Current through Reg. 49, No. 38; September 20, 2024
(a) An admission
assessment must provide an initial evaluation of the appropriate placement for
a child and ensure that you obtain the information necessary for you to
facilitate service planning.
(b)
Prior to a child's non-emergency admission, an admission assessment must be
completed which includes:
(1) The child's
legal status;
(2) A description of
the circumstances that led to the child's referral for substitute
care;
(3) A description of the
child's behavior, including appropriate and maladaptive behavior, and any
high-risk behavior;
(4) Any history
of physical, sexual, or emotional abuse or neglect;
(5) Any history of trauma;
(6) Current medical and dental status,
including the available results of any medical and dental
examinations;
(7) Current mental
health and substance abuse status, including available results of any
psychiatric evaluation, psychological evaluation, or psychosocial
assessment;
(8) The child's current
developmental, educational, and behavioral level of functioning;
(9) The child's current educational level and
any school problems;
(10) Any
applicable requirements of §
748.1219
of this title (relating to What are the additional admission assessment
requirements when I admit a child for treatment services?);
(11) Documentation indicating efforts made to
obtain any of the information in paragraphs (1) - (10) of this subsection, if
any information is not obtainable;
(12) The services you plan to provide to the
child;
(13) Immediate goals of
placement;
(14) The parent's
expectations for placement, duration of the placement, and family
involvement;
(15) The child's
understanding of the placement; and
(16) A determination of whether and how you
can meet the needs of the child.
(c) Prior to completing a child's initial
service plan, the following information must be added to the admission
assessment:
(1) The child's social history.
The history must include information about past and existing relationships with
the child's birth parents, siblings, extended family members, and other
significant adults and children, and the quality of those relationships with
the child;
(2) A description of the
child's home environment and family functioning;
(3) The child's birth and neonatal
history;
(4) The child's
developmental history;
(5) The
child's mental health and substance abuse history;
(6) The child's school history, including the
names of previous schools attended and the dates the schools were attended,
grades earned and special achievements;
(7) The child's history of any other
placements outside the child's home, including the admission and discharge
dates and reasons for placement;
(8) The child's criminal history, if
applicable;
(9) The child's skills
and special interests;
(10)
Documentation indicating efforts made to obtain any of the information in
paragraphs (1) - (9) of this subsection, if any information is not
obtainable;
(11) The services you
plan to provide to the child, including long-range goals of
placement;
(12) Recommendations for
any further assessments and testing;
(13) A recommended behavior management plan;
and
(14) A determination of whether
and how you can meet the needs of the child, based on an evaluation of the
child's special strengths and needs.
(d) You must attempt to obtain a signed
authorization, so you can subsequently request in writing materials from the
child's current or most recent placement, such as the admission assessment,
professional assessments, and the discharge summary. You must consider
information from these materials when you complete your admission assessment if
they are made available to you.
(e)
This rule does not apply to children receiving emergency care services. See
§
748.4231
of this chapter (relating to What information must an admission assessment
include for a child needing emergency care services, including respite
child-care services?).
