Code of Massachusetts Regulations
103 CMR - DEPARTMENT OF CORRECTION
Title 103 CMR 424.00 - Phase Treatment Program
Section 424.07 - Assignment of Patients to the Phase Treatment Program

Universal Citation: 103 MA Code of Regs 103.424

Current through Register 1531, September 27, 2024

(1) Patients may be placed or retained on the Phase Treatment Program if, by their behavior, they are unable to be housed safely, and participate in treatment, with the general population, and if they do not require emergency interventions such as seclusion or restraint.

(2)

(a) Patients may be assigned to Special Treatment Status by a staff psychiatrist, based on a clinical assessment, and in collaboration with the Treatment Team whenever possible.

(b) Patients may be placed on Phases I, II, or III by any clinician, based on a clinical assessment, and in collaboration with the treatment team whenever possible.

(c) During non-business hours, a patient may be temporarily placed on Phase I status by the officer in charge of the unit, pending a clinical evaluation, if the patient is engaging in behavior which, if left unaddressed, could lead to the patient posing a threat to self, others, or the security of the institution. Such a clinical evaluation shall be conducted the next business day.

(3) The psychiatrist or clinician placing the patient on the Phase Treatment Program will:

(a) Explain the reasons for such placement to the patient; and

(b) Describe to the patient the behaviors necessary for advancement to a higher level.

(4) The Treatment Team will modify the Master Treatment Plan, in collaboration with the patient. This will include:

(a) Identifying skills necessary for the patient to move to a less restrictive level;

(b) Formulating and providing interventions to assist the patient in attaining those skills;

(c) Assessing the effectiveness of the interventions;

(d) Revising the Treatment Plan as indicated.

(5) All patients placed on the Phase Treatment Program will have their status reviewed by the Treatment Team on a daily basis during business hours, and shall be advanced to a less restrictive status as soon as clinically indicated.

(6) All assignments to Special Treatment Status shall be reviewed by the Medical Director or his/her designee on the next business day.

(7) Patients on Special Treatment Status and Phases I and II will participate in the on-unit rehabilitation treatment program to the fullest possible extent.

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