Current through Register Vol. 51, No. 19, September 20, 2024
A. Discharge
Policy. The program director shall:
(1)
Collaborate with the Administration's administrative services organization
(ASO) to:
(a) Arrange for discharge from the
program when services are no longer authorized by the Administration's ASO,
and
(b) Discontinue residential
services to an individual whose clinical needs exceed the RRP's ability to
secure the safety and welfare of the individual or others;
(2) Maintain clearly written policies and
procedures for:
(a) The process for discharge
from the program, and
(b) Temporary
suspension from a residence; and
(3) Discontinue residential services to an
individual whose clinical needs exceed the RRP's ability to secure the safety
and welfare of the individual or others, including the:
(a) Criteria for discontinuation,
and
(b) Progressive steps and
interventions that the program will enact before discontinuation.
B. Collaborative
Discharge. When the Administration's ASO, in consultation with the
rehabilitation coordinator, determines that services are no longer medically
necessary, the rehabilitation coordinator shall follow the provisions for
collaborative discharge outlined in COMAR
10.21.21.07B.
C. Suspension.
(1) If an individual's clinical needs exceed
the RRP's ability to secure the safety and welfare of the individual or others,
the RRP program director may ask the individual to leave the residence on a
temporary basis, as an alternative to the individual's termination from the
residence.
(2) To implement a
suspension identified in §C(1) of this regulation, the RRP program
director:
(a) In writing, shall inform:
(i) The individual of the suspension and the
reason for the determination, and
(ii) When involved and with proper consent,
the CSA and the Administration's ASO of the suspension;
(b) Shall give information on placement
alternatives; and
(c) May provide
temporary housing options.
D. Program's Recommendation to Discontinue
Residential Services. If the program director recommends discontinuing
residential services to an individual whose clinical needs exceed the RRP's
ability to secure the safety and welfare of the individual or others, the
program director shall:
(1) Provide written
notice of the discontinuation, according to the provisions of COMAR
10.21.21.07D;
(2) When possible, give the individual
information about appropriate alternative services;
(3) When authorized, arrange for outreach, by
PRP staff, to encourage the individual to access appropriate services;
and
(4) Complete a discharge
summary in accordance with COMAR
10.21.17.07D(3).
