Title 908 | Chapter 002 | Regulation 040
908 KAR 2:040.Hospital district assignments.
Section 1.
(1)
(a)
The state mental hospital districts shall be the districts established in subsections (2) through (5) of this section.(b)
Except as provided by Sections 2 through 5 of this administrative regulation, an involuntarily or voluntarily hospitalized person shall be admitted to the state hospital serving the district in which the person resides. In times of high patient count, a state hospital director may send a patient to another state hospital or to another hospital in the district.(2)
District I shall include Western State Hospital, Hopkinsville, Kentucky, and shall serve the counties of: Allen, Ballard, Barren, Butler, Caldwell, Calloway, Carlisle, Christian, Crittenden, Daviess, Edmonson, Fulton, Graves, Hancock, Hart, Henderson, Hickman, Hopkins, Livingston, Logan, Lyon, McCracken, McLean, Marshall, Metcalfe, Monroe, Muhlenberg, Ohio, Simpson, Todd, Trigg, Union, Warren, and Webster.(3)
District II shall include Central State Hospital, Anchorage, Kentucky, and shall serve the counties of: Bullitt, Breckinridge, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble and Washington.(4)
District III shall include Eastern State Hospital, Lexington, Kentucky, and shall serve the counties of: Adair, Anderson, Bath, Boone, Bourbon, Boyd, Boyle, Bracken, Campbell, Carroll, Carter, Casey, Clark, Clinton, Cumberland, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Green, Greenup, Harrison, Jessamine, Kenton, Lawrence, Lewis, Lincoln, McCreary, Madison, Mason, Menifee, Mercer, Montgomery, Morgan, Nicholas, Owen, Pendleton, Powell, Pulaski, Robertson, Rowan, Russell, Scott, Taylor, Wayne, and Woodford.(5)
District IV shall include Appalachian Regional Healthcare Regional Medical Center, Hazard, Kentucky, and shall serve the counties of: Bell, Breathitt, Clay, Floyd, Harlan, Jackson, Johnson, Knott, Knox, Laurel, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike, Rockcastle, Whitley, and Wolfe.Section 2.
An inmate of a state penal or correctional institution transferred to the Cabinet for Health and Family Services shall be admitted to the Kentucky Correctional Psychiatric Center in La Grange, Kentucky.Section 3.
(1)
Individuals charged with a felony and requiring psychiatric evaluation or treatment pursuant to KRS Chapter 504 shall be served upon court order by a forensic psychiatric facility. Admission to the forensic psychiatric facility shall be coordinated and scheduled through that facility's admissions department.(2)
Individuals admitted upon court order to the Kentucky Correctional Psychiatric Center, La Grange, Kentucky, may be transferred to other state institutions for the mentally ill or to a psychiatric unit in a local general hospital.Section 4.
(1)
A person may be admitted to a hospital other than the hospital in the district of his or her residence upon verbal or written permission of the Commissioner of the Department for Behavioral Health, Developmental and Intellectual Disabilities or authorized designee if:(a)
A patient has specific needs or treatments that are better addressed at another hospital;(b)
A hospital has staffing or facility issues limiting admittance; or(c)
Placement would cause undue hardship on affected stakeholders.(2)
If verbal permission is given, then written confirmation shall follow within five (5) working days of the admission.Section 5.
A person may be admitted to a psychiatric unit in a local general hospital if that unit has had prior approval of the Commissioner of the Department for Behavioral Health, Developmental and Intellectual Disabilities or authorized designee assuring the unit has the proper resources.HISTORY: (Recodified from 902 KAR 6:040, 3-7-1989; Am. 19 Ky.R. 2154; eff. 4-21-1993; TAm eff. 4-27-2016; 43 Ky.R. 813, 1182; eff. 2-3-2017; Cert eff. 1-16-2024.)
908 KAR 2:040.Hospital district assignments.
Section 1.
(1)
(a)
The state mental hospital districts shall be the districts established in subsections (2) through (5) of this section.(b)
Except as provided by Sections 2 through 5 of this administrative regulation, an involuntarily or voluntarily hospitalized person shall be admitted to the state hospital serving the district in which the person resides. In times of high patient count, a state hospital director may send a patient to another state hospital or to another hospital in the district.(2)
District I shall include Western State Hospital, Hopkinsville, Kentucky, and shall serve the counties of: Allen, Ballard, Barren, Butler, Caldwell, Calloway, Carlisle, Christian, Crittenden, Daviess, Edmonson, Fulton, Graves, Hancock, Hart, Henderson, Hickman, Hopkins, Livingston, Logan, Lyon, McCracken, McLean, Marshall, Metcalfe, Monroe, Muhlenberg, Ohio, Simpson, Todd, Trigg, Union, Warren, and Webster.(3)
District II shall include Central State Hospital, Anchorage, Kentucky, and shall serve the counties of: Bullitt, Breckinridge, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble and Washington.(4)
District III shall include Eastern State Hospital, Lexington, Kentucky, and shall serve the counties of: Adair, Anderson, Bath, Boone, Bourbon, Boyd, Boyle, Bracken, Campbell, Carroll, Carter, Casey, Clark, Clinton, Cumberland, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Green, Greenup, Harrison, Jessamine, Kenton, Lawrence, Lewis, Lincoln, McCreary, Madison, Mason, Menifee, Mercer, Montgomery, Morgan, Nicholas, Owen, Pendleton, Powell, Pulaski, Robertson, Rowan, Russell, Scott, Taylor, Wayne, and Woodford.(5)
District IV shall include Appalachian Regional Healthcare Regional Medical Center, Hazard, Kentucky, and shall serve the counties of: Bell, Breathitt, Clay, Floyd, Harlan, Jackson, Johnson, Knott, Knox, Laurel, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike, Rockcastle, Whitley, and Wolfe.Section 2.
An inmate of a state penal or correctional institution transferred to the Cabinet for Health and Family Services shall be admitted to the Kentucky Correctional Psychiatric Center in La Grange, Kentucky.Section 3.
(1)
Individuals charged with a felony and requiring psychiatric evaluation or treatment pursuant to KRS Chapter 504 shall be served upon court order by a forensic psychiatric facility. Admission to the forensic psychiatric facility shall be coordinated and scheduled through that facility's admissions department.(2)
Individuals admitted upon court order to the Kentucky Correctional Psychiatric Center, La Grange, Kentucky, may be transferred to other state institutions for the mentally ill or to a psychiatric unit in a local general hospital.Section 4.
(1)
A person may be admitted to a hospital other than the hospital in the district of his or her residence upon verbal or written permission of the Commissioner of the Department for Behavioral Health, Developmental and Intellectual Disabilities or authorized designee if:(a)
A patient has specific needs or treatments that are better addressed at another hospital;(b)
A hospital has staffing or facility issues limiting admittance; or(c)
Placement would cause undue hardship on affected stakeholders.(2)
If verbal permission is given, then written confirmation shall follow within five (5) working days of the admission.Section 5.
A person may be admitted to a psychiatric unit in a local general hospital if that unit has had prior approval of the Commissioner of the Department for Behavioral Health, Developmental and Intellectual Disabilities or authorized designee assuring the unit has the proper resources.HISTORY: (Recodified from 902 KAR 6:040, 3-7-1989; Am. 19 Ky.R. 2154; eff. 4-21-1993; TAm eff. 4-27-2016; 43 Ky.R. 813, 1182; eff. 2-3-2017; Cert eff. 1-16-2024.)