# COMAR Title 10 — Maryland Department of Health

## Subtitle 63 — Community-Based Behavioral Health Programs and Services

### Chapter 04 — Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services

#### Regulation .04 Residential Crisis Services (RCS).

*COMAR 10.63.04.04*

In order to be licensed under this subtitle, a residential crisis services program:

A. Shall provide short-term mental health treatment and support services in a structured environment for individuals who require 24-hour supervision due to a psychiatric crisis;

B. Shall be designed to:

  (1) Prevent psychiatric inpatient admission;

  (2) Shorten the length of inpatient stay;

  (3) Effectively use general hospital emergency departments; and

  (4) Provide an alternative to psychiatric inpatient admission;

C. Shall have staff who are on-site 24 hours per day, 7 days per week, whenever an individual is on-site receiving services;

D. For adults, shall meet the site requirements set out in Regulation .07 of this chapter verified through an annual site inspection conducted by the CSA or LBHA; and

E. For individuals younger than 21 years old, may offer services in an appropriately licensed therapeutic program, as appropriate.