The department worker shall develop a case plan with or on
behalf of persons approved to receive services. However, a case plan is not
required (1) for child or adult protective assessment, (2) for foster care
cases in which the department does not have custody, guardianship or a
voluntary placement agreement, or (3) when child care is the only service. A
case plan shall be developed with or on behalf of every other person approved
to receive services unless the person has a case manager as specified in
441-Chapter 24. When department services are provided before an individual
program plan in compliance with 441-Chapter 24 is approved, a department case
plan must be developed according to the requirements of this rule.
When individual case management services are being provided
under 441-Chapter 24 for persons with an intellectual disability, a
developmental disability, or chronic mental illness, the rules in 441-Chapter
24 on time limits, plan format and on who develops the plan shall apply for
adults and for children whose services are not under court jurisdiction. The
department worker shall determine eligibility for those services provided by
the department; however, a separate department case plan need not be developed.
If the individual program plan does not include sufficient information to meet
department service requirements or the requirements in this chapter, the person
providing department social casework shall complete either a case plan or
addendum and coordinate distribution to the persons who receive the individual
program plan with the case manager.
The case plan shall become part of the client's case record.
The client shall participate in the development of this plan to the extent
possible. The case plan shall be consistent with other service or program
plans. A copy of the case plan shall be provided to the client or, when
indicated, to the parent or representative of the client. For adult services,
the case plan shall be recorded using Form 470-0583, Individual Client Case
Plan. For children's services, the case plan shall be known as the case
permanency plan and shall be prepared using Form 470-3453, Family Case
Plan.
(1) Services shall be directed
toward the social services block grant goals of:
a. Achieving or maintaining self-support to
prevent, reduce or eliminate dependency.
b. Achieving or maintaining self-sufficiency,
including reduction or prevention of dependency.
c. Preventing or remedying neglect, abuse or
exploitation of children or adults unable to protect their own interest, or
preserving, rehabilitating or reuniting families.
d. Preventing or reducing inappropriate
institutional care by providing for community-based care, home-based care, or
other forms of less intensive care.
e. Securing referral or admission for
institutional care when other forms of care are not appropriate, or providing
services to individuals in institutions.
(2) The recorded case plan shall contain, but
not be limited to, the following:
a. The goal
and objective to which the plan is directed, stated in a clear manner
indicating the specific services required to achieve or maintain the goals to
meet the needs of the particular client.
b. Activities of clients, workers, and others
involved in the plan related to specific services. These shall be measurable
and have time frames for completion.
c. A summary of all pertinent information
relating to the client and the client's situation relative to need, and
containing, but not limited to, the following:
(1) Emotional behavior.
(2) Social aspects.
(3) Historical perspective.
(4) Reasons for success or lack of
success.
(5) Safety-related
information indicating whether a child has behaved in a manner that threatened
the safety of another person, has committed a violent act causing bodily injury
to another person, or has been a victim or perpetrator of sexual abuse. The
safety-related information shall be withheld only if ordered by the court or
the department or the agency developing the service plan determines that
providing the information would be detrimental to the child or to the family
with whom the child is living.
(6)
An assessment of whether continued breastfeeding by a child's mother is in the
best interest of the child, and a plan to support the mother's breastfeeding
efforts, if appropriate.
d. Information on case entries that will
substantiate the client's eligibility for service.
e. A target date for reevaluation of the case
plan based on assessment of need, which shall not exceed six months.
f. A review of financial eligibility in
accordance with 130.2(5).
g. The
reason for termination or reduction of any or all services.
(3) The case plan shall be
developed and filed in the case record as follows:
a. In child welfare cases, the case plan
shall be developed in partnership with the child, the
family, and the
caregiver.
(1) The recommendations from the
child protective services assessment and the safety plan developed with the
family shall be considered an initial case plan.
(2) A case plan that meets the requirements
of Iowa Code section
232.2 shall be filed
within 60 days from the date the child enters foster care or the date the
department opens a child welfare service case, whichever occurs
first.
b. For all other
cases, the case plan shall be developed before services begin unless there is
an unanticipated provision of service for the protection and well-being of a
client. In that case, the case plan shall be filed within 45 days from the date
that services begin.
(4)
The reevaluation of the case plan shall include all components listed under
130.7(2) and shall be filed at least every six months, or more often when there
are significant changes, when required by the court, or when required according
to the rules of the service.
(5)
The case plan may be amended between evaluation periods. Participants in the
plan shall receive a copy of the amendment.
This rule is intended to implement Iowa Code section
234.6.
