Current through Register Vol. 47, No. 6, September 18, 2024
(1) Individual
program plan. An individual program plan (IPP) for each resident shall be
developed by an interdisciplinary team. Services to the resident shall be
appropriate to address the short-term transitional or long-term residential
needs of the resident. The resident or the resident's legal guardian has the
ultimate authority to accept or reject the plan unless otherwise determined by
the court. The IPP shall be approved and implementation monitored by the QMHP.
(II, III)
a. The IPP shall be based on the
individual service plan of the referring agency, if available, the information
contained in the social history, the need for services identified in the
evaluation, and any other pertinent information. (Ill)
b. The facility shall assist the resident in
obtaining access to academic, community living skills training, legal,
self-care training, support, transportation, treatment, and vocational training
services to the resident as needed. These services may be provided by the
facility or obtained from other providers. (Ill)
c. Services to the resident shall be provided
in the least restrictive environment and shall incorporate the principle of
normalization. (Ill)
d. If needed
services are not available and accessible, the facility shall document the
actions which were taken to locate and access or deliver those services. The
documentation shall include the identification of the type of needs which will
not be met due to the lack of available services. (Ill)
e. The IPP shall be developed within 30 days
following admission to the facility and renewed at least annually. (II,
III)
f. The IPP shall be in
writing, dated, signed by the interdisciplinary team members, and maintained in
the resident's record. (Ill)
g.
Written notice of the meeting to develop an IPP shall be sent to all persons to
be included in the interdisciplinary team conference in advance of the
scheduled meeting. (Ill)
(2) The IPP shall include the following:
1. Goals, (III)
2. Objectives, (III)
3. The specific service(s), including
medication counseling, to be provided to achieve the objectives, the person(s)
or agency(ies) responsible for providing the service(s), and the date of
initiation and anticipated duration of service(s). (Ill)
(3) The IPP shall state the evaluation
procedure for determining if objectives are achieved which shall include the
incorporation of a continuous process for review and revision. (Ill)
(4) There shall be a review of the IPP by
relevant staff, the resident, and appropriate others at least semiannually.
(II, III)
a. The review shall include the
development of a written report which addresses the following: summary of the
resident's progress toward objectives; the need for continued services and any
recommendation concerning alternative services or living arrangements; and any
recommended change in guardianship or conservatorship status. The report shall
reflect those involved in the review and the date of the review, and shall be
maintained in the resident's record. (II, III)
b. The review shall be approved by the
qualified mental health professional. (Ill)
(5) There shall be procedures for recording
the activities of each service provider toward assisting the resident in
achieving the objectives in the IPP and the resident's response which shall
include a mechanism for coordination with all service providers. (Ill)
a. An entry into the resident's record shall
be made by staff whenever possible at the time of service provision but no
later than seven days from service provision. (Ill)
b. Entries shall be dated and signed by the
person providing the service. (Ill)
c. When the service includes ongoing
activities occurring more than once a week, a summarized entry may be made
weekly by staff in the resident's record. (Ill)
d. Entries shall be written in terms of
behavioral observations and specific activities. Entries that involve
subjective interpretations of a resident's behavior or progress shall be
clearly identified and shall be supplemented with the behavioral observations
which served as the basis of the interpretation. (Ill)
This rule is intended to implement Iowa Code section
135C.14.
