Pa. Code 5320.111

Community support program (CSP) principles-statement of policy

This section establishes the Community Support Program (CSP) guiding principles that Long-Term Structured Residences (LTSRs) must follow in their program philosophy and operational policies. LTSRs are required to provide a 24-hour therapeutic environment with active psychiatric treatment and psychosocial rehabilitation in a structured residential milieu. Operational policies must empower residents, accommodate cultural diversity, and align with CSP principles emphasizing self-determination, individualized services, least-restrictive settings, and coordinated care. Compliance staff should ensure LTSR program documentation and policies reflect these CSP principles.

55 Pa. Code § 5320.111 - Community support program (CSP) principles-statement of policy 

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(a)
 An LTSR shall
 provide a 24-hour therapeutic environment which employs active psychiatric
 treatment, and psychosocial rehabilitation skills training in a structured
 residential milieu.

(b)
 LTSR
 operational policies and procedures should empower residents to taken an active
 role in their treatment and other decisions which affect their lives,
 including: 
(1)
 Creating an environment which
 reduces stigma, promotes independence and fosters self-esteem.

(2)
 Policies and procedures that are flexible
 enough to accommodate cultural diversity among the residents and their
 individual and changing needs.

(c)
 The LTSR program philosophy should be
 guided by the CSP principles.

(d)

 The CSP philosophy is embodied in a set of guiding principles, emphasizing
 resident self-determination, individualized and flexible services, normalized
 services and service settings and service coordination: 
 
(1)
 Services should be resident-centered.
 Services should be based on and responsive to the needs of the residents rather
 than the needs of the system or the needs of providers.

(2)
 Services should empower residents.
 Services should incorporate residents' self-help approaches and should be
 provided in a manner that allows residents to retain the greatest possible
 control. As much as possible, residents should set goals for themselves.
 Residents should also be actively involved in all aspects of planning and
 delivering services.

(3)
 Services
 should be racially and culturally appropriate. Services should be available,
 accessible and acceptable to members of racial and ethnic minority
 groups.

(4)
 Services should be
 flexible. Services should be available whenever they are needed and for as long
 as they are needed. They should be provided in a variety of ways, with
 individuals able to move in and out of the system as their needs
 change.

(5)
 Services should focus
 on strengths. Services should be built upon the assets and strengths of
 residents in order to help them maintain a sense of identity, dignity and
 self-esteem.

(6)
 Services should be
 offered in the least restrictive, most natural setting possible. Residents
 should be encouraged to use the natural supports in the community and should be
 integrated into the normal living, working, learning and leisure time
 activities of the community.

(7)

 Services should meet special needs. Services should be adapted to meet the
 needs of subgroups of persons who are mentally ill such as elderly individuals,
 young adults and youth in transition to adulthood; individuals who are mentally
 ill and have substance abuse problems, mental retardation or hearing
 impairments; persons who are mentally ill and are homeless; and persons who are
 mentally ill and who are inappropriately placed within the correctional
 system.

(8)
 Service systems should
 be accountable. Service providers should be accountable to the users of the
 services and monitored by the State to assure quality of care and continued
 relevance to resident needs. Residents and families should be involved in
 planning, implementing, monitoring and evaluating services.

(9)
 To develop community support services,
 services should be coordinated by the appropriate officials through mandates or
 written agreements that require ongoing communication and linkages between
 participating agencies and between the various levels of government.

(10)
 To be effective, coordination should
 occur at the resident, community and State levels. In addition, mechanisms
 should be in place to ensure continuity of care and coordination between and
 among hospital and other community service
 providers.

Notes

55

 Pa. Code §
 
5320.111

The
 provisions of this § 5320.111 adopted March 1, 1996, effective
 
3/2/1996
, 26 Pa.B.
 915.

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