POLICY:
It is the policy of RHG to follow guidelines to maximize the therapeutic opportunity presented by admission. To be eligible for admission to RHG, the criteria of both age and medical necessity must be met. No patient will be denied admission to RHG based on race, creed, sex, or national origin. Applicants for admission must have a psychiatric disorder classified as a clinical syndrome on Axis I of the DIAGNOSTIC STATISTICAL MANUAL FOR MENTAL DISORDERS (DSM-IV). The choice of residential treatment is made when there is a wide range of severe disturbances and it is necessary to protect the resident's development; the severity and complexity of these disturbances require 24-hour monitoring and supervision within a structured, therapeutic setting.
An individual is a candidate for residential treatment when the needed therapy services are too great to integrate into the family's life pattern or the impact on the family is too disruptive for successful treatment if the applicant were to remain in the home. Residents admitted to RHG are selected on the basis of individual diagnostic assessments and must be medically and psychiatrically stable. The primary consideration in each case is the determination of an applicant's ability to benefit from the therapeutic program offered.
RHG is designed to serve male and female residents, ages 18 and older, with an IQ of, at least 70 (exceptions are at the discretion of the treatment team), and a history of longstanding disturbances in behavior, age appropriate functioning, problem solving, and psychological and family functioning.
Residents must admit themselves voluntarily or under the designation of a legal guardian or conservator. Legal guardian or conservator must provide appropriate documentation and be present at the time of admission.
PROCEDURE:
Procedures are designed to prepare prospective residents and parent(s)/guardian(s) for admission to residential treatment. They are given the opportunity to understand the admission process so they are better able to cope with the new situation. Exceptions to any of the admission criteria must be approved by Administrator, Clinical Services Manager and attending physician.
I. ADMISSION CRITERIA
All persons who enter RHG must meet the following minimum criteria:
- Diagnosed as having a mental illness;
- Age 18 or older;
- Ambulatory or capable of self-transfer
- Able to participate in treatment programming and services
- Free of major medical conditions requiring ongoing 24 hours per day, 7 days per week nursing services;
- Self-administers medication with staff supervision;
- Maintains personal hygiene and grooming with staff supervision;
- Initiates and participates in social interaction with staff supervision;
- Performs assigned household chores with staff supervision; and
- Is capable of self-preservation in accordance with Subparagraph 65E-4.016(17)(b)2., FAC or 0940-5-4-.10, TN.
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Persons who enter at Level IV Residential Treatment must meet the additional criteria:
- Performs household chores and activities.
- Manages income.
- Utilizes recreational and social resources.
- Procures food and other items necessary to maintain a household.
- Prepares meals either individually or cooperatively, and
- Utilizes community transportation systems.
II. EXCLUSIONARY CRITERIA
Persons are excluded from admission to RHG if any of the following exist:
- Major medical condition requiring ongoing 24 hours per day, 7 days per week nursing services.
- Any persons with communication barriers, such as inability to adequately communicate verbally, visual or auditory.
- Chronic inappropriate behavior which disrupts, or could potentially disrupt, the facility's activities or is harmful to self or others;
- Any prior diagnosis, determination or legal charges categorizing the person as a sexual offender, sexual perpetrator or sexual predator.
- Any person seeking residential treatment in lieu of incarceration.
- Pattern of non-compliance with the Treatment Plan, rules or policies of the facility.
- Any person with a history of Arson or fire setting.
III. SUSPENSION CRITERIA
Persons already admitted to RHG may be suspended and or discharged form the facility if:
- Information is later revealed that meets exclusionary criteria
- A resident that meets involuntary commitment criteria upon admission.
- A resident behaves in a manner that is deemed dangerous and is unable to correct this behavior with available clinical interventions, or has shown a pattern of significant non-compliance with program guidelines or threatens/uses physical violence toward others, or threatens or damages property.
- A resident meets involuntary commitment criteria and requires transfer to a involuntary receiving facility.
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