SECTION 450:17-3-41. Emergency services

(a)   CMHCs shall provide, on a twenty-four (24) hour basis, accessible co-occurring disorder capable services for substance use disorder and/or psychiatric emergencies.

(b)   This service shall include the following:

(1)   24-hour assessment and evaluation, including emergency examinations, characterized by welcoming engagement of all individuals and families;

(2)   Availability of 24-hour inpatient/crisis center referral and crisis diversion/intervention;

(A)   CMHC staff shall be actively involved in the emergency services and referral process to state-operated psychiatric inpatient units, crisis centers and urgent recovery clinics.

(B)   Referral to state-operated psychiatric inpatient units by the CMHC shall occur only after all other community resources, including crisis centers and urgent recovery clinics, are explored with the individual and family if family is available and the consumer gives written consent for release.

(C)   Prior notification to the state-operated psychiatric inpatient unit of all referrals from CMHCs is required.

(3)   Availability of assessment and evaluation in external settings unless immediate safety is a concern. This shall include but not be limited to schools, jails, and hospitals;

(4)   Referral services, which shall include actively working with local sheriffs and courts regarding the appropriate referral process and appropriate court orders (43A O.S. §§ 5-201 through 5-407);

(5)   CMHCs serving multiple counties shall provide or arrange for on-site assessment of persons taken into protective custody [43A O.S. § 5-206 et seq.] in each county;

(6)   The CMHC's emergency telephone response time shall be less than fifteen (15) minutes from initial contact, unless there are extenuating circumstances;

(7)   Face-to-face strength based assessment, unless there are extenuating circumstances, addressing both mental health and substance use disorder issues which, if practicable, include a description of the client's strengths in managing mental health and/or substance use issues and disorders during a recent period of stability prior to the crisis;

(8)   Intervention and resolution; and

(9)   No arbitrary barriers to access an evaluation based on active substance use or designated substance levels.

(c)   Compliance with 450:17-3-41 shall be determined by a review of policy and procedures, and clinical records.

[Source: Added at 13 Ok Reg 2741, eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303, eff 7-1-03; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 24 Ok Reg 2563, eff 7-12-07; Amended at 26 Ok Reg 2675, eff 7-25-09; Amended at 31 Ok Reg 1995, eff 10-1-14; Amended at 33 Ok Reg 964, eff 9-1-16; Amended at 35 Ok Reg 1809, eff 10-1-18]