Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs
Section 10.21.22.08 - Evaluation and Planning Services
Universal Citation: MD Code Reg 10.21.22.08
Current through Register Vol. 51, No. 19, September 20, 2024
A. Assessment. Within 30 days of initiation of RRP services, staff, in collaboration with the individual, shall complete an RRP assessment that includes:
(1) The
rehabilitation service requirements noted in the PRP assessment; and
(2) An assessment of the individual's:
(a) Need for RRP services,
(b) Behaviors, if any, that are potentially
dangerous to self or others,
(c)
Ability to perform basic self-care and to maintain personal safety,
(d) History, if any, of requiring
intermittent intensive levels of support in order to remain in the community,
and
(e) Need for changing intensity
of intervention based on the episodic nature of illness.
B. Individualized Rehabilitation Plan (IRP).
(1) Initial IRP. Within 30 days of
initiation of RRP services and based on the assessment in §A of this
regulation, staff shall specify in the IRP:
(a) RRP goals; and
(b) The range of:
(i) Frequency of residential services,
and
(ii) Intensity of staff
support, as described in Regulation .09D of this chapter.
(2) If the individual's service
needs change, the RRP staff shall:
(a) Provide
and document in the individual's record the services required by the
change;
(b) Notify relevant staff
of the change initiated; and
(c)
Incorporate this information in the next IRP review.
(3) IRP Review. As frequently as necessary,
as determined by an individual's rehabilitation coordinator, and at a minimum
of every 6 months, the rehabilitation coordinator shall:
(a) Review and record in the individual's
medical record:
(i) The individual's progress
toward the accomplishment of previously identified rehabilitation
goals,
(ii) Goal changes, based on
a review of the individual's progress, and
(iii) Changes in interventions, including
staff responsibility;
(b) Communicate promptly the results of the
IRP review to:
(i) Relevant program staff,
and
(ii) With proper consent,
family or significant others designated by the individual, and community mental
health programs providing services to the individual.
(4) Signature of the IRP and
Reviews. Staff shall obtain the individual's written or tape-recorded agreement
or disagreement with the plan and, in addition, the following shall sign the
plan and reviews:
(a) The rehabilitation
coordinator; and
(b) Staff
responsible for implementing the plan.
C. Continuing Evaluation. The RRP director shall ensure that RRP staff document in the individual's PRP record contact notes and, at least monthly, progress summary notes of services, including any change in intensity of staff support, delivered at the RRP.
D. Documentation. RRP staff shall document the assessment, IRP, contact notes, and progress summary notes for residential services in either:
(1) The PRP record;
or
(2) In documents separate from
the PRP record, if the PRP record references the separate documents.
Disclaimer: These regulations may not be the most recent version. Maryland 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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