Current through Bulletin 2024-06, March 15, 2024
(1) The licensee
shall ensure each client's program plan is developed by an interdisciplinary
team that represents the professions, disciplines or service areas that are
relevant to:
(a) identifying the client's
needs, as described by the comprehensive functional assessment required in
Section R432-152-12; and
(b) designing programs that meet the client's
needs.
(2) The licensee
shall ensure the interdisciplinary team meetings include the following
participants:
(a) representatives of other
agencies who may serve the client; and
(b) the client and the client's legal
guardian unless participation is unobtainable or
inappropriate.
(3) Within
30 days after admission, the interdisciplinary team shall prepare for each
client an individual program plan that states the specific objectives necessary
to meet the client's needs, as identified by the comprehensive functional
assessment required by Section
R432-152-12, and the planned
sequence for dealing with those objectives that shall be:.
(a) stated separately, in terms of a single
behavioral outcome;
(b) be assigned
projected completion dates;
(c) be
expressed in behavioral terms that provide measurable indices of
performance;
(d) be organized to
reflect a developmental progression appropriate to the individual;
and
(e) be assigned
priorities.
(4) Each
written training program designed to implement the objectives in the individual
program plan shall specify the:
(a) methods to
be used;
(b) schedule for use of
the method;
(c) person responsible
for the program;
(d) type of data
and frequency of data collection necessary to be able to assess progress toward
the desired objectives;
(e)
inappropriate client behavior, if applicable; and
(f) appropriate expression of behavior and
the replacement of inappropriate behavior, if applicable, with behavior that is
adaptive or appropriate.
(5) The licensee shall ensure that the
individual program plan:
(a) describes
relevant interventions to support the individual toward independence;
(b) identifies the location where program
strategy information, that shall be accessible to any person responsible for
implementation, can be found;
(c)
includes training in personal skills essential for privacy and independence,
including toilet training, personal hygiene, dental hygiene, self-feeding,
bathing, dressing, grooming and communication of basic needs as client needs
dictate or until a client is assessed to be developmentally incapable of
acquiring them;
(d) identifies
mechanical supports, if needed, to achieve proper body position, balance or
alignment, including the reason for each support, the situations that each is
to be applied, and a schedule for the use of each support;
(e) provides that clients who have multiple
disabling conditions spend a major portion of each waking day out of bed and
outside the bedroom area, moving about by various methods and devices when
possible; and
(f) includes
opportunities for client choice and self-management.
(6) The licensee shall ensure a copy of each
client's individual program plan is provided to relevant staff, staff of other
agencies who work with the client or a legal guardian.
(7)
(a) As
soon as the interdisciplinary team has formulated a client's individual program
plan, the licensee shall ensure each client receives a continuous active
treatment services program consisting of needed interventions and services with
enough number and frequency to support the achievement of the objectives
identified in the individual program plan.
(b) The licensee shall ensure an active
treatment services schedule is developed that outlines the current active
treatment services program and that is readily available for review by relevant
staff.
(c) Staff who work directly
with the client shall implement each client's individual program plan, except
those facets of the individual program plan that may be implemented only by
licensed personnel.
(8)
The licensee shall document, in measurable terms, data and significant events
relative to the accomplishment of the criteria specified in individual client
program plans.
(9) The QIDP shall
review and revise the individual program plan; including situations that the
client:
(a) has successfully completed an
objective or objectives identified in the individual program plan;
(b) is regressing or losing skills already
gained;
(c) is failing to progress
toward identified objectives after reasonable efforts have been made;
or
(d) is being considered for
training towards new objectives.
