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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-A. MENTAL HEALTH |
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Chapter 22-A34. MENTAL HEALTH REHABILITATION SERVICES PROVIDER CERTIFICATION STANDARDS |
Section 22-A3420. REHABILITATION/DAY SERVICES
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3420.1Rehabilitation/Day Services is a structured, clinical program intended to develop skills and foster social role integration through a range of social, psycho-educational, behavioral, and cognitive mental health interventions. Rehabilitation/Day Services:
(a)Are curriculum-driven and psycho-educational and assist the consumer in the retention, or restoration of independent and community living, socialization, and adaptive skills;
(b)Include cognitive-behavioral interventions and diagnostic, psychiatric, rehabilitative, psychosocial, counseling, and adjunctive treatment; and
(c)Are offered most often in group settings, and may be provided individually.
3420.2Rehabilitation/Day Services shall:
(a)Be founded on the principles of consumer choice and the active involvement of each consumer in the consumer's mental health recovery;
(b)Provide both formal and informal structures through which consumers can influence and shape service development;
(c)Facilitate the development of a consumer's independent living and social skills, including the ability to make decisions regarding self-care, management of illness, life work, and community participation;
(d)Promote the use of resources to integrate the consumer into the community; and
(e)Include education on self-management of symptoms, medications and side effects, the identification of rehabilitation preferences, the setting of rehabilitation goals, and skills teaching and development.
3420.3Each consumer shall choose a full-time staff member to assist the consumer in assessing the consumer's needs and progress toward achievement of Rehabilitation/Day Services Treatment Goals.
3420.4Each Rehabilitation/Day Services provider shall provide adequate space, equipment, and supplies to ensure that services can be provided effectively. Rehabilitation/Day Services program space and furnishings shall be separate and distinct from other services offered within the same service site(s).
3420.5 Each Rehabilitation/Day Services provider shall have policies and procedures included in its Service Specific Policies addressing the provision of Rehabilitation/Day Services (Rehabilitation/Day Services Organizational Plan) which includes:
(a) A description of the particular rehabilitation models utilized, types of intervention practiced, and typical daily curriculum and schedule; and
(b)A 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.
3420.6Each Rehabilitation/Day Services provider shall have a minimum of one (1) full-time equivalent staff for every ten (10) consumers, based on average daily attendance.
3420.7At least one (1) qualified practitioner shall be present on site at all times.
3420.8Each Rehabilitation/Day Services provider shall have a clinical supervisor or director who is a qualified practitioner on site at least thirty (30) hours per week.
3420.9Each consumer shall participate in at least three (3) hours of Rehabilitation/Day Services per day, in order for the services to be reimbursable.
3420.10Rehabilitation/Day Services in excess of ninety (90) days within a twelve (12) month period shall require pre-authorization from DMH in accordance with § 3404.
3420.11Rehabilitation/Day Services shall not be billed on the same day as ACT.
3420.12Rehabilitation/Day Services shall only be provided at an MHRS provider's service site.
3420.13Qualified practitioners of Rehabilitation/Day Services are:
(a)Psychiatrists;
(b)Psychologists;
(c)LICSWs;
(d)APRNs;
(e)RNs;
(f)LPCs;
(g)LISWs; and
(h)Addiction counselors.
3420.14Credentialed staff shall be authorized to provide Rehabilitation/Day Services under the supervision of a qualified practitioner as set forth in § 3413.3.