N.D. Admin. Code 75-03-40-36

Current through Supplement No. 394, October, 2024

Section 75-03-40-36 - Discharge plan

Each resident must have their discharge plan developed upon admission and reviewed ongoing as part of the treatment plan.

1. Persons involved in discharge planning should include:

a. Resident;

b. Resident's parent or guardian;

c. Custodian, if applicable;

d. Psychiatrist, if applicable;

e. Therapist, if applicable;

f. Clinical director;

g. Treatment coordinator employee;

h. Facility nurse;

i. Facility educator or community teacher;

j. Direct care employee;

k. Foster care providers, if applicable;

l. Juvenile court, if applicable; and

m. Other individuals important to the resident and family.

2. The discharge plan must address the following:

a. The date of admission;

b. The anticipated date of discharge;

c. Details of the events and circumstances leading to the decision to discharge;

d. The name and address of the individual or agency to whom the resident must be discharged and the rationale for planning a discharge to that individual or agency;

e. A summary of services provided during placement;

f. A summary of goal achievement;

g. A summary of the resident's continuing needs, including health care, educational or vocational training, psychiatric, medical, psychological, social, behavioral, developmental, and chemical dependency treatment needs;

h. Appointments scheduled, including individual therapy, psychiatric services, educational services, and other services or supports as needed;

i. Medication plan, including a seven-day supply of needed medication and a prescription for medication to last through the first outpatient visit with a prescribing provider;

j. A summary of community-based service needs for the resident and resident's family;

k. A summary of efforts made by the facility to prepare the resident and the resident's family for discharge; and

l. The facility's plan for the six months of aftercare services for the resident and the resident's family.

3. The discharge committee shall review and approve each anticipated discharge thirty days prior to the discharge and provide the completed discharge plan to the custodian at least seven days prior to the anticipated discharge. A discharge planning meeting involving the resident, custodian, parent or guardian, facility treatment team, additional family members, community service providers, and foster care provider, if applicable must take place at least seven days before discharge to review and sign the discharge plan to ensure the continuity of services consistent with the resident's treatment needs after discharge.

4. If a discharge is not anticipated at least thirty calendar days ahead of time, the discharge is considered unplanned and the facility shall:

a. Hold a discharge planning meeting involving the resident, custodian, parent or guardian, facility treatment team, additional family members, and any other relevant parties. This meeting must allow relevant parties time to review the discharge plan and aftercare engagement strategies while discussing services needed to best meet the needs of the resident.

b. Create and provide in writing a finalized discharge and aftercare plan to the custodian and parent or guardian at least seven days prior to the resident's discharge.

c. Provide the discharge plan and aftercare plan no greater than seven days postdischarge, if an immediate discharge occurred.

N.D. Admin Code 75-03-40-36

Adopted by Administrative Rules Supplement 374, October 2019, effective 10/1/2019.

Amended by Administrative Rules Supplement 2021-382, October 2021, effective 10/1/2021.

Amended by Administrative Rules Supplement 2024-392, April 2024, effective 4/1/2024.

General Authority: NDCC 50-11-03

Law Implemented: NDCC 50-11-02