Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0053 - State Hospital
Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE
Section 10-4 - Process to Initiate Convalescent Leave
Universal Citation: WY Code of Rules 10-4
Current through September 21, 2024
(a) Request for Convalescent Leave.
(i) Treatment team.
Members of the patient's treatment team and any designated gatekeeper must meet
to discuss the potential benefits of Convalescent Leave. Although all members
of the treatment team do not need to agree to the leave, all members of the
team must be a part of the decision-making process. If the members of the
treatment team do not arrive at a consensus for the use of Convalescent Leave,
the patient's treating medical provider leading the treatment team will make
the final decision. If a decision is made to pursue Convalescent Leave, the
request must be documented and include the applicable conditions contained in
Section 3(a)
as justification for the request. If the patient's treatment team is located at
a designated hospital, the treatment team shall consult with the Wyoming State
Hospital on all convalescent leave orders and treatment plans.
(ii) Patient and Appropriate Parties. After a
request for Convalescent Leave is made by the treatment team, one or more
members of the treatment team shall provide written, email, or fax notice to
and consult with the patient and appropriate relevant parties, including, when
applicable, the guardian, parent, gatekeeper, and community treatment provider.
A member of the treatment team shall document this process.
(iii) Wyoming State Hospital or designated
hospital staff shall assist patients being released on convalescent leave in
applying for Medicaid and securing Social Security benefits, if
applicable.
(b) Convalescent Leave Plan.
(i) Using input from
the patient and all appropriate parties, the treatment team shall develop a
written Convalescent Leave Plan.
(ii) The Convalescent Leave Plan shall
include:
(A) The roles and responsibilities
of the patient and other appropriate parties and any areas for which the
treating facility, Wyoming State Hospital, or designated hospital will retain
responsibility while the patient is on Convalescent Leave;
(B) The community treatment services,
medication, and supports to be provided, the entity responsible for providing
them, and how they will be paid;
(C) Provisions for quarterly reports from the
community treatment provider, or any designated gatekeeper, to the Department
on the status and progress made by the patient. If more than one community
treatment provider is selected by the patient to provide outpatient services
and supports, the plan shall specify the community treatment provider or
gatekeeper responsible for providing quarterly reports;
(D) The conditions under which Convalescent
Leave will be revoked;
(E) The
preferred location for detention and the method of detention of the patient if
Convalescent Leave is revoked.
(iii) The Convalescent Leave Plan will be
provided to the patient, the patient's treatment team, any designated
gatekeeper, and other appropriate parties for signature. Signature shall
constitute acknowledgment of the plan, and the role of each entity in achieving
the goals of the Convalescent Leave.
(iv) The Convalescent Leave Plan, signed by
the patient, the patient's treatment team and other appropriate parties, may
act as the initial report to the court, or a separate report to the court
outlining additional information may be drafted and submitted by the treating
medical provider.
(v) The treatment
team shall provide copies of the signed Convalescent Leave plan to the patient
and the appropriate parties in a manner to ensure receipt of the copy prior to
the beginning of convalescent leave.
(c) Notice for Convalescent Leave.
(i) The Wyoming State Hospital or designated
hospital will file all notices for Convalescent Leave with the Court, and
provide notice to the county attorney office that initiated involuntary
hospitalization proceedings, any designated gatekeeper, and other interested
parties. Notice shall consist of a copy of the notice for convalescent leave
along with copies of the initial commitment documents, the signed Convalescent
Leave Plan, and any other relevant information or documents, including any
separate reports or documents in support of the Convalescent Leave.
(ii) The Wyoming State Hospital shall develop
and utilize uniform forms for Convalescent Leave Plans.
Disclaimer: These regulations may not be the most recent version. Wyoming 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.
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