The program director shall assure that services:

1. A. Are therapeutic and are age and culturally appropriate;

2. B. Are provided by MTS staff who:

   1. (1) As determined by the program, are appropriately credentialed and privileged; and

   2. (2) Are available:

      1. (a) As indicated in the screening assessment or the individual's ITP, to deliver services at a time and in a setting agreeable to the individual served; and
      2. (b) On an on-call basis, 24 hours per day, 7 days per week;

3. C. Engage an individual who is unable or unwilling to use traditional mental health services by:

   1. (1) Using an assertive approach in making services available and acceptable to the individual by:

      1. (a) Identifying and addressing stressors that the individual identifies as priorities;
      2. (b) Developing creative individualized approaches in an effort to engage the individual in services; and
      3. (c) Recognizing that establishing a therapeutic relationship may take place over an extended period of time; and
   2. (2) Being sufficiently flexible to allow for the delivery of service in the setting and at the time that is appropriate for the individual's needs;
4. D. Establish between the individual and the MTS staff a therapeutic relationship that includes mutual development of short-term and long-term goals for the individual;

5. E. Respect the individual's privacy at the individual's residence by:

   1. (1) Except in an emergency, notifying the individual, in advance, of the time that MTS staff will visit the individual's home;
   2. (2) Having private conversations;
   3. (3) Obtaining the individual's permission to bring anyone else to the individual's home; and
   4. (4) If requested, terminating a home visit; and

6. F. Assist the individual to interact with agencies and others to:

   1. (1) Have access to services and entitlements necessary to support adequate living conditions;
   2. (2) Maintain continuity of care by coordinating access to various treatment and rehabilitation services;
   3. (3) Promote community participation by engaging in age-appropriate social and recreational activities; and
   4. (4) Access housing, if necessary.

Authority: Health-General Article, §§10-901 and 10-902, Annotated Code of Maryland

Effective date: January 2, 1995 (21:26 Md. R. 2188)

Regulation .01C repealed effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .02-1 adopted effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .03F amended effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .04 amended effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .05 amended effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .06-1 adopted effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .07 repealed and new Regulation .07 adopted effective August 24, 1998 (25:17 Md. R. 1360)

Regulation .08A amended effective August 24, 1998 (25:17 Md. R. 1360)