Applicants/providers must establish, implement, and maintain a site-specific emergency response plan, which must include:

1. (1) A twenty-four-hour emergency telephone number;

2. (2) The applicant/provider must:

   1. (A) Provide the twenty-four-hour emergency telephone number to all clients;
   2. (B) Post the twenty-four-hour emergency number on all public entries to each site;
   3. (C) Include the twenty-four-hour emergency phone number on answering machine greetings; and
   4. (D) Identify local law enforcement and medical facilities within a fifty-mile radius that may be emergency responders to client emergencies;
3. (3) Direct access to a mental health professional within fifteen (15) minutes of an emergency/crisis call and face-to-face crisis assessment within two (2) hours;

4. (4) Response strategies based upon:

   1. (A) Time and place of occurrence;
   2. (B) Individual’s status (client/nonclient); and
   3. (C) Contact source (family, law enforcement, healthcare provider, etc.);
5. (5) Requirements for a face-to-face response to requests for emergency intervention received from a hospital or law enforcement agency regarding a current client;

6. (6) That all face-to-face emergency responses shall be:

   1. (A) Available twenty-four (24) hours a day, seven (7) days a week; and
   2. (B) Made by a mental health professional within two (2) hours of request (unless a different timeframe is within clinical standards guidelines and mutually agreed upon by the requesting party and the MHP responding to the call);

7. (7)

   1. (A) Emergency services training requirements to ensure that emergency services are age-appropriate and comply with accreditation requirements.
   2. (B) Providers shall maintain documentation of all emergency service training in each trainee’s personnel file;
8. (8) Requirements for clinical review by the clinical supervisor or emergency services director within twenty-four (24) hours of each after-hours emergency intervention with such additional reporting as may be required by the provider’s policy;

9. (9) Requirements for documentation of all crisis:

   1. (A) Calls;
   2. (B) Responses;
   3. (C) Collaborations; and
   4. (D) Outcomes; and

10. (10)

    1. (A) Requirements that emergency responses not vary based on the client’s funding source.

    2. (B) If a client is eligible for inpatient behavioral health care funded through the community mental health centers and the provider is not a community mental health center with access to these funds, the provider must:

       1. (i) Determine whether the safest, least restrictive alternative is psychiatric hospitalization; and
       2. (ii) Contact the appropriate community mental health center (CMHC) for consult and to request the CMHC to access local acute care funds for those over twenty-one (21).