Current through Register Vol. 56, No. 18, September 16, 2024
(a) The home shall
develop, implement and maintain on file a written case management plan for each
adolescent and her infant.
(b) The home
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 or social work component;
2. Staff members representing the child care
component;
3. Staff members representing
the administration of the home, 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 applicable;
7. The infant's
father or paternal relatives, if applicable; and
8. The adolescent, for the purposes of providing
input.
(c) The home shall
document in the adolescents and infants record that the Divisions worker or other
placing agency representative, the adolescents 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 home 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 relevant;
2.
The date of admission of the adolescent, and infant, if relevant;
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)
or other equivalent program was made and that any necessary follow up was done, or
documentation that the adolescent or infant was ineligible for WIC or other
equivalent program;
8. The adolescent's
social, familial, emotional and behavioral strengths and weaknesses;
9. An assessment of the interest in the unborn
child or child by the father, 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) in each program area and a projected time frame for completing each
goal;
14. The name of the person
responsible for the implementation of each treatment goal;
15. Techniques to be used to achieve each
treatment goal;
16. Criteria to be used
to determine whether each treatment goal is achieved;
17. A notation of progress made from any previous
plan;
18. Documentation of efforts to
achieve timely discharge and ongoing discharge planning, 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 home shall send to the Divisions worker or
other 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 adolescents and infants record.
(g) The home 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 home does not explain the adolescent's and
infant's case management plan to the adolescent's parents, the home shall document
in the adolescent's case record the reasons that the plan was not explained to the
parents.
(h) The home 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 home shall:
1. Explain to the
adolescent mother the implications and process of adoption;
2. Notify the Divisions worker or other 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.
