행동 건강 및 발달 서비스부(DBHDS)가 면허를 부여하거나 자금 지원을 제공하거나 운영하는 서비스 제공자로부터 서비스를 받는 개인의 권리를 보장하기 위한 규정 변경안 (12VAC35-115).

조치 통지: 행동 건강 및 발달 서비스국(DBHDS)은 제6부, 변형 규정(12VAC35-115-220)에 따라, 행동 건강 및 발달 서비스부(DBHDS)가 면허를 부여하거나 자금 지원을 제공하거나 운영하는 서비스 제공자로부터 서비스를 받는 개인의 권리를 보장하기 위한 규정(12VAC35-115) 이하 "인권 규정"이라 함)에 따라, 주 인권 위원회(SHRC)에 제출된 인권 규정 변형 신청에 대한 공개 의견 수렴 기회를 공고합니다. 이 규정의 목적은 DBHDS가 운영하거나 허가 또는 자금 지원을 받는 시설 또는 프로그램에서 서비스를 받는 개인의 법적 권리와 인권을 보장하고 보호하는 것입니다.

각 예외 신청서는 예외가 필요한 해당 규정의 특정 부분을 명시하고, 대체 규칙 또는 절차의 제안된 문구, 그리고 예외의 근거를 포함해야 합니다. 해당 신청서에는 변형의 적용 기간에 대한 시간 제한 및 기타 조건, 그리고 변형의 적용이 종료되는 상황도 명시되어 있습니다. 모든 관련 정보(의견 포함)를 검토한 결과, SHRC는 각 예외 신청에 대해 연기, 불승인, 수정, 또는 승인을 결정하는 서면 결정을 제출할 예정입니다. 모든 변동 사항은 특정 기간 동안 승인되어야 합니다. 차이 사항의 결정 및 그 사유는 본 등록부의 후속 호에 게재될 것입니다.

Purpose of notice: The SHRC is seeking comment on the application for proposed new variances to the Human Rights Regulations for DBHDS’ Central State Hospital (CSH). The request is itemized according to four distinct CSH policies.

I.  Variance is requested to the following sections:

12 VAC 35-115-150: General Provisions

12 VAC 35-115-175: Human Rights Complaint Process

12 VAC 35-115-180: Local Human Rights Committee Hearing and Review Procedures

12 VAC 35-115-190: Special Procedures for Emergency Hearings by the LHRC

12 VAC 35-115-200: Special Procedures for LHRC Reviews Involving Consent and Authorization

12 VAC 35-115-210: State Human Rights Committee Appeals Procedure

Explanation: CSH requests variances to the above to create alternative procedures for addressing complaints by individuals in maximum security when the individual is not satisfied with the director’s response, so that the individual may appeal to the CSH Maximum Security Appeals Committee.

II. Variance is requested to the following section:

12 VAC 35-115-100, Restrictions on Freedoms of Everyday Life, A1 (c), " freedom to have and spend personal money.”

Explanation: Individuals who are receiving hospitalization under the civil admissions process in the maximum security perimeter may not keep any form of money on their person. The CSH variance to this regulation allows non-forensic patients to purchase items in a canteen and from external providers; however, individuals may not have money on their person.

III. Variance is requested to the following sections:

12 VAC 35-115-20 A2, Policy, "Each individual who receives services shall be assured respect for basic human dignity."

12 VAC 35-115-50 C3(a), Dignity, “each individual has the right to … reasonable privacy….”

Explanation: CSH cannot fulfill its duty to provide a safe environment for individuals who are high-risk in a secure forensic program through less intrusive means than routine “pat downs” of fully clothed individuals and proactive searches of individuals’ bedroom areas. The CSH variance to these regulations allows for routine pat downs of non-forensic individuals before and after group movement: within a secure perimeter; anytime an individual leaves the secure perimeter; any time an individual has physical access to a visitor who is not an employee of CSH; and, allows proactive routine searches of individuals’ bedrooms to identify contraband or breaches of safety and security.

IV. Variance is requested to the following sections:

12 VAC 35-115-50, Dignity:

C(6), “each individual has the right to… communicate privately with any person by mail and have help in writing and reading mail, as needed."

C6(a), “An individual’s access to mail may be limited only if the provider has reasonable cause to believe that the mail contains illegal material or anything dangerous.  If so, the director or his designee may open the mail, but not read it, in the presence of the individual.”

C7, "each individual has the right to… communicate privately with any person by telephone and have help in doing so."

C7 (a), "An individual’s access to the telephone may be limited only if, in the judgment of a licensed professional, communication with another person will result in demonstrable harm to the individual or significantly affect his treatment."

Explanation: The CSH variance to these regulations allows for staff to open but not read mail and packages in the presence of the individual in the maximum security program. CSH also seeks to restrict individuals in the maximum security forensic program from communicating with each other by mail or telephone.

Any variances to these regulations by the state facility listed above are reviewed by the SHRC at least annually, with reports to the SHRC regarding the variances as requested.

Public comment period: September 16, 2019, through October 16, 2018.

How to comment: The SHRC accepts written comments by email, fax, and postal mail. In order to be considered, comments must include the full name, address, and telephone number of the person commenting and be received by DBHDS, which will provide them to the SHRC, by the last day of the comment period. All information received is part of the public record.

제안서를 검토하려면: 변동 신청서 및 관련 서류는 아래에 명시된 DBHDS 담당자에게 연락하여 얻을 수 있습니다.

Contact Information: Deborah Lochart, Director, Office of Human Rights, Department of Behavioral Health and Developmental Services, 1220 East Bank Street, P.O. Box 1797, Richmond, VA 23218-1797, telephone (804) 786-0032, FAX (804) 804-371-2308, or email deb.lochart@dbhds.virginia.gov.