0940-05-01-.04
Definition Of Distinct Categories Of Mental Health Facilities
Cite as Tenn. Comp. R. & Regs. 0940-05-01-.04
(1)
Crisis Stabilization Unit - A crisis stabilization unit (CSU) is specifically designed for service
recipients eighteen (18) years of age and older in need of short-term stabilization (up to 96
hours), who do not meet the criteria for other treatment resources, other less restrictive
treatment resources are not available, or the service recipient is agreeable to receive
services voluntarily at the CSU and meet admission criteria. If necessary, in order to assure
that the adequate arrangements are in place to allow for the safe discharge of the service
recipient, the length of stay may be extended by up to 24 hours.
(2)
Mental Health Day Program Facility - A non-residential facility that provides a treatment
and/or rehabilitation program of at least three (3) hours duration per program day for persons
with mental disorders. The program may be provided during the day, evening, or weekend
hours. The program may be structured and offer community living skills training, vocational
training, assistance with interpersonal relationships and be geared toward moving the person
on to a more independent and normal life style. The program might also be unstructured and
provide socialization and maintenance to persons who might not move on to more
independence.
DEFINITIONS
CHAPTER 0940-05-01
(3)
Mental Health Hospital Facility - An inpatient facility that is held out to the public as a hospital
and, in connection with the services of a physician, offers diagnosis, treatment, and care to
mentally ill individuals on a comprehensive inpatient basis.
(4)
Mental Health Outpatient Facility - A non-residential, clinic facility that provides services
designed to provide mental health care for non-hospitalized individuals experiencing acute or
ongoing psychiatric distress. Periodic contacts are of short duration. Services include, but are
not limited to, diagnostic assessments, collateral services, individual therapy, crisis
intervention, medication, and follow up.
(5)
Mental Health Residential Treatment Facility - A community-based facility that offers twenty-
four (24) hour residential care as well as a treatment and rehabilitation component. The focus
of the program may be on short-term crisis stabilization or on long-term rehabilitation that
includes training in community living skills, vocational skills, and/or socialization. The staff
includes direct-care staff as well as treatment staff. Treatment staff may be present full time
or only during times when program activities or interventions are occurring. Access to
medical services, social services, and mental health services are insured and are usually
provided off site.
(6)
Mental Health Supportive Living Facility - A residential facility which provides room, board,
and personal care services to two (2) or more individuals unrelated to the owner or operator
of the facility who have been diagnosed with a mental illness by a mental health professional
using the current Diagnostic and Statistical Manual (DSM) criteria.
(7)
Psychosocial Rehabilitation Program Facility - A non-residential facility which provides a
program of rehabilitation and recreation for persons with mental disorders. The program may
be provided during the day, evening, or weekend hours. The focus of the program is on
mental health, strengths and abilities, rather than mental illness, symptoms and problems.
Service recipients are typically members and not patients and frequently are responsible for
most of the content and format of the program. The degree of structure may vary but will
generally offer interpersonal skill training, daily living skills training, educational development,
recreational/social activities, self-help groups, and family involvement. However, a major
focus of the program is on vocational rehabilitation. Members may participate in the program
with varying intensity for an indefinite period of time.
(8)
Mental Health Intensive Day Treatment Program for Children and Adolescent Facility - A
program equal in length to a school day or after school program which includes a variety of
treatment activities including, but not limited to, individual, family, and/or group therapy,
vocational training, social skills training, etc.; and an educational component.
(9)
Therapeutic Nursery Program Facility - A non-residential facility program lasting a minimum
of (3) hours per day designed specifically for pre-school children who are experiencing
serious emotional disturbance which is a result of severe environmental trauma, especially
child abuse or neglect. A variety of treatment activities are provided which may include
individual therapy, therapeutic group instruction and socialization, and a variety of activities to
address developmental deficits resulting from environmental trauma.