Is anyone aware of a prescriptive set of design or programming standards for a Comprehensive Psychiatric Emergency Program (CPEP) within acute care hospitals? It’s not in FGI but I’m wondering if there is another regulatory body out there that can serve as a reference.
Thanks. See you all soon.
I want to confirm that CPEP stands for Comprehensive Psychiatric Emergency Program.
Is it in a Hospital rather than Outpatient facility?
Thank you,
Correct. And in an acute care hospital facility.
What differentiates a CPEP from the Behavioral Health Crisis Unit covered in Chapter 2.2-3.2 in FGI 2022? Are they governed differently in different states?
A CPEP is licensed emergency service in the State of New York regulated under NYCRR Part 590: https://omh.ny.gov/omhweb/policy_and_regulations/adoption/omh590591-redesign.pdf
A CPEP operates under a Hospital’s license and that Hospital’s Governing Body but we’ve seen them located in a variety of settings: in or adjacent to an ED, free-standing within the hospital, and freestanding on a hospital campus.
The environment of care/premises language is limited:
590.13 Premises.
(a) The comprehensive psychiatric emergency program and any satellite facility shall maintain
premises adequate and appropriate for the safe and effective operation of the program.
(b) The space provided shall be both adequate and appropriate for:
(1) the maintenance of privacy for interviews between staff members and persons
served;
(2) the comfort and convenience of those waiting for and receiving services. No
individual waiting for or receiving services may be placed in a hallway or other area
not approved by the Office of Mental Health as a waiting or treatment area;
(3) accommodation of routine activities and regularly used equipment;
(4) controlled access to, and maintenance of, case records; and
18(5) applicable Federal standards for space requirements which are necessary to assure
continued receipt of Federal reimbursement for care and services provided in the
comprehensive psychiatric emergency program or the host hospital.
(c) The emergency room of the comprehensive psychiatric emergency program shall be near or
adjacent to the medical emergency room of the host hospital but shall be allocated physically
discrete space acceptable to the Office of Mental Health.
(d) Extended observation beds shall be located in or adjacent to the comprehensive psychiatric
emergency program emergency room except that a waiver of this requirement may be made
when:
(1) an interim location is acceptable to Office of Mental Health; and
(2) the host hospital submits architectural plans for the establishment of the extended
observation beds in space in or adjacent to the emergency room within a period of
time acceptable to the Office of Mental Health.
(e) The premises shall be reasonably maintained to ensure access to services by all patients.
(f) Facilities shall comply with all local zoning and building laws, regulations and ordinances.
(1) Heating, lighting and ventilation shall be adequate for the comfort and well being of
the persons served and the employees.
(2) A written certificate of occupancy, or equivalent, by the local building inspection
authority shall be retained in the records of the program.
(3) Copies of all local inspection reports, and other relevant inspection reports, shall be
maintained and available upon request.
Thank you very much for this, Frank.
I agree, that would be my go-to for guidance. We tried to use a generic term, but different systems call them by different names. They are in my mind trying to solve the same problem by providing a separate trac for BH patients in emergency.
In the 2026 guidelines the BHCU will be Behavioral Health Emergency units (BHEU)
Hi Everyone -
It was great to see you all last week, and I hope everyone is doing well. On our tours in Seattle, during one (maybe was Seattle Children’s?) we passed a nurses station that had a partially open glazed enclosure above the desk but still had partial openings at the sides of the staggered glazing panels and above it….
Did anyone happen to get any photos of that? It came up in a recent conversation, and I thought it was a nice hybrid solution, for when that is necessary…
Appreciate any pics if anyone has!
Best,
Eric
| FrankPitts
April 22 |
- | - |
A CPEP is licensed emergency service in the State of New York regulated under NYCRR Part 590: https://omh.ny.gov/omhweb/policy_and_regulations/adoption/omh590591-redesign.pdf
A CPEP operates under a Hospirtakl’s license and that Hospitals Governing Body but we’ve seen them located in a variety of settings: in or adjacent to an ED, free-standing within the hospital, and freestanding on a hospital campus.
The environment of care/premises language is limited:
590.13 Premises.
(a) The comprehensive psychiatric emergency program and any satellite facility shall maintain
premises adequate and appropriate for the safe and effective operation of the program.
(b) The space provided shall be both adequate and appropriate for:
(1) the maintenance of privacy for interviews between staff members and persons
served;
(2) the comfort and convenience of those waiting for and receiving services. No
individual waiting for or receiving services may be placed in a hallway or other area
not approved by the Office of Mental Health as a waiting or treatment area;
(3) accommodation of routine activities and regularly used equipment;
(4) controlled access to, and maintenance of, case records; and
18(5) applicable Federal standards for space requirements which are necessary to assure
continued receipt of Federal reimbursement for care and services provided in the
comprehensive psychiatric emergency program or the host hospital.
(c) The emergency room of the comprehensive psychiatric emergency program shall be near or
adjacent to the medical emergency room of the host hospital but shall be allocated physically
discrete space acceptable to the Office of Mental Health.
(d) Extended observation beds shall be located in or adjacent to the comprehensive psychiatric
emergency program emergency room except that a waiver of this requirement may be made
when:
(1) an interim location is acceptable to Office of Mental Health; and
(2) the host hospital submits architectural plans for the establishment of the extended
observation beds in space in or adjacent to the emergency room within a period of
time acceptable to the Office of Mental Health.
(e) The premises shall be reasonably maintained to ensure access to services by all patients.
(f) Facilities shall comply with all local zoning and building laws, regulations and ordinances.
(1) Heating, lighting and ventilation shall be adequate for the comfort and well being of
the persons served and the employees.
(2) A written certificate of occupancy, or equivalent, by the local building inspection
authority shall be retained in the records of the program.
(3) Copies of all local inspection reports, and other relevant inspection reports, shall be
maintained and available upon request.
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Previous Replies
| SarahRVDB
April 22 |
- | - |
What differentiates a CPEP from the Behavioral Health Crisis Unit covered in Chapter 2.2-3.2 in FGI 2022? Are they governed differently in different states?
| glivingston-smith
April 22 |
- | - |
Correct. And in an acute care hospital facility.
| virginia.r.pankey
April 22 |
- | - |
I want to confirm that CPEP stands for Comprehensive Psychiatric Emergency Program.
Is it in a Hospital rather than Outpatient facility?
Thank you,
April 22 |
- | - |
Is anyone aware of a prescriptive set of design or programming standards for a Comprehensive Psychiatric Emergency Program (CPEP) within acute care hospitals? It’s not in FGI but I’m wondering if there is another regulatory body out there that can serve as a reference.
Thanks. See you all soon.
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|
Eric Kern |
|
, AIA, LEED AP BD+C |
|
202 471 5048 |
Eric,
I don’t recall a nurse station you are describing on the tours but the morning presentation discussed something similar at Maple Lane.
Thats the one I remembered – thanks Brian!