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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-B. PUBLIC HEALTH AND MEDICINE |
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Chapter 22-B38. COMMUNITY RESIDENCE FACILITIES FOR MENTALLY ILL PERSONS |
Section 22-B3838. TRANSITIONAL RESIDENTIAL BEDS
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3838.1A Transitional Residential bed shall be a service specifically provided for persons with a principal diagnosis of mental illness and who are homeless. Transitional Residential beds may be located in facilities such as a Supported Residence, Supported Rehabilitation Residence, Intensive Residence crisis-bed program, or staffed apartment.
3838.2The length of stay in a Transitional Residential bed shall be contingent upon the person’s ability to accept a permanent living arrangement.
3838.3Not more than ten (10) beds shall be located in one (1) facility, unless specifically exempted by the DCRA.
3838.4A Transitional Residential bed may provide services to persons with dual diagnoses of mental illness and substance abuse and who may need extensive medical and psychiatric evaluation or require intermittent or limited nursing care. Attendance at a day program shall not be mandatory for transitional residence applicants.
3838.5A 1:10 staff to resident ratio shall be maintained twenty-four hours (24 hrs.) per day whenever residents are present.
3838.6Each Transitional Residence shall have a Residence Director who shall provide or arrange for supervision and coordinate services to ensure that each resident's health, safety, and welfare are protected. The Residence Director or a staff member shall be present whenever clients are at home. 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.
3838.7Each Residence Director of a Transitional Residence and back up personnel shall meet the requirements of §3818 and have at least one (1) year additional experience in working with homeless persons.
3838.8It shall be the responsibility of the resident's treatment team to determine if a person is appropriately placed in a Transitional Residence as defined by the Director, DHS or CMHS designee.