Compilation of Rules and Regulations of the State of Georgia
Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Chapter 82-4
Subject 82-4-1 - CHILD AND ADOLESCENT CRISIS STABILIZATION UNITS
Rule 82-4-1-.10 - Provision of Individualized Care

Universal Citation: GA Rules and Regs r 82-4-1-.10

Current through Rules and Regulations filed through March 20, 2024

1.A physician shall assess each individual to establish a diagnosis and write care orders within twenty-four (24) hours of admission, and document appropriate orders for care; an assessment for risk of suicide will be made by a physician.

2.The licensed clinical social worker or licensed professional counselor shall assess the individual within forty-eight (48) hours of admission to the C & A CSU.

3.An Individualized Resiliency Plan (IRP) shall be developed and written within seventy- two (72) hours of admission on the basis of assessments conducted by the physician, registered nurse and professional social work or counseling staff. A major goal of each IRP shall be the individual's stabilization and recovery. For individuals with both substance abuse and mental health diagnoses, the IRP shall address issues relative to both diagnoses.

4.At a minimum, this IRP shall be developed in collaboration with the individual/family and shall include the following:

a.A problem statement or statement of needs to be addressed;

b.Goals that are consistent with the individual's needs, realistic, measurable, linked to symptom reduction, and attainable by the individual during the individual's projected length of stay;

c.Objectives, stated in terms that allow measurement of progress, that build on the individual's strengths;

d.Specific treatment offerings, methods of treatment and staff responsible to deliver the treatments;

e.Interventions and preferred approaches that are responsive to findings of past trauma and abuse;

f.Evidence of involvement by the individual's legal guardian, as documented by his or her signature or refusal to sign;

g.Development of a crisis plan for use upon discharge;

h.Signatures of all staff participating in the development of the plan;

i.Evidence of involvement by the individual and/or family, as documented by the individual's signature that is in a manner that is age/developmentally appropriate;

j.A discharge and transition plan.

5.The IRP shall be reviewed at a minimum every seventy-two (72) hours by a treatment team to assess the need for the individual's continued stay in the C & A CSU. The IRP shall be updated as appropriate when the individual's needs or condition change.

6. The physician shall, at a minimum:

a. Conduct the initial assessment of the individual;

b. Establish a diagnosis and write care orders;

c. Document the rationale for medications prescribed;

d. Assess the individual's response to care and services provided; and

e. Conduct an assessment of the individual at the time of discharge.

7.Discharge summary information shall be provided to the individual at the time of discharge that includes:

a. Criteria describing evidence of stabilization and discharge planning;

b. Significant findings relevant to the individual's recovery (strengths, needs, preferences);

c. Specific instructions provided to the individual and to the legal guardian for ongoing care;

d. Individualized recommendations for continued care to include recovery supports, community services, if indicated; and

e. Contact information for how to access community services.

O.C.G.A. Secs. 37-1-29, 37-3-64, 37-3-162, 37-7-64, 37-7-162.

Disclaimer: These regulations may not be the most recent version. Georgia 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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