|(a) The counselor and client/consenter shall develop and implement an individualized discharge plan. (b) Discharge plans shall be updated as the client progresses through treatment and shall address the continued appropriateness of the current treatment level. (c) The discharge plan shall address continuity of services to the client. (1) When a client is referred or transferred to another chemical dependency or mental health service provider for continuing care, the facility shall contact the receiving program before the client is discharged to make arrangements for the transfer. (2) Coordination activities shall be documented in the client record, including timeframe for client being able to access needed services and any constraints associated with the referral. (3) With proper client consent, the facility shall provide the receiving program with copies of relevant parts of the client's record. (d) The program shall involve the client's family or an alternate support system in the discharge planning process when appropriate. (e) Discharge planning shall be completed before the client's scheduled discharge. (f) A written discharge plan shall be developed to address ongoing client needs, including: (1) individual goals or activities to sustain recovery; (2) referrals; and (3) recovery maintenance services, if applicable. (g) The completed discharge plan shall be dated and signed by the counselor, the client, and the consenter (if applicable). (h) The program shall give the client and consenter a copy of the plan, and file the original signed plan in the client record. (i) The program shall complete a discharge summary for each client within 30 days of discharge. The discharge summary shall be signed by a QCC and shall include: (1) dates of admission and discharge; (2) needs and problems identified at the time of 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, including arrangements for recovery maintenance. (j) The facility shall contact each client no sooner than 60 days and no later than 90 days after discharge from the facility and document the individual's current status or the reason the contact was unsuccessful.
|Source Note: The provisions of this §448.805 adopted to be effective September 1, 2004, 29 TexReg 2020; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842