| (a) Only a QCC may authorize an admission. The QCC
shall authorize each admission in writing and specify the level of
care to be provided. The authorization shall be documented in the
client record and shall contain sufficient documentation to support
the diagnosis and the placement decision.
(b) The treatment program must obtain written authorization
from the consenter before providing any treatment. The consent form
must be dated and signed by the client, the consenter, and the personnel
member providing the information and must include documentation that
the client and consenter received and understood the following information:
(1) the specific condition to be treated;
(2) the recommended course of treatment;
(3) the expected benefits of treatment;
(4) the probable health and mental health consequences
of not consenting;
(5) the side effects and risks associated with the
treatment;
(6) any generally accepted alternatives and whether
an alternative might be appropriate;
(7) the qualifications of the personnel member(s) who
will provide the treatment;
(8) the name of the primary provider;
(9) the client grievance procedure;
(10) the notice of client rights;
(11) the treatment program rules;
(12) violations that may lead to disciplinary action
or discharge;
(13) any consequences or searches used to enforce treatment
program rules;
(14) the services and treatment process; and
(15) opportunities for the parent/guardian or an alternate
support system to be involved in treatment.
(c) This information shall be explained to the client
and consenter in simple, non-technical terms no later than 24 hours
after the client's admission to the treatment program. Documentation
of the explanation must be dated and signed by the client, the consenter,
and the personnel member providing the explanation.
(d) If an emergency or the client's physical or mental
condition prevents the explanation from being given or understood
by the client within 24 hours of the client's admission to the treatment
program, a personnel member must document the circumstances in the
client record and present the explanation as soon as possible.
(e) The client record must include a copy of the notice
of client rights dated and signed by the client and consenter.
(f) If possible, all information shall be provided
in the consenter's primary language.
(g) When an applicant is determined to be eligible
for services but denied admission, the treatment program shall maintain
documentation signed by the examining QCC that includes the reason
for the denial.
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