Behavioral Health Services- CMS Training Video
This includes significant changes to two F-tags:
F740 (Behavioral Health Services): Changes include the following:
-Updates the definitions of mental disorder and substance use disorder.
Ties the behavioral health care needs of residents with a substance use disorder or other serious mental disorder to the facility assessment.
Adds a reference to Pre-admission Screening and Resident Review (PASARR) requirements.
-Adds new language regarding the use of behavioral contracts, including examples of issues that they may address.
Provides updated or new clinical information about depression, anxiety and anxiety disorders, schizophrenia, and bipolar disorder. The schizophrenia information includes the requirement that “schizophrenia must be diagnosed by a qualified practitioner, using evidence-based criteria and professional standards, such as the Diagnostic and Statistical Manual of Mental Disorders – Fifth edition (DSM-5), and documented in the resident’s medical record.”
-Adds resources related to behavioral health care and services.
F741 (Sufficient/Competent Staff—Behavioral Health Needs): Changes include the following:
-Adds residents with a history of trauma and/or PTSD to the requirement that facilities ensure that they have sufficient staff members who possess the basic competencies and skills sets to meet the behavioral health needs of residents for whom the facility has assessed and developed care plans. This requirement already included residents with mental or psychosocial disorders and substance use disorders.
-Updates the definition for mental disorder and adds definitions for substance use disorder, trauma, and PTSD.
-Adds guidance related to how residents with a substance use disorder or other serious mental disorder must be part of the facility assessment.
-Adds examples of non-pharmacological interventions for residents diagnosed with mental health and/or substance use disorders.