This section establishes admission eligibility criteria for Psychiatric Rehabilitation Services (PRS) in Pennsylvania. Individuals must be at least 14 years of age, have a written recommendation from a Licensed Practitioner of the Healing Arts (LPHA), and carry a qualifying DSM/ICD mental, behavioral, or emotional disorder diagnosis resulting in moderate to severe functional impairment in at least one life domain (living, learning, working, socializing, or wellness). Admission is voluntary and requires the individual's consent.
View official source55 Pa. Code § 5230.31 - Admission requirements
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(a)
General rule.
To be eligible for PRS, an individual must be 14
years of age or older and have a written recommendation from an LPHA acting
within the scope of professional practice that includes the following
information:
(1)
{Reserved}.
(2)
Documentation of one of the following
diagnoses:
(i)
Schizophrenia.
(ii)
Schizoaffective disorder.
(iii)
Other specified schizophrenia spectrum
and other psychotic disorder.
(iv)
Major depressive disorder.
(v)
Bipolar disorder.
(vi)
Anxiety
disorders.
(vii)
Posttraumatic
stress disorder.
(viii)
Borderline
personality disorder.
(3)
Documentation that, as a result of the individual's diagnosis, the individual
has a moderate to severe functional impairment that interferes with or limits
the individual's performance in at least one of the following domains:
(i)
Living.
(ii)
Learning.
(iii)
Working.
(iv)
Socializing.
(v)
Wellness.
(4)
{Reserved}.
(b)
Assessment.
A PRS agency
shall identify and document the functional impairment of the individual in an
assessment as required under §
5230.61
(b)(1)
(relating to assessment).
(c)
Exception.
An individual who does not have a diagnosis listed
under subsection (a)(2) is eligible for PRS if the individual has a written
recommendation from an LPHA acting within the scope of professional practice
that includes the following information:
(1)
Documentation of a diagnosis of a mental, behavioral or emotional disorder that
is listed in the current DSM or ICD, which results in a moderate to severe
functional impairment in at least one of the following domains:
(i)
Living.
(ii)
Learning.
(iii)
Working.
(iv)
Socializing.
(v)
Wellness.
(2)
Documentation that it is anticipated that
PRS will help the individual reach the individual's desired
goal.
(d)
Admittance.
An individual may only be admitted to PRS if the
individual chooses to receive PRS.
Notes
55
Pa. Code §
5230.31
Amended by
Pennsylvania
Bulletin, Vol. 55, No. 03, January 18, 2025
, effective
1/18/2025
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