OMH Official Policy Manual

Table of Contents

Introduction - Policy directives contained in this section relate to the purpose and use of the manual.

Sec. #	Section/Directive	Date Issued
I-100	Introduction/Preface	03/14/2016
I-200	How to Use the Policy Manual	08/28/1987
I-300	Cross Reference – Statutes and Standards	08/28/1987
I-500	Listing of Procedure Manuals	08/28/1987

Administration - Policy directives contained in this section relate to the management of general agency and institutional functions associated with public relations, legal issues and system review and inspection.

Sec. #	Section/Directive	Date Issued
A-250	Personal Privacy Protection Law	12/20/1984
A-405	Governing Body Requirements	08/28/2013
A-450	Naming Institution Buildings After Individuals	05/30/2024
A-500	Medicaid Compliance Program	06/20/2023
A-800	Audits of OMH Facilities, Programs and Units	08/29/2024
A-3001	Introduction to 3000 Policy	08/25/2023
A-3002	Officer Conduct and Ethics	08/25/2023
A-3003	DCJS PEACE Officer Registry, AADIS, Annual Validation and Decertificaion	08/25/2023
A-3004	Safety Officer Training	08/25/2023
A-3005	New Employee Orientation by Safety Officer	08/25/2023
A-3006	Pre-Shift Briefing	08/25/2023
A-3007	Weapon Control: Firearms/Pepper or Oleoresin Capsicum Spray	08/25/2023
A-3008	Use of Emergency Vehicles	08/25/2023
A-3009	Fixed Posts	08/25/2023
A-3010	Foot Patrol	08/25/2023
A-3011	Mobile Patrol	08/25/2023
A-3012	Searches for Contraband	08/25/2023
A-3013	Maintaining the Department Blotter	08/25/2023
A-3014	Lost, Missing or Stolen Reports	08/25/2023
A-3015	Communications Systems	08/25/2023
A-3016	Accident Reporting - Patient, Employee, and Visitor	08/25/2023
A-3017	Missing Patient Report	08/25/2023
A-3018	Criminal Histories	08/25/2023
A-3019	Uniform Regulations	08/25/2023
A-3020	Badges	08/25/2023
A-3021	Body Armor	08/25/2023
A-3022	Safety Officer Recognition	08/25/2023
A-3023	Use of Force	08/25/2023
A-3024	Responding to Crisis Situations	08/25/2023
A-3025	Use of Baton	08/25/2023
A-3026	Use of Handcuffs	08/25/2023
A-3027	Arrests	08/25/2023
A-3028	Fire Alarm and Suppression System Inspection	08/25/2023
A-3029	Fire Alarms	08/25/2023
A-3030	Fire Evacuation Drills	08/25/2023
A-3031	Fire Extinguisher Inspections and Maintenance	08/25/2023
A-3032	Fire Investigations	08/25/2023
A-3033	Building Inspections	08/25/2023
A-3034	Family Care Inspections	08/25/2023
A-3035	Security Systems and Protocols	08/25/2023
A-3036	Interim Life Safety Measures	08/25/2023
A-3037	Emergency Management	08/25/2023
A-3038	Bomb Threats and Suspicious Packages	08/25/2023
A-3039	Hostage Situations	08/25/2023

Operational Management - Policy directives contained within this section relate to the process of managing agency and facility personnel, maintenance, and support functions.

Sec. #	Section/Directive	Date Issued
OM-200	Workplace Violence Prevention Program	05/30/2024
OM-225	Domestic and Gender-Based Violence and the Workplace	12/28/2022
OM-250	Nepotism	05/30/2024
OM-300	Criminal History Reviews	04/08/2024
OM-350	Outside Employment	05/30/2024
OM-400	Employee Vaccination Programs for Hepatitis B	05/30/2024
OM-403	Occupational Exposure to Blood Borne Pathogens	02/11/2009
OM-405	Employee Housing	05/17/1990
OM-410	Response to Traumatic Events	10/23/2003
OM-660	Use of Safety and Security Devices for Transport Purposes	08/05/2014
OM-720	Testing of Water Temperature in Residential Building and Daycare Centers	02/08/2002
OM-740	Record Retention Periods	01/18/2022
OM-1000	Information Security - Repealed. Reissued by CITER's Information Security Policy (contact OMH Information Security Officer).	10/01/2010

Patient Care - Policy directives contained within this section relate to the activities required to ensure that effective treatment is provided to patients in OMH operated facilities and programs within a secure and environmentally safe environment.

Sec. #	Section/Directive	Date Issued
PC-050	Safe and Therapeutic Environment Program	07/01/2004
PC-060	Visiting at OMH Facilities	07/31/2014
PC-075	Mealtime Safety/Prevention of Choking	12/02/2013
PC-310	Access of Psychiatric History Information	03/15/1995
PC-315	Medicaid Certification of Need for Patients Under the Age of 21	05/17/1990
PC-400	Discharge and Conditional Release of Patients to the Community from Adult State Operated Psychiatric Facilities	05/09/2019
PC-401	Discharge and Conditional Release of Patients to the Community from State Operated Children's Psychiatric Facilities/Units	05/09/2019
PC-402	Discharge of Patients from State Operated Residential Programs for Adults	05/09/2019
PC-450	Procedures Following The Death of a Patient	04/13/2015
PC-502	Cultural and Linguistic Competence (PDF version)	05/08/2012
PC-515	Tardive Dyskinesia, Tardive Dystonia and Tardive Akathisia	06/04/2024
PC-520	Inpatient Programs	10/28/2013
PC-522	Staff and Client Use of Shared iPads	05/17/2024
PC-523	Shared Device and Support	05/17/2024
PC-525	Patient Sexual Activity	01/13/2010
PC-527	Employee/Patient Relationships	7/17/2017
PC-530	Medication Orders "p.r.n. for agitation"   Repealed. It has been replaced by the Clinical Guidance issued by the Chief Medical Officer.	04/29/2010
PC-540	Acupuncture Treatment - Repealed	12/15/2011
PC-605	Emergency Medical Services System	05/23/2012
PC-610	Pharmaceutical Services	04/18/2016
PC-615	Referrals	04/14/1987
PC-620	Pastoral Care Services	08/29/2024
PC-701	Seclusion and Restraint	10/14/2022
PC-711	Patient Search	06/16/2004
PC-800	Electronic Benefit Transfer (EBT) Card Oversight in Residential Programs	10/03/2016
PC-801	Social Security Benefits	04/16/2024
PC-1050	Family Support Services	05/11/1987
PC-1200	Hospice Care Services	08/23/2017
PC-1405	Smoking Policy	03/22/2004
PC-1412	Management of Blood Borne Pathogens – HIV/AIDS Testing and Notification Requirements	06/18/2019
PC-1500	Peer Advocacy	11/06/2024
PC-1600	Facility Gender Identity and Gender Expression Nondiscrimination Policy and Protocols for Interaction with Transgender and Gender Non-Binary Patients	06/23/2020

Quality Assurance - Policy directives contained within this section relate to the activities required to monitor that effective care and treatment is provided to patients within OMH operated facilities and programs.

Sec. #	Section/Directive	Date Issued
QA-400	Medical Records	02/28/2014
QA-410	Access of Division of Criminal Justice Service Records	07/03/1995
QA-500	Complaint Resolution Process	05/08/2023
QA-505	Medical Ethics	05/23/2022
QA-510	Clinical Risk Management and Incident Management Plans UNDER REVISION PENDING CHANGES TO 14 NYCRR PART 524	12/30/2009
QA-515	Facility Responsibilities Regarding Child Abuse and Neglect	08/29/2024
QA-520	Missing Person	05/09/1996
QA-530	Reporting Requirements for Events Which May be Crimes	12/05/2012
QA-535	Sentinel Events	01/01/2024
QA-545	Medicaid Compliance and Corrective Action – Repealed – Please see A-500	Repealed
QA-602	Use of Personal Cell Phones and Recording Devices in Facilities	4/30/2015
QA-615	Access to Clinical Records by Qualified Persons - Repealed - Please see OMH Privacy Policy Manual	Repealed
QA-620	Access to Information by the Media - Repealed Please see OMH Privacy Policy Manual	Repealed
QA-800	Safety Committee Review for Provider Practice or Equipment Approval	11/20/2019

Research - Policy directives contained within this section relate to the conduct of research in OMH facilities and the management of any resulting inventions and technology.

Sec. #	Section/Directive	Date Issued
R-100	Patents, Inventions and Technology Transfer	11/07/2007

[Purpose]