Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This amendment adds a requirement for
obtaining consent to treatment from individuals served, updates terminology,
and removes the requirement for obtaining the individual's signature on the
treatment plan.
(1) Each
agency that is certified by the department as an outpatient mental health
treatment program shall comply with all requirements set forth in Department of
Mental Health Core Rules for Psychiatric and Substance Use Disorder Treatment
Programs, 9
CSR 10-7.010 through
9 CSR
10-7.140.
(A) The
agency shall have written policies and procedures defining eligibility for
services, screening, admission, and clinical assessment to assist in the
support of each individual.
(B) The
program shall maintain reasonable hours to assure
accessibility.
(2) The
program shall ensure an intake screening and admission assessment is conducted
in accordance with 9 CSR 10-7.030(1) and
(2).
(A) The
following services shall be provided on an outpatient basis, in accordance with
individual needs:
1. Crisis prevention and
intervention;
2. Treatment
planning;
3. Individual and group
counseling;
4. Continuing recovery
planning; and
5. Information and
education.
(3)
Consent to Treatment. Each individual served or a parent/guardian must provide
informed, written consent to treatment.
(A) A
copy of the consent form, which must include the date of consent and signature
of the individual served or a parent/guardian, shall be retained in the
individual record.
(B) Consent to
treat shall be updated annually, including the date of consent and signature of
the individual served or a par-ent/guardian, and be maintained in the
individual record.
(4)
Services shall be provided under the direction of an individual treatment plan
as specified in 9 CSR
10-7.030(4).
(A) An initial treatment goal shall be
developed at intake to address immediate needs during the admission process to
the outpatient treatment program.
(B) The admission assessment and treatment
plan shall be completed within the first three (3) outpatient visits.
1. Each individual shall participate in the
development of their treatment plan.
2. For children and youth, the parent or
guardian must participate in the development of the treatment plan and the
child/youth shall participate, as appropriate.
(C) Treatment plans shall be reviewed and
updated every ninety (90) days to reflect the individual's progress and changes
in treatment goals and services.
(D) Treatment plans must be revised and
rewritten at least annually to align with the annual assessment to reflect
current needs and goals.
(E)
Treatment plans shall be approved by a licensed mental health professional as
defined in 9 CSR
30-4.035(2)(A).
(5) Individual and group counseling must be
delivered by a licensed mental health professional.
(6) Each agency shall maintain an organized clinical
record system in accordance with
9 CSR
10-7.030(13) which ensures easily
retrievable, complete, and usable records stored in a secure and confidential
manner.
(A) Each agency shall implement
written procedures to assure quality of individual records, including a routine
review to ensure documentation requirements are being met.
*Original authority: 630.050, RSMo 1980, amended 1993, 1995
and 630.655, RSMo 1980.
