<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.26.04" title_num="10" subtitle_num="21" chapter_num="26" heading="Program Model.">
  <paragraph num="A.">
    <text>A provider of RCS shall assure that services are:</text>
    <paragraph num="(1)">
      <text>Therapeutic;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provided by staff who, as determined by the program, are appropriately credentialed and privileged;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Available:</text>
      <paragraph num="(a)">
        <text>24 hours per day, 7 days per week;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>On a short-term basis, as needed to resolve an immediate crisis; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>At a location in the community, unless given a written exemption from the core service agency (CSA).</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A provider of RCS shall assure that services are adequate to support one or more of the following levels of service:</text>
    <paragraph num="(1)">
      <text>Inpatient admission prevention, which provides:</text>
      <paragraph num="(a)">
        <text>Services to an individual who, based on the individual's history, as evaluated by a physician or a mental health professional, has a mental disorder and, without RCS, is at risk for inpatient admission or cannot be discharged from an inpatient facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staff adequate to support the services under §B(1)(a) of this regulation, as outlined under Regulations .08 and .09 of this chapter;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Inpatient admission alternative, which provides:</text>
      <paragraph num="(a)">
        <text>Services to an individual who, based on an evaluation by a physician or a mental health professional, has a mental disorder, presents a danger to self or others, and would, without RCS, be admitted to or could not be discharged from an inpatient facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staff adequate to support the services under §B(2)(a) of this regulation, as outlined under Regulations .08 and .10 of this chapter, including access to a psychiatrist 24 hours per day, 7 days per week; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Treatment foster care, which provides:</text>
      <paragraph num="(a)">
        <text>Services to an individual who, based on an evaluation by a physician or mental health professional, has a mental disorder, and is in need of a high level of treatment intervention in a family setting; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staff adequate to support services under §B(3)(a) of this regulation, as outlined under Regulations .08 and .11 of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A provider of RCS shall assure that services are designed to:</text>
    <paragraph num="(1)">
      <text>Avert or shorten the length of inpatient admissions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Defuse a current crisis, evaluate the nature of the crisis, stabilize the individual to the pre-crisis level of functioning, and intervene to reduce the likelihood of crisis recurrence;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Assist the individual and members of the individual's natural support system to recognize and take preventive action to resolve situations that lead to crisis;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide counseling, training, and support for crisis prevention, identification, and intervention for individuals and, if appropriate, their families;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Link individuals with services and supports in the community including, but not limited to, financial, educational, social, medical, and mental health resources that will enable the individual to:</text>
      <paragraph num="(a)">
        <text>Return to the individual's previous living situation; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Secure an alternative living situation; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Offer a home-like environment that provides goal-directed services to facilitate safe discharge from residential crisis services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A provider of RCS shall assure that services are coordinated with, when appropriate:</text>
    <paragraph num="(1)">
      <text>An individual's custodial agents;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Designated psychiatric emergency facilities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Psychiatric inpatient facilities;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Psychiatric rehabilitation programs;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Outpatient mental health clinics;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Somatic care providers;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Schools;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Other agencies involved with the individual, including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Local departments of social services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Department of Juvenile Services;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The local education authority;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The local coordinating council (LCC);</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The local management board; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Criminal justice agencies; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Other public and private providers of mental health services to an individual.</text>
    </paragraph>
  </paragraph>
</regulation>