Section 29-4607. ADMISSION REQUIREMENTS

 

4607.1Each MCOTT Program shall provide services to adults who have special community mental health treatment, rehabilitation and support needs, as further defined in 4607.2, and require at least ten (10) hours a month of ongoing, face-to-face services.

 

4607.2To be eligible for an MCOTT Program, an individual must be diagnosed with a severe and persistent mental illness and diagnosis listed in the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM IV or most current version), excluding persons who have a primary diagnosis of substance abuse, mental retardation or personality disorder. In addition to meeting these diagnostic criteria for eligibility, MCOTT Program eligibility requires the demonstration of the following characteristics:

 

(a)Having an impairment in functioning with primary aspects of daily living as self care, living arrangement or employment according to the CMHS definition of serious mental illness;

 

(b)A treatment history meeting one of the following:

 

(1)Two or more admissions to an acute psychiatric hospital during the previous twelve months;

 

(2)At least three treatment contacts with EPRB during the previous twelve months;

 

(3)Current enrollment in a CMHS or contract provider's intensive case management program and, despite documented treatment efforts of at least six months duration, demonstrated ongoing severe symptoms of mental illness; or

 

(4)Failure to be enrolled in a CMHS or contract provider program and, despite documented EPRB, Community Mental Health Center (CMHS), or provider outreach efforts to engage in treatment, of at least six months duration, demonstrated ongoing severe symptoms of mental illness; and

 

(c)Significant functional impairments as demonstrated by at least two of the following conditions:

 

(1)Inability to be employed at a self sustaining level;

 

(2)Failure to get treatment from traditional office-based providers;

 

(3)Constant lack of adequate housing;

 

(4)Co-occurring or secondary substance abuse;

 

(6)Destructive behavior to self or others; or

 

(7)Involvement as a defendant in the criminal justice system.

 

4607.3Each admission to a Provider's MCOTT Program shall be authorized by CMHS, prior to admission.

 

4607.4The Program Director shall assign a psychiatrist, a Primary Case Manager, and individual treatment team members for the client within one (1) week of admission to the MCOTT Program.

 

source

Final Rulemaking published at 46 DCR 6122 (July 23, 1999).