Section 22-A3419. CRISIS/EMERGENCY  


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    3419.1Crisis/Emergency is a face-to-face or telephone immediate response to an emergency situation involving a consumer with mental illness or emotional disturbance that is available twenty-four (24) hours per day, seven (7) days per week.

     

    3419.2Crisis/Emergency services are provided to consumers involved in an active mental health crisis and consist of immediate response to evaluate and screen the presenting situation, assist in immediate crisis stabilization and resolution, and ensure the consumer's access to care at the appropriate level.

     

    3419.3Crisis/Emergency services may be delivered in natural settings, and the Crisis/Emergency provider shall adjust its staffing to meet the requirements for immediate response.

     

    3419.4Each Crisis/Emergency provider shall:

     

    (a)Obtain consultation, locate other MHRS and resources, and provide written and oral information to assist the consumer in obtaining follow-up MHRS;

     

    (b)Be a DMH-certified MHRS provider of Diagnostic/Assessment or have an agreement with a CSA or a CSA's affiliated sub-provider to assure the provision of necessary hospital pre-admission screenings;

     

    (c)Demonstrate the capacity to assure continuity of care for consumers by facilitating follow-up mental health appointments and providing telephonic support until outpatient services occur; and

     

    (d)Have an agreement with the DMH Consumer Enrollment and Referral System.

     

    3419.5Each Crisis/Emergency provider shall have waiting, assessment, and treatment areas for children, youth, and families that are separate from the areas for adults.

     

    3419.6Each Crisis/Emergency provider shall establish and adhere to policies and procedures and staffing sufficient to ensure that all individuals seeking and in need of Crisis/Emergency services receive face-to-face services within one (1) hour of request or referral (Crisis/Emergency Staffing Policy). The Crisis/Emergency Staffing Policy shall:

     

    (a)Require qualified practitioners to be available twenty-four (24) hours per day, seven (7) days per week for telephone, face-to-face and mobile interventions for individuals needing crisis services;

     

    (b)Delineate the criteria upon which appropriate venue for service delivery is determined;

     

    (c)Require that backup support for staff who need assistance during an intervention is always available; 

     

    (d)Require that all staff receive current training in persuasion, engagement, and de-escalation techniques for disruptive or aggressive acts, consumers, and situations; and

     

    (e)Require all staff to hold current certification in cardiopulmonary resuscitation technique and first aid.

     

    3419.7Crisis/Emergency shall be provided with no annual limits on services.

     

    3419.8Retrospective authorization from DMH is required for Crisis/Emergency services provided on the same day as ACT.

     

    3419.9Crisis/Emergency services shall be provided:

     

    (a)At the MHRS provider service site; or

     

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

     

    3419.10Qualified practitioners of Crisis/Emergency are:

     

    (a)Psychiatrists;

     

    (b)Psychologists;

     

    (c)LICSWs;

     

    (d)and APRNs.

     

    3419.11Qualified practitioners authorized to provide Crisis/Emergency under the supervision of a qualified practitioner identified in § 3419.10 are:

     

    (a)LISWs;

     

    (b)LPCs;

     

    (c)RNs; and

     

    (d)Addiction counselors.

     

    3419.12Credentialed staff shall be authorized to provide Crisis/Emergency services under the supervision of a qualified practitioner as set forth in § 3413.3.

     

authority

Section 104 and 114 of the Mental Health Service Delivery Reform Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.14 (2001 ed.)).

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).