SECTION 450:55-3-2. Admission criteria

(a)   The PACT program shall maintain written admission policies and procedures that, at a minimum include the following:

(1)   First priority shall be given to people designated by the ODMHSAS as needing PACT services. The remaining priority shall be given to people with a primary diagnosis of schizophrenia or other psychotic disorders, such as schizoaffective disorder or bipolar disorder with psychotic features as defined by the current DSM. Individuals without a psychotic disorder shall be evaluated and admitted based on the consumer's need. Admission determination and admission shall occur within five (5) days of receipt of the referral unless the individual is admitted or engaged in Health Home High services with the agency, in which case the admission determination and admission shall occur no later than fifteen days of receipt of the referral.

(2)   At least four psychiatric hospitalizations in the past 24 months or cumulative lengths of stays totaling over 30 days in the past 24 months which can include admissions to Community-Based Structured Crisis Care; or frequent psychiatric ER, Urgent Recovery Clinic (URC) and/or CBSCC encounters, or incarcerated and receiving mental health care, or are under an Assisted Outpatient Treatment order for PACT services and with at least three (3) of the following:

(A)   Persistent or recurrent severe affective, psychotic or suicidal symptoms;

(B)   Coexisting substance abuse disorder greater than six (6) months;

(C)   High risk of or criminal justice involvement in the past 12 months which may include frequent contact with law enforcement personnel, incarcerations, parole or probation;

(D)   Homeless, imminent risk of being homeless or residing in substandard or unsafe housing;

(E)   Residing in supported housing but clinically assessed to be able to live in a more independent living situation if intensive services are provided; or requiring supported housing if more intensive services are not available;

(F)   Inability to participate in traditional office-based services or evidence that they require a more assertive and frequent non-office based services to meet their clinical needs;

(G)   Inability to consistently perform the range of practical daily living tasks required for basic adult functioning in the community.

(3)   Individuals with a sole primary diagnosis of substance abuse, brain injury, or Axis II disorders are not appropriate for PACT.

(4)   Individuals with a history of violent behaviors may or may not be considered for admission.

(b)   Compliance with 450:55-3-2 shall be determined by on-site observation and a review of the following: clinical records, PICIS information and the PACT policy and procedures.

[Source: Added at 20 Ok Reg 683, eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 23 Ok Reg 1445, eff 7-1-06; Amended at 24 Ok Reg 1422, eff 7-1-07; Amended at 27 Ok Reg 1015, eff 7-1-10; Amended at 31 Ok Reg 2068, eff 10-1-14; Amended at 34 Ok Reg 1820, eff 10-1-17; Amended at 35 Ok Reg 1860, eff 10-1-18]