Current through Register 1531, September 27, 2024
(1) Planning activities incorporate
strengths, preferences, service needs and goals of clients, and where
appropriate, of their families and include assessments, the development and
review of individual service plans and community service plans. Clients who
receive Case Management will have individual service plans developed in
accordance
104
CMR 29.06 and
104
CMR 29.07. Clients who receive DMH community
services will have community service plans developed in accordance with
104
CMR 29.06 and
104
CMR 29.11.
(2) DMH Services planning activities are:
(a) trauma informed, person centered, and
strength based; and when the client is a youth, are also youth guided and
family driven;
(b) sensitive and
responsive to a client's cultural, ethnic, linguistic background, sexual
orientation, gender identity, parental status, and other individual family
needs, where appropriate;
(c) based
on the results of assessments which are reviewed and modified as the client's
service needs, preferences or circumstances change;
(d) informed by information obtained through
interactions with the client, when appropriate the client's family, other
natural supports, and the client's service providers with the appropriate
authorizations, as well as previous records as available;
(e) conducted in the client's preferred
language by staff fluent in the language or through competent interpreters;
and
(f) coordinated with the
client, the client's legally authorized representative, current and potential
service providers, other Department staff, and any other person, including
family members, whose participation is requested or consented to by the client
or the client's legally authorized representative.
(3) The goals of DMH Services planning
activities are to:
(a) promote client recovery
and resiliency;
(b) identify the
services, treatment and other community supports a client needs that are
culturally competent and age and developmental-stage appropriate;
(c) facilitate or provide access to those
services, treatment, and supports, including strategies to ensure client
engagement in such services; and
(d) ensure that the provision of services is
consistent with the client's strengths, preferences, service needs, and goals,
is provided in the least restrictive setting possible, and promotes community
participation and independence to the fullest extent possible.
(e) identify goals demonstrating successful
completion of service and plans for transition.
(4) All planning activities will be conducted
in partnership with clients, client's families as authorized, and client's
legally authorized representatives. Clients will be:
(a) engaged and supported to participate
actively in the planning processes to the maximum extent possible;
(b) present at all applicable planning and
review meetings, unless client is unwilling or unable to attend;
(c) encouraged and assisted to engage family
members or other persons of the client's choice to participate; and
(d) encouraged to identify and discuss their
goals, preferred services and programs during planning meetings and shall
otherwise be supported to participate in a meaningful way in the discussions
and decision making process.
(5) When clients are unable or choose not to
take part in a meaningful way in planning activities, steps shall be taken to
minimize obstacles to such participation. Such steps may include, but are not
be limited to:
(a) developing plans for
increasing the ability of clients to participate;
(b) modifying the schedule or structure of
the meetings or making other accommodations designed to increase client
participation;
(c) educating
clients to facilitate and increase their participation; and
(d) continuing to actively engage clients in
ways that assist them to make choices regarding their services to the maximum
extent possible.
