Section 22-B3837. INTENSIVE RESIDENCE

 

3837.1An Intensive Residence shall be a supportive program that provides twenty-four hour (24 hr.) supervision. The maximum number of residents that shall be served in a facility is eight (8), excluding staff, unless this requirement is waived by the DCRA.

 

3837.2Specialized programming shall be provided in an Intensive Residence and may include medical, psychiatric, nursing, behavioral, vocational, social or recreational services.

 

3837.3Limited nursing care, intermittent nursing care, or both may be provided in an intensive residence.

 

3837.4An Intensive Residence shall have a staff-to-resident ratio of 2:8, for sixteen hours (16 hrs.) a day during awake hours, whenever a resident is present. Additional staff shall be available during times of high activity, and the residence shall have the capacity to provide 1:1 staffing when necessary as determined by the resident's treatment plan.

 

3837.5Staffing specialists shall be provided in accordance with special program needs of clients including geriatric, dual diagnosis, behavioral or physical care.

 

3837.6An Intensive Residence is appropriate for adults with a principal diagnosis of mental illness who have special needs and require twenty-four hour (16 hr.) staff supervision or the intensity of psychiatric symptoms requires the capacity for periodic one-to-one support. Attendance at a day program shall not be mandatory for applicants in an Intensive Residence.

 

3837.7Each Intensive Residence shall have a Residence Director who shall provide or arrange for supervision and coordination of services to ensure that each resident's health, safety, and welfare are protected.

 

3837.8The Residence Director or staff member shall be present whenever residents are at the residence. In addition, the Residence Director or designee shall arrange for clinical back-up services. The mental health professional designated to provide back-up services shall:

 

(a)Be available by telephone at all times;

 

(b)Be able to reach the residence within thirty (30) minutes in case of an emergency; and

 

(c)Be identified by name with an emergency telephone number provided to residents and staff.

 

3837.9Each Residence Director of an Intensive Residence shall meet the requirements of §3818 of this chapter and shall have at least two (2) additional years experience working with persons with a principal diagnosis of mental illness.

 

3837.10The resident's treatment team shall determine whether a person is appropriately placed in an Intensive Residence.

 

source

Final Rulemaking published at 42 DCR 569, 602 (January 27, 1995).