Rule 37.98.1003 - HEALTH CARE(1) Medical, dental, psychiatric, psychological, chemical dependency care and counseling must be obtained for the youth as needed.(2) Each youth in care must receive an annual physical examination.(3) Each youth in care must receive an annual dental examination.(4) Provisions for treatment of diseases, remedial defects or deformities, and malnutrition must be made by the program immediately upon the physician's recommendation with notification of the placing agency and parent or legal guardian.(5) The program shall develop and follow written policies and procedures to keep youth healthy while in the program. Medical care must be provided to all youth as needed and must be documented in the youth's case records. A signed release for emergency medical treatment from the parent or guardian must be documented in the youth's file.(6) First aid treatment must be provided in as prompt a manner as the location and circumstances allow.(7) The program shall transport any youth with an illness or physical complaint that needs immediate care or treatment to appropriate medical care.(8) Complaints or reports by a youth of illness and injuries must be documented in a daily log along with any treatment provided.(9) There may not be any negative consequence imposed on a youth for reporting an injury or illness or for requesting to see a health care professional.(10) Youth must be instructed and monitored regularly by staff in matters of personal hygiene.(11) The program shall develop and follow written policies and procedures governing emergency medical and dental care.(12) The program shall develop a written plan to prohibit: (a) the use of tobacco, alcohol or illegal drugs by youth; and(b) all use of tobacco, alcohol or illegal drugs by employees, volunteers and visitors in any program building or vehicle used by youth and in the presence of youth.(13) A program shall develop and follow written policies and procedures governing all aspects of suicide prevention and intervention, which must meet the following criteria: (a) The suicide prevention and intervention policies must be reviewed and approved by professional staff members.(b) All staff with responsibility for the supervision of youth must be trained in the implementation of the policies. Documentation of training must be in the staff personnel file.(14) Depending on the length of the program and/or whether these needs have been documented to have been met elsewhere, youth must receive age-appropriate health education and instruction regarding teen pregnancy prevention, HIV education and prevention and general information about the prevention and treatment of sexually transmitted diseases. The program shall be in compliance with federal and state guidelines governing sexually transmitted diseases.(15) Staff must be trained to recognize eating disorders. This training must be documented in staff records. If the staff suspects the youth has an eating disorder, staff shall report the suspicions immediately to the appropriate program professional staff members.Mont. Admin. r. 37.98.1003
NEW, 2004 MAR p. 1960, Eff. 8/6/04.Sec. 50-5-220, MCA; IMP, Sec. 50-5-220, MCA;