South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents
Section 61-103.D - Admission and Intake

(1) complete medical history;

(2) general physical; examinations;

(3) neurological screening;

(Note: subparagraphs 1, 2 and 3 must be done within thirty (30) days prior to admission with an update addendum on admission or within ninety-six (96) hours after admission.)

(4) motor development and functioning;

(5) dental screening;

(6) speech, hearing and language screening;

(7) vision screening;

(8) review of immunization status and completion according to the current requirements of the S.C. Department of Health and Environmental Control and Department of Education.

(9) laboratory work-up including routine blood work and urinalysis;

(10) tuberculosis screening.

Note: If any of the physical health assessments indicate the need for further testing or definitive treatment, arrangement shall be made to carry out or obtain the necessary evaluations and/or treatment by appropriately qualified and/or trained clinicians, and plans for these treatments shall be coordinated with the resident's overall treatment plan.

(1) The assessment includes direct evaluation and behavioral appraisal, evaluation of sensory, motor functioning, a mental status examination appropriate to the age of the resident and a psychodynamic appraisal. A history of any previous treatment for mental, emotional or behavioral disturbances shall be obtained, including the nature, duration and results of the treatment, and the reason for termination.

(2) The psychological assessment includes appropriate testing.

(1) The developmental history of the resident includes the prenatal period and from birth until present, the rate of progress, developmental milestones, developmental problems, and past experiences that may have affected the development. The assessment shall include an evaluation of the resident's strengths as well as problems. Consideration shall be given to the healthy developmental aspects of the resident, as well as to the pathological aspects, and the effects that each has on the other. There shall be an assessment of the resident's current age-appropriate developmental needs, which shall include a detailed appraisal of his peer and group relationships and activities.

(2) The Social Assessment: The social assessment includes evaluation of the resident's relationships within the structure of the family and with the community at large, and evaluation of the characteristics of the social, peer group, and institutional settings from which the resident comes. Consideration shall be given to the resident's family circumstances, including the constellation of the family group, their current living situation, and all social, religious, ethnic, cultural, financial, emotional and health factors. Other factors that shall be considered are past events and current problems that have affected the resident and family; potentialities of the family's members meeting the resident's needs; and their accessibility to help in the treatment and rehabilitation of the resident. The expectations of the family regarding the resident's treatment, the degree to which they expect to be involved, and their expectations as to the length of time and type of treatment required shall be assessed.

(1) self-care capabilities including bathing, sleeping, eating;

(2) hygienic practices such as routine dental and physical care and establishment of healthy toilet habits;

(3) nutritional habits including a balanced diet and appropriate fluid and caloric intake;

(4) responses to physical diseases such as acceptance by the resident of a chronic illness as manifested by his compliance with prescribed treatment;

(5) responses to physical handicaps such as the use of prosthesis or coping patterns used by the visually handicapped;

(6) responses to medications such as allergies or dependence.