Current through Supplement No. 394, October, 2024
1.
Duties of
the facility. The facility shall:
a.
Provide for a medical, psychiatric, and psychological assessment of each child
no later than seventy-two hours after admission;
b. Immediately include family and custodians
in the active treatment;
c. Involve
the families and the person who may lawfully act on behalf of the child in the
person-centered treatment plan;
d.
Provide daily therapy and programming that are individually tailored to meeting
a child's need and in sufficient volume to resolve immediate inpatient need.
Therapies must include individual and family components to facilitate rapid
return of the child to a family setting;
e. Provide ongoing and consistent individual
therapy utilizing evidence-based models of care for psychiatric residential
treatment facilities for children. Individual therapy must focus on providing
the child skills they need to be successful in their home and community;
f. Complete a diagnostic
assessment, completed by a licensed psychiatrist, no less than seventy-two
hours after admission that includes:
(1) A
psychiatric history;
(2) A mental
status examination, including an assessment of suicide;
(3) Psychosocial, including family history;
and
(4) Complete set of diagnosis
and recommendations for immediate treatment; and
g. Ensure therapeutic leave such as weekend
overnight visits or day passes with family must be documented in the child's
case file and be tied to family therapy and therapeutic goals of the child and
family, or it must be documented in the child's case file why weekend overnight
visits or day passes are not tied to therapy and therapeutic goals of the child
and family.
2.
Specialists. The facility shall provide a sufficient number of
qualified psychiatric professionals to meet the resident needs. Each facility
shall provide a minimum of one hour per week per bed of psychiatry time, one
hour per week per bed of family therapy time, and two hours per week per bed of
individual therapy time. Each facility shall provide twenty-four-hour nursing,
which may include a combination of onsite or on-call hours.
3.
Individual person-centered treatment
plan.
a. The facility shall develop and
implement an individual person-centered treatment plan that includes the
child's input giving the child a voice and a choice in the treatment planning
and interventions used. The plan must be based upon a comprehensive
interdisciplinary diagnostic assessment, which includes the role of the family,
identifies the goals and objectives of the therapeutic activities and treatment
and it must be developed by an interdisciplinary team. The plan must provide a
schedule for accomplishing the therapeutic activities and treatment goals and
objectives, and identify the individuals responsible for providing services to
children consistent with the individual person-centered treatment plan.
Clinical supervision for the individual person-centered treatment plan must be
accomplished by full-time or part-time employment of or contracts with a
licensed psychiatrist, a licensed psychologist, a licensed clinical social
worker, or a nurse who holds advanced licensure in psychiatric nursing.
Clinical supervision must be documented by the clinical supervisor cosigning
individual person-centered treatment plans and by entries in the child's record
regarding supervisory activity. The child, and the person who lawfully may act
on the child's behalf, must be involved in all phases of developing and
implementing the individual person-centered treatment plan. The child may be
excluded from planning if excluding the child is determined to be in the best
interest of the child and the reasons for the exclusion are documented in the
child's plan.
b. The plan must be:
(1) Based on a diagnosis using the current
diagnostic and statistical manual of mental disorders and a biopsychosocial
assessment;
(2) Developed within
three business days of admission; and
(3) Reviewed at a minimum every fourteen days
and updated or amended to meet the needs of the child by the interdisciplinary
team.
c. The
person-centered treatment plan must identify:
(1) Treatment goals that are short term and
intense, focused on successful return to home and community;
(2) Time frames for achieving the
goals;
(3) Goals that are
achievable and measurable;
(4) The
individuals responsible for coordinating and implementing child and family
treatment goals;
(5) Therapeutic
intervention or techniques or both for achieving the child's treatment
goals;
(6) The projected length of
stay and discharge plan; and
(7)
Referrals made to other service providers based on treatment needs, and the
reasons referrals are made.
4.
Solicitation of funds. A
facility may not use a child for advertising, soliciting funds, or in any other
way that may cause harm or embarrassment to a child or the child's family. A
facility may not make public or otherwise disclose by electronic, print, or
other media for fundraising, publicity, or illustrative purposes, any image or
identifying information concerning any child or member of a child's immediate
family, without first securing the child's written consent and the written
consent of the person who may lawfully act on behalf of the child. The written
consent must apply to an event that occurs no later than ninety days after the
date the consent was signed and must specifically identify the image or
information that may be disclosed by reference to dates, locations, and other
event-specific information. Consent documents that do not identify a specific
event are invalid to confer consent for fundraising, publicity, or illustrative
purposes. The duration of an event identified in a consent document may not
exceed fourteen days.
General Authority: NDCC 25-03.2-10
Law Implemented: NDCC 25-03.2-03,
25-03.2-07
