Section 0940-05-35-.09 - INDIVIDUALIZED TREATMENT PLAN(1) The admission requirements of 0940-05-35-.06 shall first be completed prior to the development of an Individualized Treatment Plan (ITP).(2) A Facility shall develop an ITP for each patient within thirty (30) days of admission. The ITP shall be developed in accordance with peer reviewed medication assisted treatment guidelines, developed by nationally recognized organizations, such as SAMHSA and the American Society of Addiction Medicine.(3) Medical care, including referral for necessary medical service, and evaluation and follow-up of patient complaints, shall be compatible with current and accepted standards of medical practice. All patients shall receive a medical evaluation at least annually and other medical examination or testing shall be considered as appropriate. The medical director or program physician shall record the results of this annual medical evaluation and review of patient medical records in each service recipient's record.(4) Each Facility shall take steps to ensure that a comprehensive range of rehabilitative services, including vocational, educational, legal, mental health, alcoholism, and social services, are made available to the patients who demonstrate a need for such services. The Facility can fulfill this responsibility by providing support services directly or by appropriate referral. Support services that are recommended and/or utilized shall be documented in the patient's record. Each Facility shall have policies for matching a patient's needs to treatment.(5) If the patient experiences a relapse, his or her ITP shall document evidence of intensified services provided. Such evidence may include, but is not limited to, an increase in individual or group counseling session(s) or more frequent drug screens.(6) A patient's ITP shall be reviewed at least every six (6) months and a discussion shall be held with the patient regarding his or her continued desire to remain in the program for maintenance treatment. Alternatives such as medically-supervised withdrawal shall be presented to the patient at the time of the discussion and documented in the patient's record. The patient shall sign and date a statement indicating that she or he wishes to remain within the program in a maintenance phase. If the patient wishes to enter medically-supervised withdrawal, the plan of care shall reflect that choice.Tenn. Comp. R. & Regs. 0940-05-35-.09
Original rules filed October 14, 2016; effective January 12, 2017. Amendments filed March 29, 2019; effective 6/27/2019.Authority: T.C.A. §§ 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, 33-2-402, 33-2-403, 33-2-404, 33-2-407, and Chapter 912 of the Public Acts of 2016.