Maryland Code § HG-10-207

Section HG-10-207
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(a) By January 1, 1992, within existing resources, the Director shall update
the current Mental Hygiene Administration 3-year plan for mental health, which
was submitted to the federal government in response to § 1925 of the Public Health
Service Act, in order to plan for those individuals who:
(1) Have a serious mental disorder as defined in the plan; and
(2) Are not receiving the appropriate array of community-based
services described in the "total need" section of the 3-year mental health plan that
expired on June 30, 1991.
(b) (1) On or after October 1, 1993, within existing resources and in
concert with local core service agencies or local behavioral health authorities, the
Director shall prepare a comprehensive mental health plan which identifies the needs
of all individuals who have a serious mental disorder and who are targeted for
services in the "Comprehensive Mental Health Services Plan" submitted by the State
to the federal government in accordance with § 1925 of the Public Health Service Act.

(2) The comprehensive mental health plan shall:
(i) Include annual strategic projections, through the year
2000, of resources needed;
(ii) Plan for those individuals who have a serious mental
disorder, including those who are presently not being served by the public mental
health system, those who are homeless, and those children, adults, and elderly
individuals living without services in the community with their families or on their
own who are at risk of further institutionalization;
(iii) Plan for individuals who have a serious mental disorder
and who are presently residing in a State facility, nursing home, or jail who could
appropriately be served in the community if the proper community-based services
were available to them;
(iv) Plan for individuals who have a serious mental disorder
and who are unable or unwilling to obtain community-based services from existing
State-supported programs or from the private sector and assess their need for
additional, flexible, individualized, or otherwise more appropriate services;
(v) Plan for the extent of need for the development of
additional community-based housing and related support services;
(vi) Plan for the extent of the need for additional community-
based support services, including rehabilitation, clinical treatment, case
management, crisis and emergency services, mobile treatment, in-home intervention
services, school-based, after-school services, respite and family support services, and
vocational services in order to implement the orderly transfer of institutionalized
individuals who can live in the community and to serve those individuals presently
in the community who are now underserved or unserved and at risk of
institutionalization;
(vii) Evaluate the role of existing State hospitals and plan for
the reallocation to the community of any funds saved through hospital downsizing,
consolidation, or closure; and
(viii) Be consistent with the goal of providing comprehensive,
coordinated community-based housing and support services for every individual who
has a serious mental disorder and who is appropriate for and in need of such services.

(c) The Director shall, in concert with local core service agencies or local
behavioral health authorities, implement each plan to the extent that resources are
available.

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