individual qualifies for admission and to initiate an ISP for those individuals who are admitted to the service. This assessment shall assess immediate service, health, and safety needs, and at a minimum include the individual's:
2. Presenting needs including the individual's stated needs, psychiatric needs, support needs, and the onset and duration of problems;
3. Current medical problems;
4. Current medications;
5. Current and past substance use or abuse, including co-occurring mental health and substance abuse disorders; and
6. At-risk behavior to self and others.
F. A comprehensive assessment shall update and finalize the initial
assessment. The timing for completion of the comprehensive assessment shall be
based upon the nature and scope of the service but shall occur no later than 30
days, after admission for providers of mental health and substance abuse
services and 60 days after admission for providers of
(intellectual disability) and developmental disabilities services.
It shall address:
1. Onset and duration of problems;
2. Social, behavioral, developmental, and family history and supports;
3. Cognitive functioning including strengths and weaknesses;
4. Employment, vocational, and educational background;
5. Previous interventions and outcomes;
6. Financial resources and benefits;
7. Health history and current medical care needs, to include:
b. Recent physical complaints and medical conditions;
c. Nutritional needs;
d. Chronic conditions;
e. Communicable diseases;
f. Restrictions on physical activities if any;
g. Restrictive protocols or special supervision requirements;
h. Past serious illnesses, serious injuries, and hospitalizations;
h. i. Serious illnesses and chronic conditions
of the individual's parents, siblings, and significant others in the same
household; and i. j. Current and past substance use including
alcohol, prescription and nonprescription medications, and illicit drugs.
8. Psychiatric and substance use issues including current mental health or substance use needs, presence of co-occurring disorders, history of substance use or abuse, and circumstances that increase the individual's risk for mental health or substance use issues;
9. History of abuse, neglect, sexual, or domestic violence, or trauma including psychological trauma;
10. Legal status including authorized representative, commitment, and representative payee status;
11. Relevant criminal charges or convictions and probation or parole status;
12. Daily living skills;
13. Housing arrangements;
14. Ability to access services including transportation needs; and
15. As applicable, and in all residential services, fall risk, communication methods or needs, and mobility and adaptive equipment needs.
G. Providers of short-term intensive services including inpatient and crisis stabilization services shall develop policies for completing comprehensive assessments within the time frames appropriate for those services.
H. Providers of non-intensive or short-term services shall meet the requirements for the initial assessment at a minimum. Non-intensive services are services provided in jails, nursing homes, or other locations when access to records and information is limited by the location and nature of the services. Short-term services typically are provided for less than 60 days.
I. Providers may utilize standardized state or federally sanctioned assessment tools that do not meet all the criteria of 12VAC35-105-650 as the initial or comprehensive assessment tools as long as the tools assess the individual's health and safety issues and substantially meet the requirements of this section.
J. Individuals who receive medication-only services shall be reassessed at least annually to determine whether there is a change in the need for additional services and the effectiveness of the medication.
12VAC35-105-660. Individualized services plan (ISP).
A. The provider shall actively involve the individual and authorized representative, as appropriate, in the development, review, and revision of a person-centered ISP. The individualized services planning process shall be consistent with laws protecting confidentiality, privacy, human rights of individuals receiving services, and rights of minors.
B. The provider shall develop and implement an initial
person-centered ISP for the first 60 days for
(intellectual disability) and developmental disabilities services or
for the first 30 days for mental health and substance abuse services. This ISP
shall be developed and implemented within 24 hours of admission to address
immediate service, health, and safety needs and shall continue in effect until
the ISP is developed or the individual is discharged, whichever comes first.
C. The provider shall implement a person-centered
comprehensive ISP as soon as possible after admission based upon the nature and
scope of services but no later than 30 days after admission for providers of
mental health and substance abuse services and 60 days after admission for
mental retardation (intellectual disability) and developmental
D. The initial ISP and the comprehensive ISP shall be developed based on the respective assessment with the participation and informed choice of the individual receiving services. To ensure the individuals participation and informed choice, the provider shall explain to the individual or his authorized representative, as applicable, in a reasonable and comprehensible manner, the proposed services to be delivered, alternative service or services that might be advantageous for the individual, and accompanying risks or benefits. The provider shall clearly document that this information was explained to the individual or his authorized representative and the reasons the individual or his authorized representative chose the option included in the ISP.
12VAC35-105-665. ISP requirements.
A. The comprehensive ISP shall be based on the individual's needs, strengths, abilities, personal preferences, goals, and natural supports identified in the assessment. The ISP shall include:
1. Relevant and attainable goals, measurable objectives, and specific strategies for addressing each need;
2. Services and supports and frequency of services required to accomplish the goals including relevant psychological, mental health, substance abuse, behavioral, medical, rehabilitation, training, and nursing needs and supports;
3. The role of the individual and others in implementing the service plan;
4. A communication plan for individuals with communication barriers, including language barriers;
5. A behavioral support or treatment plan, if applicable;
6. A safety plan that addresses identified risks to the individual or to others, including a fall risk plan;
7. A crisis or relapse plan, if applicable;
8. Target dates for accomplishment of goals and objectives;
9. Identification of employees or contractors responsible for
coordination and integration of services, including employees of other
10. Recovery plans
11. Services the individual elects to self-direct, if applicable.
B. The ISP shall be signed and dated at a minimum by the
person responsible for implementing the plan and the individual receiving
services or the authorized representative in order to document agreement.
If the signature of the individual receiving services or the authorized
representative cannot be obtained
attempt attempts to obtain the necessary signature and the reason
why he was unable to obtain it. The ISP shall be distributed to the
individual and others authorized to receive it.
C. The provider shall designate a person who
be responsible for developing, implementing, reviewing, and revising each
individual's ISP in collaboration with the individual or authorized
representative, as appropriate.
D. Employees or contractors who are responsible for implementing the ISP shall demonstrate a working knowledge of the objectives and strategies contained in the individual's current ISP.
E. Providers of short-term intensive services such as
inpatient and crisis
stabilization services that are typically provided
for less than 30 days shall implement a policy to develop an ISP within a
timeframe consistent with the length of stay of individuals.
The ISP shall be consistent with the plan of care for individuals
served by the IFDDS Waiver. G. When a provider provides more than one service to an
individual the provider may maintain a single ISP document that contains
individualized objectives and strategies for each service provided. H.G. Whenever possible the identified goals in
the ISP shall be written in the words of the individual receiving services.
12VAC35-105-675. Reassessments and ISP reviews.
A. Reassessments shall be completed at least annually and
any time there is a need based on changes in the medical,
psychiatric, or behavioral, or other status of the individual.
B. Providers shall complete changes to the ISP as a result of the assessments.
C. The provider shall update the ISP at least annually and any time assessments identify risks, injuries, needs, or change in status of the individual.
D. The provider shall review the ISP at least every three months from the date of the implementation of the ISP or whenever there is a revised assessment based upon the individual's changing needs or goals.
1. These reviews shall evaluate the individual's
progress toward meeting the
plan's ISP's goals and objectives and
the continued relevance of the ISP's objectives and strategies. The provider
shall update the goals, objectives, and strategies contained in the ISP, if
indicated, and implement any updates made.
2. These reviews shall document evidence of progression towards or achievement of a specific targeted outcome for each goal and objective.
3. For goals and objectives that were not accomplished by the identified target date, the provider and any appropriate treatment team members shall meet to review the reasons for lack of progress and provide the individual an opportunity to make an informed choice of how to proceed.
12VAC35-105-691. Transition of individuals among service .
A. The provider shall implement written procedures that define the process for transitioning an individual between or among services operated by the provider. At a minimum the policy shall address:
1. The process by which the provider will assure continuity of services during and following transition;
2. The participation of the individual or his authorized representative, as applicable, in the decision to move and in the planning for transfer;
3. The process and timeframe for transferring the access to individual's record and ISP to the destination location;
4. The process and timeframe for completing the transfer
5. The process and timeframe for transmitting or accessing, where applicable, discharge summaries to the destination service.
B. The transfer summary shall include at a minimum the following:
1. Reason for the individual's transfer;
2. Documentation of
involvement informed choice
by the individual or his authorized representative, as applicable, in the
decision to and planning for the transfer;
3. Current psychiatric and known medical conditions or issues of the individual and the identity of the individual's health care providers;
4. Updated progress of the individual in meeting goals and objectives in his ISP;
5. Emergency medical information;
6. Dosages of all currently prescribed medications and over-the-counter medications used by the individual when prescribed by the provider or known by the case manager;
7. Transfer date; and
8. Signature of employee or contractor responsible for preparing the transfer summary.
C. The transfer summary may be documented in the individual's progress notes or in information easily accessible within an electronic health record.
12VAC35-105-800. Policies and procedures on behavior interventions and supports.
A. The provider shall implement written policies and procedures that describe the use of behavior interventions, including seclusion, restraint, and time out. The policies and procedures shall:
1. Be consistent with applicable federal and state laws and regulations;
2. Emphasize positive approaches to behavior interventions;
3. List and define behavior interventions in the order of their relative degree of intrusiveness or restrictiveness and the conditions under which they may be used in each service for each individual;
4. Protect the safety and well-being of the individual at all times, including during fire and other emergencies;
5. Specify the mechanism for monitoring the use of behavior interventions; and
6. Specify the methods for documenting the use of behavior interventions.
B. Employees and contractors trained in behavior support interventions shall implement and monitor all behavior interventions.
C. Policies and procedures related to behavior interventions shall be available to individuals, their families, authorized representatives, and advocates. Notification of policies does not need to occur in correctional facilities.
D. Individuals receiving services shall not discipline, restrain, seclude, or implement behavior interventions on other individuals receiving services.
E. Injuries resulting from or occurring during the
behavior interventions seclusion or restraint shall
be recorded in the individual's services record and reported to the assigned
human rights advocate and the employee or contractor responsible for the
overall coordination of services department as provided in
12VAC35-105-830. Seclusion, restraint, and time out.
A. The use of seclusion, restraint, and time out shall comply with applicable federal and state laws and regulations and be consistent with the provider's policies and procedures.
B. Devices used for mechanical restraint shall be designed specifically for emergency behavior management of human beings in clinical or therapeutic programs.
C. Application of time out, seclusion, or restraint shall be documented in the individual's record and include the following:
1. Physician's order for seclusion or mechanical restraint or chemical restraint;
2. Date and time;
3. Employees or contractors involved;
4. Circumstances and reasons for use including other emergency behavior management techniques attempted;
6. Type of technique used; and
7. Outcomes, including documentation of debriefing of the individual and staff involved following the incident.
Services in Department of Corrections Correctional Facilities
12VAC35-105-1140. Clinical and security coordination.
A. The provider shall have formal and informal methods of resolving procedural and programmatic issues regarding individual care arising between the clinical and security employees or contractors.
B. The provider shall demonstrate ongoing communication between clinical and security employees to ensure individual care.
C. The provider shall provide cross-training for the clinical and security employees or contractors that includes:
1. Mental health,
mental retardation (intellectual
disability) developmental disability, and substance abuse education;
2. Use of clinical and security restraints; and
3. Channels of communication.
D. Employees or contractors shall receive periodic in-service training, and have knowledge of and be able to demonstrate the appropriate use of clinical and security restraint.
E. Security and behavioral assessments shall be completed at the time of admission to determine service eligibility and at least weekly for the safety of individuals, other persons, employees, and visitors.
F. Personal grooming and care services for individuals shall be a cooperative effort between the clinical and security employees or contractors.
G. Clinical needs and security level shall be considered when arrangements are made regarding privacy for individual contact with family and attorneys.
H. Living quarters shall be assigned on the basis of the individual's security level and clinical needs.
I. An assessment of the individual's clinical condition and needs shall be made when disciplinary action or restrictions are required for infractions of security measures.
J. Clinical services consistent with the individual's condition and plan of treatment shall be provided when security detention or isolation is imposed.
12VAC35-105-1245. Case management direct assessments.
Case managers shall meet with each individual face-to-face as dictated by the individuals needs. At face-to-face meetings, the case manager shall (i) observe and assess for any previously unidentified risks, injuries, needs, or other changes in status; (ii) assess the status of previously identified risks, injuries, or needs, or other change in status; (iii) assess whether the individual's service plan is being implemented appropriately and remains appropriate for the individual; and (iv) assess whether supports and services are being implemented consistent with the individual's strengths and preferences and in the most integrated setting appropriate to the individual's needs.
12VAC35-105-1250. Qualifications of case management employees or contractors.
A. Employees or contractors providing case management services shall have knowledge of:
1. Services and systems available in the community including primary health care, support services, eligibility criteria and intake processes and generic community resources;
2. The nature of serious mental illness,
(intellectual disability) developmental disability, substance abuse
(substance use disorders), or co-occurring disorders depending on the
individuals served receiving services, including clinical and
3. Different types of assessments, including functional assessment, and their uses in service planning;
4. Treatment modalities and intervention techniques, such as behavior management, independent living skills training, supportive counseling, family education, crisis intervention, discharge planning, and service coordination;
5. Types of mental health, developmental, and substance abuse programs available in the locality;
6. The service planning process and major components of a service plan;
7. The use of medications in the care or treatment of the population served; and
8. All applicable federal and state laws and regulations and local ordinances.
B. Employees or contractors providing case management services shall have skills in:
1. Identifying and documenting an individual's need for resources, services, and other supports;
2. Using information from assessments, evaluations, observation, and interviews to develop service plans;
3. Identifying and documenting how resources, services, and natural supports such as family can be utilized to promote achievement of an individual's personal habilitative or rehabilitative and life goals; and
4. Coordinating the provision of services by diverse public and private providers.
C. Employees or contractors providing case management services shall have abilities to:
1. Work as team members, maintaining effective inter- and intra-agency working relationships;
2. Work independently performing position duties under general supervision; and
3. Engage in and sustain ongoing relationships with individuals receiving services.
D. Case managers serving individuals with developmental disability shall complete the DBHDS core competency-based curriculum within 30 days of hire.
Intensive Community Treatment and Program of Assertive Community Treatment Services
12VAC35-105-1360. Admission and discharge criteria.
A. Individuals must meet the following admission criteria:
1. Diagnosis of a severe and persistent mental illness,
predominantly schizophrenia, other psychotic disorder, or bipolar disorder that
seriously impairs functioning in the community. Individuals with a sole
diagnosis of substance addiction or abuse or
(intellectual disability) developmental disability are not eligible
2. Significant challenges to community integration without intensive community support including persistent or recurrent difficulty with one or more of the following:
a. Performing practical daily living tasks;
b. Maintaining employment at a self-sustaining level or consistently carrying out homemaker roles; or
c. Maintaining a safe living situation.
3. High service needs indicated due to one or more of the following:
a. Residence in a state hospital or other psychiatric hospital but clinically assessed to be able to live in a more independent situation if intensive services were provided or anticipated to require extended hospitalization, if more intensive services are not available;
b. Multiple admissions to or at least one recent long-term stay (30 days or more) in a state hospital or other acute psychiatric hospital inpatient setting within the past two years; or a recent history of more than four interventions by psychiatric emergency services per year;
c. Persistent or very recurrent severe major symptoms (e.g., affective, psychotic, suicidal);
d. Co-occurring substance addiction or abuse of significant duration (e.g., greater than six months);
e. High risk or a recent history (within the past six months) of criminal justice involvement (e.g., arrest or incarceration);
f. Ongoing difficulty meeting basic survival needs or residing in substandard housing, homeless, or at imminent risk of becoming homeless; or
g. Inability to consistently participate in traditional office-based services.
B. Individuals receiving PACT or ICT services should not be discharged for failure to comply with treatment plans or other expectations of the provider, except in certain circumstances as outlined. Individuals must meet at least one of the following criteria to be discharged:
1. Change in the individual's residence to a location out of the service area;
2. Death of the individual;
3. Incarceration of the individual for a period to exceed a
year or long term hospitalization (more than one year); however, the provider
is expected to prioritize these individuals for PACT or ICT services upon
the individuals anticipated return to the community if the individual
wishes to return to services and the service level is appropriate to his needs;
4. Choice of the individual with the provider responsible for revising the ISP to meet any concerns of the individual leading to the choice of discharge; or
5. Significant sustained recovery by the individual in all major role areas with minimal team contact and support for at least two years as determined by both the individual and ICT or PACT team.
Initial Provider Application For Licensing (rev.1/10).
Renewal Provider Application For Licensing (rev. 2/09).
Service Modification - Provider Request, DMH 966E 1140 (rev. 1/09).