Section 41.21. Unified services plan; requirements  


Latest version.
  • (a)  A  unified  services  plan shall set forth priorities for unified
      services for the next local fiscal year and, commencing with plans to be
      submitted subsequent to the first approved plan,  the  long-range  goals
      for  such  services  and  priorities for the five-year period commencing
      with the next local fiscal year. Such plan shall contain a comprehensive
      proposal and proposed fiscal plan for  such  services  during  the  next
      local  fiscal  year,  which proposed fiscal plan shall include estimated
      expenditures and sources and  amounts  of  revenue  including  estimated
      local  and  state  government  funds  to  be  provided  pursuant to this
      article, and, commencing with plans to be submitted  subsequent  to  the
      first  approved  plan,  intermediate-range  plans,  projected  needs and
      projected fiscal plans for the five-year period commencing with the next
      local fiscal year.
        (b)  The  development  of  each  unified  services  plan  shall  be  a
      continuous  planning  and  evaluation  process among the department, the
      department facilities providing services to  the  area,  and  the  local
      governmental  unit. Such process shall involve the providers of services
      and  representatives  of  consumers  of  services  and   nongovernmental
      organizations  and groups concerned with mental disability. The director
      of any department facility providing  services  pursuant  to  such  plan
      shall  submit  a  copy  of  such  plan  to the department as part of the
      justification for such facility's annual budget. After approval  by  the
      commissioner,  a  unified  services  plan  shall  be  a joint commitment
      between the department and the local governmental unit, subject to state
      and local  legislative  appropriations,  for  services  to  be  provided
      pursuant thereto.
        (c)  A unified services plan shall (i) arrange, in accordance with the
      plan's priorities for  unified  services  to  the  area,  for  the  most
      effective and economical provision of such services and (ii) provide the
      basis for state and local government financing of such services pursuant
      to this article. To this end a unified services plan shall allow for the
      integration  by  mutual  agreement  of  all facilities serving the area,
      whether publicly or privately operated and shall  include  participation
      as  appropriate  by  all  department  facilities  and local governmental
      facilities serving the  area.  The  services  rendered  by  general  and
      psychiatric  hospitals,  city, county and state aging, health and social
      services agencies, facilities offering mental retardation  services  and
      alcoholism  programs,  probation departments, physicians, psychologists,
      social workers, public health  nurses,  and  other  public  and  private
      agencies and personnel may be included in such plan.
        (d) The unified services plan shall provide an inventory of all public
      and private resources for the mentally disabled serving the local area.
        (e)  The unified services plan shall present an estimate of the number
      of the persons covered by such plan who will be  treated  by  facilities
      operated  by the department during the next local fiscal year, the costs
      of care for such persons and all sources and amounts of revenue for  the
      care  of  such  persons. The department shall provide local governmental
      units with information upon which to base this estimate.
        (f) The unified services plan shall specify all unified  services  and
      the estimated operating costs of such services for the next local fiscal
      year. Such unified services may include any of the following:
        (1) Inpatient services.
        (2) Out-patient services.
        (3) Partial hospitalization services, such as day care, night care, or
      weekend care.
        (4) Emergency services.
    
        (5)  Consultation  and  education  services  to community agencies and
      professional and associated personnel and information  services  to  the
      general public.
        (6) Preventive services.
        (7) Diagnostic and referral services.
        (8)  Rehabilitative  services,  including vocational, educational, and
      training programs.
        (9) Precare and aftercare services in the community, including  foster
      home placement and home visiting.
        (10) Staff training.
        (11) Research and evaluation.
        (12)  Activities  involved  in  bringing  the  needs  of  the mentally
      disabled to the attention  of  governmental  and  private  providers  of
      services.
        (13) Such other services as may be approved by the commissioner.
        (g)  The  unified  services  plan  shall  set  forth a program for the
      acquisition, construction, renovation, rehabilitation,  and  improvement
      of local and state facilities used for provision of services pursuant to
      such plan.
        (h)  The unified services plan shall include provisions for evaluation
      of programs together with detailed descriptions of persons to be served,
      priority  of  target  groups,  direct  service  programs,  indirect  and
      supportive  services and methodology for monitoring and evaluating costs
      and effectiveness of different types and patterns of service.
        (i) The unified services plan shall contain provisions to assure  that
      personnel   required  to  provide  unified  services  are  appropriately
      recruited, developed, shared, deployed, and compensated.
        (j) The  unified  services  plan  shall  include  provisions  for  the
      development  of  appropriate residential accommodations, consistent with
      the present and anticipated needs of the mentally  disabled  within  the
      jurisdiction of the local governmental unit.
        (k)  The unified services plan shall contain provisions to assure that
      there is planning  and  coordination  with  the  delivery  of  community
      support  services  to  mentally  ill  persons,  in  accordance  with the
      provisions of section 41.47 of this article.