(a) A CSU administrator, or administrator's designee,
must facilitate an individual's transfer as soon as possible to an
appropriate and available inpatient mental health facility, which
may include contacting law enforcement to transfer an individual under
an emergency detention who has not yet been admitted or obtaining
permission from the court that issued the order of protective custody
to transfer the individual, as appropriate, if:
(1) a physician, or physician-delegated PA or APRN,
determines the individual is at serious risk of harm to self or others
in the CSU and the CSU is unable to provide an adequate assurance
of safety for the individuals or others in the CSU;
(2) during a 24-hour period, the individual is placed
in:
(A) seclusion more than twice or for more than a total
of four hours; or
(B) a restraint for more than 60 consecutive minutes;
or
(3) the individual becomes the subject of:
(A) an order for temporary inpatient mental health
services issued in accordance with Texas Health and Safety Code §574.034;
or
(B) an order for extended inpatient mental health services
issued in accordance with Texas Health and Safety Code §574.035.
(b) A CSU administrator, or administrator's designee,
must immediately facilitate an individual's transfer to a general
hospital or another health care entity, as appropriate, if the individual:
(1) requires specialized care not available at the
CSU; or
(2) has a physical medical condition that is unstable
and could reasonably be expected to require inpatient treatment for
the condition.
(c) An administrator of a CSU solely serving children
and adolescents must immediately facilitate an individual's transfer
to an inpatient mental health facility serving adults when the individual:
(1) turns 18 years of age; and
(2) does not meet criteria for discharge from CSU treatment
services.
|