1. (1) Have access to current information about available community resources and referral procedures to access less restrictive alternatives to hospitalization.
2. (2) Comply with county protocol(s) for designated modes of transportation.
3. (3) Pre-screen service recipients to assess eligibility for emergency involuntary admission to state-owned or operated facilities under T.C.A. § 33-6-404.
4. (4) Determine, if possible, whether the service recipient has a durable power of attorney for health care or a declaration for mental health treatment and comply to the extent possible.
5. (5) Determine, if possible, whether the service recipient is under a mandatory outpatient treatment obligation from an inpatient provider.
6. (6) Complete a certificate of need for any service recipient assessed as eligible for emergency involuntary admission under T.C.A. § 33-6-404.
7. (7) Determine and document level of security required and mode of transportation to the admitting hospital for service recipients eligible for emergency involuntary admission under T.C.A. § 33-6-404.

8. (8) When a service recipient is referred for emergency involuntary admission or alternative services, provide at least the following information to the treatment resource:

   1. (a) The certificate of need, if referred for emergency involuntary admission;
   2. (b) Acknowledgement and copy, where possible, of a durable power of attorney for health care or a declaration for mental health treatment;
   3. (c) Existence of mandatory outpatient treatment obligation, if applicable, and discharging facility, if known;
   4. (d) Name of person at referring service provider;
   5. (e) Any known medical condition(s);
   6. (f) Current or recent prescription and/or over-the-counter medication(s), if any;
   7. (g) Current or recent use of alcohol and/or other substance use, if any; EMERGENCY INVOLUNTARY ADMISSIONS
   8. (h) Name of current or most recent community mental health provider, if known; and
   9. (i) Recommendations for services and/or supports following discharge.

9. (9) When a service recipient is evaluated and does not meet emergency involuntary admission criteria, the MPA will:

   1. (a) Assess availability of alternative services and make referral, if appropriate;
   2. (b) Initiate contact with each service recipient not eligible for emergency involuntary admission within twelve (12) hours of evaluation and complete follow-up as necessary. By agreement, an MPA may designate another QMHP or a crisis response service to meet responsibilities for follow-up as defined in 0940-03-08-.03(5);

   3. (c) Maintain documentation of at least the following information:

      1. 1. Reason/justification for diversion;
      2. 2. Clinical intervention activities, if applicable;
      3. 3. Alternative services available and offered to the service recipient, if appropriate;
      4. 4. Results of follow-up contact and actions taken.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-301, 33-1-303, 33-1-305, 33-6-102, 33-6-104, 33-6- 402, 33-6-403, 33-6-404, 33-6-406, and 33-6-427. Administrative History: Original rule filed November 7, 2003; effective January 21, 2004.