North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 26 - MENTAL HEALTH, GENERAL
Subchapter D - NORTH CAROLINA DEPARTMENT OF CORRECTION: STANDARDS FOR MENTAL HEALTH AND MENTAL RETARDATION
Section .0900 - TREATMENT AND HABILITATION
Section 26D .0902 - ADMISSION ASSESSMENT
Universal Citation: 10A NC Admin Code 26D .0902
Current through Register Vol. 39, No. 6, September 16, 2024
(a) An admission note shall be completed within 24 hours of admission which includes, but need not be limited to:
(1) reason for
admission;
(2) present condition of
the client reported in objective, behavioral terms, and when possible, a
description of the client's condition by others;
(3) diagnostic impression, including a
provisional or admitting diagnosis;
(4) determination of and request for
additional referrals or special diagnostic tests, assessments or evaluations,
if needed; and
(5) a preliminary
individual treatment or habilitation plan.
(b) If clinically indicated, a social, educational, medical, criminal, vocational, developmental, and psychiatric history shall be completed within 30 days after admission.
Authority
G.S.
148-19(d);
Eff.
January 4, 1994;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. June 20,
2015.
Disclaimer: These regulations may not be the most recent version. North Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
