Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 207 - Institutional Long Term Care
Chapter 4 - Psychiatric Residential Treatment Facility
Rule 23-207-4.9 - Treatment Planning
Universal Citation: MS Code of Rules 23-207-4.9
Current through September 24, 2024
A. Treatment planning is defined by the Division of Medicaid as a collaborative venture which the members of various disciplines jointly develop a comprehensive, individualized plan of care for each individual.
1. The treatment plan must be designed to
achieve the individual's discharge from inpatient status at the earliest
possible time.
2. An initial
treatment plan must be in effect within twenty four (24) hours after the
resident's admission to the psychiatric residential treatment facility
(PRTF).
3. The interdisciplinary
treatment team must meet to discuss, approve and implement a more comprehensive
treatment plan within fourteen (14) days after the individual's admission,
monthly for the first six (6) months and every ninety (90) days
thereafter.
4. The treatment plan
document must contain evidence that the treatment team actively partners with
the individual and his/her parent or legal guardian and indicate efforts to
accommodate scheduling conflicts for therapy sessions, meetings and calls to
ensure active participation by all parties in the treatment
planning/review/revision process.
B. The treatment team must include the number of staff members necessary for the optimal treatment of the individual.
1. At a minimum, the team must include one of
the following:
a) A board-certified
child/adolescent psychiatrist or a psychiatrist who has successfully completed
an approved residency in child/adolescent psychiatry,
b) A psychiatric mental health nurse
practitioner (PMHNP) and a physician licensed to practice medicine or
osteopathy,
c) A licensed clinical
psychologist and a physician licensed to practice medicine or
osteopathy,or
d) A master's level
clinical psychologist and a physician licensed to practice medicine or
osteopathy with specialized training and experience in diagnosis and treatment
of mental illness.
2. The
team must also include one (1) or more of the following:
a) A licensed certified social worker (LCSW)
who has a minimum of one (1) year experience in treating individuals under the
age of twenty-one (21) with serious emotional disturbances (SED), or
b) A registered nurse who has a minimum of
one (1) year experience in treating individuals with SED.
c) A licensed professional counselor (LPC)
who has a minimum of one (1) year experience treating individuals under the age
of twenty-one (21) with serious emotional disturbances (SED),
d) A licensed occupational therapist with
specialized training or one (1) year of experience treating mentally ill
individuals, or
e) A master's level
clinical psychologist.
C. The treatment plan delineates all aspects of the individual's treatment and includes, at a minimum:
1. A diagnostic evaluation that includes
examination of the medical, psychological, social, behavioral, and
developmental aspects of the individual's situation and reflects the need for
inpatient psychiatric care.
2. An
assessment of the individual's immediate therapeutic needs.
3. An assessment of the individual's
long-range therapeutic needs.
4. An
assessment of the individual's personal strengths and liabilities.
5. Identification of the clinical problems
that are to be the focus of treatment.
6. Measurable and realistic treatment goals
for each identified problem.
7.
Observable, measurable treatment objectives that represent incremental progress
towards goals, coupled with target dates for their achievement.
8. An integrated program of therapies,
activities, and experiences designed to meet each objective.
a) Special procedures, as defined in Miss.
Admin. Code Title 23, Part 207, Rule
4.12, cannot be included in the
treatment plan as a treatment modality.
b) The treatment plan must document and
address any interventions that may be contraindicated or inappropriate for the
individual.
c) If special
procedures become necessary, the treatment plan must be amended or modified
within one (1) working day of the first incident to reflect the use of the
least restrictive necessary measures. The effectiveness or ineffectiveness of
interventions must be evaluated and revised therapeutic measures should be
incorporated into the individual's treatment plan to be used as a basis for
future interventions.
9.
The clinician identified as responsible for each aspect of treatment.
10. Identification of goals, objectives and
treatment strategies, and include feedback from the individual and his/her
parent or legal guardian regarding the discussion of treatment options
available in the community. If a geographically distant therapist will be
utilized, this must be specified in the treatment plan.
11. An individualized discharge plan that
includes:
a) Discharge criteria, indicating
specific goals to be met,
b) An
estimated discharge target date, and
c) No later than seven (7) days prior to
discharge, the discharge plan must also include an aftercare plan that
addresses coordination of family, school/vocational and community resources,
including recommendations and/or arrangements for further treatment, to ensure
continuity of care for the individual.
D. The treatment team must meet to review, and revise if necessary, the individual's treatment plan a minimum of every thirty (30) days or more often when necessary to provide optimum treatment. The treatment review team must assess the individual's progress in treatment by:
1. Noting treatment successes, discussing
which objectives and/or goals have been achieved and when, and explaining
treatment failures.
2. Making
changes in the treatment plan, as needed.
3. Re-assessing the individual's need for
continued residential care, as opposed to less restrictive treatment.
4. Noting the individual's measurable
progress towards discharge, reviewing/revising the discharge criteria and/or
target date as needed.
Miss. Code Ann. §§ 43-13-117, 43-13-121; 42 CFR 441.154(a)(b); 441.155(b)(2); 441.155(c)(1)(2); 441.156(b)(1)(3)(4)(5); 441.156(c)(1)(2); 144.156(d)(1)(2).
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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