EPM E
Appendix E Institutions for Mental Diseases
- Effective:
- September 1, 2022
- Version:
- 1
- Last edited:
- October 3, 2026
An Institution for Mental Diseases (IMD) is a hospital, nursing facility, or other institution or residential program that has 17 or more beds and provides diagnosis, treatment, or care of people with mental diseases.
Types of IMD facilities include:
- In-state children's mental health residential facilities
- Some In-State and Out-of-State severe emotional disturbance (SED) residential treatment facilities for children Psychiatric Residential Treatment Facilities (PRTF) are excluded from IMD status.
- Regional Treatment Center (RTC) - mental illness (MI) psychiatric inpatient hospital
- Residential substance use disorder treatment programs
- Rule 36 MI treatment program
- Privately owned psychiatric inpatient hospital
- State sex offender program
- State forensic program
- Nursing homes – when 50% or more of beds are for treatment of mental illness
Legal citations
- Code of Federal Regulations, title 42, Section 435.1010
- Minnesota Statutes, section 253B.045