New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT
Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS
Section 10:37-5.59 - Service approaches
Universal Citation: NJ Admin Code 10:37-5.59
Current through Register Vol. 56, No. 24, December 18, 2024
(a) Inpatient Treatment/Service Approaches
1. IPU
programs shall include a wide range of services and treatment modalities. These
shall include medical psychiatric services, such as individual and group
therapies, neuroleptics, etc. and various psychological interventions, such as
behavioral modification and structured group processes, as defined within the
context of psychosocial therapeutic milieu.
2. Appropriate interdisciplinary staff shall
be an ongoing part of treatment and service planning for each client. Selected
staff members from other community mental health program elements (for example:
Partial Care, Outpatient, etc.) should also become a part of the treatment
team, as needed, for continuity of care purposes.
3. IPU Individual Service Plans (ISPs) shall
be designed to relieve the client from present discomfort and to provide the
client with the coping skills necessary to function in the community. The
treatment/service plan shall be explicit in describing how/why the client could
not cope in the community and what will be done, during the stay, to help the
client to function more adequately upon discharge. (See N.J.A.C. 10:37-6,
Article VIII.)
4. When appropriate,
families and/or other support system members shall be encouraged to participate
in goal setting, treatment planning, program services, and discharge
planning.
5. When clients known to
DYFS are admitted, the IPU shall notify and involve DYFS in program and
discharge planning, as soon as possible.
6. Upon completion of needs assessments, if a
client under the age of 18 is in need of DYFS services, referral to the
appropriate District Office of DYFS should be completed.
7. The services of the various professional
disciplines shall be integrated through regular staff conferences initiated for
the purpose of needs assessment, services and discharge planning, and ongoing
involvement of clients.
8. A daily
schedule of group and individual program/service options shall be made
available to each client and shall be developed with client participation
whenever possible.
9. For clients
who are discharged within 48 hours of admission, emphasis shall be on
reinforcing the client's natural support system, where appropriate, and on
treatment and discharge planning, described in (a)3 above.
(b) Records: IPU programs shall comply with the requirements for medical/service records as specified by the Joint Commission on the Accreditation of Hospitals and the Division. (See N.J.A.C. 10:37-6, Article XIII.)
(c) Client involvement:
1. Each client shall be involved
in determining service goals, modalities of treatment and timetables, to the
extent that his or her condition permits. Participation should be documented by
having the client's signature on the plan. (See N.J.A.C. 10:37-6, Article
VIII.) Client involvement shall include the development, modification,
execution, and registration of an advance directive for mental health treatment
if the consumer, after receiving complete information about such directives,
wishes to designate either a mental health representative or to execute an
instruction directive.
2. Client
participation in community-based activities (for example: Partial Care,
vocational programs, or visits to a future residence), shall be encouraged and
facilitated. Clients shall also be given opportunities to reorient themselves
to their home community while still an inpatient.
3. See N.J.A.C. 10:37-4.
(d) Discharge planning:
1. Unified Services requirements applicable
to State and County psychiatric hospitals shall also apply to community-based
IPU programs. (See N.J.A.C. 10:37-6, Article XVIII.)
2. Discharge planning shall begin as soon
after admission as feasible.
3. An
Individual Service Plan (ISP) shall include linkages with appropriate community
mental health and related social services. The ISP shall identify comprehensive
service needs. (See N.J.A.C. 10:37-6, Article VIII.)
4. A review of the client's condition should
be made after 24 hours in order to certify/justify the initial stay. A
treatment plan shall be developed within 72 hours and be reviewed after one
week. Each client's treatment plan should be updated as often as possible. A
formal review of a client's treatment plan after the first week should
minimally be made on the 14th and 28th day of enrollment. Subsequently the
Individual Service Plan shall be reviewed and updated every two weeks up to
three months, and every three months thereafter. In each review, justification
for continued hospitalization, if necessary, should be recorded.
5. If a client is readmitted, the Unit should
ascertain and document where a breakdown in the individual's community and
natural support systems, his/her personal adaptive capabilities, and/or
emotional or physical condition occurred, so as to avoid subsequent
breakdowns.
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