N.J. Admin. Code § 10:37J-2.7

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

Section 10:37J-2.7 - Termination and discharges

(a) All of the standards in this section shall be considered Level II standards.

(b) The PA shall submit a written request to the appropriate Division Regional Office to terminate or discharge a PACT consumer from the PACT program.

(c) The PA may terminate consumers from the PACT program based on the following criteria:

1. Hospitalization in a State or county psychiatric hospital in New Jersey for six continuous months with no discharge date projected by the treatment team;

2. Incarceration in a jail or prison for six continuous months;

3. Placement in a nursing home or similar institution with no projected discharge date; or

4. Death.

(d) Discharge from the PACT program may occur when the enrollee and PACT team staff mutually agree to discontinue services. One or more of the following conditions shall be present prior to reaching a discharge decision:

1. The PACT consumer moves outside the PA's area of geographic responsibility. In such cases, the PACT team shall arrange, where possible, for transfer of mental health responsibilities to another PACT team in New Jersey, or in another state, or to another mental health provider wherever the client is moving;

2. The PACT consumer demonstrates an ability as determined collaboratively to function in areas of self-care, socialization, and work, without requiring assistance from the PACT program for up to six months. This determination shall be made collaboratively by the consumer and the PACT team;

3. The PACT consumer requests discharge despite the team's documented but unsuccessful efforts to engage him or her and/or to develop a mutually agreed upon treatment plan; or

4. The PA petitions and receives permission from the Division Regional Office to terminate the delivery of PACT services to a particular consumer because the consumer's medical needs exceed the PACT team's ability to coordinate treatment.

(e) Along with a request to terminate PACT services or to discharge a consumer under (c) or (d) above, the PA shall submit to the Division Regional office and shall include in the consumer's case record a transition plan for that consumer. The transition plan shall include:

1. The reasons for the discharge;

2. Identification of any continuing needs for treatment, rehabilitation or support;

3. A list of other providers and resources in the community to which the consumer has been referred; and

4. A description of what efforts have been made to ensure that the consumer receives these community services and resources after discharge.

N.J. Admin. Code § 10:37J-2.7

Amended by 48 N.J.R. 420(b), effective 3/7/2016