245.472 RESIDENTIAL TREATMENT SERVICES.
Subdivision 1.
Availability of residential treatment services. By July 1, 1988, county
boards must provide or contract for enough residential treatment services to meet the needs of
all adults with mental illness residing in the county and needing this level of care. Residential
treatment services include both intensive and structured residential treatment with length of stay
based on client residential treatment need. Services must be as close to the county as possible.
Residential treatment must be designed to:
(1) prevent placement in settings that are more intensive, costly, or restrictive than necessary
and appropriate to meet client needs;
(2) help clients achieve the highest level of independent living;
(3) help clients gain the necessary skills to function in a less structured setting; and
(4) stabilize crisis admissions.
Subd. 2.
Specific requirements. Providers of residential services must be licensed under
applicable rules adopted by the commissioner and must be clinically supervised by a mental
health professional. Persons employed in facilities licensed under Minnesota Rules, parts
9520.0500 to
9520.0690, in the capacity of program director as of July 1, 1987, in accordance
with Minnesota Rules, parts
9520.0500 to
9520.0690, may be allowed to continue providing
clinical supervision within a facility, provided they continue to be employed as a program director
in a facility licensed under Minnesota Rules, parts
9520.0500 to
9520.0690.
Subd. 3.
Transition to community. Residential treatment programs must plan for and assist
clients in making a transition from residential treatment facilities to other community-based
services. In coordination with the client's case manager, if any, residential treatment facilities must
also arrange for appropriate follow-up care in the community during the transition period. Before
a client is discharged, the residential treatment facility must notify the client's case manager, so
that the case manager can monitor and coordinate the transition and arrangements for the client's
appropriate follow-up care in the community.
Subd. 4.
Admission, continued stay, and discharge criteria. No later than January 1, 1992,
the county board shall ensure that placement decisions for residential services are based on the
clinical needs of the adult. The county board shall ensure that each entity under contract with
the county to provide residential treatment services has admission, continued stay, discharge
criteria and discharge planning criteria as part of the contract. Contracts shall specify specific
responsibilities between the county and service providers to ensure comprehensive planning and
continuity of care between needed services according to data privacy requirements. All contracts
for the provision of residential services must include provisions guaranteeing clients the right to
appeal under section
245.477 and to be advised of their appeal rights.
History: 1987 c 403 art 2 s 27; 1988 c 689 art 2 s 84; 1989 c 282 art 4 s 18,19; 1991 c
292 art 6 s 6,7