Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1880 - Crisis discharge planning

Current through Register Vol. 40, No. 24, July 15, 2024
A. Crisis
				  providers are not subject to the provisions of
				  12VAC35-105-693.
B. Community-based crisis stabilization
				  providers of mobile crisis response and crisis receiving center providers shall
				  make referrals to all follow-up service providers if determined appropriate and
				  document in accordance with the provider's crisis assessment policy. The
				  provider shall document such arrangements, referrals, or reasons why follow-up
				  care was not indicated within the individual's record.
C. Community-based crisis stabilization
				  providers, when providing mobile crisis response services, and crisis receiving
				  centers providers are not required to provide discharge planning to individuals
				  receiving services and, therefore, are not subject to subsections D through H
				  of this section.
D. Community-based
				  crisis stabilization providers, crisis stabilization units, and REACH providers
				  shall have written policies and procedures regarding the discharge or
				  termination of individuals from the service. These policies and procedures
				  shall include medical and clinical criteria for discharge.
E. Discharge instructions shall be provided
				  in writing to the individual, the individual's authorized representative, and
				  any successor provider, as applicable. Discharge instructions shall include, at
				  a minimum, medications and dosages; names, telephone numbers, and addresses of
				  any providers to whom the individual is referred; current medical issues or
				  conditions; and the identity of the treating health care providers. The
				  provider shall make appropriate referrals to all service providers identified
				  within the individual's discharge instructions prior to the individual's
				  scheduled discharge date.
F. The
				  provider shall document in the individual's service record whether the
				  individual, the individual's authorized representative, and the individual's
				  family members, as appropriate, were involved in the discharge planning
				  process.
G. A written discharge
				  summary shall be completed within 30 days of discharge and shall include, at a
				  minimum, the following:
1. The reason for the
				  individual's admission to and discharge from the service;
2. A description of the individual's and the
				  individual's authorized representative's participation in discharge planning
				  and documentation of informed choice by the individual, the individual's
				  authorized representative, or the individual's legal guardian, as applicable,
				  in the decision to and planning for discharge;
3. The individual's current level of
				  functioning or functioning limitations, if applicable;
4. Recommended procedures, activities, or
				  referrals to assist the individual in maintaining or improving functioning and
				  increased independence;
5. The
				  status, location, and arrangements that were made for future
				  services;
6. Progress made by the
				  individual in achieving goals and objectives identified in the crisis ISP and
				  summary of critical events during service provision;
7. Discharge date;
8. Any discharge medications prescribed by
				  the provider, if applicable;
9.
				  Dates the discharge plan was written and documented; and
10. The signature of the person who prepared
				  the discharge plan.