Section He-C 6350.13 - Treatment Planning Process(a) Residential treatment programs shall conduct a psycho-social assessment with recommendations for treatment. Based on the assessment and recommendations, the residential treatment program shall conduct a treatment team meeting and develop a treatment plan within 30 calendar days of placement of the child.(b) For programs that offer short-term programming that serves children 60 calendar days or less, the assessment and treatment plan shall be completed within 10 calendar days of the child's placement.(c) Nursing homes, rehabilitation programs, and in-patient psychiatric services shall be exempted from the requirements in (a) and (b) above if there are no Medicaid covered services being provided under He-C 6420.(d) The treatment plan shall include: (1) The summary of the psycho-social assessment;(2) A transitional section for the child and family that includes: a. An estimate by the treatment team members of the child's length of stay, based upon referral information and the residential treatment program's assessment; andb. The child's permanency plan and concurrent plan identifying the following alternatives for the child in care, including the identified resource if known at the time of the treatment plan: 1.Reunification with the family;
2.Adoption;
3.Guardianship by a relative or other person;
4.Permanent placement with a fit and willing relative; or
5.Another Planned Permanent Living Arrangement (APPLA) in accordance with RSA 169-C:24-b, II(c); and
(3) Community reintegration and transition tasks that identify the following: a. Specific needed supports or services that would provide for the child to successfully transition out of the residential treatment program and into the community;b. The treatment team member who is responsible for completing the task necessary; andc. The projected time frame for completion of each task. (e) The treatment plan shall, at a minimum, contain the following domains relating to rehabilitative and restorative services provided by the residential treatment program: (1) Safety and behavior of the child;(4) Education, if clinically necessary; and(5) Adult living preparation if the child meets the requirements of He-C 6350.26 or if determined clinically necessary.(f) Each domain identified in (e) above shall address: (1) The goals and measurable objectives to be achieved by the child and family;(2) The time frames for completion of objectives; and(3) The individualized interventions that will be used to address the objectives, including: a. Identification of the staff or individual providing or implementing the stated intervention;b. The frequency of the intervention;c. How that intervention is documented; andd. Identification of the private non-medical institution services that will be provided directly or arranged for through He-C 6420.(g) The treatment plan shall include the date and signatures of the following team members, indicating that they participated in the process: (2) The child's parents or guardian(s);(3) The prescribing practitioner;(4) A representative of DCYF; and(5) The clinical coordinator or the residential treatment program's executive director. If the prescribing practitioner is also the clinical coordinator, he/she shall indicate dual functions.(h) When any of the individuals in (g) above do not participate, the residential treatment program shall document its efforts to involve them.(i) Revisions to the treatment plan outside the scheduled treatment plan reviews shall include the signatures of the prescribing practitioner, clinical coordinators, and other team members identified in (g) above, as available, and shall be explained in writing to any individuals of the team who are unable to participate.(j) The treatment plan shall be implemented by the treatment team and the residential treatment program's staff and shall be reflected in the child's daily routine, logs, progress notes, and discharge summary.(k) The treatment team shall consist of the individuals identified in (g) above in addition to the following invited participants:(1) Clinical staff of the residential treatment program;(2) Attorney or guardian ad litem (GAL) for the child;(3) A representative of the local educational agency when clinically appropriate;(4) Family assessment and inclusive reunification (FAIR) facilitator, which is the administrative reviewer required pursuant to 42 U.S.C. 675.6; and(5) Other persons significant in the child's life if clinically appropriate, including but not limited to: b. Staff members from the residential treatment program;f. Educational surrogate.(l) The treatment plan shall be filed in the child's record and copies provided to the individuals identified in (g) above.(m) The treatment plan shall be reviewed and updated as necessary by the treatment team at the treatment team meeting, at a minimum as follows: (1) Three months from the initial treatment plan; and(2) Every 3 months thereafter until discharge, at no point exceeding 3 months.(n) Changes and updates to the treatment plan shall be made based on progress identified by the treatment team, areas of continued treatment needs, achievement of goals or objectives, and effectiveness of interventions, in accordance with the requirements of (d) through (m) above.(o) Residential treatment programs shall acquire signatures on the treatment plans of individuals identified in (g) above within 7 calendar days of the treatment team meeting, such that:(1) Reasonable efforts to obtain the signature of the parent(s) /guardian(s) and DCYF shall be documented as meeting the requirements of (o); and(2) Any team members participating through electronic means, other than the prescribing practitioner or clinical coordinator, may provide verbal assent in lieu of signature on the treatment plan but this shall not preclude efforts identified in (1) above.(p) Once the treatment plan is completed, all clinical and direct care staff shall receive supervision and instruction to assure that each child's treatment plan is consistently implemented.N.H. Admin. Code § He-C 6350.13
#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.