Name/Title
Aministrative RecordsEntry/Object ID
2014.2.3138Scope and Content
A 7 page double sided document. 'Title 9 - Department of Mental Health, Division 30 - Certificate of Standards, Chapter 4 - Mental Health ProgramsContext
9 CSR 30-4.010 Definitions
Purpose: This rule defines the special terms used in 9 CSR 30-4.020 to 1.190 regarding the certification standards for mental health agencies.
(1) The terms defined in section 630.005, RSMo (Supp. 1984 . . .
(2) Unless the context clearly requires otherwise, . . .
A. Admission
B. Aftercare
C. Agency
D. Assessment
E. Case management
F. Clinical privileges
G. Community social living skills
H. Emergency care
I. Facility
J. Information and education
K. Initial referral . . . . Q.
9 CSR 30-4.020 Procedures to Obtain Certification
Purpose: This rule describes the procedure to obtain certification from the Department of Mental Health for the mental health agencies a authorized by section 630.655, RSMo (Supp. 1984)
(1) Under section 630.655 . . the department shall certify each . . . .
(2) The department shall certify the agencies which meet . . . .
(3) Any agency may apply for certification by requesting . . . .
A. The applicant shall complete the application . . .
B. Agencies that wish to apply . . .
(4) The department shall conduct an on-site survey . . .
A. The department shall schedule and announce the survey . . .
B. Before conducting its on-site survey . . .
C. The department shall muse a copy of the survey . . .
D. The surveyor shall conduct . . .
(5) The department shall certify only the agency named in the application . . .
(6) The agency shall display the certificate issued by the department . . .
A. The certificate is the property . . .
B. The department may inspect . . .
C. Within seven (7) days . . .
(7) Certification is available as set out . .
(8) The department may certify an agency program . . .
A. The department shall certify an agency program without limitations . . .
B. The department shall certify an agency program on a probationary basis . . .
C. The department shall certify an agency program on a temporary basis . . .
(9) Agencies shall submit to the department a time phase plan . . .
(10) The facility shall retain and make available to the staff . . .
(11) An agency which has had certification denied or revoked may appeal . . .
(12) An agency which has had certification denied or revoked must wait at least . . .
(13) The department shall certify an agency program for a period of one (1) year. . . .
(14) The department shall certify, upon application, an agency which is accredited . . .
9 CSR 30-4.100 Governing Authority
Purpose: This rule requires the delineation of responsibilities and authority of the governing body . . .
(1) Each agency shall have a governing body . . .
A. If a public agency . . .
B. If a private agency . . .
(2) The governing body shall establish policies for and . . .
A. The documentation shall describe . . .
B. The documentation shall require quarterly meetings . . .
C. If the agency is part of a not-for-profit corporation . . .
(3) The governing body shall appoint a director . . .
A. The governing body shall document . . .
B. The director shall report to . . .
(4) The governing body or the director, or both . . .
A. The policy and procedure manual shall be reviewed and updated. . .
B. The policy and procedure manual shall be available . . .
C. The director and staff shall follow . . .
(5) The policy and procedure manual shall include a description of the following:
A. The philosophy, goals, types . . .
B. The objectives . . .
C. The organization and methods. . .
D. The relationship among components . . .E., F., G., . . .
9 CSR 30-4.110 Client Rights
Purpose: This rule assures the rights of clients receiving treatment.
(1) The agency shall have policies and procedures . . .
(2) Each client shall be entitled to the following . . . .
A. To human care and treatment
B. To receive prompt evaluation . . .
C. To have the treatment plan explained.
D. To be treated with respect and dignity as a human being.
E., F., G., . . . . . . L.
(3) Each client shall be entitled to see his or her own records . . .
(4) Clients shall be informed of their rights in language the client understands.
A. A notice to clients about rights . . .
B. At admission, each client shall receive a program brochure . . .
C. The stall shall read and explain the brochure . . .
(5) There shall be policies and procedures for the behavioral management of clients.
A. Staff shall deal with disruptive, destructive and inappropriate behavior . . .
B. Behavior management shall be conducted in a manner . . .
(6) Each client shall be given the name, address and telephone number . . .
9 CSR 30-4.120 Environment
Purpose: This rule identifies the requirements for a safe, clean environment for mental health agencies.
(1) The agency shall establish and ,maintain a safe environment . . . .
(2) The program shall have services accessible to handicapped individuals or . . . . .
(3) The agency shall provide an environment appropriate to the needs of the clients.
A. The design, structure, furnishing and lighting . . .
B. All areas shall be adequately ventilated.
C. The facility shall be safe, clean and comfortable.
(4) The agency shall have written and posted plans . . .
A. The plan shall include . . .
B. Each staff member shall be oriented to the disaster plan and procedures.
(5) Unless prohibited by law, the agency shall have an insurance program that . . . .
(6) The agency shall maintain an adequately supplied first-aid kit.
(7) The agency shall post he emergency numbers . . . .
9 CSR 30.4 Fiscal Management
Purpose: This rule prescribes fiscal policies and procedures for mental health services.
(1) The agency shall have fiscal management policies . . . .
(2) Accounting records shall be maintained using the accrual method . . . .
(3) The agency shall have a budget of expected revenue and expenses.
A. The budget shall categorize revenue by source.
B. The budget shall categorize expenses by program
C. The budget shall be reviewed and approved by the governing . . .
D. Budget revisions shall be reviewed and approved by . . .
(4) The agency shall have the capacity to determine direct and indirect . . .
(5) The agency shall have a written fee schedule.
A. The current schedule of rates and charges shall . . .
B. The fee schedule shall be available to all staff and to the clients.
(6) The agency shall maintains a reporting mechanism that provides . . . .
A. Fiscal reports shall provide information . . . .
B. Fiscal reports shall be available to the staff and governing authority . . .
(7) Lunes prohibited by law, an annual audit of the fiscal operation . . .
A. The audits shall re reviewed and approved . . .
B. Adverse audit findings shall be corrected and approved . . . .
(8) Written fiscal policies and procedures shale be maintained . . . .
A. The agency shall have policies and procedures governing control . . . .
B. The agency shall have policies and procedures for controlling accounts
(9) Fiscal records shall be retained for seven (7) years.
9 CSR 30-4.140 Personnel
Purpose: This rule prescribes the personnel policies and procedures for mental health agencies.
(1) The agency shall have written policies and procedures to ensure . . .
A. Personal policies and procedures shall include an equal opportunity . . . .
B. Personal policies and procedures shall apply to all staff . . . .
C. Personal policies and procedures shall include how staff . . . .
(2) Personnel policies shall include written job descriptions for each position that includes . . . . .
A. Each position shall be reflected in a current table of organization.
B. Personnel must meet local, state or federal requirements for their professions.
C. Personal policies and procedures shall describe how staff will be supervised.
(3) Personal policies and procedures shall provide an annual written job performance . . . .
(4) The agency shall document that staff an others upon request . . . .
(5) The agency's policies and procedures shall include policies . . . .
(6) Personnel policies shall address the prevention and spread . . .
(7) The agency shall maintain written plan for personal growth and development of personnel.
A. The plan shall include orientation . . .
B. The agency shall maintain a record of participation in staff . . .
(8) Clients shall be paid for work in their program unrelated to their treatment. . . .
(9) If volunteers are utilized, the agency shall have a written policy . . .
(10) Each treatment discipline shall define clinical privileges based upon . . .
A. Clinical privileges shall be based upon training . . .
B. Non-privileged staff shall receive supervision from privileged staff . . .
9 CSR 30-4.150 Research
Purpose: This rule prescribes the guidelines to be followed by any agency which conducts research.
(1) The agency shall have a written policy concerning . . .
(2) The agency shall abide by all local, state and federal laws . . .
(3) The agency shall have a research committee to review and have authority . . .
A. The research committee shall follow . . .
B. the research committee shall insure compliance . . .
(4) The agency shall receive a final report of and research conducted.
9 CSR 30-4.160 Client Records
Purpose: This rule prescribes the contents to be found in client's records.
(1) An organized record shall be maintained on each client which . . .
(2) The facility shall keep active records complete with current information . . .
(3) Record shall be stored in such a manner . . .
(4) There shall be a written method and procedure to assure . . .
(5) Client records shall be retained for at least seven (7) years.
(6) Information from intake screenings shall include -- . . .
(7) At intake, each program shall make an initial assessment to include . . . .
(8) Each client's record shall contain a treatment plan based on presenting . . .
A. The treatment plan shall specify measurable goals . . .
B. The client shall participate in the development of the treatment plan.
C. Treatment plans shall be reviewed and updated at least every six (6) months . . .
(9) Progress notes shall document client activities and services delivered, . . .
(10) Upon termination, a discharge summary shall be entered in the client's records. . . .
9CSR 30-4.170 Referral Procedures
Purpose: This rule prescribes referral procedures for mental health agencies.
(1) The agency shall have written policies and procedures that will assist with . . .
(2) The written policies and procedures shall stipulate the conditions under . . .
(3) The agency shall have written policies and procedures that describe the . . .
(4) The agency shall maintain a current directory of the area . . .
9 CSR 30-4.180 Medication
Purpose: Prescribes the procedures to safely store, administer and record medications.
(1) The agency shall have a locked storage area for all medications.
(2) The agency shall have written policies and procedures on how medications . . .
(3) The agency shall maintain a list of personnel who have access to the locked . . .
(4) The agency shall have written policies and procedures on how medication is to be dispensed . . .
(5) The agency shall have written procedure for recording client intake of . . .
(6) The agency shall written procedures for recording medication reactions, medication errors, or both.
9 CSR 30.4.190 Treatment
Purpose: This rule prescribes policies and procedures for outpatient mental health programs.
(1) The program shall have written policies and procedures defining client . . .
A. Intake policies and procedures shall define procedures for referral of . . .
B. The need for a physical examination shall be determined.
1. The procedure shall be developed . . .
2. The procedure shall include . . .
3. The results of implementing the procedure . . .
4. Results of physical examinations will be kept in the client's records.
(2) An initial treatment plan shall be developed at intake . . .
A. A master treatment plan shall be developed . . .
B. The master treatment plan shall be updated . . .
(3) The program shall provide treatment which will assist in the support . . .
A. Clients who have not received services for a six (6) month period . . .
B. Clients who have not received services for a twelve (12) month period . . .
C. Services shall include screening, emergency services, . . .
(4) Services shall be delivered by qualified professionals as follows:
A. Aftercare--a person with a Bachelor's degree with experience in . . . ;
B. Case management--a person with an Associate of Arts or Bachelor's degree in the humanities . . . ;
C. Community social living skills--a person with a Bachelor's degree . . . ;
D. Emergency care--a mental health professional;
E. . . . . . R
(5) The program shall maintain reasonable hours to insure accessibility.Dimensions
Dimension Notes
8.5" x 11"