La. Admin. Code tit. 48 § III-517

Current through Register Vol. 50, No. 9, September 20, 2024

Section III-517 - Assessment and Treatment Planning

A. The assessment of each patient shall include clinical consideration of each of his fundamental needs: physical, psychological, chronological age, development, family, educational, social, environment and recreational. Reports indicating appropriate assessment input from responsible clinical staff shall be made a part of the patient's clinical record.

B. There shall be a current written treatment plan, based upon the assessment and evaluation of each patient, which shall include:

1. a diagnostic statement including psychiatric diagnosis as well as pertinent social and medical diagnostic information;

2. a statement of identified problems;

3. long and short-term treatment goals related to the problems;

4. treatment modalities to be utilized;

5. identification of persons assigned to carry out treatment; and

6. signatures of the physician authorizing the treatment plan.

C. The treatment plan shall be reviewed at least every 180 days and shall be modified as frequently as patient assessment indicates the need for change.

D. The treatment plan shall reflect appropriate multi-disciplinary input by the staff.

La. Admin. Code tit. 48, § III-517

Promulgated by the Department of Health and Human Resources, Office of Mental Health, LR 13:246 (April 1987),

AUTHORITY NOTE: Promulgated in accordance with PL 94 :63, the Community Mental Health Centers' Act of 1975 and R.S.1950, Title 28, §203.