Section He-C 6355.15 - Treatment Planning Process for a Foster Care Program(a) The treatment planning process shall only apply to therapeutic foster care programs (TFCs) and ISOs.(b) All foster care programs shall conduct and document a psycho-social assessment of the child with recommendations for treatment. Based on the assessment and recommendations, the program shall conduct a treatment team meeting and develop a treatment plan within 30 calendar days of admitting the child.(c) The treatment plan shall include: (1) The summary of the psycho-social assessment;(2) Treatment recommendations based on the psycho-social assessment; and(3) A transition plan 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 foster care program's assessment;b. The child's permanency plan and concurrent plan identifying one of the following alternatives for the child in care: 1.Reunification;
2.Adoption;
3.Guardianship by a relative or other person;
4.Permanent relative placement; or
5.Another planned permanent living arrangement; and
c. Community reintegration and transition tasks that identify: 1.Specific necessary supports or services that would enable the child to successfully return to his or her community;
2.The treatment team member who is responsible for completing the necessary task; and
3.The projected time frame for completion of each task.
(d) The treatment plan shall, at a minimum, contain the following domains relating to rehabilitative and restorative services: (1) Safety and behavior of the child;(3) Medical, including community mental health and dental care;(5) Children 14 years of age or older, shall have adult living preparation in addition to general independent living skills.(e) Each domain identified in (d) above shall address:(1) The goals and measurable objectives to be achieved by the child and family;(2) The time frames for completion of goals and objectives;(3) The method to be used for evaluating the child's and family's progress; and(4) The individualized interventions that shall be used to address the objectives, including: a. An identification of the services that will be provided directly or arranged for, and any measures for ensuring their integration with the child's activities including identifying how the child's family and foster family will participate in his/her care;b. An identification of the individuals responsible for implementing the stated interventions in the treatment plan;c. The frequency of the intervention; andd. How the intervention is documented. (f) The treatment team shall consist of the following participants: (1) The child, if he or she is of an age, or developmentally appropriate to participate;(2) The child's parents or guardian;(3) The child's foster parent(s);(4) A representative of DCYF;(5) The prescribing practitioner;(6) The sending school district personnel for an identified child, as determined by the school district;(7) The case manager or clinician from the foster care program; and(8) Other persons significant in the child's life or case, including but not limited to: f. Family Assessment and Inclusive Reunification (FAIR) facilitator, which is the administrative reviewer required pursuant to 42 USC 675;g. Educational surrogate; andh. Other advocates assigned by the court.(g) The treatment plan shall include the date and signatures of the following team members, indicating they participated in the process: (1) The foster care program's program director or clinical coordinator;(2) A representative of DCYF;(3) For Medicaid funding, the name of the prescribing practitioner. If the prescribing practitioner is also the clinical coordinator, he or she shall indicate these dual functions;(4) The clinician or the case manager of the foster care program;(5) The child, if appropriate for the age or developmental level;(6) The child's parents or guardian. If DCYF is the guardian, the worker shall sign to indicate the dual functions; and(7) The child's foster parent(s) .(h) When any of the individuals in (g) above do not participate, the foster care program shall document its efforts to involve them.(i) Revisions to the treatment plan shall be explained in writing to any individuals of the team who are unable to participate and documented in the child's file.(j) The treatment team shall implement the treatment plan, which shall be reflected in the child's daily routine, logs, progress notes, and discharge summary.(k) The treatment plan shall be filed in the child's record and copies sent to the individuals identified in (g) above and the legally liable school district.(l) An internal treatment plan review meeting shall be held by the foster care program's staff 3 months from the date of the initial treatment plan meeting, to evaluate progress made towards the established goals and objectives.(m) The treatment team shall meet 6 months from the date of the initial plan to:(1) Update the treatment plan;(2) Document progress towards objectives; and(3) Review the requirements in (d) through (e) above.(n) For children whose care is extended beyond the 6-month treatment plan meeting, the treatment team shall meet every 3 months thereafter, as in (m) above, or more frequently if necessary until the community reintegration and transition plan is implemented or an alternative discharge plan has occurred.(o) The foster care program shall be allowed a 7 calendar day extension to acquire signatures on the treatment plans. Reasonable efforts to obtain the signature of the parent(s) /guardian(s) and DCYF shall be documented as meeting this requirement.(p) Once the treatment plan is completed, foster parents, case managers, and clinicians shall receive direct supervision and instruction from the foster care program with oversight by the prescribing practitioner to assure that each child's treatment plan is consistently implemented.N.H. Admin. Code § He-C 6355.15
Amended byVolume XXXIV Number 33, Filed August 14, 2014, Proposed by #10640, Effective 7/29/2014, Expires7/26/2015.Amended byVolume XXXV Number 10, Filed March 12, 2015, Proposed by #10783, Effective 2/13/2015, Expires2/13/2025.