This regulation defines what constitutes 'adequate treatment' for persons with mental illness in Pennsylvania-approved facilities. Treatment must be individually designed to promote recovery and must reflect the least restrictive appropriate setting, considering community resources, family, and support systems. Adequacy applies across inpatient, outpatient, and partial hospitalization settings, and involuntary or publicly funded voluntary treatment is only adequate if provided at an approved facility or federal agency. Peer review and utilization review are recognized mechanisms for evaluating treatment adequacy.
View official source55 Pa. Code § 5100.11 - Adequate treatment State Regulations Compare (a) Adequate treatment provided by an approved facility shall be designed on an individual basis under the relevant statutes, regulations, and professional standards to promote the recovery from mental illness. (b) Treatment provided on an inpatient, outpatient or partial hospitalization basis shall reflect the needs of the individual both independently and in light of the community resources, family or friends available to lend support and assistance to the person while in treatment. These resources shall be considered in determining the adequacy of the least restrictive setting appropriate to his treatment. (c) The adequacy of an individual's treatment may also be reviewed through mechanisms of peer review and utilization review. (d) Involuntary treatment, voluntary outpatient treatment funded at least in part with public moneys or voluntary inpatient treatment is not adequate treatment unless it is provided in or at an approved facility or by an agency of the United States. Notes 55 Pa. Code § 5100.11 This section cited in 55 Pa. Code § 5100.4 (relating to scope); and 55 Pa. Code § 5320.22 (relating to governing body). State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare. No prior version found. State Regulations Toolbox