Section 325.14905. Treatment plans.

(1) A client's social and psychological needs shall  be assessed. The areas of concern shall include a determination of all of the following:

(a)   Current emotional state.

(b)   Cultural background.

(c)   Vocational history.

(d)  Family relationships.

(e)   Educational background.

(f)  Socioeconomic status.

(g)   Any legal problems that may affect the treatment plan.

(2)   A written treatment plan based upon the assessment made of  a client's needs shall be developed and recorded in the client's case record. A treatment plan shall be developed as soon after the client's admission as feasible, but before the client is engaged in extensive therapeutic activities. The written treatment plan shall comply with  all of the following:

(a)    Be individualized based upon the assessment of the client's needs and, if applicable, the medical evaluation.

(b)   Specify those services planned for meeting the client's needs.

(c)    Include referrals for services that  are   not  provided  by  the residential program.

(d)    Contain clear and concise statements of the objectives the client will be attempting to achieve, together with a realistic time schedule for their achievement.

(e)    Define the services to be provided to the client, the therapeutic activities in which the client is  expected  to  participate,  and  the sequence in which services will be provided.

(3)   The client shall participate in the development of the treatment plan and its objectives. The nature of this participation shall be described in the client's record.

(4)   Review of, and changes in, the treatment plan shall be recorded in the client's case record. The date of the review or change, together with the names of the individuals involved in the review, shall also be recorded. The treatment plan shall be reviewed at least once every 90 days by the program director or his or her designee.

History: 1981 AACS.