Section 7.50.825. Admission.

	(a)  In addition to complying with the requirements set out in 7 AAC 50.320 regarding admission to residential child care facilities, a residential psychiatric treatment center shall comply with this section.  
	(b)  A residential psychiatric treatment center shall perform a psychiatric and functional assessment of each potential resident, including an evaluation described in 7 AAC 43.870(b), and shall  
		(1) evaluate a recent assessment of the potential resident performed by another professional mental health clinician; or  
		(2) review the complete treatment history of the potential resident.  
	(c)  A residential psychiatric treatment center may not admit a child for treatment as a resident if the child is less than six years of age.  
	(d)  To admit a child for treatment as a resident, a residential psychiatric treatment center must document that  
		(1) other care or treatment resources available in the community or region do not meet the treatment needs of the child because the other care or treatment resources are  
			(A) more restrictive or less restrictive than necessary to appropriately treat the child; or  
			(B) provided in a setting less restrictive than the facility, but the child's treatment history shows that when therapeutic services in less restrictive settings have been provided to the child the services have been ineffective;  
		(2) proper treatment of the child's psychiatric condition requires treatment and services on an inpatient residential basis under the direction of a physician because the child  
			(A) has a psychiatric condition or disorder that is  
				(i) classified as a DSM-IV Axis I diagnosis as set out in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, 2000 (DSM-IV-TR), as amended from time to time; the provisions of that Axis are adopted by reference; or  
				(ii) indicated by a rating on the DSM-IV Axis V of GAF equal to 50 or less, or has an Axis V GAF rating of more than 50 but exhibits one or more specific mental, behavioral, or emotional disorders that place the child at imminent risk for out-of-home supervision or protective custody by state or local authorities; for purposes of this sub-subparagraph, "GAF" means the Global Assessment of Functioning assessment instrument published in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, 2000 (DSM-IV-TR), as amended from time to time; that assessment instrument is adopted by reference;  
			(B) requires the intensity of services available at a residential psychiatric treatment center, as documented by the clinical director of the facility, specifically including the following needs:  
				(i) a need for treatment services to be supervised by a psychiatrist;  
				(ii) a need for mental health professionals to be available to intervene with the child 24 hours a day;  
				(iii) a need for the child to concurrently receive multiple therapies;  
			(C) does not demonstrate mental, emotional, or behavioral dysfunction that requires acute psychiatric hospitalization, such as a serious gesture or an actual attempt at suicide; and  
			(D) does not demonstrate actual behavior of assaults or escalation towards assault that cannot be managed at the level of care available in the facility; and  
		(3) the services provided by the facility can reasonably be expected to improve the child's condition or to prevent further regression so that services of a residential psychiatric treatment center will no longer be needed.  

Authorities

44.29.020;47.05.012;47.10.080;47.10.087;47.12.120;47.14.100;47.14.120;47.32.010;47.32.020;47.32.030

Notes

Reference

7 AAC 50.810
7 AAC 50.830
7 AAC 50.845
7 AAC 50.870

Authority

AS 44.29.020 AS 47.05.012 AS 47.10.080 AS 47.10.087 AS 47.12.120 AS 47.14.100 AS 47.14.120 AS 47.32.010 AS 47.32.020 AS 47.32.030 Editor's note: The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, 2000 (DSM-IV-TR), as amended from time to time, and adopted by reference in 7 AAC 50.825, may be obtained from the American Medical Association at [phone]; from American Psychiatric Publishing, Inc., 1000 Wilson Boulevard, Suite 1825, Arlington, Virginia 22209-3901, telephone [phone] or [phone]; or from the American Psychiatric Association, at the following electronic mail address: [e-mail]. This manual is also available for viewing at the Department of Health and Social Services, Office of Children's Services, 130 Seward Street, Suite 406, Juneau, Alaska.

History

Eff. 6/21/2001, Register 158; am 4/13/2011, Register 198

References

7.50.825