Virginia Regulatory Town Hall
Agency
Department of Behavioral Health and Developmental Services
 
Board
State Board of Behavioral Health and Developmental Services
 
chapter
Rules and Regulations For Licensing Providers by the Department of Behavioral Health and Developmental Services [12 VAC 35 ‑ 105]
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5/31/22  12:36 pm
Commenter: Ren A. Thorne, LCSW

Private Providers becoming Preadmission Screening evaluators is a bad idea.
 

I am strongly opposed to this proposed petition.  Preadmission Screeners need to be independent to make decisions that are least restrictive to the client.  Private Companies have to consider liability more so than a public sector CSB.  They will be more likely to recommend hospitalization to cover that liability.  Additionally, there is a lot more to the preadmission screening process than just the evaluation.  The follow-up responsibilities after the preadmission screen are more arduous that the evaluation itself.  Developing Safety plans require a lot of coordination to ensure that the person can be safely released.  When the evaluator determines that the individual needs to be hospitalized, voluntarily or under a TDO, the onus is on the CSB to obtain an appropriate bed.  Preadmission Screeners need to be employed by a CSB because it is a public organization which is able to take calculated risks to place an individual in the least restrictive option.   

CommentID: 122120