Current through Register Vol. 51, No. 19, September 20, 2024
A. Case Coordination. The TGH clinical
director shall assure that a child's case coordinator:
(1) Integrates appropriate therapeutic and
educational services into the child's ITP by coordinating with the child's
previous placement provider, school, clinic or other mental health providers,
and, if any, employer;
(2) Makes
home visits and meets with the primary caretaker to ameliorate problems in the
home and facilitate reunification; and
(3) Participates in treatment team meetings
for the purposes of collaborating in service delivery and advocating for the
child.
B. Group Therapy.
Appropriately credentialed and privileged TGH staff or consultants shall, at
least weekly at the TGH, provide group therapy that, unless otherwise indicated
in the child's ITP, includes every child in the TGH.
C. Pychoeducational Groups. As required by
the child's ITP, the child's care coordinator shall assure that the child has
the opportunity to participate in appropriate groups for children who have
special needs, including but not limited to groups for children who have been
affected by:
(1) Substance abuse;
(2) Sexual assault;
(3) Physical abuse; or
(4) Home or community violence.
D. Medication Services.
(1) The TGH clinical coordinator shall assure
that medications prescribed for a child are stored securely and made available
to the child as appropriate.
(2)
Administration. If a child's ITP requires that TGH staff administer medication,
the following requirements apply:
(a) Only an
individual licensed under the Health Occupations Article, Annotated Code of
Maryland, to administer medication may do so; and
(b) Only a licensed practical nurse or a
registered nurse may delegate the administration of medication according to the
provisions of COMAR 10.27.11.
(3) Monitoring. When required by the child's
ITP, a TGH staff member privileged to do so shall provide the following
services:
(a) Supporting the child's
self-administration of prescribed medication;
(b) To the extent possible, monitoring
compliance with instructions appearing on the label;
(c) Reading the label to assure that each
container of medication is clearly labeled with the child's name, the contents,
directions for use, and expiration date;
(d) Observing and documenting any apparent
reactions to medication and, either verbally or in writing and in a timely
fashion, communicating to the prescribing authority and TGH psychiatrist any
problems that possibly may be related to the medication; and
(e) Reinforcing education on the role and
effects of medication in symptom management.
E. Health Promotion and Training.
(1) When indicated in the child's ITP, TGH
staff privileged to do so shall provide basic health teaching in the following
areas:
(a) Nutrition;
(b) Exercise;
(c) Dental care;
(d) Substance abuse prevention; and
(e) Prevention of injury and illness at home
and in the community.
(2) The clinical coordinator shall assure the
provision of training in communicable disease prevention, including prevention
of sexually transmitted diseases and blood-borne pathogens, including
HIV/AIDS.
F. Discharge
Procedures. A TGH licensee shall:
(1) Carry
out discharge planning in accordance with COMAR 01.04.04.23D; and
(2) Forward a copy of each discharge plan to
the appropriate CSA and the Administration.
