Code of Maine Rules › 14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 472 - OFFICE OF CHILD AND FAMILY SERVICES › Chapter 1 - RIGHTS OF RECIPIENTS OF MENTAL HEALTH SERVICES WHO ARE CHILDREN IN NEED OF TREATMENT › Part B - RIGHTS IN INPATIENT AND RESIDENTIAL SETTINGS › Section 472-1-B-III - INDIVIDUALIZED TREATMENT OR SERVICE AND DISCHARGE PLAN

Current through 2024-29, July 17, 2024
A. Recipients of inpatient mental health or
				  psychiatric services have the right to treatment according to a written
				  individualized treatment or service and discharge plan which shall be
				  incorporated into the recipient's ISP as a discrete sub-part.
B. Treatment or service and discharge plans
				  shall be developed based upon an individualized assessment of the recipient's
				  physical, psychological and social needs, as well as the recipient's expressed
				  desires. 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 needs and treatment requirements pursuant to this
				  section and sections VIII and X of these rules. Such considerations shall
				  include accommodation of particular needs involving communication and physical
				  accessibility to all treatment programs.
C. Each recipient 14 or over has the right to
				  be fully and actively involved in the development or revision of his or her
				  treatment or service plan. Involvement of recipients who are younger shall be
				  determined on a case by case basis, after assessment of the recipient's
				  capacity to be involved. The exclusion of a recipient 14 or over, based on
				  incapacity, developmental or mental, requires the approval of the clinical
				  director or, in residential settings, the approval of an independently licensed
				  clinician.. The guardian, custodian or legally responsible parent shall be
				  fully and actively involved in treatment or service planning to the maximum
				  extent possible, given time and location constraints. Each agency, program or
				  facility shall make good faith efforts, including 48 hour notice in inpatient
				  settings and 7 day notice in residential settings, of any meeting, to involve
				  guardians or parents and such efforts shall be documented.
D. Treatment or service plans shall be
				  developed in a timely manner. Initial plans shall be developed within 72 hours
				  in inpatient or residential facilities. Comprehensive plans shall be developed
				  within 10 working days in inpatient facilities and 20 working days in
				  residential facilities.
E. The
				  comprehensive treatment or service and discharge plan shall be developed by the
				  treatment team, and shall be based upon a comprehensive assessment of the
				  recipient. This plan shall contain, but not be limited to:
(1) A statement of the recipient's specific
				  strengths and treatment and/or service needs.
a. The treatment or service 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.
b. Goals which must be met in order for the
				  recipient to meet discharge criteria shall be clearly noted.