Section 425.416 - Treatment Plan(A) The hospital multidisciplinary treatment team must develop and implement a written treatment plan for each member. For members younger than 21 years old, the treatment plan must be developed in conjunction with any case managers the member may have from DMH, DCF, DYS, or DDS. The treatment plan must (1) be developed and reviewed with the fullest possible participation of the member, his or her designated representative or guardian, if any, and individuals in whose care the member will be released after discharge;(2) be based on the findings of an initial assessment;(3) be based on a diagnostic evaluation that includes examination of the medical, psychological, social, behavioral, and developmental aspects of the member's situation and that reflects the need for psychiatric inpatient hospital care;(4) state long- and short-range goals;(5) state, with specific and measurable terms and time frames, treatment objectives that include changes that must occur in order to discharge the patient;(6) prescribe an integrated program of therapies, activities, and experiences designed to meet the treatment objectives;(7) specifically identify the psychiatric symptoms that require psychiatric inpatient hospital care rather than treatment in a less-restrictive setting;(8) be developed and implemented within three calendar days of admission;(9) include an initial determination of the member's expected length of stay in the facility and the anticipated discharge plan, that is coordinated with outpatient and community providers;(10) include written documentation in the member's record that the member, his or her legal guardian, and family members are given the opportunity to participate in the development and modification of the treatment plan and the psychiatric treatment itself, through participation in family therapy as clinically indicated, and to attend treatment plan meetings as clinically appropriate and according to the bounds of consent; and(11) when appropriate, include indications of the need for DMH Continuing Care Services or for services from other state agencies, or both.(B) The treatment plan for each member must be reviewed, and revised if necessary, by the hospital interdisciplinary review team every seven days from the date of admission to determine that psychiatric services being provided are required on an inpatient basis. If the member's length of stay is less than seven days, the review must be performed at the time of discharge.(C) The treatment plan must be documented in the member's medical record, as set forth in 130 CMR 425.423.Amended by Mass Register Issue 1341, eff. 6/16/2017.