Pa. Code 5310.32

Intake

This section establishes intake requirements for Community Residential Rehabilitation Services (CRRS) in Pennsylvania, which are residential mental health programs for persons with psychiatric disabilities. Prior to enrollment, CRRS staff must collect mental health history, a physician-signed health appraisal, and complete a psychosocial evaluation, service plan, and written provider-client agreement. Intake must also include client orientation and an assessment of the client's self-preservation capability, with placement in full-care or partial-care CRRS determined accordingly. Clients funded by the County MH/MR Program require prior authorization from the county administrator or base service unit.

55 Pa. Code § 5310.32 - Intake 

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(a)
 There must be
 written policies and procedures for intake and all intake must be accomplished
 in accordance with those policies and procedures.

(b)
 The community residential rehabilitation
 service (CRRS) staff, during intake, shall review with the client the criteria
 for program enrollment and program termination, the services offered by the
 CRRS and the responsibilities of the client and the CRRS.

(c)
 The CRRS staff shall obtain the following
 information about each client prior to the client's enrollment in the CRRS. 
 
(1)
 Mental health information, including
 mental health history and evidence of psychiatric disability which is a
 certification of mental disorder dated not more than 1 year prior to client's
 planned enrollment.

(2)
 A health
 appraisal signed by a licensed physician, which includes: 
 
(i)
 A review of health history.

(ii)
 A complete physical examination dated
 not more than 6 months prior to client's enrollment.

(iii)
 Drug or alcohol history.

(iv)
 Recommendations pertaining to medication
 and limitations of the client's activities or diet.

(v)
 Recommendations for follow-up by the CRRS
 in helping the client maintain on-going health
 care.

(d)
 The
 intake procedures must include:
(1)

 Psychosocial evaluation as specified in §
 
5310.33
(b) 

 (relating to residential service plan).

(2)
 Client orientation to the
 program.

(3)
 Development of a
 residential services plan.

(4)

 Preparation of the written provider client agreement as specified in §
 
5310.34
 (relating to service
 agreement).

(e)
 Intake
 procedures must also include evaluation of the client's capability of
 self-preservation and client instruction in safety-emergency procedures and
 evacuation procedures for the site in which the client will live. 
 
(1)
 A client who is mobile ambulatory is
 considered capable of self-preservation if he or she is able to vacate the CRRS
 site promptly following emergency alarms or the onset of fire or other
 emergency.

(2)
 A client who is
 mobile ambulatory and capable of self-preservation may be served in full-care
 or partial-care CRRS.

(3)
 A mobile
 nonambulatory client is considered capable of self-preservation if: 
 
(i)
 He is capable of prompt and independent
 transfer from bed-to-ambulation device.

(ii)
 The CRRS site to which the client is
 assigned has no architectural barriers barring the exit path to the outside
 from the client's bedroom.

(4)
 A client who is mobile nonambulatory and
 capable of self-preservation may be served in any full-care CRRS or
 partial-care CRRS site that meets the requirement specified in subsection
 (e)(3)(ii).

(5)
 A client is
 considered capable of self-preservation with minimal assistance if the client
 is able to vacate the CRRS site in which the client lives with no more than
 verbal instruction or minimal physical help. Verbal assistance means a staff
 member gives direction to the person in exiting the site. Minimal physical help
 means a staff member provides assistance in getting to one's feet, into a wheel
 chair, walker, or prosthetic device. The client must be able to effectively
 operate any device required for moving from one place to another, to understand
 and carry out instructions for exiting the site and to negotiate the exit path
 independently. A client who because of physical or mental disability or
 condition is unable to vacate the CRRS site in case of emergency without the
 continual verbal or physical assistance of staff is not considered capable of
 self-preservation with minimal assistance.

(6)
 A client who is capable of
 self-preservation with minimal assistance must be served only in full-care
 CRRS.

(f)
 Any client whose
 care is funded by the County Mental Health/Mental Retardation (MH/MR) Program
 may enter the CRRS program only after authorization from the county
 administrator or appropriate base service unit.

Notes

55

 Pa. Code §
 
5310.32

This section cited in 55 Pa. Code §
 
5310.21
 (relating to client
 characteristics); 55 Pa. Code §
 
5310.91
 (relating to special
 requirements for community residential rehabilitation services (CRRS) serving
 children); and 55 Pa. Code §
 
5310.122
 (relating to
 intake).

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