245.469 EMERGENCY SERVICES.
Subdivision 1. Availability of emergency services.
By July 1, 1988, county boards must
provide or contract for enough emergency services within the county to meet the needs of adults
in the county who are experiencing an emotional crisis or mental illness. Clients may be required
to pay a fee according to section
. Emergency services must include assessment, crisis
intervention, and appropriate case disposition. Emergency services must:
(1) promote the safety and emotional stability of adults with mental illness or emotional
(2) minimize further deterioration of adults with mental illness or emotional crises;
(3) help adults with mental illness or emotional crises to obtain ongoing care and treatment;
(4) prevent placement in settings that are more intensive, costly, or restrictive than necessary
and appropriate to meet client needs.
Subd. 2. Specific requirements.
(a) The county board shall require that all service providers
of emergency services to adults with mental illness provide immediate direct access to a mental
health professional during regular business hours. For evenings, weekends, and holidays, the
service may be by direct toll free telephone access to a mental health professional, a mental health
practitioner, or until January 1, 1991, a designated person with training in human services who
receives clinical supervision from a mental health professional.
(b) The commissioner may waive the requirement in paragraph (a) that the evening,
weekend, and holiday service be provided by a mental health professional or mental health
practitioner after January 1, 1991, if the county documents that:
(1) mental health professionals or mental health practitioners are unavailable to provide
(2) services are provided by a designated person with training in human services who
receives clinical supervision from a mental health professional; and
(3) the service provider is not also the provider of fire and public safety emergency services.
(c) The commissioner may waive the requirement in paragraph (b), clause (3), that the
evening, weekend, and holiday service not be provided by the provider of fire and public safety
emergency services if:
(1) every person who will be providing the first telephone contact has received at least eight
hours of training on emergency mental health services reviewed by the state advisory council on
mental health and then approved by the commissioner;
(2) every person who will be providing the first telephone contact will annually receive at
least four hours of continued training on emergency mental health services reviewed by the state
advisory council on mental health and then approved by the commissioner;
(3) the local social service agency has provided public education about available emergency
mental health services and can assure potential users of emergency services that their calls will
be handled appropriately;
(4) the local social service agency agrees to provide the commissioner with accurate data on
the number of emergency mental health service calls received;
(5) the local social service agency agrees to monitor the frequency and quality of emergency
(6) the local social service agency describes how it will comply with paragraph (d).
(d) Whenever emergency service during nonbusiness hours is provided by anyone other
than a mental health professional, a mental health professional must be available on call for
an emergency assessment and crisis intervention services, and must be available for at least
telephone consultation within 30 minutes.
History: 1987 c 403 art 2 s 24; 1988 c 689 art 2 s 81; 1989 c 282 art 4 s 15; 1990 c 568 art
5 s 3; 1991 c 312 s 1