Current through Register Vol. 56, No. 18, September 16, 2024
(a) All of the
standards in this section shall be considered Level II standards.
(b) The PA shall submit a written request to
the appropriate Division Regional Office to terminate or discharge a PACT
consumer from the PACT program.
(c)
The PA may terminate consumers from the PACT program based on the following
criteria:
1. Hospitalization in a State or
county psychiatric hospital in New Jersey for six continuous months with no
discharge date projected by the treatment team;
2. Incarceration in a jail or prison for six
continuous months;
3. Placement in
a nursing home or similar institution with no projected discharge date;
or
4. Death.
(d) Discharge from the PACT program may occur
when the enrollee and PACT team staff mutually agree to discontinue services.
One or more of the following conditions shall be present prior to reaching a
discharge decision:
1. The PACT consumer
moves outside the PA's area of geographic responsibility. In such cases, the
PACT team shall arrange, where possible, for transfer of mental health
responsibilities to another PACT team in New Jersey, or in another state, or to
another mental health provider wherever the client is moving;
2. The PACT consumer demonstrates an ability
as determined collaboratively to function in areas of self-care, socialization,
and work, without requiring assistance from the PACT program for up to six
months. This determination shall be made collaboratively by the consumer and
the PACT team;
3. The PACT consumer
requests discharge despite the team's documented but unsuccessful efforts to
engage him or her and/or to develop a mutually agreed upon treatment plan;
or
4. The PA petitions and receives
permission from the Division Regional Office to terminate the delivery of PACT
services to a particular consumer because the consumer's medical needs exceed
the PACT team's ability to coordinate treatment.
(e) Along with a request to terminate PACT
services or to discharge a consumer under (c) or (d) above, the PA shall submit
to the Division Regional office and shall include in the consumer's case record
a transition plan for that consumer. The transition plan shall include:
1. The reasons for the discharge;
2. Identification of any continuing needs for
treatment, rehabilitation or support;
3. A list of other providers and resources in
the community to which the consumer has been referred; and
4. A description of what efforts have been
made to ensure that the consumer receives these community services and
resources after discharge.
