Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 62 - Therapeutic Group Homes
Subchapter E - Admission, Transfer, and Discharge
Section I-6261 - Transfer and Discharge Requirements
Current through Register Vol. 50, No. 9, September 20, 2024
A. The goal of the TGH is to return the client to a less restrictive level of service as early as possible in the development of the plan.
B. Discharge planning begins at the date of admission, and goals toward discharge shall be continually addressed in the multi-disciplinary team meetings and when the comprehensive treatment plan is reviewed. Discharge may be determined based on the client no longer making adequate improvement in this TGH (and another TGH being recommended) or the client no longer having medical necessity at this level of care.
C. Continued TGH stay should be based on a clinical expectation that continued treatment in the TGH can reasonably be expected to achieve treatment goals and improve or stabilize the client's behavior, such that this level of care will no longer be needed and the client can return to the community.
D. Transition should occur to a more appropriate level of care if the client is not making progress toward treatment goals and there is no reasonable expectation of progress at this level of care (e.g., client's behavior and/or safety needs requires a more restrictive level of care or, alternatively, client's behavior is linked to family functioning and can be better addressed through a family/home-based treatment).
E. Voluntary Transfer or Discharge. Upon notice by the client or authorized representative that the client has selected another provider or has decided to discontinue services, the TGH shall have the responsibility of planning for a client's voluntary transfer or discharge.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2009.