77 Ill. Adm. Code 300.4040
General Requirements for Facilities Subject to Subpart S
Section 300
Section 300.4040Â General
Requirements for Facilities Subject to Subpart S
a)Â Â Â Â Â Â Â Â The psychiatric rehabilitation services program of the
facility shall provide the following services as needed by facility residents
under Subpart S:
1)Â Â Â Â Â Â Â Â 24 hours of continuous supervision, support and therapeutic
interventions;
2)Â Â Â Â Â Â Â Â Psychotropic medication administration, monitoring, and
self-administration;
3)Â Â Â Â Â Â Â Â Case management services and discharge preparation and
training;
4)Â Â Â Â Â Â Â Â Psychiatric rehabilitation services addressing major domains
of functioning and skills development:Â self-maintenance, social and community
living, occupational preparedness, symptom management, and substance abuse
avoidance;
5)Â Â Â Â Â Â Â Â Crisis services; and
6)Â Â Â Â Â Â Â Â Personal care assistance.
b)Â Â Â Â Â Â Â Â The psychiatric rehabilitation services programs in the
facility shall be designed to improve or maintain the resident's level of
functioning and independence.
c)Â Â Â Â Â Â Â Â The facility's psychiatric rehabilitation program shall have
the following overall goals:
1)Â Â Â Â Â Â Â Â Encourage the engagement of each resident in his/her recovery
and rehabilitation;
2)Â Â Â Â Â Â Â Â Increase acquisition, performance, and retention of skills to
enhance independence and promote community integration;
3)Â Â Â Â Â Â Â Â Support the progressive assumption of as much personal
responsibility, self-management, and self-determination as each resident can
manage;
4)Â Â Â Â Â Â Â Â Broaden the use of living, coping, and occupational skills to
new environments with an ultimate goal of discharge to a more independent
living arrangement, as appropriate;
5)Â Â Â Â Â Â Â Â Decrease psychotic, self-injurious, antisocial, and aggressive
behaviors;
6)Â Â Â Â Â Â Â Â Decrease the impact of cognitive deficits as an impediment to
learning new skills; and
7)Â Â Â Â Â Â Â Â Foster the human dignity, personal worth, and quality of life
of each resident.
d)Â Â Â Â Â Â Â Â The psychiatric rehabilitation program shall provide education
and training to maximize residents' capacities for self-management of
psychotropic medications and utilization of other supportive mental health
services, such as cooperation with prescribed treatment regimen,
self-medication, recognition of early symptoms of relapse, and interactive
effects with other drugs and alcohol.
e)Â Â Â Â Â Â Â Â The facility shall have written policies and procedures
related to smoking, including smoke-free areas, risk assessment for individuals
who smoke, and the conditions and locations where smoking is permitted in the
facility, if permitted at all.
f)Â Â Â Â Â Â Â Â A facility shall document all leaves and therapeutic
transfers. Such documentation shall include date, time, condition of resident,
person to whom the resident was released, planned destination, anticipated date
of return, and any special instructions on medication dispensed.