Academic journal article Health Care Financing Review

Rule Defines Mental Health Treatment Facility for Young Persons

Academic journal article Health Care Financing Review

Rule Defines Mental Health Treatment Facility for Young Persons

Article excerpt

HCFA recently issued an interim final rule with comment period that establishes a definition of a psychiatric residential treatment facility that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services to individuals under age 21.

The new rule also sets forth a Condition of Participation (CoP) governing the use of restraint and seclusion that psychiatric residential treatment facilities must meet to provide, or to continue to provide, Medicaid inpatient psychiatric services to individuals under age 21.

A September 1999 General Accounting Office report documented the dangers associated with the inappropriate use of restraint and seclusion, noting especially that children are subjected to restraint and seclusion at higher rates than adults and are at greater risk of serious injury or death as a result of improper restraint and seclusion practices.

The CoP established by HCFA's rule sets forth a series of standards that a facility must meet to help ensure each resident's physical and emotional health and safety. The CoP acknowledges each resident's tight to be free from restraint or seclusion of any form, and limits the use of restraint or seclusion to only emergency safety situations. …

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