HOUSE BILL No. 5922

 

March 30, 2006, Introduced by Reps. Meisner, Tobocman, Accavitti, Leland, Kolb, Anderson, Mortimer, Sheltrown, Alma Smith, Vagnozzi, Donigan, Plakas, Farrah, Gleason, Cushingberry and Zelenko and referred to the Committee on Health Policy.

 

     A bill to amend 1974 PA 258, entitled

 

"Mental health code,"

 

by amending section 206 (MCL 330.1206), as amended by 1995 PA 290.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 206. (1) The purpose of a community mental health

 

services program  shall be  is to provide  a comprehensive array of  

 

mental health services appropriate to conditions of individuals who

 

are located within its geographic service area, regardless of an

 

individual's ability to pay or medicaid status. The array of mental

 

health services  shall include  available to an individual who

 

qualifies for priority service consideration includes, at a

 

minimum, all of the following:

 

     (a) Crisis stabilization and response including a 24-hour, 7-

 


day per week, crisis emergency service that is prepared to respond

 

to persons experiencing acute emotional, behavioral, or social

 

dysfunctions, and the provision of inpatient or other protective

 

environment for treatment.

 

     (b) Identification, assessment, and diagnosis to determine the

 

specific needs of the recipient and to develop an individual plan

 

of services.

 

     (c) Planning, linking, coordinating, follow-up, and monitoring

 

to assist the recipient in gaining access to services.

 

     (d) Specialized mental health recipient training, treatment,

 

and support, including therapeutic clinical interactions,

 

socialization and adaptive skill and coping skill training, health

 

and rehabilitative services, and pre-vocational and vocational

 

services.

 

     (e) Recipient rights services.

 

     (f) Mental health advocacy.

 

     (g) Prevention activities that serve to inform and educate

 

with the intent of reducing the risk of severe recipient

 

dysfunction.

 

     (h) Any other service approved by the department.

 

     (2) Services shall promote the best interests of the

 

individual and shall be designed to increase independence, improve

 

quality of life, and support community integration and inclusion.

 

Services for children and families shall promote the best interests

 

of the individual receiving services and shall be designed to

 

strengthen and preserve the family unit if appropriate. The

 

community mental health services program shall deliver services in

 


a manner that demonstrates they are based upon recipient choice and

 

involvement, and shall include wraparound services when

 

appropriate.

 

     (a) Treatment and support, that includes, at a minimum, all of

 

the following:

 

     (i) Clinical assessment, diagnostic, planning, and therapeutic

 

services.

 

     (ii) Crisis response and stabilization that is available 24

 

hours a day, 7 days a week.

 

     (iii) Inpatient care.

 

     (iv) Alternatives to or step-downs from inpatient care.

 

     (v) Services for maintaining community tenure.

 

     (vi) Services promoting community inclusion and integration,

 

including, among other subelements, the components of supported

 

employment and supported educational assistance.

 

     (vii) Psychosocial rehabilitation and recovery programming.

 

     (viii) Transportation assistance.

 

     (b) Referral to and coordination and collaboration with other

 

health care and human service systems as needed to access medically

 

necessary service covered by this section.

 

     (c) Consumer and family services, including, at a minimum,

 

consumer orientation and involvement, family information, mental

 

heath advocacy, and mechanisms for consumer appeals, grievances,

 

and rights.

 

     (2) The department shall publish annually, list on its

 

website, and include in its contracts with community mental health

 

services programs all of the following:

 


     (a) The subelements of the service categories specified in

 

subsection (1).

 

     (b) The service selection guideline principles recommended by

 

the Michigan mental health commission in its October 2004 report.

 

     (c) A statement of the acceptable components of the service

 

term known as "community crisis stabilization".

 

     (d) Standards and protocols for community mental health

 

service programs to follow in each of the following areas:

 

     (i) Case-finding outreach and screening activities,

 

differentiated as appropriate by demographic, socioeconomic, or

 

cultural considerations.

 

     (ii) Linkage of individuals and service plans to other

 

community resources for care and human service assistance,

 

including, but not limited to, federally funded, qualified health

 

centers and children's screening programs.

 

     (e) Categories of minors and adults eligible for primary and

 

secondary prevention initiatives related to special risk factors

 

for emotional disturbance or mental illness and their consequences.

 

     (3) An individual who has qualified for priority service

 

consideration in any community mental health services program

 

retains that qualification over time for any medically necessary

 

service in the array established in subsection (1) in any other

 

community mental health services program.