Residential Crisis Stabilization Units
My primary concerns are related to the requirements of 24/7 RN coverage and having a psychiatric evaluation done at the time of admissions. It seems that it would be appropriate to allow RCSUs to be staffed by LPNs without RNs on-site if the LPNs have access to RN, NP, MD etc. for guidance/work direction etc. If this adjustment is not approved and updated in the manual, I believe that several RCSUs will not be able to operate and thus compounding the issue bed shortages and alternative placements to inpatient hospitalizations. I am also advocating for the psychiatric evaluation to be done within 24-48 hrs of admission and not "at the time" of the admission, as clients are already undergoing several assessments/screenings at the time of entry into the program. I have also included several specific areas that it would be helpful for language/expectations to be updated or clarified.
“The Crisis Education and Prevention Plan (CEPP) meeting DBHDS requirements is required for this service and must be current. The CEPP process should be collaborative but must be directed and authorized by a LMHP, LMHP-R, LMHP-RP or LMHP-S.” and
Pg. 36 (first paragraph)
“Treatment Planning must be provided by an LMHP, LMHP-R, LMHP-RP, LMHP-S; QMHP-A, QMHP-C, QMHP-E, CSAC* or CSAC Supervisee*.”