D.C. Mun. Regs. r. 22-A3412
The consumer and assigned staff of the CSA, or when applicable pursuant to § 3411.1, staff of the CBI or ACT provider shall discuss the Plan of Care on an ongoing basis. The assigned staff shall record an encounter note describing the consumer's response to, participation in, and agreement to the Plan of Care in the consumer's clinical record.
In situations where the consumer does not demonstrate the capacity to sign or does not sign the Plan of Care, the reasons the consumer does not sign shall be recorded in the consumer's clinical record, including each date when obtaining a signature was attempted.
Staff shall document in the consumer's clinical record that a consumer's court-appointed guardian, family, and /or significant others participated in the development of the Plan of Care, as appropriate.
Each MHRS provider shall develop policies and procedures for Plan of Care review ("Plan of Care Review Policy"). The Plan of Care Review Policy shall be part of the MHRS provider's Treatment Planning or Recovery Planning Policy as required by § 3413.12.
The Plan of Care Review Policy shall require that the Plan of Care be reviewed and updated every one hundred eighty (180) calendar days and at any time there is a significant change in the consumer's condition or situation to reflect progress toward or the lack of progress toward the treatment or recovery goals. Each new Plan of Care should incorporate a review of what is working in treatment as well as challenges that have affected treatment. The Plan of Care may be reviewed more frequently, as necessary, based on the consumer's progress or circumstances.
D.C. Mun. Regs. r. 22-A3412