PURPOSE: This rule prescribes criteria for admission to Psychiatric Group Homes II as required by section 630.710, RSMo.

1. (1) Each resident shall have an individualized treatment plan either prior to admission or within thirty (30) days of admission.
2. (2) The facility shall follow its written policies and procedures for the admission of residents. The facility shall describe how its program is especially designed to meet the needs of the residents it admits.
3. (3) The facility shall not admit more residents than its licensed capacity.
4. (4) The facility shall not admit, nor keep in residence, any person whose special needs exceed the facility’s provisions for medical care or for adequate programming as described in the individualized treatment plan.
5. (5) The facility shall not admit any residents under the age of seventeen (17) years.
6. (6) The facility shall not admit any residents over the age of twenty-one (21) years.

7. (7) When the facility retains a resident older than twenty-one (21) years, the facility shall provide documentation in the resident file as follows:

   1. (A) For clients of the Department of Mental Health (DMH), the documentation shall include an approval by the director of the regional placement office for continuing the placement; and
   2. (B) For residents who are not clients of DMH, the documentation shall include a statement from a board-eligible or certified psychiatrist indicating the clinical justification for continuing the resident’s placement.

8. (8) The facility shall admit any persons with a psychiatric diagnosis of one (1) of the following:

   1. (A) Schizophrenic disorders;
   2. (B) Behavior or conduct disorders;
   3. (C) Bipolar disorders;
   4. (D) Major depression recurrent;
   5. (E) Organic brain syndrome of which one

9. (1) or more previously mentioned disorders is a major component of behavior;

   1. (F) Attention deficient disorder;
   2. (G) Personality disorders (except antisocial);
   3. (H) Obsessive compulsive disorders; and
   4. (I) Paranoid disorder.
10. (9) The facility shall not admit anyone with a primary diagnosis of mental retardation, alcoholism or drug abuse.
11. (10) The facility may admit residents who require mechanical or human assistance to evacuate, if admitted in accordance with 9 CSR 40-4.155(2).

AUTHORITY: sections 630.050 and 630.705, RSMo (1994).* Original rule filed July 17, 1995, effective March 30, 1996.

*Original authority: 630.050, RSMo (1980), amended 1993, 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985, 1990.