La. Admin. Code tit. 48 § I-11109

Current through Register Vol. 50, No. 9, September 20, 2024

Section I-11109 - Mental Health/Substance Abuse

A. The following planning objectives for mental health and substance abuse apply to all areas of the state.

1. By 1985, information on the availability, accessibility, and appropriate use of primary mental health care services should be available to all residents of the state.

2. By 1987, mental health education services for the school-age population should be improved and extended throughout the state.

3. By 1985, mental health diagnosis and treatment services should be coordinated so that these services are available to all individuals within the health service area within one hour travel time.

4. By 1985, financial barriers to private mental health diagnosis and treatment services should be alleviated. The demand for services exceeds the treatment capacity of the public facilities, with a resultant strain on consumers and providers within the public system.

5. By 1987, mental health, alcohol and substance abuse services provided in short-stay inpatient settings should be consistent with the goals and standards established for inpatient psychiatric beds and chemical dependency beds in the State Health Plan 1982-87.

6. By 1987, the number of community-based small group homes and transitional residences appropriate for emotionally disturbed persons should be increased by 100 percent.

7. By 1987, day care, day treatment, education, training, and employment programs appropriate for the needs of emotionally disturbed persons should be available in ambulatory settings, within 1 hour travel time for rural residents and 30 minutes travel time for urban residents.

B. The following recommended actions apply to all areas of the state.

1. Organizational mechanisms should be established that will coordinate existing community mental health education programs, inventory available mental health education resources, and promote mental health education activities (both voluntary and governmental).

2. A plan to develop, maintain and evaluate mental health education programs should be developed by the Office of Mental Health and Substance Abuse.

3. A guide to all existing mental health services in the health service area should be developed by the Office of Mental Health and Substance Abuse in coordination with private mental health providers.

4. Efforts to increase reimbursement for mental health diagnosis and treatment costs by public and private insurance programs should be supported.

5. Encouragement of the development of needed health system resources should be undertaken by interested advocacy groups and by the state through subsidies, such as low-interest loans, and Medicaid coverage of special health-related ambulatory programs.

6. Conversion of an appropriate number of underutilized medical/ surgical beds in short stay general hospitals which may be better utilized as discrete units for the treatment of psychiatric or chemical dependency problems should be considered by appropriate facilities.

7. By 1984, the Office of Mental Health and Substance Abuse should have developed a quantifiably meaningful needs assessment for behavioral health services. This assessment should cover:

a. the full range of behavioral health services which should be provided in accordance with the needs of the population in the various districts of the state;

b. the number and type of behavioral health services that should be provided in each of the parishes, those which should be provided within the catchment, or service areas, and those which should be provided only within the planning districts;

c. the number and types of behavioral health services which are not being provided in the areas mentioned above;

d. changes needed in the local behavioral health system (i.e., new resources or changes in existing resources) in order to meet the needs of the people;

e. the resources required for implementing the changes; and

f. the persons, agencies, or groups who will take responsibility for implementing the changes.

C. New Orleans/Bayou-River Health System Area

1. Planning Objective for Mental Health/Substance Abuse Services in HSA I

a. By 1987, psychiatrists should be available in the designated manpower shortage parishes of Lafourche and Terrebonne.

2. Recommended Action

a. Assistance from the L.S.U. and Tulane Medical Schools and from the Louisiana State Board of Medical Examiners should be given to locate and/or place psychiatrists or psychiatric residents in Lafourche and Terrebonne parishes.

D. Mid-Louisiana Health System Area

1. Planning Objective for Mental Health/Substance Abuse Services in HSA II

a. By 1987, special inpatient acute treatment units for children and adolescents with psychiatric problems should be available in the Mid-Louisiana area in accordance with goals and standards established for inpatient psychiatric services in the State Health Plan 1982-87.

b. By 1987, small, community-based facilities providing intermediate and long-term psychiatric care for children and adolescents should be developed in accordance with the goals and standards established for psychiatric services in the State Health Plan 1982-1987.

c. By 1987, psychiatrists should be available in the designated manpower shortage parish of St. Mary.

2. Recommended Action

a. Underutilized medical/surgical beds in acute care general hospitals should be converted, in appropriate numbers, to discrete treatment units for children and adolescents with acute psychiatric problems.

b. Facilities providing intermediate and long-term inpatient psychiatric services for children and adolescents should be developed, especially small community-based group homes.

c. Assistance from the L.S.U. and Tulane Medical Schools and from the Louisiana State Board of Medical Examiners should be given to locate and/or place psychiatric residents in St. Mary Parish.

E. North Louisiana Health System Area

1. Planning Objectives for Mental Health/Substance Abuse Services in HSA III

a. By 1985, there should be a discrete chemical dependency unit available for the inpatient treatment of adolescents with chemical dependency problems in Shreveport and in Monroe.

b. By 1987, special inpatient acute care treatment units for children and adolescents with psychiatric problems should be available in the North Louisiana area in accordance with goals and standards established for inpatient psychiatric services in the State Health Plan 1982-87.

c. By 1987, small, community-based facilities providing intermediate and long-term psychiatric care for children and adolescents should be developed in accordance with the goals and standards established for psychiatric services in the State Health Plan 1982-87.

d. By 1987, psychiatrists should be available in the designated manpower shortage parishes of Caldwell, East and West Carroll, Franklin, Madison, Morehouse, Ouachita, Richland and Tensas.

2. Recommended Actions

b. Facilities providing intermediate and long-term inpatient psychiatric services for children and adolescents should be developed, especially small community-based group homes.

c. Assistance from the L. S. U. and Tulane Medical Schools and from the Louisiana State Board of Medical Examiners should be given to locate and/or place psychiatrists or psychiatric residents in designated psychiatric manpower shortage areas.

La. Admin. Code tit. 48, § I-11109

Promulgated by the Department of Health and Human Resources, Office of Management and Finance, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with P.L. 93-641 as amended by P.L. 96-79, and R.S. 36:256(b).