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TN Rule 0940-03-11

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TN Rule 0940-03-11 Transfer of Service Recipients to and from the MTMHI Forensic Services Program

Jurisdiction: TN Agency: Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS)
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Plain-English summary

This rule governs the procedures for transferring service recipients (persons with mental illness) to and from the Middle Tennessee Mental Health Institute (MTMHI) Forensic Services Program, including regular and emergency transfers from Regional Mental Health Institutes and transfers to and from the Department of Correction. Facility operators must follow detailed documentation, notification, approval, and timeline requirements for each type of transfer. The rule specifies the roles of the Commissioner, Assistant Commissioner, Office of Forensic Services, and Chief Officers in reviewing and authorizing transfers, as well as the rights of service recipients to object to transfers.

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Regulation text
December, 2022 (Revised) 1 
RULES 
OF 
THE TENNESSEE DEPARTMENT OF MENTAL HEALTH 
AND SUBSTANCE ABUSE SERVICES 
 
CHAPTER 0940-03-11 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE 
MTMHI FORENSIC SERVICES PROGRAM 
 
TABLE OF CONTENTS 
 
0940-03-11-.01 Definitions 0940-03-11-.05 Regular Transfer to the MTMHI Forensic 
0940-03-11-.02 Regular Transfer to the MTMHI Forensic Services Program from the Department of 
 Services Program from a Regional Mental Correction 
 Health Institute 0940-03-11-.06 Emergency Transfer to the MTMHI Forensic 
0940-03-11-.03 Emergency Transfer to the MTMHI Forensic Services Program from the Department of 
 Services Program from a Regional Mental Correction 
 Health Institute 0940-03-11-.07 Transfer from the MTMHI Forensic Services 
0940-03-11-.04 Transfer from the MTMHI Forensic Services Program to the Department of Correction 
 Program to a Regional Mental Health 
 Institute 
 
0940-03-11-.01 DEFINITIONS. 
 
(1) “Assistant Commissioner” means the Tennessee Department of Mental Health and 
Substance Abuse Services Assistant Commissioner of Policy and Legislation or the Assistant 
Commissioner with administrative responsibility for the Office of Forensic Services. 
 
(2) “Chief Officer” means, for the purposes of this chapter, the person with overall authority for a 
regional mental health institute or the person’s designee. 
 
(3) “Commissioner” means the Commissioner of the Tennessee Department of Ment al Health 
and Substance Abuse Services. 
 
(4) “Department” means the Tennessee Department of Mental Health and Substance Abuse 
Services. 
 
(5) “Forensic Services Program” means a service or facility operated directly or through 
agreement by the Tennessee Department of Mental Health and Substance Abuse Services 
to provide assessment and/or treatment for service recipients who need a secure setting. 
 
(6) “Office of Forensic Services” means the Tennessee Department of Mental Health and 
Substance Abuse Services Office of Forensic and Juvenile Court Services. 
 
(7) “Transfer Committee” means a committee of five (5) persons established, pursuant to T.C.A. 
§§ 33-3-404 through 33- 3-406, to review the transfer of service recipients who are inmates 
between the Department of Correction and the Tennessee Department of Mental Health and 
Substance Abuse Services. 
 
(8) “Service recipient” means, for the purposes of this chapter, a person with mental illness who 
is receiving services in a facility operated by the Tennessee Department of Mental Health 
and Substance Abuse Services or the Department of Correction. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, and 33- 1-305. 
Administrative History: Original rule filed March 18, 2010; effective J une 16, 2010. Administrative 
corrections made to agency names in December 2022 pursuant to Public Chapter 575 of 2012. 

TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
December, 2022 (Revised) 2 
0940-03-11-.02 REGULAR TRANSFER TO MTMHI FORENSIC SERVICES PROGRAM FROM 
REGIONAL MENTAL HEALTH INSTITUTE. 
 
(1) The Commissioner may a uthorize a transfer to the Forensic Services Program at Middle 
Tennessee Mental Health Institute (MTMHI) of a service recipient who was admitted, 
committed, or hospitalized at a Regional Mental Health Institute when: 
 
(a) The service recipient can more properly be cared for and treated in the Forensic 
Services Program at MTMHI than at the facility where the service recipient currently 
receives services; 
 
(b) The transfer is in the service recipient’s best interest; and 
 
(c) The Commissioner determines that the service recipient is substantially likely to injure 
himself/herself or others if not treated in a secure facility. 
 
(2) Upon recommendation by the treatment team, the Chief Officer of the referring facility shall 
prepare and send a transfer packet to t he Commissioner by way of the Office of Forensic 
Services. The transfer packet shall, at a minimum, include: 
 
(a) A cover letter from the Chief Officer requesting the transfer with: 
 
1. The rationale for the request; and 
 
2. Documentation of the treatment interventions used to manage the service 
recipient’s behavior in the Regional Mental Health Institute. 
 
(b) Certificate of need for transfer from a licensed physician with expertise in psychiatry or 
a licensed psychologist with a health service provider designation that includes 
documentation related to the service recipient’s behavior and attempted treatment 
interventions including, but not limited to, the use of isolation and/or restraint, a new 
unit assignment, and/or changes in medication; 
 
(c) A mental status assessment/evaluation completed within twenty -four (24) hours prior to 
the request; 
 
(d) A physical examination completed withi n the last six (6) months prior to the request for 
transfer with an addendum verifying that a physical exam was updated w ithin the past 
twenty-four (24) hours; 
 
(e) A copy of the court commitment order; 
 
(f) A copy of the most recent risk assessment, if forensic; and 
 
(g) Documentation that the service recipient and his or her conservator, spouse or 
responsible relative have been notified of the transfer request by the Chief Officer. 
 
(3) Unless the service recipient, conservator, spouse or responsible rel ative is in agreement with 
the transfer, the transfer cannot occur for twenty -four (24) hours from the time of the reques t 
for approval. 
 
(4) Upon receipt of the transfer request, the Office of Forensic Services shall review the request 
and determine within five (5) business days whether: 
 
(a) All reasonable treatment interventions have been conducted and the service recipient 
should be transferred to the Forensic Services Program; or 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.02, continued) 
December, 2022 (Revised) 3 
 
(b) All reasonable treatment interventions have not been conducted. 
 
(5) If the Office of Forensic Services concludes that all reasonable treatment interventions have 
not been conducted, the Of fice may write to the Chief Officer requesting that additional 
specific interventions be attempted. The Office of Forensic Services sha ll notify the Assistant 
Commissioner of this request. 
 
(6) The Chief Officer may submit additional information clarifying the treatment interventions 
used to manage the service recipient’s behavior safely in the RMHI or, after a reasonable 
period of time, reapply for this transfer after the recommended interventions have been tried, 
evaluated, and been deemed not to have suc ceeded in ameliorating the conditions that 
triggered the original transfer request. 
 
(7) If the Office of Forensic Services determines that a service recipient should be transferred to 
the Forensic Services Program, a memorandum and the transfer packet sha ll be sent to the 
Assistant Commissioner notifying him or her of the recommendation to transfer. 
 
(8) If the Assistant Commissioner concludes that all reasonable treatment interventions have not 
been conducted, then the Assistant Commissioner shall instruc t the Office of Forensic 
Services to write to the Chief Officer requesting that additional specific interventions be 
attempted. 
 
(9) If the Assistant Commissioner concludes that a service recipient should be transferred, then 
the Office of Forensic Services shall prepare the following documents: 
 
(a) A memo to the Commissioner from the Assistant Commissioner requesting approval for 
the transfer; and 
 
(b) Three authorization forms to be signed by the Director of Forensic Services, the 
Assistant Commissioner and the Commissioner. 
 
(10) If the Commissioner concludes that all reasonable treatment interventions have not been 
conducted, then th e Commissioner shall instruct the Office of Forensic Services to write to 
the Chief Officer requesting that additional specific interventions be attempted. 
 
(11) If the Commissioner concludes that all reasonable treatment interventions have been 
conducted, then the Office of Forensic Services shall prepare for the Commissioner’s 
signature the following documents: 
 
(a) A letter approving the transfer to the Chief Officer of the referring facility with a receipt 
of transfer notice form, an authorization letter to the service recipient, a form for the 
service recipient to file a complaint objecting to the transfer in Circuit Court as specified 
in Title 33, Chapter 7, and a signed authorization form; 
 
(b) A letter approving transfer to the Chief Officer of MTMHI with a signed authorization 
form; and 
 
(c) A letter to the appropriate relative or conservator with a complaint form for objecting to 
the transfer, sent via certified mail. 
 
(12) The following people may file a complaint in circuit court if they object to the transfer: service 
recipient; legal custodian, conservator, spouse or responsible relative of the service recipient. 
If a complaint is filed, the circuit court shall determine whether a service recipient may be 
transferred to a facility. 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.02, continued) 
December, 2022 (Revised) 4 
 
(13) Upon receipt of the transfer approval, the Chief Officer shall deliver the transfer authorization 
letter, the complaint form, and an acknowledgement of receipt form to the service recipient. 
The service recipient shall be given the opportunity to sign the acknowle dgement of receipt at 
the time the notice is delivered. If the service recipient refuses to sign the acknowledgement 
of r eceipt, the person who delivers the notice of the transfer shall, in the presence of a 
witness, write on the receipt, “refused to sign receipt.” After the service recipient either signs 
or fails to sign the acknowledgement of receipt, it shall be co- signed by the person who 
delivered the notice and a witness. The Chief Officer shall keep the signed receipt for their 
files and place a copy in the service recipient’s record. 
 
(14) When the transfer is approved, the Chief Officer shall: 
 
(a) Send written notice of the transfer to the committing court; 
 
(b) Communicate with the MTMHI Forensic Services Program Director to arrange the 
transfer; 
 
(c) Verify available suitable accommodations at the MTMHI Forensic Services Program by 
obtaining a confirmation number from MTMHI; 
 
(d) Arrange for transportation and transfer of the service recipient within two (2) business 
days of receiving confirmation of available suitable accommodations; and 
 
(e) Set up a teleconference between the referring physician and/or psychologi st with 
health services provider designation and the receiving physician to discuss diagnosis 
and medication decisions prior to the tra nsfer. This discussion shall be documented in 
the service recipient’s record. 
 
(15) The MTMHI Forensic Services Program D irector shall notify the referring Forensic Services 
Coordinator of the admission of the transferred service recipient. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-301, 
and 33- 3-701, et seq. Administrative History: Original rule filed March 18, 2010; effective June 16, 
2010. 
 
0940-03-11-.03 EMERGENCY TRANSFER TO MTMHI FORENSIC SERVICES PROGRAM FROM 
REGIONAL MENTAL HEALTH INSTITUTE. 
 
(1) The Office of Forensic Services shall ensure that the emergency trans fer of a service 
recipient from a Regional Mental Health Institute to the Forensic Serv ices Program is 
expeditious, complies with statutory criteria for emergency transfer and considers the welfare 
and safety of the service recipient, other service recipients and staff. 
 
(2) An emergency transfer shall be approved if, and only if, all appropriate interventions have 
been tried and documented and deemed unsuccessful. 
 
(3) The licensed physician or licensed psychologist with health service provider designation shall 
make a determination that a service recipient meets all of the following criter ia in order for a 
transfer to be considered: 
 
(a) The service recipient requires emergency care and treatment that cannot be provided 
by the transferring facility; 
 
(b) The transfer is in the service recipient’s best interest; 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.03, continued) 
December, 2022 (Revised) 5 
 
(c) The service recipient has a substantial likelihood of injuring himself or herself or others 
if not treated in a secure facility; and 
 
(d) The service recipient is not under a voluntary commitment. 
 
(4) After the licensed physician or licensed psychologist with health service prov ider designation 
determines that the service recipient meets the criteria specified in 0940- 03-11-.03(3) for an 
emergency transfer, the Chief Officer of the referring Regional Mental Health Institute shall: 
 
(a) Telephone the MTMHI Forensic Services Program Director and the Office of Forensic 
Services. If after normal working hours, the Assistant Commissioner may approve the 
transfer. 
 
(b) Send by facsimile within two (2) hours of the verbal request for an emergency transfer 
the following information: 
 
1. Recommendations for transfer from the referring Chief Officer that includes the 
rationale for transfer and the interventions taken to treat the service recipient 
including, but not limited to, use of restraint or isolation, changes in medication, 
use of PRN medications, and/or changes in unit assignment. 
 
2. Documentation of the need for transfer from either a licensed physician with 
expertise in psychiatry or a licensed psychologist with health service provider 
designation. 
 
3. A written report of a physical examination completed by a licensed physician 
within the last six (6) months with an addendum within the last twenty -four (24) 
hours. 
 
4. The most recent risk assessment, if a forensic service recipient. 
 
(5) After receiving the documentation specified i n 0940 -03-11-.03(4), the Office of Forensic 
Services shall review the request and send this documentation with a recommendation to 
approve or disapprove the transfer to the Assistant Commissioner and the Commissioner. 
 
(6) Upon review of this information, the Director of the Office of Forensic Services, the Assistant 
Commissioner, and the Commissioner shall verbally authorize the transfer or request that 
further information be received prior to authorization or deny the transfer. 
 
(7) If the emergency trans fer request is denied, the Forensic Coordinator at the Regional Mental 
Health Institute and the Office of Forensic Services shall develop an alternative safety plan 
and identify an appropriate period of time for the review of the safety plan. The safety pl an 
may include, but is not limited to, behavioral modification, change in medications, and moving 
the service recipient to a different unit. 
 
(8) After an emergency transfer request is approved, then the Office of Forensic Services shall: 
 
(a) Convey verbally the decision to the Chief Officer of the referring facility and the Chief 
Officer of MTMHI; 
 
(b) Prepare a letter to the service recipient from the Commissioner of T DMHSAS stating 
that the transfer was approved. A copy of this letter shall be sent by facsimile and by 
mail to both the sending and receiving Chief Officers. 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.03, continued) 
December, 2022 (Revised) 6 
(9) If the emergency transfer request is approved, the Chief Officer of the referring facility sh all: 
 
(a) Ensure that the service recipient receives a signed statement and a receipt of transfer 
notification from the referring Chief Officer notifying the service recipient of the 
authorized transfer; 
 
(b) Provide the service recipient with the opportunity to sign the receipt of transfer 
notification at the time the notice is delivered. If the service recipient refuses to sign the 
acknowledgement, the person who delivers the notice of the transfer shall, in the 
presence of a witness, write on the receipt , “refused to sign receipt.” After the service 
recipient either signs or fails to sign t he acknowledgement of receipt, it shall be co-
signed by the person who delivered the notice and a witness. The completed 
acknowledgement of receipt shall be filed in the office of the Chief Officer; 
 
(c) Verbally contact the appropriate relative or conserv ator and send by mail a written 
notice of transfer; these contacts shall be documented in the service recipient’s record; 
 
(d) Set up a teleconference between the refer ring physician or psychologist and the 
receiving physician to discuss diagnosis and medi cation decisions: this discussion shall 
be documented in the service recipient’s record; 
 
(e) If the service recipient has not already been judicially committed, file a complaint for 
commitment under T.C.A. Title 33, Chapter 6, Part 5; 
 
(f) Notify the committing court of the transfer; and 
 
(g) Send a copy of the following documents to the Office of Forensic Services: 
 
1. A copy of the court commitment order; 
 
2. A copy of the court notification; and 
 
3. A copy of the notification of the transfer to the serv ice recipient and to the 
appropriate relative or conservator. 
 
(h) Verify available suitable accommodations at the MTMHI Forensic Services Program by 
obtaining a confirmation number from MTMHI. 
 
(10) The service recipient shall be transferred to the MTMHI Forensic Services Program, 
accompanied by a copy of his or her clinical record, within twenty -four (24) hours of the 
receipt of the verbal approval of the transfer request and confirmation of available suitable 
accommodations. 
 
(11) After the service recipient is transferred, the Office of Forensic Services shall prepare a letter 
to the service recipient from the Commissioner of TDMHSAS indicating that the continued 
need for treatment in the secure facility shall be determined within seventy-two (72) hours. 
 
(12) Within seventy -two (72) hours of the transfer, the treatment team at the Forensic Services 
Program shall make a recommendation to the Chief Officer of MTMHI about the need for 
continued care and treatment for up to thirty (30) days. 
 
(13) If the Chief Officer determines that there is a need for continued care and treatment for up to 
thirty (30) days, then the: 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.03, continued) 
December, 2022 (Revised) 7 
(a) Chief Officer of MTMHI shall send written notifi cation to the service recipient of the 
need for continued care and treatment up to thirty (30) days and send a copy of the 
notification to the Office of Forensic Services; and 
 
(b) Commissioner shall send written notice to the service recipient of the auth orization of 
the continued need for care and treatment in the Forensic Services Program and send 
a copy of the letter to the referring and receiving Chief Officers. 
 
(14) If continued treatment for up to thirty (30) days at the Forensic Services Program is not 
needed, then the MTMHI Forensic Services Program Director shall: 
 
(a) Notify the ref erring Regional Mental Health Institute Chief Officer by telephone and 
letter; 
 
(b) Verify available suitable accommodations by obtaining a confirmation number from 
MTMHI; 
 
(c) Transfer the service recipient to the referring facility within twenty -four (24) hours of 
confirming available suitable accommodations; and 
 
(d) Notify the Office of Forensic Services by telephone and letter and send a copy of the 
letter to the Chief Officer of the referring Regional Mental Health Institute. 
 
(15) Within thirty (30) days of the transfer to the Forensic Services Program, the Forensic 
Services Program treatment team shall determine if continued care and treatment at the 
Forensic Services Program is required beyond thirty (30) days. 
 
(16) If the treatment team recommends continued treatment beyond thirty (30) days, then the 
Chief Officer of MTMHI shall: 
 
(a) Notify the service recipient by letter; 
 
(b) Request approval from the Commis sioner by having the Director of the Forensic 
Services Program prepare a letter to the Co mmissioner justifying the need for 
continued care and treatment in the secure facility; and 
 
(c) Send copies of the letter for continued care and treatment at the Fore nsic Services 
Program to the Director of the Office of Forensic Services. 
 
(17) After rec eiving the letter for continued care and treatment, the Office of Forensic Services 
Program shall review the request and send this documentation with a recommendation to 
approve or disapprove the transfer to the Assistant Commissioner and Commissioner. 
 
(18) If the Commissioner approves the need for continued care and treatment beyond thirty (30) 
days, the Commissioner shall: 
 
(a) Send written notification to the Chief Officer of the referring facility by sending an 
authorization memorandum; 
 
(b) Send writ ten notification to the Chief Officer of MTMHI by sending an authorization 
memorandum; 
 
(c) Send written notification to the service recipient and include a complaint form to object 
to the authorization; and 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.03, continued) 
December, 2022 (Revised) 8 
(d) Send written notification to the appropriate relative/conservator and include a complaint 
form to object to the authorization. 
 
(19) If the need for continued care and treatment in the Forensic Services Program beyond thirty 
(30) days is approved, the MTMHI Forensic Services Program Director shall notify the 
committing court of the authorization for continued care and treatment in the secure facility. 
 
(20) If continued care and treatment in the Forensic Services Program beyond thirty (30) days is 
not recommended, the Chief Officer of MTMHI shall: 
 
(a) Send written notification to the Chief Officer of the referring facility and send a copy of 
the notice to the Office of Forensic Services; 
 
(b) Return the service recipient to the referring facility within of seventy -two (72) hours, 
excluding week-ends and holidays, of providing notice of the decision. 
 
(21) If continued care and treatment in the MTMHI Forensic Services Program beyond thirty (30) 
days is not recommended, the Forensic Services Coordinator of the referring Regional 
Mental Health Institute shall: 
 
(a) Send written notification to the appropriate relative or conservator that the service 
recipient has been transferred from the MTMHI Forensic Services Pr ogram to a 
Regional Mental Health Institute; and 
 
(b) Send written notification to the committing court that the service recipient has been 
transferred from the MTMHI Forensic Services Program to a Regional Mental Health 
Institute. 
 
(22) The MTMHI Forensic Services Program Director shall notify the Office of Forensic Services 
of the date of the service recipient’s return to the referring facility. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-301, 
and 33- 3-701, et seq. Administrative History: Original rule filed March 18, 2010; effective June 16, 
2010. Administrative corrections made to agency names in December 2022 pursuant to Public Chapter 
575 of 2012. 
 
0940-03-11-.04 TRANSFER FROM MTMHI FORENSIC SERVICES PROGRAM TO A REGIONAL 
MENTAL HEALTH INSTITUTE. 
 
(1) The Commissioner may authorize the transfer of any service recipient admitted, committed, 
or hospitalized under T.C.A. Title 33, Chapter 5 or Chapter 7 to the MTMH I Forensic Services 
Program back to a regional mental health institute when: 
 
(a) The service recipient can be more properly cared for and treated in a non- secure 
facility; 
 
(b) The transfer is in the service recipient’s best interest; 
 
(c) The transfer is not contrary to the safety and welfare of the service recipient, other 
service recipients or the staff of the receiving facility; and 
 
(d) The service recipient no longer requires treatment in a secure facility. 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.04, continued) 
December, 2022 (Revised) 9 
(2) If the treatment team recommends that a service recipient be transferred from the MTMHI 
Forensic Services Program to a Regional Mental Health Institute, the MTMHI Forensic 
Services Program Director shall forward the following reports to the Chief Officer of MTMHI: 
 
(a) A certified copy of the commitment order; 
 
(b) A copy of the most recent staff conference report; 
 
(c) A copy of the most recent physical examination completed within the last six (6) 
months and updated within the past twenty-four (24) hours; 
 
(d) A copy of the most recent risk assessment, if forensic; 
 
(e) A report of mental assessment and evaluation for transfer if not already included in the 
conference report; and 
 
(f) A copy of the notifications provided to the court, to the service recipient, and to the 
service recipient’s nearest relative or conservator, as applicable, regarding the request 
for transfer. 
 
(3) The Chief Officer of MTMHI shall review and approve the transfer request within seventy -two 
(72) hours of receipt and provide to the MTMHI Forensic Services Program Director a signed 
cover letter to the Commissioner that includes the following: 
 
(a) Documentation of specific reasons for transfer and the service recipient’s past and 
present behavior; 
 
(b) Certification that the transfer is in the best interest of the service recipient; and 
 
(c) Certification that the transfer will not be contrary to the safety and welfare of the service 
recipient or other service recipients and staff of the receiving facility. 
 
(4) Within twenty -four (24) hours of receiving the cover letter signed by the Chief Officer of 
MTMHI, the MTMHI Forensic Services Program Director shall forward the signed cover letter 
to the Office of Forensic Services with the following documents: 
 
(a) Documents listed in Rule 0940-03-11-.04(2)(a) through (f); and 
 
(b) A copy of the signed receipt of transfer notification. If the service recipient refuses to 
sign the receipt of transfer notification, the person who delivers the notice of the 
transfer shall, in the presence of a witness, write on the receipt, “refused to sign 
receipt.” After the service recipient either signs or fails to sign the acknowledgement of 
receipt, it shall be co-signed by the person who delivered the notice and a witness. The 
completed acknowledgement of receipt shall be filed in the office of the Chief Officer. 
 
(5) At the time the transfer request is made to the Commissioner, the Chief Officer of MTMHI 
shall send a referral letter to the Chief Officer of the receiving facility along with: 
 
(a) A copy of the documents listed in Rule 0940-03-11-.04(2)(a) through (f); and 
 
(b) The service recipient’s record. 
 
(6) The receiving Chief Officer may challenge the transfer request to the Commissioner within 
ten (10) days of receiving notice of the transfer request. A physician- to-physician 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.04, continued) 
December, 2022 (Revised) 10 
teleconference may be conducted as part of this review process. The written challenge to the 
transfer request shall include: 
 
(a) Justification for the challenge; and 
 
(b) An alternative Regional Mental Health Institute who has agreed to accept the transfer 
of the service recipient. 
 
(7) Upon receipt of the transfer documents, the Office of Forensic Services shall: 
 
(a) Review documents sent by the Chief Officer of MTMHI; 
 
(b) Interview the service recipient within forty -eight (48) hours of receipt of the transfer 
request, excluding Saturdays, Sundays, and legal holidays; 
 
(c) Interview staff members involved in the service recipient’s treatment; and 
 
(d) Review the clinical chart at the MTMHI Forensic Services Program. 
 
(8) Following a review of the facts of the trans fer request, the Office of Forensic Services shall 
prepare a report summarizing the clinical and legal information specific to the service 
recipient including the following: 
 
(a) A statement that the transfer is or is not in the best interest of the service recipient; 
 
(b) A statement that the transfer would or would not be contrary to the safety and well -
being of other service recipients and staff; 
 
(c) A description of the service recipient’s current behavior; 
 
(d) A recommendation for or against transfer with the rationale for this recommendation; 
and 
 
(e) The date of the last aggressive behavior and/or attempted elopement and therapeutic 
intervention. 
 
(9) If the Office of Forensic Services concurs with the recommendation for transfer, the Director 
of the Office of Forensic Services shall prepare a recommendation memo to the Assistant 
Commissioner. 
 
(10) If the Office of Forensic Services does not concur with the recommendation for transfer, the 
Director of the Office of Forensic Services shall consult wi th the Director of the MTMHI 
Forensic Services Program to: 
 
(a) Identify barriers to transfer; 
 
(b) Develop a plan to eliminate barriers to transfer; and 
 
(c) Establish a timeframe for reviewing progress. 
 
(11) The Office of Forensic Services shall notify the Chief Officers of MTMHI and the receiving 
facility and the Assistant Commissioner of the decision to delay the transfer and the 
recommended plan for addressing barriers to transfer. 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
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(Rule 0940-03-11-.04, continued) 
December, 2022 (Revised) 11 
(12) When the barriers to transfer have been eliminated, the Director of the MTMHI Forensic 
Services Program shall submit an updated report to the Office of Forensic Services and the 
Director of Forensic Services shall complete a recommendation memorandum to the 
Assistant Commissioner. 
 
(13) The Assistant Commissioner shall review the transfer request upon receipt of the 
recommendation memorandum. 
 
(14) If the Assistant Commissioner approves the transfer request, the Office of Forensic Services 
shall draft a recommendation memorandum to the Commissioner supporting the transf er 
request. 
 
(15) If the Assistant Commissioner does not concur with the recommendation of the Office of 
Forensic Services, the Director of the Office of Forensic Services shall: 
 
(a) Consult with the Director of the MTMHI Forensic Services Program to ide ntify barriers 
to transfer; 
 
(b) Develop a plan to eliminate barriers to transfer; and 
 
(c) Establish a time frame for reviewing progress. 
 
(16) Once the barriers to transfer have been eliminated, the Director of the MTMHI Forensic 
Services Program shall s ubmit an updated report to the Director of the Office of Forensic 
Services who shall submit the updated request to the Assistant Commissioner for review. 
 
(17) If the Assistant Commissioner does not approve the request, consultation and planning as 
described in 0940- 03-11-.04(16), shall continue until the Assistant Commissioner concurs 
with the request. 
 
(18) When the Director of the Office of Forensic Services and the Assistant Commissioner 
approve the transfer request, then the Office of Forensic Services shall prepare the following 
materials for the Commissioner to review: 
 
(a) A letter from the Commissioner to the Chief Officer of MTMHI approving the transfer 
request; 
 
(b) A letter from the Commissioner to the Chief Officer of the receiving facility: thi s letter 
shall indicate that the transfer is to occur within thirty (30) days of the approval; 
 
(c) Three (3) authorization forms, each with original signatures, to be signed by the 
Director of the Office of Forensic Services, the Assistant Commissioner an d the 
Commissioner; these forms are attachments to the memorandum to the referring 
facility, the receiving facility and for Department files; 
 
(d) A letter from the Commissioner to the service recipient at the MTMHI Forensic Services 
Program with a complaint form; 
 
(e) A letter from the Commissioner to the appropriate relative or conservator of the service 
recipient with a complaint form; and 
 
(f) A completed transfer cover sheet. 
 
(19) If the Commissioner concurs with the transfer request, he or she shall complete the items 
specified in 0940-03-11-.04(18)(a) through (e). 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.04, continued) 
December, 2022 (Revised) 12 
 
(20) The Office of Forensic Services shall distribute the notifications specified in Rule 0940- 03-11-
.04(18)(a) through (f) after they have been completed by the Commissioner. 
 
(21) If the Commissioner does not concur with the transfer request, the Director of the Office of 
Forensic Services shall consult with the Director of the MTMHI Forensic Services Program to: 
 
(a) Identify barriers to transfer; 
 
(b) Develop a plan to eliminate barriers to transfer; and 
 
(c) Establish a time frame for reviewing progress. 
 
(22) Once the barriers to transfer have been eliminated, the Director of the MTMHI Forensic 
Services Program shall submit an updated report to the Office of Forensic Services who shall 
submit this report to the Assistant Commissioner for review prior to sending it to the 
Commissioner. If the Commissioner does not approve the updated request, consultation and 
planning as described under Rule 0940- 03-11-.04(21) shall continue until the Co mmissioner 
approves an updated request. 
 
(23) After receiving notification of transfer approval, the Director of the MTMHI Forensic Services 
Program shall: 
 
(a) Set up a teleconference between the referring physician and the receiving physician to 
discuss diagnosis and medication decisions prior to the transfer of the service recipient; 
this discussion shall be documented in the service recipient’s record; and 
 
(b) Arrange for transportation and the transfer of the service recipient within thirty (30) 
days of the receipt of the letter from the Commissioner to the Chief Officer of the 
receiving Regional Mental Health Institute. 
 
(24) The Chief Officer of MTMHI shall notify the committing court of the date for transfer. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-301, 
and 33- 3-701, et seq. Administrative History: Original rule filed March 18, 2010; effective June 16, 
2010. 
 
0940-03-11-.05 REGULAR TRANSFER TO MTMHI FORENSIC SERVICES PROGRAM FROM 
DEPARTMENT OF CORRECTION. 
 
(1) A service recipient may be transferred immediately to the MTMHI Forensic Services Program 
from a Department of Correction facility when the Director of a Department of Correction 
facility makes a determination, based on a written report of a licensed physician or 
psychologist with health services provider designation, that a service recipient in the 
director’s custody: 
 
(a) Has a mental illness; 
 
(b) Is in need of resi dential care and treatment for the condition that cannot be provided at 
an appropriate facility of the Department of Correction and that can be provided at the 
MTMHI Forensic Services Program; and 
 
(c) Waives in writing the right to a transfer hearing. 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.05, continued) 
December, 2022 (Revised) 13 
(2) The following information shall accompany a service recipient transferred to the MTMHI 
Forensic Services Program from the Department of Correction: 
 
(a) A letter affirming the transfer to the MTMHI Forensic Services Program; 
 
(b) A copy of the signed st atement from the service recipient waiving the right to a transfer 
hearing; and 
 
(c) The written report documenting that the service recipient meets the transfer criteria in 
0940-03-11-.05(1)(a) and (b). 
 
(3) If the service recipient does not waive the right to a transfer hearing, the service recipient 
shall remain in the facility of the Department of Correction until the Director of a Department 
of Correction Facility convenes a transfer committee not less than seven (7) days or more 
than fourteen (14) days thereafter. 
 
(4) The transfer committee shall meet the requirements of T.C.A. §§ 33-3-404 et seq. 
 
(5) The transfer committee shall approve the transfer if the transfer meets the criteria in Rule 
0940-03-11-.05(1)(a) and (b). 
 
(6) The chair of the transf er committee shall provide the service recipient with the following 
information if the transfer is approved: 
 
(a) A written notice of the transfer committee’s decision and a summary of the factual basis 
for the decision; and 
 
(b) A complaint form for revi ew of the transfer in circuit court under T.C.A., Title 33, 
Chapter 3, Part 7. 
 
(7) The Director of the Department of Correction facility shall transfer the service recipient five (5) 
days after the receipt of the transfer committee’s notice to the servic e recipient if the following 
conditions are met: 
 
(a) The transfer meets the criteria specified in Rule 0940-03-11-.05(1)(a) and (b); and 
 
(b) The service recipient has not filed a complaint under T.C.A., Title 33, Chapter 3, Part 7; 
and 
 
(c) The Director verifies available suitable accommodations at the MTMHI Forensic 
Services Program by obtaining a confirmation number from MTMHI. 
 
(8) When a transfer is approved by the transfer committee, the Director of the Department of 
Correction Facility shall provide the MTMHI Forensic Service Program with: 
 
(a) A letter affirming the transfer to the MTMHI Forensic Services Program; and 
 
(b) A summary of the factual basis for the transfer committee decision. 
 
(9) The transfer committee shall disapprove the transfer i f the transfer does not meet the criteria 
specified in Rule 0940-03-11-.05(1)(a) and (b). 
 
(10) If the transfer is disapproved, the chair of the transfer committee shall provide the service 
recipient with a written notice of the transfer committee’s decisi on and a summary of the 
factual basis for the decision. 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.05, continued) 
December, 2022 (Revised) 14 
 
(11) If the transfer is disapproved and the service recipient has already been transferred, the 
transfer committee shall order the service recipient returned to the Department of Correction 
facility. 
 
(12) The Chief Officer of MTMHI shall determine, within five (5) days, excluding Saturdays, 
Sundays, and legal holidays, whether a transfer is appropriate based on the advice of a 
licensed physician. 
 
(a) If the transfer is not appropriate, the Chief O fficer of MTMHI shall immediately transfer 
the service recipient back to the custody of the Department of Correction. 
 
(b) If the transfer is appropriate, the Chief Officer of MTMHI shall: 
 
1. Ensure that the service recipient receives a signed statement and a receipt of 
transfer notification notifying the service recipient of the authorized transfer; 
 
2. Provide the service recipient with the opportunity to sign the receipt of transfer 
notification at the time the notice is delivered. If the service recipi ent refuses to 
sign the acknowledgement, the person who delivers the notice of the transfer 
shall, in the presence of a witness, write on the receipt, “refused to sign receipt.” 
After the service recipient either signs or fails to sign the acknowledgement of 
receipt, it shall be co- signed by the person who delivered the notice and a 
witness. The completed acknowledgement of receipt shall be filed in the office of 
the Chief Officer; 
 
3. Verbally contact the appropriate relative or conservator and send by mail a 
written notice of transfer; these contacts shall be documented in the service 
recipient’s record; 
 
4. Set up a teleconference between the referring physician or psychologist with 
health service provider designation and the receiving physician to discuss 
diagnosis and medication decisions: this discussion shall be documented in the 
service recipient’s record; 
 
5. Send to the Office of Forensic Services a copy of the notification of the transfer to 
the service recipient and to the appropriate relative or conservator; 
 
(13) All complaints filed with circuit court to review whether a service recipient may be transferred 
to a facility shall follow the requirements in Title 33, Chapter 3, Part 7. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-301, 
33-3-402, 33-3-404, 33-3-405, 33-3-406, 33-3-408, 33-3-409, and 33- 3-701, et seq. Administrative 
History: Original rule filed March 18, 2010; effective June 16, 2010. 
 
0940-03-11-.06 EMERGENCY TRANSFER TO MTMHI FORENSIC SERVICES PROGRAM FROM 
DEPARTMENT OF CORRECTION. 
 
(1) The emergency transfer of a service recipient to the MTMHI Forensic Services Program from 
the Department of Correction may occur when: 
 
(a) The Director of a Depart ment of Correction facility determines, based on a written 
report of a licensed physician or a licensed psychologist designated as a health 
services provider, that a service recipient in the Director’s custody: 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.06, continued) 
December, 2022 (Revised) 15 
1. Has mental illness; and 
 
2. Is in need of emergency residential care and treatment for the condition that 
cannot be provided at an appropriate facility of the Department of Correction and 
that can be provided at an appropriate residential program of the Tennessee 
Department of Mental Health and Substance Abuse Services. 
 
(2) If the Director of the Department of Correction facility orders the emergency transfer to the 
MTMHI Forensic Services Program, the Director shall: 
 
(a) Telephone the MTMHI Forensic Services Program Director and the Office of F orensic 
Services. 
 
(b) Send by facsimile the following information: 
 
1. Recommendations for transfer from the referring Director of the Department of 
Correction facility that includes the rationale for transfer; and 
 
2. Documentation of the need for trans fer from either a licensed physician or a 
licensed psychologist with health service provider designation. 
 
(c) Verify available suitable accommodations at the MTMHI Forensic Services Program by 
obtaining a confirmation number from MTMHI. 
 
(3) After documentation i s received by MTMHI and a confirmation number has been provided, 
the service recipient may be transferred immediately to the MTMHI Forensic Services 
Program. 
 
(4) When an service recipient is transferred to the MTMHI Forensic Services Program from the 
Department of Correction, the Chief Officer of MTMHI shall convene a transfer committee, as 
defined by T.C.A. § § 33-3-404 et seq., not less than seven (7) days or more than fourteen 
(14) days thereafter unless the service recipient is returned to the D epartment of Correction 
before the hearing date. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-403, 
33-3-404, 33-3-405, 33-3-406, and 33-3-701, et seq. Administrative History: Original rule filed March 
18, 2010; effective June 16, 2010. Administrative corrections made to agency names in December 2022 
pursuant to Public Chapter 575 of 2012. 
 
0940-03-11-.07 TRANSFER FROM MTMHI FORENSIC SERVICES PROGRAM TO THE 
DEPARTMENT OF CORRECTION. 
 
(1) The Chief Officer of MTMHI may order a service recipient’s return to the Department of 
Correction more than five (5) days after the transfer, excluding Saturdays, Sundays and legal 
holidays, if: 
 
(a) A service recipient no longer meets the standards for transfer specified in Rule 0940-
03-11-.05(1)(a) or (b); or 
 
(b) Residential care and treatment in the facility is no longer advisable or beneficial. 
 
(2) Not less than seventy -two (72) hours in advance of the transfer, the Chief Officer of MTMHI 
shall: 
 
TRANSFER OF SERVICE RECIPIENTS TO AND FROM THE CHAPTER 0940-03-11 
MTMHI FORENSIC SERVICES PROGRAM 
 
(Rule 0940-03-11-.07, continued) 
December, 2022 (Revised) 16 
(a) Ensure that the ser vice recipient receives a signed statement notifying the service 
recipient of the authorized transfer; a receipt of t ransfer notification; a form to object to 
the transfer; and 
 
(b) Provide the opportunity for the service recipient to sign the receipt of t ransfer 
notification at the time the notice is delivered. If the service recipient refuses to sign the 
acknowledgement, the person who delivers the notice of the transfer shall, in the 
presence of a witness, write on the receipt, “refused to sign receipt.” After the service 
recipient either signs or fails to sign the acknowledgement of receipt, it shall be co-
signed by t he person who delivered the notice and a witness. The completed 
acknowledgement of receipt shall be kept on file in the office of the Chief Officer. 
 
(3) If the service recipient does not object to the transfer within seventy -two (72) hours of 
receiving the transfer notice of the proposed return, the service recipient shall be returned to 
the Department of Correction. 
 
(4) If the service recipient objects to the transfer within seventy -two (72) hours of receiving the 
transfer notice, the Chief Officer of MTMHI shall convene a transfer committee, as defined by 
T.C.A. §§ 33-3-404 et seq., to review the decision not less than seven (7) days or more than 
fourteen (14) days thereafter. 
 
(5) The transfer committee shall approve the transfer if it determines that the service recipient no 
longer meets the standards specified in Rule 0940- 03-11-.05(1)(a) or (b) or that residential 
care and treatment in the facility are no longer advisable or beneficial. 
 
(6) The decision of the transfer committ ee approving or disapproving a transfer from the MTMHI 
Forensic Services Program is final and not subject to judicial review. 
 
Authority: T.C.A. §§ 4 -4-103, 33-1-201, 33-1-202, 33-1-203, 33-1-204, 33-1-302, 33-1-305, 33-3-408, 
and 33-4-409. Administrative History: Original rule filed March 18, 2010; effective June 16, 2010.