SECTION 340:100-11-2. Intake, Diagnosis and Evaluation Process

(a)   Eight beds in the East Building will be designated for diagnostic and evaluation purposes. The Greer Diagnostic and Evaluation (D & E) Team will be composed of a Qualified Mental Retardation Professional (QMRP), psychological assistant, physician, psychiatrist, nurse, direct care staff, speech pathologist, recreation therapist, vocational staff, and Independent Living Skills Instructor (ILSI). Additional team members and/or referrals will be added to the team if the initial screening indicates the need.

(b)   Referral sources are expected to be the Department of Human Services Divisions of Developmental Disabilities Community Services Unit(s), and/or the Department of Mental Health. All referrals should be via the appropriate Community Services Unit to insure continuity and appropriate referral.

(c)   When referral information is received by the Director of the Greer Center, he/she shall meet with the QMRP within 24 hours, or on the first working day if the packet is received on a Friday or the day preceding a holiday, to review the referral packet to determine:

(1)   if adequate information is contained in the packet, and

(2)   if the packet contains any clinical evidence that would clearly contraindicate admission to the D & E Unit.

(d)   If no clinical evidence contraindicates D & E admission, the Center Director will recommend an admission date at the earliest possible time (within 72 hours). If the situation is critical (i.e., immediate danger exists to the client or others), admission will be recommended within 24 hours if an available bed exists. Admission must be accompanied with guardian/parent approval, or other legally valid form of consent for treatment at Greer (e.g. court or guardian ad litem). All applicable DHS forms will be used. The Superintendent or his/her designee shall be the admitting authority.

(e)   If no bed is available, the person may be admitted to a facility designated by the Department of Mental Health with transfer occurring per the Inter-Agency Agreement at the earliest possible time.

(f)   During the D & E process, individuals with an existing IHP will have those implemented as appropriate during the periods when formal evaluations are not occurring. When not in structured evaluations or IHP activities, individuals will be involved in a range of activities planned to enhance the evaluation process. Individuals will not attend programming with the Enid State School population unless clinically appropriate. Structured programming shall consist of a minimum of eight hours per day with replication of situational environments which caused problematic behaviors for assessment purposes. Overall active treatment occurs 24 hours daily.

(g)   A preliminary medical assessment must be completed within 24 hours of admission to the D & E Unit. The initial screening for all other areas will be completed within 14 days. Based on the results of this screening, additional in-depth evaluation and farther observations may be recommended. All referrals and additional evaluations will be completed within 20 days of admission. The D & E team will convene to make a recommendation within 48 hours after the evaluations are completed, and this recommendation will be forwarded to the Greer Center admission committee within 48 hours. The initial D & E team will gather assessment information including but not limited to the following areas:

(1)   Intellectual and adaptive functioning levels,

(2)   Mental/Emotional disorders and Behavioral Severity Assessment,

(3)   Complete medical assessment; medication history update,

(4)   Communication assessment,

(5)   Social and leisure skills assessment,

(6)   Social history update,

(7)   Vocational assessment,

(8)   Nursing assessment, and

(9)   Psychiatric assessment.