Code of Maine Rules › 14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 193 - OFFICE OF ADULT MENTAL HEALTH › Chapter 1 - RIGHTS OF RECIPIENTS OF MENTAL HEALTH SERVICES › Part B - RIGHTS IN INPATIENT AND RESIDENTIAL SETTINGS › Section 193-1-B-III - INDIVIDUALIZED TREATMENT AND DISCHARGE PLAN IN INPATIENT SETTINGS

Current through 2024-29, July 17, 2024
A. Recipients admitted to a State psychiatric
				  facility or community psychiatric facility or unit have the right to treatment
				  according to a written individualized treatment and discharge plan that shall
				  be incorporated into the recipient's ISP as a discrete sub-part.
B. Treatment and discharge plans shall be
				  based upon consideration of the recipient's housing, financial, social,
				  recreational, transportation, vocational, educational, general health, dental,
				  emotional, and psychiatric and/or psychological strengths and needs as well as
				  his or her potential need for crisis intervention and resolution services
				  following discharge. Assessments shall be conducted by hospital personnel with
				  appropriate credentials. These assessments shall be updated as frequently as
				  changed circumstances may require, but no less frequently than the standards of
				  the individual professional discipline dictate in order to assure that the
				  information is current and reliable. The treatment and discharge plan shall
				  include a description of the manner of delivery of each service to be provided.
				  The manner of delivery shall be one that maximizes the recipient's strengths,
				  independence and integration into the community. The names of the service
				  providers and their performance expectations will be included in the
				  plan.
C. The plan shall be
				  developed by an inter-disciplinary team that includes the recipient and
				  hospital staff representing the disciplines of social work, psychiatry,
				  psychology, and nursing, except that in community hospitals and units,
				  psychology will be represented when clinically indicated. Other hospital
				  personnel, and other individuals from the community with whom the recipient has
				  authorized the exchange of information and who are needed to assure that the
				  recipient's needs are adequately assessed and that appropriate recommendations
				  are made, shall be included on the team. One of the hospital staff team members
				  shall be designated as a recipient's team coordinator.
D. The team coordinator or designee shall
				  notify the recipient of all treatment and discharge planning meetings and
				  invite and actively encourage the recipient to attend. If a recipient does not
				  attend the meeting, the team coordinator or designee shall relay the
				  recipient's views on issues to other members of the team. A recipient's
				  guardian, if any, shall also be notified of all treatment and discharge
				  planning meetings and shall be invited to attend. The recipient may invite
				  other persons to his or her treatment and discharge planning meeting, and the
				  team coordinator or designee shall encourage him or her to do so. Notices
				  required by this paragraph shall be given by the team coordinator or designee
				  at least two days in advance of the meeting date, with the following exception:
				  When a meeting is being convened to address an emergency, or is called to
				  formulate a preliminary or initial treatment and discharge plan, notice
				  reasonable for the circumstances shall be required.
E. All recipients shall have a preliminary
				  treatment and discharge plan developed within three working days of admission
				  and a treatment and discharge plan within seven days thereafter. This plan
				  shall be reviewed and revised as frequently as necessary, but in no case less
				  frequently than within 30 days of development, every 60 days thereafter for the
				  first year, and every 90 days thereafter.
F. Complete histories shall be obtained from
				  the recipient, community service providers, and to the extent possible, from
				  other individuals in the community as authorized by the recipient or guardian.
				  Upon learning that a recipient has had a prior psychiatric hospitalization, the
				  team coordinator or designee shall request the recipient's consent to the
				  release of the records of that hospitalization to the inpatient facility where
				  the recipient is currently hospitalized. If consent is given, the team
				  coordinator shall, within two working days, send for copies of the records.
				  These records shall be reviewed upon arrival and, to the extent of their
				  relevance, shall be considered in the review of the recipient's treatment and
				  discharge plan.
G. In addition to
				  the foregoing requirements, the treatment and discharge plan shall be based
				  upon a comprehensive assessment of the recipient, and shall meet the following
				  standards:
1. Goals that must be met in order
				  for the recipient to meet discharge criteria shall be clearly noted.
2. At each review, the team shall assess
				  whether the recipient may be safely discharged.
3. The treatment and discharge plan shall
				  include a description of any physical handicap and any accommodations necessary
				  to provide the same or equal services and benefits as those afforded
				  non-disabled individuals.
4. A
				  description of short-term and long-range treatment goals, with a projection of
				  when such goals will be obtained;
5. A statement of the rationale or reason for
				  utilizing a particular form of treatment will be included;
6. A specification of treatment
				  responsibility, including both staff and recipient responsibility and
				  involvement to attain treatment goals will be noted;
7. Criteria for discharge or release to a
				  less restrictive treatment setting will be included; and
8. Documentation of current discharge
				  planning will be included.