<html> <head> <title>Rule 67:16:47:04.06 Problems associated with diagnosis.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:47:04.06"> <META NAME="Description" Content="Administrative Rules 67:16:47:04.06 Problems associated with diagnosis."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:0 0 0 0 0 0 0 0 0 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:Times;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:47:04.06.&nbsp;&nbsp;Problems associated with diagnosis.</b> In order to meet the conditions of subdivision 67:16:47:04.04(5), an individual who has a diagnosis listed in &#167;&nbsp;67:16:47:04.05 must also be experiencing problems related to the diagnosis in one of the following categories:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Self-care deficit placing the individual at risk for self-harm. The deficit must be of such severity and long standing as to prevent placement of the individual in a community setting and without skilled intervention is placing the individual in a life-threatening, physiological imbalance;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Impaired safety, including a threat to self or others, continued suicidal or homicidal ideation with a plan of intent; continued violent or aggressive behaviors that require seclusion or restraints; verbal, physical, or sexually aggressive behavior that poses a potential danger to self or others; or antisocial behavior of such severity that it places the individual or others at risk;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Impaired thought process that results in an inability to perceive or validate reality to the extent that the individual cannot negotiate the individual's basic environment or participate in family or school life, including disruption of safety to self, family, or peer or community group; or impaired reality testing sufficient to prohibit participation in a community educational alternative; or</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;Severely dysfunctional patterns involving the individual's family, environment, or behavioral processes that places the individual at risk. Documentation must substantiate the existence of escalating symptoms, instability, or disruption that is placing the individual at risk.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 34 SDR 180, effective December 26, 2007; 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=26-6-14">26-6-14</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt'>&nbsp;</span></p> </div> </body> </html>