La. Admin. Code tit. 48 § I-5692

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5692 - Mental Health Intensive Outpatient Programs (MHIOPs)

A. The provider shall:

1. develop admission criteria that recognizes the dualfunction of MHIOPs (i.e., that they can serve as both a stepdown from hospitalization and as a preventative measure to hospitalization);

2. maintain a minimum of nine contact hours per week for adults, at a minimum of three days per week, with a maximum of 19 hours per week;

3. maintain a minimum of six hours per week for children/adolescents, at a minimum of three days per week, with a maximum of 19 hours per week;

4. review and update the treatment plan in collaboration with the client as needed or at a minimum of every 30 days;

5. have the capability to provide:

a. individual, group, and family therapy;

b. crisis management/coverage capabilities;

c. medication management capabilities; and

d. basic case management services;

6. conduct a biopsychosocial assessment which must include an assessment for substance use/addiction, and refer to a proper level of care for addiction treatment, where indicated;

7. offer aftercare/continuing care group counseling services to people successfully completing a MH IOP; and

8. have a structured psychoeducational curriculum in place that covers, at a minimum, the following subjects:

a. disease education (i.e., education on mental illness/various psychiatric illnesses);

b. the role of medication and proper medication management in the treatment of psychiatric illnesses;

c. education on co-occurring illnesses;

d. education on developing a long-term recovery plan, and guidance towards getting grounded in communitybased support programming geared towards people with chronic mental health challenges;

e. education on symptom management;

f. education on crisis management;

g. education on the role of nutrition in the treatment of mental health issues; and

h. education on the role of family/key personal stakeholders in a recovery plan.

B. Staffing. The provider shall ensure that:

1. a physician is on site as needed for the management of psychiatric and medical needs and on call 24 hours per day, seven days per week;

2. there is a clinical supervisor on-site 10 hours a week and on call 24 hours per day, seven days per week;

3. there is at least one LMHP on site when clinical services are being provided;

4. each LMHP/UP caseload does not exceed 1:25 active clients; and

5. there are nursing services available as needed to meet the nursing needs of the clients.

a. nursing services may be provided directly by the BHS provider or may be provided or arranged via written contract, agreement, policy or other document. The BHS provider shall maintain documentation of such arrangement.

La. Admin. Code tit. 48, § I-5692

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 481285 (5/1/2022).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.