§ 10-1414.1. Greer Center Facility - Admission guidelines and procedures.

A.  In addition to the admissions requirements of Section 1414 of this title, the Greer Center Facility located on the grounds of the Northern Oklahoma Resource Center of Enid in Enid, Oklahoma, shall be established as a separate entity from the Northern Oklahoma Resource Center of Enid and further shall provide for the admission of persons who have been dually diagnosed as follows:

1.  Primary diagnosis of mental retardation by a psychologist, physician or psychiatrist.  The diagnosis shall be in accordance with any statutory requirements and shall include intellectual evaluation, adaptive behavior evaluation, and evidence that retardation occurred within the developmental period.  Preference shall be given for those individuals whose retardation level falls within the mild and moderate ranges; and

2.  Secondarily, clinical evidence of behavioral or emotional problems pursuant to a formal, written evaluation by a psychologist, psychiatrist or physician describing the nature of the problem, the frequency of occurrence of the problem, any prior treatment efforts and reasons why the applicant cannot receive appropriate treatment in the applicant's current environment and a secondary diagnosis of mental illness in accordance with the Diagnostic and Statistical Manual of Mental Disorders, as revised and published by the American Psychiatric Association.

B.  A person shall not be considered for voluntary admission into the Greer Center Facility unless it can be clinically demonstrated that the behavior of the person does not pose an unreasonable risk of injury, death or sexual assault to others or an unreasonable risk of injury or death to self.  Persons considered for admission shall not be considered by a psychologist, psychiatrist, or physician as homicidal or suicidal and shall not have exhibited homicidal or suicidal tendencies for six (6) months prior to application for admission.

C.  An applicant who requires skilled nursing care shall not be admitted to the Greer Center Facility.  Applicants having a medical condition which is degenerative in nature that will require skilled nursing shall be considered on a case by case basis to ensure that sufficient staff is available to ensure quality of care.  If an applicant has any existing medical or surgical condition that is correctable, the condition shall be remedied by the referring facility before admission to the Greer Center Facility is considered.

D.  Any person seeking admission to the Greer Center Facility for treatment who qualifies under subsection A of this section, subject to the availability of space, shall be admitted.  All persons admitted to the Greer Center Facility shall submit to the director of the Greer Center Facility a referral packet that contains at a minimum, the following information or records:

1.  Results of a current physical exam;

2.  Recent physician orders and progress notes for up to one (1) year, if available;

3.  Recent nursing notes for up to one (1) year, if available;

4.  Fact sheet (medical records);

5.  Legal papers, including, but not limited to, birth certificate, marriage certificate and guardianship;

6.  Social history, with a recent social evaluation or update within one (1) year;

7.  Psychological exam administered or updated within ninety (90) days of referral;

8.  Dental records;

9.  Immunization record;

10.  Multidisciplinary progress notes for up to one (1) year, if available;

11.  Medical and medication history; and

12.  Individual Habilitation Plan or Care Plan, if available.

E.  The Greer Center Admissions Committee shall consist of a representative from the Greer Center Facility, and other representatives selected by the Director of the Department of Human Services.  The Committee shall make decisions regarding admissions to the programs of the Greer Center Facility.  The Committee may request additional information concerning an applicant from the referring agency or participation by referring agency personnel as necessary.

F.  Persons entering the Greer Center Facility shall receive a comprehensive evaluation of their intellectual functioning, adaptive behavior skills, and mental health status, and shall receive a continuous active treatment program, which includes aggressive, consistent implementation of a program of specialized and generic training, treatment, health services and related services.  The evaluation and assessment shall be completed within thirty (30) days of admission to the Greer Center Facility.

G.  After the evaluation and assessment by the Greer Center Facility, staff shall present the referral packet of the individual and their findings to the Greer Center Admissions Committee with a recommendation for continued admission or alternate treatment.

1.  The Greer Center Admissions Committee shall:

a.              make decisions regarding continued admission, and

b.              notify the Department of Human Services, and the referring agency in writing, stating specifically the decisions of the Committee regarding admission, including specific reasons for denial of admission.

2.  If admission of an applicant is not continued at the Greer Center Facility after undergoing the evaluation process, the referring agency shall reimburse the Department of Human Services for the number of bed days used at the Medicaid rate for that unit.  If admission of an applicant is continued, the applicant shall be certified for Medicaid reimbursement from the initial date of admission.

H.  Individuals who have been admitted and served by the Greer Center Facility shall be eligible for readmission services on the same basis as an individual initially seeking services.

I.  In addition to other discharge procedures and requirements provided by law, the interdisciplinary team of the Greer Center Facility shall have recommended discharge based upon a determination that the mental or physical condition of the individual prevents the individual from receiving appropriate services at the Greer Center Facility or that the individual has made progress in behavioral and emotional habilitation goals such that the individual no longer requires the specialized resources at the Greer Center Facility, and may function in a less restrictive setting.

J. A referral to discharge is made to the Greer Center Discharge Committee, and the final decision to discharge is made by the Greer Center Discharge Committee.

K.  The Greer Center Discharge Committee shall:

1.  Consist of a representative from the Greer Center Facility and representatives selected by the Director of the Department of Human Services; and

2.  Review the discharge referral and related materials to ensure that the individual can safely reside in a less restrictive setting with appropriate supports.

L.  The Commission for Human Services is authorized and hereby directed to promulgate and amend rules necessary to implement the provisions of this section.

Added by Laws 1990, c. 211, § 3, eff. Sept. 1, 1990.  Amended by Laws 1991, c. 300, § 16, operative July 1, 1991; Laws 1992, c. 307, § 5, eff. July 1, 1992; Laws 1997, c. 407, § 3, eff. Nov. 1, 1997; Laws 2007, c. 9, § 1, eff. Nov. 1, 2007.