Crisis Stabilization Unit Defined; Certification of Units; Minimum Standards and Requirements; Designation as an Emergency Receiving Facility; Legislative Intent

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  2. Georgia Code
  3. Mental Health
  4. Governing and Regulation of Mental Health
  5. Powers and Duties of the Department of Behavioral Health and Developmental Disabilities
  6. Crisis Stabilization Unit Defined; Certification of Units; Minimum Standards and Requirements; Designation as an Emergency Receiving Facility; Legislative Intent

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  1. As used in this Code section, the term "crisis stabilization unit" means a short-term residential program operated for the purpose of providing psychiatric stabilization and detoxification services that complies with applicable department standards and that provides brief, intensive crisis services 24 hours a day, seven days a week.
  2. The department shall be authorized to certify crisis stabilization units pursuant to this Code section for the purpose of providing psychiatric stabilization and detoxification services in a community based setting rather than inpatient hospitalization and other higher levels of care.
  3. The department shall establish minimum standards and requirements for the certification of crisis stabilization units in its policies and procedures. Following any changes to such policies and procedures pertaining to crisis stabilization units, notification of such changes shall be posted on the department's website within 45 days and shall remain posted on the website for at least six months. Such policies and procedures shall include, but not be limited to, the following:
    1. The capacity to carry out emergency receiving and evaluating functions;
    2. Voluntary and involuntary admission criteria;
    3. The prohibition to hold itself out as a hospital or bill for hospital or inpatient services;
    4. The unit is operated by an accredited and licensed, if applicable, health care authority;
    5. The unit has operating agreements with private and public inpatient hospitals and treatment facilities;
    6. The unit operates within the guidelines of the federal Emergency Medical Treatment and Active Labor Act with respect to stabilization and transfer of clients;
    7. Length of stay;
    8. Designation of transitional beds;
    9. Billing;
    10. Physician and registered professional nurse oversight;
    11. Staff to client ratios;
    12. Patient restraint or seclusion;
    13. Safety and emergency protocols;
    14. Pharmacy services;
    15. Medication administration; and
    16. Reporting requirements.
  4. A crisis stabilization unit shall be designated as an emergency receiving facility under Code Sections 37-3-40 and 37-7-40 and an evaluation facility under Code Sections 37-3-60 and 37-7-60, but shall not be designated as a treatment facility under Code Section 37-3-80 or 37-7-80. Crisis stabilization units may admit individuals on a voluntary basis. Individuals may be provided 24 hour observation, detoxification and stabilization services, medication prescribed by a physician, and other appropriate treatment or services.
  5. No entity shall operate as a crisis stabilization unit without having a valid certificate issued pursuant to this Code section.
  6. Application for a certificate to operate a crisis stabilization unit shall be submitted to the department in the manner prescribed by the department's policies and procedures.
  7. The department shall issue a certificate to an applicant who meets all the standards and requirements as set forth in the department's policies and procedures for the certification of crisis stabilization units. The certificate shall be nontransferable for a change of location or governing body.
  8. Each certified crisis stabilization unit shall permit authorized department representatives to enter upon and inspect any and all premises for which a certificate has been granted or applied for.
  9. The department may deny any application for certification which does not meet all the standards and requirements set forth in the department's policies and procedures for the certification of crisis stabilization units and may suspend or revoke a certification which has been issued if an applicant or a certified crisis stabilization unit violates any such policies and procedures; provided, however, that before any order is entered denying a certification application or suspending or revoking a certification previously granted, the applicant or certificate holder, as the case may be, shall be afforded an opportunity for a hearing as provided for in Chapter 13 of Title 50, the "Georgia Administrative Procedure Act."
  10. Any program certified as a crisis stabilization unit pursuant to this Code section shall be exempt from the requirements to obtain a certificate of need pursuant to Article 3 of Chapter 6 of Title 31.
  11. It is the intent of the General Assembly that this Code section provide a public benefit and comply with all safety net obligations in this title and that patients without private health care coverage receive priority consideration for crisis stabilization unit placement.

(Code 1981, §37-1-29, enacted by Ga. L. 2011, p. 346, § 1/HB 343; Ga. L. 2015, p. 1062, § 1/SB 131.)


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