(b) The center shall

1. (1) admit an individual only if the individual's needs may be met by the center, based on physical and mental health screening;
2. (2) develop and implement policies and procedures for diverting an individual when the center is at capacity that include notifying emergency medical services, police, or other entities, as necessary;

3. (3) establish admission requirements that include

   1. (A) the availability of appropriate physical accommodations;
   2. (B) voluntary admission or legal authority for involuntary admission; and
   3. (C) written documentation of consent to treatment under voluntary admission, if applicable; and
4. (4) request documentation of the patient's condition from the referring emergency department, agency, facility, or other source before admission, if applicable.

(c) A center shall conduct an initial evaluation of each patient who presents for treatment. The evaluation must

1. (1) be performed by a mental health professional;
2. (2) be initiated not more than 30 minutes and completed not later than three hours after the patient's arrival;
3. (3) be used to determine the patient's eligibility for and the appropriateness of services provided by the crisis stabilization center; and

4. (4) include

   1. (A) an assessment of whether the patient is an imminent danger to self or others;
   2. (B) an assessment of risk for imminent withdrawal;
   3. (C) a breath analysis and urine drug screen, in accordance with the crisis stabilization center's policies and procedures;
   4. (D) a check of vital signs;
   5. (E) a clinical assessment of the patient's current condition to determine the patient's primary medical problems and whether acceptance to the crisis stabilization center or transfer to another medical provider is more appropriate for the patient's condition or circumstances; and
   6. (F) a brief patient medical history.

(e) A center shall have a written discharge plan for each patient to provide continuity of services that includes

1. (1) the patient's transfer or referral to outside resources, continuing care appointments, and crisis intervention assistance;
2. (2) documented attempts to involve the patient and, subject to 7 AAC 12.391(b)(13), the patient's legal guardian, chosen representative, family member, or parent of a minor patient, in the discharge planning process;
3. (3) the patient's goals and activities to sustain recovery;
4. (4) the patient's signature, or the patient's parent or guardian, if applicable; a copy of the discharge plan must be provided to the individual who signed the plan;
5. (5) the name, dosage, and frequency of the patient's medications ordered at the time of discharge;
6. (6) the patient's prescriptions for medications ordered at time of discharge; and
7. (7) the disposition of the patient's possessions, funds, and medications, if applicable.

(f) A crisis residential center shall discharge a patient

1. (1) when the patient's treatment goals are achieved as documented in the patient's treatment plan;
2. (2) when the patient's condition or treatment needs are not consistent with the services the center is authorized or able to provide; or
3. (3) according to the crisis residential center's written discharge criteria.

(g) A crisis residential center shall complete a discharge summary not more than 30 days after a patient is discharged that includes

1. (1) the patient's presenting needs and issues identified when the patient was admitted;
2. (2) the services the patient received;
3. (3) the crisis residential center's assessment of the patient's progress towards goals;
4. (4) the circumstances of the patient's discharge; and
5. (5) recommended continuity of care following patient discharge, including supporting documentation, and referral information.

(h) A center that transfers a patient shall

1. (1) request and receive approval from the receiving facility before the patient may be transferred;
2. (2) notify the receiving facility if the patient has significant medical or psychiatric conditions or complications and provide other necessary information for the patient's care before the patient arrives; and
3. (3) transfer all requested patient information and documents to the receiving facility.