La. Admin. Code tit. 48 § I-7237

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-7237 - Mandatory Transfers and Discharges

A. The administrator/director shall, in coordination with the client, forensic aftercare facility, Community Forensic Service, and state level forensic coordinator (as appropriate), assist in planning and implementing the mandatory transfer or discharge of the client when:

1. the treatment plan goals and objectives are substantially met and a crisis relapse/prevention plan is developed and support systems are in place that allow the client to reside safely in a less restrictive environment;

2. the client's physician certifies that the clients physical condition necessitates transfer to a medical facility or the clients psychiatric condition necessitates transfer to a higher level of care; or

3. the client's condition is such that he or she is:

a. a danger to self or others; or

b. is consistently disruptive to the peace and order of the facility, staff services, or other clients.

B. Emergency Discharge. The FSTRA shall immediately report to the Community Forensic Service, probation officer, state level forensic coordinator, and provider(s) of behavioral health services any program violations (i.e. illegal drugs, suspected or confirmed weapon possession or access, gross deterioration of behavior, or non-compliance with medication). The FSTRA in collaboration with the probation officer and community forensic staff, as appropriate, shall be responsible for the relocation of the client to an appropriate secure placement.

C. The facility shall initiate outpatient services for the client upon discharge and provide consultation to the client concerning where to obtain necessary medications, resources and follow-up outpatient behavioral health services.

D. Discharge Records

1. The following discharge information shall be recorded in the client's record:

a. date of discharge;

b. destination; and

c. reason(s) for leaving.

2. Discharge records shall be retained in a secured environment in accordance with the facilitys policy and procedure for at least three years.

La. Admin. Code tit. 48, § I-7237

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 37:1163 (April 2011), Promulgated by the Department of Health, Bureau of Health Services Financing, LR 4362 (1/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 28:31-28:37.