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-IV - INDIVIDUALIZED TREATMENT OR SERVICE PLAN IN RESIDENTIAL SETTINGS

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 fully 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 III and IV 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 20 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 and 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. In 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 them 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.