Code of Massachusetts Regulations
104 CMR - DEPARTMENT OF MENTAL HEALTH
Title 104 CMR 29.00 - Application for DMH services, referral, service planning and appeals
Section 29.15 - Requests for Discharge from Services; Disengagement from Services
Universal Citation: 104 MA Code of Regs 104.29
Current through Register 1531, September 27, 2024
(1) If a client or the client's legally authorized representative requests discharge from DMH services, the request will be referred to the Area Director or designee for review.
(a) If the Area Director or designee concurs
with the request, the client shall be discharged.
(b) If such request is against the advice of
the Area Director or designee, the Department shall direct efforts, for a
reasonable period of time, to encourage the client or the client's legally
authorized representative to continue such services. If, notwithstanding such
efforts, the client or the client's legally authorized representative still
requests discharge, the client shall be discharged. Efforts to encourage
continued participation and discharge from services shall be documented in the
client's record.
(2) If a client disengages from DMH services without formal request or notification, the Department shall direct efforts to reengage the client. The mechanisms and time frame for such reengagement efforts shall be determined by the Area Director or designee.
(a) When a clinical decision is made
that reengagement efforts have failed and are unlikely to succeed in the
foreseeable future, the Area Director or designee shall be notified.
(b) If the Area Director or designee concurs,
the client shall be discharged and shall no longer be a client. Efforts to
reengage the client and discharge from services shall be documented in the
client's record.
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