SECTION 450:30-9-8. State-operated psychiatric inpatient unit treatment functions  


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  • (a)   The state-operated psychiatric inpatient unit admission function is as follows:
    (1)   Comprehensive evaluation prior to admission; and
    (2)   Crisis intervention and stabilization regardless of legal status in consideration of relevant legal restrictions on providing treatment including but not limited to medications to individuals admitted on emergency detention status.
    (b)   The state-operated psychiatric inpatient unit acute care treatment function is as follows:
    (1)   Treatment to provide quick reduction and stabilization of psychiatric or acute withdrawal symptoms with ongoing treatment provided in the community; and
    (2)   Discharge planning which shall begin at time of admission.
    (c)   The state-operated psychiatric inpatient unit continued treatment function is as follows:
    (1)   Continued treatment planning which shall begin with the consumer and, pursuant to releases signed by the consumer, the family and the local community mental health center or alcohol or drug program as soon as the consumer is admitted to the state-operated psychiatric inpatient unit.
    (2)    Planning, pursuant to appropriately signed releases by the consumer, which shall include a written discharge plan to address the basic needs of the consumer including but not limited to housing, income maintenance and social support as well as specific provisions for ongoing community based mental health or substance abuse treatment needs. When treatment for co-occurring substance abuse and mental health disorders is indicated, discharge planning shall include arrangements to continue treatment for the co-occurring disorders.
    (3)   Regular communication including meetings with all community mental health centers and alcohol or drug programs within the state-operated psychiatric inpatient unit service area pursuant to appropriately signed releases by the consumer to support the continuation of care on behalf of the consumer in post-inpatient settings.
    (d)   Any person involuntarily committed for inpatient treatment shall receive a review of his or her involuntary status at least once every three (3) months. The executive director of the state-operated facility with the psychiatric inpatient unit shall take appropriate action based upon this review.
    (1)   If continued care in the involuntary commitment status is indicated, the treatment team shall determine reasons the individual does not meet criteria for discharge and summarize these in a written evaluation. The team's report shall indicate the exploration of alternatives for continuing care in a less restrictive setting and reasons these alternatives are not clinically indicated.
    (2)   A second, independent evaluation shall be made by the state-operated psychiatric unit clinical director. In cases where the clinical director is also the treating physician, a non-treating physician shall conduct and document the independent evaluation.
    (3)   All evaluations for purposes of such reviews shall be documented in the medical record.
    (4)   Summaries and recommendations of the team and the independent evaluation shall be forwarded to the executive director who shall document, in the medical record, actions authorized by him or her based on the review. Such actions may include but not be limited to discharge from the state-operated psychiatric inpatient unit, motion to modify commitment orders, or development of revised treatment plans for services offered for the consumer in the state-operated psychiatric inpatient unit
    (5)   Copies of all evaluations including recommendations, pursuant to this subsection shall be provided to the ODMHSAS Office of Consumer Advocacy.
[Source: Added at 10 Ok Reg 1857, eff 6-1-93; Amended at 20 Ok Reg 2146, eff 7-1-03]