Rhode Island Code of Regulations Title 212 - Department of Behavioral Healthcare, Developmental Disabilities and Hospitals

Rhode Island Code of Regulations Title 212 is dedicated to the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH). This comprehensive title outlines the rules, regulations, and standards that govern the various services, programs, and facilities overseen by BHDDH in Rhode Island.

The primary purpose of these regulations is to:

Promote and safeguard the health, welfare, and safety of individuals receiving services related to behavioral healthcare, developmental disabilities, and hospital care.

Ensure public accountability by requiring programs and facilities to adhere to established standards.

License and oversee a network of providers that offer services in these crucial areas.

Key areas covered within Title 212 typically include:

Chapter 10: Licensing and General Administration:

Rules and Regulations for the Licensing of Organizations and Facilities: This is a foundational part, detailing the process for obtaining and maintaining licenses for various entities under BHDDH's purview. This includes general requirements, application procedures, issuance, renewal, inspections, and enforcement.

Subchapters for different types of organizations: This chapter is further broken down to address specific categories of providers:

Developmental Disability Organizations (Subchapter 05): Regulations specific to agencies providing services and support to adults with developmental disabilities, including residential, day, and employment supports. This also covers definitions of developmental disability and criteria for eligibility.

Behavioral Healthcare Organizations (Subchapter 10): Rules for licensing and operating mental health and substance abuse treatment facilities, including standards for care, recovery-oriented practices, and service delivery.

Substance Abuse Prevention Organizations (Subchapter 15): Regulations for entities focused on substance abuse prevention.

Safety and Environment: Detailed requirements for the physical environment of facilities (e.g., community residences, ensuring cleanliness, safety barriers for pools, heating/cooling, and general maintenance), emergency management plans, and fire safety drills.

Personnel Requirements: Regulations for staff qualifications, criminal background checks (including disqualifying offenses), training requirements (e.g., CPR, first aid), personnel files, and policies regarding non-discrimination.

Abuse and Neglect Prevention and Reporting: Definitions of various forms of abuse (physical, sexual, psychological, financial exploitation) and neglect, and the procedures for reporting and investigating incidents. This often includes the role of Human Rights Committees (HRCs).

Individual Rights and Grievance Procedures: Provisions for the rights of individuals receiving services, including informed consent, privacy, and mechanisms for initiating grievances.

Service Delivery and Planning: Requirements for individualized service plans, nursing assessments, behavioral supports, and discharge planning.

Chapter 20: Parent De-institutionalization Program: Regulations related to programs aimed at supporting the transition of individuals from institutional settings back into the community, often with a focus on parental involvement.

Chapter 30: Self-Sufficiency Fund: Rules governing the administration and use of funds designed to promote self-sufficiency for individuals served by BHDDH.

In summary, Rhode Island Code of Regulations Title 212 provides the detailed operational and ethical framework for all entities licensed and overseen by the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, ensuring that vulnerable populations receive appropriate, safe, and high-quality care.

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