To review and update a service plan, you must:
(1) Evaluate the child's progress and the effectiveness
of strategies and techniques used toward meeting identified needs,
including educational progress reports and medical interventions;
(2) Identify any new needs and strategies or techniques
to meet these needs, including instructions to appropriate employees;
(3) Document any achieved or changed objectives;
(4) If the review shows no progress towards meeting
the identified needs of the child, document reasons for continued
placement;
(5) Evaluate the possible effectiveness and side effects
in the use of psychotropic medications prescribed for the child,
any change in psychotropic medications during the period since the
last review, and the behaviors and reactions of the child observed
by caregivers, professional level service providers, and parents,
if applicable;
(6) Document visitation and contacts between the child
and the child's parents, the child and the child's siblings, and the
child and the child's extended family;
(7) Update the estimated length-of-stay and discharge
plans, if changed;
(8) Evaluate the use and effectiveness of emergency
behavior intervention techniques, if used, since the last service
plan. If applicable, this evaluation must focus on:
(A) The frequency, patterns, and effectiveness of types
of emergency behavior interventions;
(B) Strategies to reduce the need for emergency behavior
interventions overall; and
(C) Specific strategies to reduce the need for use
of personal and mechanical restraints, emergency medication, and/or
seclusion, where applicable;
(9) Document in the child's record the review and update
of the plan; and
(10) Document the names of the persons participating
in the review and update.
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Source Note: The provisions of this §748.1385 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909 |