[NYAPRS Enews] OMH Proposes Residential Programs to Address Eating Disorders

[Matt Canuteson]

OMH to Establish Residential Programs to Address Eating Disorders

March 2009

 

According to the latest edition of the NYS Register, the NYS Office of
Mental Health is proposing several new regulations aimed at establishing
new class of community residences for treatment of eating disorders for
both adults and children and adolescents. 

 

One rule will "amend 14 NYCRR Part 594, Operation of Licensed Housing
Programs for Children and Adolescents with Serious Emotional
Disturbances, by establishing a new sub-class of community residence for
children and adolescents who have been diagnosed as having an eating
disorder such as anorexia nervosa, bulimia, binge eating disorder, or
other eating disorder identified as such in generally accepted medical
or mental health diagnostic references.

 

This new category of community residences will be known as Community
Residences for Eating Disorder Integrated Treatment (CREDIT), and will
address the needs of individuals who have reached at least the 12th
birthday but not the 19th, who have been referred by a provider who is a
participant in a Comprehensive Care Center for Eating Disorders (CCCED)
designated by the State Department of Health or by the individual's
primary care physician or mental health provider, and whose individual
treatment issues preclude being served in a family setting or other less
restrictive residential alternative.

 

CREDIT programs will be required to have sufficient staff to meet the
special needs of children and adolescents residing in a community
residence who have been diagnosed with an eating disorder. 

 

Services will be required to be provided pursuant to an initial service
plan developed by program staff with the resident and family and/or any
collateral identified for participation within three days of admission,
and a more extensive plan to be developed within four weeks of
admission. The service plan will be required to be reviewed weekly. The
CREDIT program will be required to complete progress notes weekly. 

 

Another proposed regulation clarifies that services that are provided by
Community Residences for Eating Disorder Integrated Treatment (CREDIT)
programs do not qualify as rehabilitative services under this Part, and
are, therefore, not eligible for Medical Assistance (Medicaid) payments.
It goes on to say that "residential rehabilitative services are intended
for individuals who have severe deficits in various life skills, and who
require an intermediate to long-term period of residential care. The
CREDIT program is designed for individuals who do require residential
care, and who do have impairment in life skills, but not typically to
the extent and duration anticipated in the design of the rehabilitative
services program. Further, the CREDIT program is a new model of service.
In a time of extremely limited resources, the commitment of scarce
Medicaid dollars to this model is premature. Individuals with eating
disorders who receive Medicaid continue to be eligible to receive the
full panoply of services available under the Medicaid State Plan to
address their needs."

 

Finally, "revisions regarding children's residences are also being
amended to include several technical amendments concerning the operation
of licensed housing programs for children and adolescents. Included in
these amendments is utilization of ; 'person first' language and an
emphasis on family-centered community-based treatment, resilience and
recovery. In addition, each licensed housing program will be required to
submit a staffing plan which includes at least one full-time employee
who is a registered nurse for each eight-bed community residence and for
each 12-bed teaching family home."

 

See Details At The OMH Website: 

Part 595 - Operation of Residential Programs for Adults 

Abstract: Part 595 - Operation of Residential Programs for Adults.
Express Terms. 14 NYCRR Part 595. Pursuant to the authority granted the
Commissioner in Sections 7.09 and 31.04 of the Mental Hygiene Law, Part
595 of the Official Compilation of Codes, Rules and Regulations of the
State of New York is amended as follows: 

http://www.omh.state.ny.us/omhweb/policy_and_regulations/part595-operati
on_of_residential_programs_for_adults.html
<http://www.omh.state.ny.us/omhweb/policy_and_regulations/part595-operat
ion_of_residential_programs_for_adults.html>   

 

Part 594 - Operation of Licensed Housing Programs for Children and
Adolescents with Serious Emotional Disturbances 

Abstract: Part 594 - Operation of Licensed Housing Programs for Children
and Adolescents with Serious Emotional Disturbances Express Terms 14
NYCRR Part 594. Pursuant to the authority granted the Commissioner in
Sections 7.09, and 31.04 of the Mental Hygiene Law, Part 594 of Title 14
of the Official Compila 

http://www.omh.state.ny.us/omhweb/policy_and_regulations/part594-operati
on_of_licensedhousingprograms.html
<http://www.omh.state.ny.us/omhweb/policy_and_regulations/part594-operat
ion_of_licensedhousingprograms.html>   

 

       

 

 

 

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