New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT
Subchapter 2 - PROGRAM OPERATION
Section 10:37J-2.11 - Records

Universal Citation: NJ Admin Code 10:37J-2.11

Current through Register Vol. 56, No. 18, September 16, 2024

(a) The PA shall maintain individual records in an up-to-date organized manner and in accordance with Federal and State law governing the disclosure of information and records of persons who are receiving and who have received State-funded mental health services (30:4-24.3, 10:37-6.79 and P.L. 104-191). The records shall contain all relevant consumer information and shall be maintained to preserve confidentiality. The records shall contain documentation described in this chapter.

(b) A termination summary shall be completed for all consumers within 30 days of termination from PACT services and shall be included in the consumer's record.

1. The termination summary shall include the following:
i. The date of admission;

ii. The reason for admission;

iii. A summary of PACT services provided;

iv. The date of discharge;

v. The consumer's status and condition at discharge;

vi. A written final evaluation summary of the consumer's progress toward the goals set forth in the service plan; and

vii. A plan developed with the consumer regarding the consumer's continuing or future service needs.

(c) Records shall be released in accordance with the provisions at 10:37-6.79 and 10:37J-2.6(b)6.

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