N.J. Admin. Code § 10:37F-2.6

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:37F-2.6 - Termination, transfer and referral of consumers

(a) Procedures for termination, transfer and referral of consumers shall be documented and shall ensure that the continuing service needs of consumers are met.

(b) Discharge criteria shall be identified at the time of admission and shall include the steps necessary to facilitate community integration. The criteria shall be documented in the initial service recommendations and individual recovery plans.

(c) For consumers being transferred to another service, a brief, succinct transition summary shall be prepared at the time of discharge communicating critical information and shall be forwarded to the receiving agency.

1. Prior to forwarding the transition summary to the receiving agency, the PA shall obtain the consumer's consent, unless the receiving agency had been named by the consumer in the original written authorization completed at intake or unless transfer is for the purpose of treatment and both agencies are funded by the Division.

(d) Discharge criteria shall be limited to the following specific reasons for termination from the program:

1. The consumer has achieved the service plan goals and needs no further treatment;

2. The consumer can be more effectively served by and has been linked to another program, agency or institution;

3. The consumer has either refused repeatedly to participate in major components of the program or stopped attending the program;

4. The consumer demonstrates dangerous, criminal, or other aggressive behavior that is unresponsive to interventions; or

5. The consumer has moved to a location that makes continued participation in the program impossible.

(e) When the consumer has stopped attending the program, significant outreach efforts to re-engage the consumer prior to termination, such as repeated telephone calls, correspondence and home visits shall be documented in the clinical record.

(f) Termination decisions shall be finalized only with approval of the direct care staff supervisor.

(g) Every effort shall be made to consider the consumer's preferences for continuing services and to include the consumer in the development of the discharge plan.

(h) The discharge plan shall include arranged follow-up care or justification for no follow-up care.

(i) A termination or transfer summary shall be written and maintained, separate from the progress notes. The summary shall be completed within 30 days of termination or transfer and include:

1. The presenting problem;

2. The admission date and date of service termination;

3. The course of treatment and consumer's status upon discharge;

4. The reason for termination;

5. The medication prescribed upon discharge;

6. To the extent known, the consumer's perspective on his or her experience in the program, and the consumer's stated reasons for leaving, if applicable; and

7. The discharge plan.

N.J. Admin. Code § 10:37F-2.6

Recodified from N.J.A.C. 10:37F-2.4 and amended by R.2006 d.389, effective 11/6/2006.
See: 38 N.J.R. 1990(a), 38 N.J.R. 4694(b).
Section was "Termination, transfer and referral of clients". Substituted "consumers" for "clients" and "consumer" for "client" throughout; inserted new (b) and (c); recodified (c)1 through (c)6 and associated subparagraphs as (d) through (i) and associated subparagraphs; in (d), deleted "criteria shall be developed. These" preceding "criteria"; in (d)5, substituted "that" for "which"; in (g), (i)3 and (i)6, substituted "consumer's" for "client's"; and in introductory paragraph of (i), inserted "be completed within 30 days of termination or transfer and". Former N.J.A.C. 10:37F-2.6, Quality assurance activities, recodified to N.J.A.C. 10:37F-2.8.