Current through Register Vol. 18, September 20, 2024
(1) An EDC must have a multi-disciplinary
plan of care that is supervised and directed by the admitting psychiatrist, and
consisting of adequate numbers of individuals licensed, registered, or
certified in the physical and mental health disciplines appropriate to the
condition of each client.
(2) Based
upon the findings of an assessment, the EDC must establish an individualized
plan of care for each client within five contacts or 21 days from the first
contact, whichever is later. The plan of care must:
(a) specify a diagnosis based on the
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5),
or the International Classification of Diseases, Tenth Revision
(ICD-10);
(b) identify plan of care
team members, from within and outside of the EDC, who are involved in the
client's treatment and care;
(c)
include individual goals that are expressed in a manner that captures the
client's words or ideas;
(d)
include objectives that include identified steps to achieve the goal;
(e) include nutritional rehabilitation to
support regular and consistent weight when indicated;
(f) include measurable improvement in eating
disorders behavior;
(g) identify
projected timeframe for completion of goals and objectives as determined by the
behavioral health needs of the client;
(h) identify the staff person responsible for
each treatment service to be provided;
(i) include family participation in treatment
unless such participation is contraindicated. Written documentation must
indicate the reason participation is contraindicated;
(j) include signatures from the client, the
client's legal guardian (if applicable), the licensed mental health
professional and any other person responsible in implementation of the plan;
and
(k) describe how the EDC will
monitor the client's weight and food-related behaviors.
(3) The plan of care must be reviewed
face-to-face at least every:
(a) 90 days for
outpatient therapy;
(b) 30 days
for intensive outpatient programs; or
(c) seven days for partial hospitalization
programs.
(4) Plan of
care reviews must include:
(a) the client;
(b) the client's legal guardian
(if applicable);
(c) the licensed
mental health professional involved in developing the plan;
(d) any person with responsibility in
implementation of the plan;
(e)
documentation on progress towards objectives and goals; and
(f) date and signature of all persons
indicating participation in the review.
AUTH:
50-5-247,
MCA; IMP:
50-5-247,
MCA
