Pa. Code 5100.61

Continuity of care

This regulation requires county administrators and State-operated mental health facility directors to coordinate continuity of care when a person moves into or out of a State psychiatric facility. The county administrator must arrange for available mental health treatment services upon discharge and document efforts to re-engage individuals who refuse services post-discharge. Predischarge planning must involve the appropriate county administrator's office before any discharge occurs.

55 Pa. Code § 5100.61 - Continuity of care 

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(a)
 When a
 person in treatment under the act moves into or out of a State-operated mental
 health facility, the county administrator responsible for the person's
 continuity of care shall take such actions to ensure that the person receives
 available services as needed. In taking such actions, the administrator shall
 consider the person's plans to utilize private resources.

(b)
 Whenever a person is considered for
 discharge from treatment at a State facility, the director shall take steps to
 assure that the appropriate county administrator's office is involved in
 predischarge planning before the discharge. The degree of involvement by the
 county may be based upon the person's plans to utilize private
 resources.

(c)
 Upon discharge, the
 county administrator receiving the referral shall take the necessary steps to
 arrange for the available mental health treatment services as defined in
 application statutes.

(d)
 When a
 person referred for service refuses to cooperate with the county administrator
 after discharge, such person shall be evaluated for alternative services before
 the case can be closed. Such evaluations should be as clinically thorough as
 possible. There should be documentation of repeated efforts at reinvolving the
 person in voluntary treatment if treatment has been recommended and of the
 decisions regarding the appropriateness of commitment
 proceedings.

Notes

55

 Pa. Code §
 
5100.61

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