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 C - RIGHTS IN OUTPATIENT SETTINGS › Section 193-1-C-III - INDIVIDUALIZED TREATMENT OR SERVICE PLAN

Current through 2024-29, July 17, 2024
A.
				  Recipients have the right to an individualized treatment or service plan. For
				  recipients who have an ISP, the ISP process will provide the foundation of the
				  development of the treatment or service plan.
B. Treatment or service plans shall, in
				  instances in which the recipient has an ISP, be based upon the life plan,
				  needs, targets and action plans developed in the ISP process. Treatment or
				  service plans shall be based upon an individualized assessment 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 their potential need for
				  crisis intervention and resolution services. Each facility or agency shall My
				  consider the least restrictive appropriate treatment and related services
				  taking into account factors that are supportive of each recipient's exercise of
				  his or her basic rights, consistent with each individual's strengths, needs and
				  treatment requirements, pursuant to this section and sections IV and V of these
				  rules. Such considerations shall include accommodation of particular needs
				  involving communication and physical accessibility to all treatment
				  programs.
C. The recipient or
				  guardian, shall be fully and actively involved in the development or revision
				  of the treatment or service plan. Upon the request of the recipient, the
				  recipient's representative or family members designated by the recipient shall
				  be included in the development or revision of the treatment or service plan.
				  Each agency program or facility shall give 10 days' notice of any treatment or
				  service planning; meetings, to the recipient's guardian, and designated
				  representatives. If the meeting is being convened to address an emergency,
				  notice reasonable for the circumstances shall be required. Invited persons
				  shall be notified that, if they are unable to attend a treatment or service
				  planning meeting, they may submit information in writing for consideration at
				  the meeting.
D. Treatment or
				  service plans shall be developed within 30 days of initiation of service and
				  shall thereafter be reviewed and revised no less frequently than every 90 days.
				  Plans may be reviewed more frequently as necessary to address substantial
				  changes in a recipient's life, such as hospitalization.
E. Treatment or service plans shall be
				  developed by a team consisting of the recipient and others among whom the
				  recipient has authorized the exchange of information and who are needed to
				  ensure that the recipient's needs are adequately assessed and that appropriate
				  recommendations are made, based upon a comprehensive assessment of the
				  recipient. The plan shall contain but need not be limited to:
1. A statement of the recipient's specific
				  strengths and needs. The treatment or service plan should include a description
				  of any physical handicap and any accommodations necessary to provide the same
				  or equal services with benefits as those afforded non-disabled
				  individuals.
2. A description of
				  services to assist the recipient in meeting identified needs. Goals shall be
				  written for each service. Short-range objectives shall be stated such that
				  their achievement leads to the attainment of overall goals. Objectives shall be
				  stated in terms that allow objective measurement of progress and that the
				  recipient, to the maximum extent possible, both understands and
				  adopts.
3. A description of
				  services based on the actual needs as expressed or approved by the recipient
				  rather than -on -what services are currently available. If at the time of the
				  meeting, team members know on the basis of reliable information that the needed
				  services are unavailable, they shall note then as "unmet service needs" on the
				  treatment or service plan and develop an interim plan based upon available
				  services that meet, as nearly as possible, the actual needs of the
				  recipient.
4. 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.
5. A statement
				  of the rationale or reason for utilizing the described treatment or services to
				  meet such goals;
6. A specification
				  of treatment or service responsibility, including both staff and recipient
				  responsibility and involvement to attain treatment or service goals;
				  and
7. Documentation of current
				  discharge planning.