Code of Maine Rules
14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
472 - OFFICE OF CHILD AND FAMILY SERVICES
Chapter 1 - RIGHTS OF RECIPIENTS OF MENTAL HEALTH SERVICES WHO ARE CHILDREN IN NEED OF TREATMENT
Part C - RIGHTS IN OUTPATIENT SETTINGS
Section 472-1-C-II - INDIVIDUALIZED TREATMENT OR SERVICE PLAN
Current through 2025-13, March 26, 2025
A. Recipients have the right to an individualized treatment or service plan.
B. Individualized treatment or service plans shall be developed based upon an individualized assessment of the recipient's physical, psychological and social needs, as well as the recipient's expressed desires. Each facility or agency shall fully consider the least restrictive appropriate treatment and related services taking into account factors that are supportive of each recipient's exercise of his or her basic rights, consistent with each individual's strengths, needs and treatment requirements pursuant to this section. Such considerations shall include accommodation of particular needs involving communication and physical accessibility to all treatment programs.
C. Each recipient 14 or over has the right to be fully and actively involved in the development or revision of his or her treatment or service plan. Involvement of recipients who are younger shall be determined on a case by case basis, after assessment of the recipient's capacity to be involved. The exclusion of a recipient 14 or over, based on incapacity, developmental or mental, requires the approval of an independently licensed clinician. The guardian or legally responsible parent shall be fully and actively involved in treatment planning to the maximum extent possible, given time and location constraints. Each agency, program or facility shall make good faith efforts, including 24 hour notice of any meeting, to involve legally responsible parents, guardians or custodians and such efforts shall be documented.
D. Treatment or service plans shall be developed within 30 days in outpatient agencies and shall thereafter be reviewed and revised no less frequently than every 90 days. Plans may be reviewed more frequently as necessary to address substantial changes in the recipient's life, such as hospitalization.
E. A treatment or service plan shall be developed by a team consisting of the recipient, legally responsible parents, guardians or custodians and others among whom there exists the authorization to exchange information and who are needed to ensure the recipient's needs are adequately assessed and that appropriate recommendations are made, based upon a comprehensive assessment of the recipient. The plan shall contain but not be limited to:
F. A copy of the treatment or service plan shall be offered to each recipient, to the guardians, custodians or legal, responsible parents and to recipient's representative Of confidentiality has been waived pursuant to Part A Section VIII).
G. All agencies shall maintain specific written guidelines describing their practices concerning development of treatment or service plans.
H. The treatment or service plan shall be reviewed and revised as frequently as is clinically indicated. Each facility, agency or program shall establish, by policy, a schedule for review of all recipient's treatment or service plans.
I. Termination
J. Exceptions