Section 22-A3418. COMMUNITY SUPPORT

 

3418.1Community Support services are rehabilitation and environmental supports considered essential to assist the consumer in achieving rehabilitation and recovery goals that focus on building and maintaining a therapeutic relationship with the consumer.

 

3418.2Community Support services include a variety of interventions, such as:

 

(a) Participation in the development and implementation of a consumer’s IRP/IPC;

 

(b)Assistance and support for the consumer in stressor situations;

 

(c)Mental health education, support and consultation to consumers' families and their support system, which is directed exclusively to the well-being and benefit of the consumer;

 

(d)Individual mental health intervention for the development of interpersonal and community coping skills, including adapting to home, school, and work environments;

 

(e)Assisting the consumer in symptom self-monitoring and self-management for the identification and minimization of the negative effects of psychiatric symptoms, which interfere with the consumer's daily living, financial management, personal development, or school or work performance;

 

(f)Assistance to the consumer in increasing social support skills and networks that ameliorate life stresses resulting from the consumer's mental illness or emotional disturbance and are necessary to enable and maintain the consumer's independent living;

 

(g)Developing strategies and supportive mental health intervention for avoiding out-of-home placement for adults, children, and youth and building stronger family support skills and knowledge of the adult, child, or youth's strengths and limitations; and

 

(h)Developing mental health relapse prevention strategies and plans.

 

3418.3Community Support services may be provided by a team of staff that is responsible for an assigned group of consumers, or by staff who are individually responsible for assigned consumers.

 

3418.4Community Support services provided to children and youth shall include coordination with family and significant others and with other systems of care, such as education managed health plans (including Medicaid managed care plans), juvenile justice, and children's protective services when appropriate to treatment and educational needs.

 

3418.5Community Support services shall be provided:

 

(a)At the MHRS provider service site;

 

(b)In natural settings, including the consumer's home or other community settings; or

 

(c)In a residential facility of sixteen (16) beds or less.

 

3418.6 Each Community Support provider shall have policies and procedures included in its Service Specific Policies addressing the provision of Community Support (Community Support Organizational Plan) which addresses the following:

 

(a) Description of the particular rehabilitation, recovery, and case management models utilized, types of intervention practiced, and typical daily curriculum and schedule;

 

(b) Description of the staffing pattern and how staff are deployed to ensure that the required staff-to-consumer ratios are maintained, including how unplanned staff absences and illnesses are accommodated; and

 

(a) The use of level of functioning assessments to determine the number of consumers each staff can serve based on DMH guidelines.

 

3418.7The Community Support provider shall maintain a staffing ratio of no less than one (1) staff person for every twenty (20) consumers for children and youth, and one (1) staff person for every forty (40) consumers for adults.

 

3418.8Community Support services shall be delivered in accordance with the service accessibility requirements in § 3410.20.

 

3418.9Community Support shall be provided with no annual limits on service.

 

3418.10Community Support shall not be billed on the same day as ACT.

 

3418.11Qualified practitioners of Community Support are:

 

(a)Psychiatrists;

 

(b)Psychologists;

 

(c)LICSWs;

 

(d)APRNs;

 

(e)RNs;

 

(f)LPCs;

 

(g)LISWs; and

 

(h)Addiction counselors.

 

3418.12Credentialed staff shall be authorized to provide Community Support services under the supervision of a qualified practitioner as set forth in § 3413.3.

 

3418.13Community Support services provided through a Mental Health Clubhouse established under Chapter 39 of this title must meet all of the requirements of Chapter 39.

 

 

authority

Sections 104 and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.05 (2008 Repl.)).

source

Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005); as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698 (September 24, 2010); as amended by Emergency and Proposed Rulemaking published at 58 DCR 1482 (February 18, 2011)[EXPIRED]; as amended by Final Rulemaking published at 58 DCR 3476 (April 22, 2011).