N.H. Admin. Code § He-P 826.15

Current through Register No. 45, November 7, 2024

Section He-P 826.15 - Client Admission Criteria, Temporary Absence, Transfer, and Discharge Criteria

(a) The licensee shall only admit an individual or retain a client who has been determined to need the level(s) of care that the facility offers, and whose needs can be met by the SUD-RTF.

(b) A licensee shall not deny admission to any person because that person does not have a guardian or an advanced directive, such as a living will or durable power of attorney for health care, established in accordance with RSA 137-H or RSA 137-J.

(c) The client shall be transferred or discharged, as defined under RSA 151:19, I-a and VII, in accordance with RSA 151:21, V, for reasons including the following:

(1) The client's medical or other needs exceed the services offered by the licensee or are not otherwise met by third party providers that the licensee has contracted with;

(2) The client cannot be safely evacuated in accordance with Saf-C 6000;

(3) The client or the client's guardian agent, or surrogate decision-maker if any, determines that the client shall leave the facility;

(4) The client is a danger to himself/herself or others;

(5) Program completion or transfer based on changes in the client's functioning relative to ASAM criteria; and

(6) Program termination, including:

a. Administrative discharge;

b. Non-compliance with the program;

c. The client left the program before completion against advice of treatment staff; and

d. The client is inaccessible, such as the client has been jailed or hospitalized.

(d) In all cases of client discharge or transfer, the counselor shall complete a narrative discharge summary, which includes:

(1) The dates of admission and discharge or transfer;

(2) The client's psychosocial substance use history and legal history;

(3) A summary of the client's progress toward treatment goals in all ASAM domains;

(4) The reason for discharge or transfer;

(5) The client's DSM 5 diagnosis and summary, to include other evaluation testing completed during treatment;

(6) A summary of the client's physical condition at the time of discharge or transfer;

(7) A continuing care plan, including all ASAM domains;

(8) The dated signature of the counselor completing the summary; and

(9) Any other information pertinent to the client's discharge or transfer.

(e) The discharge summary shall be completed:

(1) No later than 7 days following a client's discharge or transfer from the program; or

(2) For withdrawal management services, by the end of the next business day following a client's discharge or transfer from the program.

(f) If the transfer or discharge referenced in (d) above is required by the reasons listed in RSA 151:26, II(b) , a written notice shall be given to the client as soon as practicable prior to transfer or discharge.

(g) When transferring a client, either from one level of care to another within the same certified provider agency or to another treatment provider, the counselor shall:

(1) Complete a progress note on the client's treatment and progress towards treatment goals, to be included in the client's record; and

(2) Update the client evaluation and treatment plan.

(h) When transferring a client to another treatment provider, the current provider shall forward copies of the following information to the receiving provider, only after a release of confidential information is signed by the client:

(1) The discharge summary;

(2) Client demographic information, including the client's name, date of birth, address, telephone number, and the last 4 digits of his or her Social Security number; and

(3) A diagnostic evaluation statement and other evaluation information, including:

a. TB test results;

b. A record of the client's treatment history; and

c. Documentation of any court-mandated or agency-recommended follow-up treatment.

(i) A licensed counselor shall meet with the client at the time of discharge or transfer to establish a continuing care plan that:

(1) Includes recommendations for continuing care in all ASAM domains;

(2) Addresses the use of self-help groups including, when indicated, facilitated self-help; and

(3) Assists the client in making contact with other agencies or services.

(j) A licensed counselor shall document in the client record if and why the meeting in (i) could not take place.

(k) A provider may involuntarily discharge a client from a treatment program only if:

(1) The client's behavior on program premises is abusive, violent, or illegal;

(2) The client is non-compliant with prescription medications;

(3) Clinical staff documents therapeutic reasons for discharge; or

(4) The client violates program rules in a manner that is consistent with the provider's progressive discipline policy.

N.H. Admin. Code § He-P 826.15

Derived From Volume XXXVIII Number 45, Filed November 8, 2018, Proposed by #12658, Effective 11/1/2018, Expires 11/1/2028.