Alaska Administrative Code
Title 7 - Health and Social Services
Part 4 - Children's Services and Juvenile Justice
Chapter 50 - Community Care Licensing
Article 9 - Residential Psychiatric Treatment Centers
7 AAC 50.855 - Discharge
Universal Citation: 7 AK Admin Code 50.855
Current through August 30, 2024
(a) If, as a result of the progress evaluation required by 7 AAC 50.845(a) if the residential psychiatric treatment center recommends that the child not remain in treatment in the facility, the facility shall document in its medical records that the
(1) child's condition can no longer be
safely, appropriately, or effectively treated in the facility's treatment
program, but that the child could be safely, appropriately, or effectively
treated in the treatment program of another residential psychiatric treatment
center;
(2) child's condition can
no longer be safely, appropriately, or effectively treated in the facility's
treatment program, and that persistent clinical indications exist that the
child needs a more intensive psychiatric treatment of the level of a
psychiatric hospital; however, the residential psychiatric treatment center may
not make a finding under this paragraph merely because the child suffers a
short-term or episodic worsening of the child's condition or behavior, unless
the facility documents that it has repeatedly but unsuccessfully attempted
intervention using all of its services and those of special consultants as
appropriate to arrest or reverse the worsening of the child's condition or
behavior;
(3) child's medical
condition requires transfer to a medical setting; or
(4) child no longer requires the intensity of
service and treatment of a residential psychiatric treatment center based on
documentation
(A) of demonstrably sustainable
gains in the areas described in
7 AAC 50.845(b) (1)(B) that the child
can sustain without requiring cueing or control by the program staff of a
residential psychiatric treatment center;
(B) that the child can be safely and
effectively treated in a less restrictive setting; and
(C) of a final plan as required under (b) of
this section for transition, discharge, and care after discharge for the
child.
(b) A final plan for transition, discharge, and care after discharge for the child must
(1) ensure that the residential
psychiatric treatment center meets the needs of the child and the child's
family through the arrangement of after-care services, and that the treatment
team assembled under
7 AAC 50.840 and the facility's clinical staff will
consult and be available for intervention for at least the longer of
(A) one month for every two months that the
child received care in the facility; or
(B) three months;
(2) require that the residential psychiatric
treatment center, during the time set out in (1) of this subsection, contact at
least once a month the treatment team assembled under
7 AAC 50.840, so that the facility can ensure an
appropriate transition of the child to community placement and treatment;
and
(3) include the following
documentation:
(A) where and with whom the
child will live;
(B) specified
medical and mental health providers to provide ongoing care to the
child;
(C) identification of a
school for the child to attend, with an IEP in place for the child;
(D) specific supports and services from
persons or programs including the case manager, the department or child
placement agency, community residential or treatment facilities or programs,
and the child's family;
(E) the
involvement, if applicable, of religious, cultural, recreational or other
community agencies that will be providing support or services to the child, the
child's family, or the provider of full time care to the child;
(F) documentation of the substantial
agreement of the treatment team assembled under
7 AAC 50.840; and
(G) the consent of the child's parent, Indian
custodian, or guardian, and the consent of the child if the child is age
sixteen or older and is capable of understanding the consequences, risks, and
benefits of the decision.
(c) In addition to the requirements of this section, a residential psychiatric treatment center
(1) shall meet the requirements regarding
discharge specified in
7 AAC 50.340; and
(2) may not follow the procedures for
discharge in
7 AAC 50.425(l) unless the signs of
danger to self or others exhibited by the child are so severe that the resident
cannot be managed in the facility and requires immediate
hospitalization.
Authority:AS 44.29.020
AS 47.35.010
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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