N.H. Admin. Code § He-C 6350.12

Current through Register No. 50, December 12, 2024
Section He-C 6350.12 - Admissions Criteria and Discharge Procedures
(a) Upon referral by the JPPO or CPSW or upon admission of a child, the residential treatment program shall document the child's needs and, if known, the primary areas of treatment identified and services to be provided based on the referral information.
(b) Upon admission, the residential treatment program shall request a copy of the child's insurance cards.
(c) The residential treatment program shall make the following available to the parent(s) or guardian during the admission process:
(1) The program philosophy, as stated on Form 2424 or Form 2425;
(2) The daily routines;
(3) Behavior management and disciplinary practices of the program;
(4) Any specific treatment strategy used by the program;
(5) Policies on visitation and other communication with the child;
(6) The services provided to families;
(7) Procedures which the parent(s) or guardian may use to provide input about the care of the child;
(8) The name and telephone number of staff at the residential treatment program that the parent(s) or guardian may contact;
(9) A description of any religious services;
(10) Limitations placed on personal possessions and the policies on how children acquire necessities;
(10) How the educational needs of children are met;
(11) How health and medical needs of children are met;
(12) The residential treatment program liaison identified to provide information and coordination to an insurance carrier, if applicable; and
(13) The parent handbook referenced in He-C 6350.10(b) .
(d) If the parent(s) or guardian do not participate in the admissions process, the same information required in (c) above shall be mailed to them within 7 days of admission.
(e) Once admitted to the residential treatment program, the child shall not be discharged unless one or more of the following conditions exist:
(1) The child is a danger to other children or staff as determined via delinquency proceedings conducted pursuant to RSA 169-B;
(2) The child is determined to be in need of psychiatric hospitalization after an emergency mental health evaluation;
(3) The child is a danger to himself, herself, or others and, after intensive staff intervention, it is determined that a more restrictive environment is necessary in order to maintain safety;
(4) The child's clinical needs can be best met in another setting as determined in the treatment planning process and the child has been accepted into that setting; or
(5) The child is ready to transition to the child's identified permanency plan or concurrent permanency plan.
(f) If the residential treatment program determines a discharge is necessary in accordance with (e) (1) -(4) above, DCYF shall be provided written or electronic notice of at least 14 calendar days prior to the date that the program is requesting the removal of the child in placement from its program including the detailed reasons for such request, except that:
(1) A residential treatment program may request an immediate discharge due to a circumstance identified in (e) (1), (e) (2), or (e) (3) above; and
(2) If a shelter care program identifies concerns that rise to a level beyond the capabilities of the program per He-C 6350.18, the shelter care program shall provide DCYF with 48 business hours notice to request a change in placement to protect the well-being of the child, other children, and staff of the program.
(g) Prior to a discharge, with the exception of a discharge granted through (f) (1) above, the residential treatment program in conjunction with the family and the DCYF representative, or both, shall discuss the transitional services, and aftercare services as applicable, provided by the residential treatment program to support family reunification or the child's transition to an alternative placement.
(h) When the child is discharged, the residential treatment program shall provide details around medication management and medical concerns to the entity the child is discharged to, in writing, on the day of discharge.
(i) The discharge summary shall be filed in the residential treatment program's record and a copy shall be sent to the representative from DCYF and the parent or guardian.
(j) Shelter care programs shall provide the discharge summary within one business day of the child's discharge, including a summary of educational services provided to the child during the course of the placement.
(k) A written discharge summary shall be sent no later than 15 calendar days after the child's discharge.
(l) The child's discharge summary shall include, but not be limited to:
(1) A summary of the child's placement at the residential treatment program;
(2) The results of the services provided, including the outcomes of the goals and objectives identified in the child's treatment plan;
(3) Documentation of interventions utilized and the success or ineffectiveness of those interventions;
(4) The needs of the child and family which remain to be met and the services which will meet those needs;
(5) An individualized aftercare plan;
(6) Post-care packet pursuant to He-C 6350.26(h) and (i) , if applicable;
(7) If the program has been provided such a form by DCYF, one of the following forms, updated in accordance with He-C 6350.15(g) :
a. Form 2267 "Child's Information Sheet" (January 2015);
b. Form 2281 "DCYF Youth Information Sheet" (January 2015);
c. Form 2281(J) "Youth Information Sheet" (January 2015); and
(8) A list of upcoming appointments, current medical providers with corresponding contact information, and medications with which the child was discharged, individually identified with the prescribing practitioner.
(m) If litigation involves a child's record, all information pertaining to the case shall be maintained until a settlement is reached.
(n) Unless otherwise specified by state or federal requirements, the child's records shall be maintained by the residential treatment program for a minimum of 5 years after his or her discharge.
(o) Should the program be closed, the residential treatment program shall notify DCYF of the location where the files will be maintained and the entity who will oversee their storage.

N.H. Admin. Code § He-C 6350.12

#6617, eff 10-25-97; ss by #8453, INTERIM, eff 10-25-05, EXPIRED: 4-23-06

New. #8693, eff 7-27-06

Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10759, Effective 1/17/2015, Expires1/17/2025.
Amended by Volume XXXVIII Number 37, Filed September 13, 2018, Proposed by #12609, Effective 8/23/2018, Expires 8/23/2028.