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245.474 REGIONAL TREATMENT CENTER INPATIENT SERVICES.
    Subdivision 1. Availability of regional treatment center inpatient services. By July
1, 1987, the commissioner shall make sufficient regional treatment center inpatient services
available to adults with mental illness throughout the state who need this level of care. Inpatient
services may be provided either on the regional treatment center campus or at any state facility or
program as defined in section 246.50, subdivision 3. Services must be as close to the patient's
county of residence as possible. Regional treatment centers are responsible to:
(1) provide acute care inpatient hospitalization;
(2) stabilize the medical and mental health condition of the adult requiring the admission;
(3) improve functioning to the point where discharge to community-based mental health
services is possible;
(4) strengthen family and community support; and
(5) facilitate appropriate discharge and referrals for follow-up mental health care in the
community.
    Subd. 2. Quality of service. The commissioner shall biennially determine the needs of all
adults with mental illness who are served by regional treatment centers or at any state facility or
program as defined in section 246.50, subdivision 3, by administering a client-based evaluation
system. The client-based evaluation system must include at least the following independent
measurements: behavioral development assessment; habilitation program assessment; medical
needs assessment; maladaptive behavioral assessment; and vocational behavior assessment.
The commissioner shall propose staff ratios to the legislature for the mental health and support
units in regional treatment centers as indicated by the results of the client-based evaluation
system and the types of state-operated services needed. The proposed staffing ratios shall include
professional, nursing, direct care, medical, clerical, and support staff based on the client-based
evaluation system. The commissioner shall recompute staffing ratios and recommendations
on a biennial basis.
    Subd. 3. Transition to community. Regional treatment centers must plan for and assist
clients in making a transition from regional treatment centers and other inpatient facilities or
programs, as defined in section 246.50, subdivision 3, to other community-based services. In
coordination with the client's case manager, if any, regional treatment centers must also arrange
for appropriate follow-up care in the community during the transition period. Before a client is
discharged, the regional treatment center 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. Staff safety training. The commissioner shall require all staff in mental health and
support units at regional treatment centers who have contact with persons with mental illness
or severe emotional disturbance to be appropriately trained in violence reduction and violence
prevention and shall establish criteria for such training. Training programs shall be developed with
input from consumer advocacy organizations and shall employ violence prevention techniques as
preferable to physical interaction.
History: 1987 c 403 art 2 s 29; 1989 c 282 art 4 s 21; 1990 c 568 art 5 s 8; 1Sp1993 c 1 art
7 s 6; 1Sp2001 c 9 art 9 s 9; 2002 c 277 s 2; 2002 c 379 art 1 s 113