7 AAC 50.845 - Continued treatment
(a) A residential psychiatric treatment
center shall conduct a complete progress evaluation
(1) at least every 30 days, for each child in
treatment who is not in a secure unit or program; and
(2) at least every seven days, for each child
who is in a secure unit or program.
(b) If a residential psychiatric treatment
center recommends, based on its evaluation under (a) of this section, that the
child continue in treatment at the facility, the facility shall document in the
facility's medical records that the following conditions have been met:
(1) the child continues to show evidence of a
severely debilitating and persistent mental disorder or serious emotional
disturbance, and
(B) despite a decrease in episodes of
aggression, self-injury, disruptive behavior, or psychotic episodes, and
despite improved decision-making and interpersonal relationship skills with
peers and adults, the child cannot maintain that progress without constant cues
and external control as provided in the facility;
(2) the child continues to need active,
medically necessary, and psychiatrist-directed treatment of a
multi-disciplinary nature, under the following criteria:
(A) from the time of admission or of the last
evaluation of the child for continued stay, the child has received active,
multidisciplinary, goal-oriented focal treatment, the child's treatment plan
prepared under
7
AAC 50.840 clearly documents in measurable, behavioral
terms what has been accomplished, and what remains to be accomplished for the
child to be discharged, maintained, and treated safely in a less restrictive
setting;
(B) interventions to
address specific objectives related to the child's individual goals, whether
behavioral, developmental, interpersonal, family, or psychiatric, are
documented to have occurred in a timely fashion, the success or failure of the
interventions is documented, and in the event of failure, documentation shows
that the interventions were changed within an aggressive time frame and the
child's treatment plan revised to achieve the desired outcome;
(C) if the child has not responded to
interventions, the facility has sought expert consultation in a timely fashion
in the needed specialty area, including, as necessary, psychology, psychiatry,
substance abuse treatment, neurology, speech and language therapy, and
occupational therapy, and the child's treatment plan has been revised to
include the special services;
(D)
the services of the residential psychiatric treatment center can reasonably be
expected to improve the child's condition in the next 60 day period after the
evaluation under (a) of this section, so that residential psychiatric treatment
facility services will no longer be needed or so that the facility's services
will prevent further regression of the child's condition;
(E) the child's family, if in the best
interests of the child, or guardian, the educational provider in the facility,
and community support and treatment agencies have been and will continue to be
actively involved in the treatment of the child in the facility and in planning
for the child's care after discharge.
Notes
Authority:AS 44.29.020
AS 47.35.010
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