Current through Register Vol. 56, No. 18, September 16, 2024
(a) The facility shall
develop, implement and maintain on file a written case management plan for each
adolescent and her infant.
(b) The
facility shall form a case management planning team that is responsible for the
development of a case management plan for each adolescent and infant. The team shall
consist of each of the following:
1. Staff members
representing the clinical and social work components;
2. Staff members representing the child care
component;
3. Staff members representing
the administration of the facility, if necessary;
4. Representatives from the adolescent's
responsible school district and/or current school district, if necessary;
5. A representative from the Division or other
placing agency;
6. The adolescent's
family, if appropriate; and
7. The
infant's father or paternal relatives, if appropriate.
(c) The facility shall document in the
adolescent's and infant's record that the placing agency's representative, the
adolescent's therapist, parents, or legal guardian, and the responsible or current
school district, if applicable, were invited to participate as members of the case
management planning team and in all subsequent revisions of the plan.
(d) The facility shall develop the initial case
management plan within 30 calendar days following an adolescent's and/or her
infant's admission and shall review or revise the plan at least every three months
thereafter.
(e) The case management plan
shall include the following information:
1. The
name of the adolescent, and infant, if applicable;
2. The date of admission of the adolescent, and
infant, if applicable;
3. The date when
the plan is developed or revised;
4. The
names and titles of all persons attending the development and review
meeting;
5. The adolescent's plan for
and receipt of medical and dental care;
6. The infant's plan for and receipt of medical
care, and dental care if the infant is three years of age or older;
7. Documentation that a referral to the
Supplemental Feeding Program for Women, Infants and Children (WIC) was made and that
any necessary follow up was done, or documentation that the adolescent or infant was
ineligible for WIC;
8. The adolescent's
social, familial, emotional and behavioral strengths and weaknesses;
9. An assessment of the infant's father's interest
in the child, including a notation of whether the infant's paternity has been
legally established;
10. An assessment
of the adolescent's parenting capabilities including, but not limited to, the
adolescent's ability to feed and play with her infant, provide for her infant's
grooming, provide medical care, and use child care responsibly, if
applicable;
11. An assessment of the
adolescent's academic progress, including a report of attendance and grades obtained
within 30 calendar days of the case planning meeting;
12. An assessment of the health and development of
the infant, including available developmental assessments from health
examinations;
13. Specific treatment
goal(s) and objectives in each program area and a projected time frame for
completing each goal and objective;
14.
The name of the person responsible for the implementation of each treatment goal and
objective;
15. Techniques to be used to
achieve each treatment goal and objective;
16. Criteria to be used to determine whether each
treatment goal is achieved;
17. Notation
of progress made from any previous plan;
18. Efforts to achieve timely discharge, including
but not limited to services needed by parents or other persons to whom the
adolescent will be discharged; and
19.
Documentation of how the adolescent is being prepared for self-sufficiency. This
documentation shall include, but not be limited to instruction in:
i. Food preparation, including participation in
preparing at least one meal a week and training in food shopping at least once a
month;
ii. Budgeting and money
management, including, but not limited to, discussion of standard deductions from a
paycheck, costs for housing and transportation and how to open and use a savings and
checking account; and
iii. Career
planning and job training, including, but not limited to, discussion of entry level
requirements for job openings in the community and assistance in obtaining the
qualifications for these positions.
(f) The facility shall send to the placing agency
a copy of the case management plan and any revisions to it within 30 calendar days
after the planning meeting and retain a copy of the correspondence in the
adolescent's and infant's record.
(g)
The facility shall explain to the adolescent, her parents, and all persons
responsible, the adolescent's and infant's case management plan and any revisions to
it. If the facility does not explain the adolescent's and infant's case management
plan to the adolescent's parents, the facility shall document in the adolescent's
case record the reasons that the plan was not explained to the parents.
(h) The facility shall provide and monitor all
services specified in the case management plan and document the rationale for any
deviations from the most recent case management plan in the adolescent's and
infant's record.
(i) When an adolescent
mother expresses interest in surrendering her infant for adoption, the facility
shall:
1. Explain to the adolescent mother the
implications and process of adoption;
2.
Notify the placing agency;
3. Notify the
adolescent's parent or legal guardian, if applicable; and
4. Provide the adolescent with information in
order to contact legal counsel if she so chooses.
