N.J. Admin. Code § 10:37J-2.11

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:37J-2.11 - Records

(a) The PA shall maintain individual records in an up-to-date organized manner and in accordance with Federal and State law governing the disclosure of information and records of persons who are receiving and who have received State-funded mental health services (N.J.S.A. 30:4-24.3, N.J.A.C. 10:37-6.79 and P.L. 104-191). The records shall contain all relevant consumer information and shall be maintained to preserve confidentiality. The records shall contain documentation described in this chapter.

(b) A termination summary shall be completed for all consumers within 30 days of termination from PACT services and shall be included in the consumer's record.

1. The termination summary shall include the following:

i. The date of admission;

ii. The reason for admission;

iii. A summary of PACT services provided;

iv. The date of discharge;

v. The consumer's status and condition at discharge;

vi. A written final evaluation summary of the consumer's progress toward the goals set forth in the service plan; and

vii. A plan developed with the consumer regarding the consumer's continuing or future service needs.

(c) Records shall be released in accordance with the provisions at N.J.A.C. 10:37-6.79 and 10:37J-2.6(b)6.

N.J. Admin. Code § 10:37J-2.11

Amended by R.2008 d.256, effective 9/15/2008.
See: 40 N.J.R. 974(a), 40 N.J.R. 5227(b).
In (a), inserted "Federal and" and "and P.L. 104-191", and substituted a comma for "and" following the N.J.S.A. reference; and rewrote (c).