<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.21.19.03" title_num="10" subtitle_num="21" chapter_num="19" heading="Program Model.">
  <text>The program director shall assure that services:</text>
  <paragraph num="A.">
    <text>Are therapeutic and are age and culturally appropriate;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Are provided by MTS staff who:</text>
    <paragraph num="(1)">
      <text>As determined by the program, are appropriately credentialed and privileged; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Are available:</text>
      <paragraph num="(a)">
        <text>As indicated in the screening assessment or the individual's ITP, to deliver services at a time and in a setting agreeable to the individual served; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>On an on-call basis, 24 hours per day, 7 days per week;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Engage an individual who is unable or unwilling to use traditional mental health services by:</text>
    <paragraph num="(1)">
      <text>Using an assertive approach in making services available and acceptable to the individual by:</text>
      <paragraph num="(a)">
        <text>Identifying and addressing stressors that the individual identifies as priorities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Developing creative individualized approaches in an effort to engage the individual in services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Recognizing that establishing a therapeutic relationship may take place over an extended period of time; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Being sufficiently flexible to allow for the delivery of service in the setting and at the time that is appropriate for the individual's needs;</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Establish between the individual and the MTS staff a therapeutic relationship that includes mutual development of short-term and long-term goals for the individual;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Respect the individual's privacy at the individual's residence by:</text>
    <paragraph num="(1)">
      <text>Except in an emergency, notifying the individual, in advance, of the time that MTS staff will visit the individual's home;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Having private conversations;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Obtaining the individual's permission to bring anyone else to the individual's home; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If requested, terminating a home visit; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Assist the individual to interact with agencies and others to:</text>
    <paragraph num="(1)">
      <text>Have access to services and entitlements necessary to support adequate living conditions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain continuity of care by coordinating access to various treatment and rehabilitation services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Promote community participation by engaging in age-appropriate social and recreational activities; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Access housing, if necessary.</text>
    </paragraph>
  </paragraph>
</regulation>