104 CMR 29.15 - Requests for Discharge from Services; Disengagement from Services
(1) If a client or
his or her legally authorized representative requests discharge from DMH
services, the request will be referred to the Area Director or designee for
review.
(a) If the Area Director or designee
concurs with the request, the client shall be discharged.
(b) If such request is against the advice of
the Area Director or designee, the Department shall direct efforts, for a
reasonable period of time, to encourage the client or his or her legally
authorized representative to continue such services. If, notwithstanding such
efforts, the client or his or her legally authorized representative still
requests discharge, the client shall be discharged. Efforts to encourage
continued participation and discharge from services shall be documented in the
client's record.
(2) If a
client disengages from DMH services without formal request or notification, the
Department shall direct efforts to reengage the client. The mechanisms and time
frame for such reengagement efforts shall be determined by the Area Director or
designee.
(a) When a clinical decision is made
that reengagement efforts have failed and are unlikely to succeed in the
foreseeable future, the Area Director or designee shall be notified.
(b) If the Area Director or designee concurs,
the client shall be discharged and shall no longer be a client. Efforts to
reengage the client and discharge from services shall be documented in the
client's record.
Notes
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