<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.63.07.05" title_num="10" subtitle_num="63" chapter_num="07" heading="Admission Criteria.">
  <paragraph num="A.">
    <text>To be involuntarily admitted to the program, an individual shall meet the following criteria:</text>
    <paragraph num="(1)">
      <text>Have a mental disorder;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be 18 years old or older;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be an eligible resident;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Have had two or more involuntary inpatient facility admissions in the preceding 12 months, including the most recent admission, before the application for admission into the program;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Has a demonstrated history of refusing community treatment that has been a significant factor in contributing to the current involuntary inpatient admission;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Has a treatment history and behavior that indicates the need for outpatient treatment to prevent deterioration after discharge and that is substantially likely to result in the individual becoming a danger to self or others in the community in the foreseeable future;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Has been offered, and refused, the opportunity to accept voluntary outpatient admission into the program on discharge from the inpatient facility;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Is substantially likely to benefit from the outpatient treatment;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Would not be a danger to self or others in the community if released to the program; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>For whom treatment in the program is the least restrictive alternative appropriate for the individual.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Involuntary Admission.</text>
    <paragraph num="(1)">
      <text>To be voluntarily admitted to the program, an individual shall meet the following criteria:</text>
      <paragraph num="(a)">
        <text>Have a mental disorder;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be 18 years old or older;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be an eligible resident who has had:</text>
        <paragraph num="(i)">
          <text>A combination of two voluntary or involuntary inpatient facility admissions in the preceding 12 months, including the most recent admission before the application for admission into the program; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>One inpatient facility admission and three psychiatric emergency department visits in the preceding 12 months;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Have a demonstrated history of refusing community treatment that has been a significant factor in contributing to the current inpatient admission;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Have a treatment history and behavior that indicates the need for outpatient treatment to prevent deterioration after discharge that is substantially likely to result in the individual becoming a danger to self or others in the community in the foreseeable future;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Show that they are substantially likely to benefit from the outpatient treatment;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Not be a danger to self or others in the community if released to the program;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Be able to demonstrate that treatment in the program is the least restrictive alternative appropriate for the individual;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Participate in a settlement conference with the legal service provider and a representative of the inpatient facility; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Enter into a settlement agreement whereby the individual agrees to adhere to program recommendations including a treatment plan or support services, or both, as needed by the individual.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the individual is eligible, an immediate family member may request voluntary enrollment.</text>
    </paragraph>
  </paragraph>
</regulation>