(a) Before the client's discharge from the treatment
program, the provider and client shall develop and implement an individualized
discharge plan. The plan must address the client's ongoing needs,
including, at a minimum:
(1) individual goals or activities to sustain recovery;
(2) continuity of services to the client, including,
if applicable, referrals to other providers or services; and
(3) recovery maintenance services, if applicable.
(b) The treatment program shall include the client's
parent/guardian or an alternate support system in the discharge planning
process when possible and appropriate. The treatment program shall
document the inclusion of the parent/guardian or alternate support
system or the reason that it was not possible or appropriate to do
so.
(c) The completed discharge plan shall be dated and
signed by the provider, the client, and, if applicable, the consenter.
(d) The treatment program shall give a copy of the
plan to the client and, if applicable, the consenter and file the
signed plan in the client record.
(e) The treatment program shall complete a discharge
summary for each client no later than 30 days after discharge. The
discharge summary must be signed by a QCC and must include:
(1) dates of admission and discharge;
(2) needs and problems identified at admission, during
treatment, and at discharge;
(3) services provided;
(4) assessment of the client's progress towards goals;
(5) reason for discharge; and
(6) referrals and recommendations for recovery maintenance,
if applicable.
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