New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 75 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES FOR INDIVIDUALS UNDER AGE 21
Subchapter 2 - PROGRAM REQUIREMENTS
Section 10:75-2.4 - Individual plan of care

Universal Citation: NJ Admin Code 10:75-2.4

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

(a) PRTF services shall include "active treatment" in accordance with 42 C.F.R. 441.154. Active treatment means the implementation of a professionally developed and supervised plan of care that is developed and implemented no later than 14 days after admission and designed to achieve the goal of the resident's appropriate discharge from the PRTF at the earliest possible date.

(b) The individual plan of care shall be based on a diagnostic evaluation that includes the examination of the medical, psychological, social, behavioral, and developmental aspects of the resident's current status and shall reflect the need for PRTF care. The appropriate professional personnel shall perform the evaluations.

1. For children/youth/young adults enrolled with the DCF/DCSOC, the plan of care and the diagnostic evaluations shall be completed as part of their Individual Service Plan (ISP) developed by the CMO and shared with the provider who will render the service. See 10:73-3.

(c) The individual plan of care shall be developed by the team members identified at 10:75-2.4 and shall be developed in consultation with the resident and the resident's parents, legal guardians, or others into whose care the resident will be released once discharged from the facility.

1. For children/youth/young adults enrolled with the DCF/DCSOC, the plan of care shall be developed in conjunction with the DCSOC entity coordinating the beneficiary's care and shall be included in the ISP.

(d) The individual plan of care shall prescribe an integrated program of therapies, activities, and experiences designed to meet the treatment objectives.

(e) The individual plan of care shall include post-discharge plans, and coordination of inpatient services with partial care discharge plans and related community services to ensure the continuity of care with the resident's family school and community upon discharge.

1. For DCF/DCSOC enrolled children/youth/young adults, post-discharge plans shall include and be coordinated with the ISP prepared by the child-family team (CFT) as facilitated and coordinated by the child/youth/young adult's CMO care coordinator.

(f) The PRTF interdisciplinary team shall review the resident's individual plan of care, at a minimum, every 30 days to:

1. Determine that the services being provided are or were required on an inpatient basis; and

2. Recommend changes in the plan as indicated by the resident's overall adjustment and progress in treatment. (See 42 C.F.R. 441.155.)

(g) The child/youth/young adult, his or her parent or guardian and representatives from the CMO shall be included in the facility's review of the plan of care.

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