Current through Register Vol. 18, September 20, 2024
(1)
Each client must have an individual treatment plan developed by an
interdisciplinary team that represents the professions, disciplines or service
areas that are relevant to:
(a) identifying
the client's needs, as described by the comprehensive functional assessments
required in (3) ; and
(b) designing
programs that meet the client's needs.
(2) Appropriate facility staff must
participate in interdisciplinary team meetings. Participation by other agencies
serving the client is encouraged. Participation by the client or the client's
legal guardian is required unless that participation is unobtainable or
inappropriate.
(3) Within 30 days
after admission, the interdisciplinary team must perform accurate assessments
or reassessments as needed to supplement the preliminary evaluation conducted
prior to admission. The comprehensive functional assessment must take into
consideration the client's age (for example a young adult, an elderly person)
and the implications for treatment and habilitation at each stage, as
applicable, and must:
(a) identify the
presenting problems and disabilities and where possible, their
causes;
(b) identify the client's
specific developmental strengths;
(c) identify the client's specific
developmental and behavioral management needs;
(d) identify the client's need for services
without regard to the actual availability of the services needed; and
(e) include physical development and health,
nutritional status, sensory motor development, affective development, speech
and language development and auditory functioning, cognitive development,
social development, adaptive behaviors or independent living skills necessary
for the client to be able to function in the community, and as applicable,
vocational skills.
(4)
Within 30 days after admission, the interdisciplinary team must prepare for
each client an individual treatment plan that states the specific objectives
necessary to meet the client's needs, as identified by the comprehensive
assessment required by (3), and the planned sequence for dealing with those
objectives. These objectives must be:
(a)
stated separately, in terms of a single behavioral outcome;
(b) assigned projected completion
dates;
(c) expressed in behavioral
terms that provide measurable indices of performance;
(d) organized to reflect a developmental
progression appropriate to the individual; and
(e) assigned priorities.
(5) Each written training program designed to
implement the objectives in the individual treatment plan must specify:
(a) the methods to be used;
(b) the schedule for use of the
method;
(c) the person responsible
for the program;
(d) the type of
data and frequency of data collection necessary to be able to assess progress
toward the desired objectives;
(e)
the inappropriate client behavior(s), if applicable; and
(f) provision for the appropriate expression
of behavior and the replacement of inappropriate behavior, if applicable, with
behavior that is adaptive or appropriate.
(6) The individual treatment plan must also:
(a) describe relevant interventions to
support the individual toward independence;
(b) identify the location where program
strategy information (which must be accessible to any person responsible for
implementation) can be found;
(c)
include, for each client who lacks them, training in personal skills essential
for privacy and independence (including, but not limited to, toilet training,
personal hygiene, dental hygiene, self-feeding, bathing, dressing, grooming,
and communication of basic needs) until it has been demonstrated that the
client is developmentally incapable of acquiring them;
(d) identify mechanical supports, if needed,
to achieve proper body position, balance, or alignment. The plan must specify
the reason for each support, the situations in which each is to be applied, and
a schedule for the use of each support;
(e) provide that each client who has multiple
disabling conditions spend a major portion of each waking day out of bed and
outside the bedroom area, moving about by various methods and devices whenever
possible; and
(f) include
opportunities for client choice and self-management.
(7) Relevant portions of each client's
individual treatment plan must be made available to appropriate staff,
including staff of other agencies who work with the client and to the client or
legal guardian.
Sec.
50-5-103
and
50-5-238,
MCA; IMP, Sec.
53-5-103,
50-5-201 and
50-5-238,
MCA;
