This regulation governs the conditions under which patients residing in a state facility may be referred for psychosurgery. A referral requires approval from both the facility medical director and the Department of Human Services medical director, and may only occur when all other somatic treatments have failed for a patient with a chronic, intractable obsessive compulsive disorder, seizure disorder, or pain syndrome who is severely disabled and at extreme risk of debilitating self-injury or death. Psychosurgery is designated a procedure of last resort, and the receiving neurosurgical center bears responsibility for obtaining consent and meeting all legal requirements.
View official source9515.0450 CONDITIONS GOVERNING REFERRALS FOR PSYCHOSURGERY. If psychosurgery appears to be indicated for a patient residing in a state facility, the patient must be referred to a neurosurgical center and the referral must be approved by the facility medical director and the Department of Human Services medical director. Psychosurgery shall be considered a procedure of last resort. A referral may be made only when all other somatic treatments have failed with a patient whose obsessive compulsive disorder, seizure disorder, or pain syndrome is chronic and intractable and who is severely disabled and at extreme risk for debilitating self-injury or death. The neurosurgical center to which the patient is referred is responsible for taking the steps necessary to obtain consent and to meet any other legal requirements necessary to perform the procedure.