Section 75-03-17-05 - Diagnosis and treatment while at the facility1.Duties of the facility. The facility shall: a. Provide for a medical, psychiatric, and psychological assessment of each child no later than seventy-two hours after admission;b. Immediately include family and custodians in the active treatment;c. Involve the families and the person who may lawfully act on behalf of the child in the person-centered treatment plan;d. Provide daily therapy and programming that are individually tailored to meeting a child's need and in sufficient volume to resolve immediate inpatient need. Therapies must include individual and family components to facilitate rapid return of the child to a family setting;e. Provide ongoing and consistent individual therapy utilizing evidence-based models of care for psychiatric residential treatment facilities for children. Individual therapy must focus on providing the child skills they need to be successful in their home and community; f. Complete a diagnostic assessment, completed by a licensed psychiatrist, no less than seventy-two hours after admission that includes: (1) A psychiatric history;(2) A mental status examination, including an assessment of suicide;(3) Psychosocial, including family history; and (4) Complete set of diagnosis and recommendations for immediate treatment; andg. Ensure therapeutic leave such as weekend overnight visits or day passes with family must be documented in the child's case file and be tied to family therapy and therapeutic goals of the child and family, or it must be documented in the child's case file why weekend overnight visits or day passes are not tied to therapy and therapeutic goals of the child and family.2.Specialists. The facility shall provide a sufficient number of qualified psychiatric professionals to meet the resident needs. Each facility shall provide a minimum of one hour per week per bed of psychiatry time, one hour per week per bed of family therapy time, and two hours per week per bed of individual therapy time. Each facility shall provide twenty-four-hour nursing, which may include a combination of onsite or on-call hours.3.Individual person-centered treatment plan.a. The facility shall develop and implement an individual person-centered treatment plan that includes the child's input giving the child a voice and a choice in the treatment planning and interventions used. The plan must be based upon a comprehensive interdisciplinary diagnostic assessment, which includes the role of the family, identifies the goals and objectives of the therapeutic activities and treatment and it must be developed by an interdisciplinary team. The plan must provide a schedule for accomplishing the therapeutic activities and treatment goals and objectives, and identify the individuals responsible for providing services to children consistent with the individual person-centered treatment plan. Clinical supervision for the individual person-centered treatment plan must be accomplished by full-time or part-time employment of or contracts with a licensed psychiatrist, a licensed psychologist, a licensed clinical social worker, or a nurse who holds advanced licensure in psychiatric nursing. Clinical supervision must be documented by the clinical supervisor cosigning individual person-centered treatment plans and by entries in the child's record regarding supervisory activity. The child, and the person who lawfully may act on the child's behalf, must be involved in all phases of developing and implementing the individual person-centered treatment plan. The child may be excluded from planning if excluding the child is determined to be in the best interest of the child and the reasons for the exclusion are documented in the child's plan.b. The plan must be: (1) Based on a diagnosis using the current diagnostic and statistical manual of mental disorders and a biopsychosocial assessment;(2) Developed within three business days of admission; and(3) Reviewed at a minimum every fourteen days and updated or amended to meet the needs of the child by the interdisciplinary team.c. The person-centered treatment plan must identify: (1) Treatment goals that are short term and intense, focused on successful return to home and community;(2) Time frames for achieving the goals;(3) Goals that are achievable and measurable;(4) The individuals responsible for coordinating and implementing child and family treatment goals;(5) Therapeutic intervention or techniques or both for achieving the child's treatment goals;(6) The projected length of stay and discharge plan; and(7) Referrals made to other service providers based on treatment needs, and the reasons referrals are made.4.Solicitation of funds. A facility may not use a child for advertising, soliciting funds, or in any other way that may cause harm or embarrassment to a child or the child's family. A facility may not make public or otherwise disclose by electronic, print, or other media for fundraising, publicity, or illustrative purposes, any image or identifying information concerning any child or member of a child's immediate family, without first securing the child's written consent and the written consent of the person who may lawfully act on behalf of the child. The written consent must apply to an event that occurs no later than ninety days after the date the consent was signed and must specifically identify the image or information that may be disclosed by reference to dates, locations, and other event-specific information. Consent documents that do not identify a specific event are invalid to confer consent for fundraising, publicity, or illustrative purposes. The duration of an event identified in a consent document may not exceed fourteen days. N.D. Admin Code 75-03-17-05
Amended by Administrative Rules Supplement 2014-352, April 2014, effective April 1, 2014. .Amended by Administrative Rules Supplement 2016-360, April 2016, effective 4/1/2016.Amended by Administrative Rules Supplement 2022-385, July 2022, effective 7/1/2022.General Authority: NDCC 25-03.2-10
Law Implemented: NDCC 25-03.2-03, 25-03.2-07