New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIV - Office for People With Developmental Disabilities › Part 680 - Specialty Hospitals › Section 680.6 - Individual program planning and review

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each individual of a specialty hospital
				shall have an individual program plan which describes for the individual his or
				her medical treatment for health-related problems and active programming for
				developmental disability(ies).
(b)
				Programming and treatment shall be directed at those aspects of the
				health-related conditions and developmental disability necessitating the
				restrictiveness of the specialty hospital placement. The type and duration of
				programming and treatment shall be structured to enable the individual's
				movement to a less restrictive environment as quickly as possible with regard
				for each individual's disabilities.
(c) Each individual program shall state the
				conditions requiring admission to a specialty hospital, the course of treatment
				and programs prescribed for these conditions and the anticipated outcomes of
				treatment and programs.
(d) The
				individual program plan shall be developed and implemented by an
				interdisciplinary team (see section
				680.13  of
				this Part) including the providers of medical treatment and active programming
				and direct care staff. One member of this team who is a qualified intellectual
				disability professional (see section
				680.13) 
				shall serve as individual coordinator (see section
				680.13)  with
				primary responsibility for implementation of the individual program plan,
				coordination of its components and for arranging movement of the client to a
				less restrictive environment as soon as the individual's needs
				permit.
(e) Active programming is
				to take place in a setting separate from the individual's living and sleeping
				areas unless it is necessitated because of an individual's health care
				problem(s) and prescribed by a physician (see section
				680.13  under
				"Professional Staff").
(f) The
				combination of goal-oriented health care, medical treatment and active
				programming, excluding recreation, shall be at least six hours per day, five
				days per week in the manner recommended by each individual's interdisciplinary
				team. The medical treatment and active programming for these conditions
				necessitating admission to the specialty hospital shall be provided with the
				frequency and duration prescribed by the individual's I.T. Thus, a person may
				receive more than six hours of medical treatment and structured programming per
				day, but can only receive less than six hours per day if a physician has
				certified in writing that such activities would be medically harmful to the
				individual. For Willowbrook class members, approval of the programming
				exemption must be obtained from the professional advisory board.
(g) Each individual program plan shall
				specify the conditions to be treated, and the anticipated preventive and/or
				restorative outcomes resulting from the various therapeutic interventions to be
				used. The individual program plan shall be written and maintained in the
				manner, frequency and format prescribed by OPWDD and shall contain the
				following components:
(1) the goals and long-
				and short-term objectives established to attain or maintain the optimal level
				of health, self-care, communication, learning, mobility, recreation and
				capacity for independent living of which the individual is presently or
				potentially capable;
(2) service
				plans for each mandatory and selective service which combine into an integrated
				program of individually designed activities, experiences and programs necessary
				to achieve each individual's objectives. These plans shall contain, as
				appropriate, specific individual medical prescriptions or written direction
				from the interdisciplinary team for all necessary services;
(3) progress notes describing the
				individual's response to programs and services;
(4) an activity schedule for each individual
				which includes all programs, services and leisure time activities prescribed by
				the interdisciplinary team; and
(5)
				identification of the person responsible for providing each program or
				service.