(A) The hospital
multidisciplinary treatment team must develop and implement a written treatment
plan for each member. For members younger than 21 years old, the treatment plan
must be developed in conjunction with any case managers the member may have
from DMH, DCF, DYS, or DDS. The treatment plan must
(1) be developed and reviewed with the
fullest possible participation of the member, his or her designated
representative or guardian, if any, and individuals in whose care the member
will be released after discharge;
(2) be based on the findings of an initial
assessment;
(3) be based on a
diagnostic evaluation that includes examination of the medical, psychological,
social, behavioral, and developmental aspects of the member's situation and
that reflects the need for psychiatric inpatient hospital care;
(4) state long- and short-range
goals;
(5) state, with specific and
measurable terms and time frames, treatment objectives that include changes
that must occur in order to discharge the patient;
(6) prescribe an integrated program of
therapies, activities, and experiences designed to meet the treatment
objectives;
(7) specifically
identify the psychiatric symptoms that require psychiatric inpatient hospital
care rather than treatment in a less-restrictive setting;
(8) be developed and implemented within three
calendar days of admission;
(9)
include an initial determination of the member's expected length of stay in the
facility and the anticipated discharge plan, that is coordinated with
outpatient and community providers;
(10) include written documentation in the
member's record that the member, his or her legal guardian, and family members
are given the opportunity to participate in the development and modification of
the treatment plan and the psychiatric treatment itself, through participation
in family therapy as clinically indicated, and to attend treatment plan
meetings as clinically appropriate and according to the bounds of consent;
and
(11) when appropriate, include
indications of the need for DMH Continuing Care Services or for services from
other state agencies, or both.
(B) The treatment plan for each member must
be reviewed, and revised if necessary, by the hospital interdisciplinary review
team every seven days from the date of admission to determine that psychiatric
services being provided are required on an inpatient basis. If the member's
length of stay is less than seven days, the review must be performed at the
time of discharge.
(C) The
treatment plan must be documented in the member's medical record, as set forth
in
130 CMR
425.423.
