Mich. Admin. Code R. 330.7199 - Written plan of services
Rule 7199.
(1)
The individualized written plan of services is the fundamental document in the
recipient's record. A provider shall retain all periodic reviews,
modifications, and revisions of the plan in the recipient's record.
(2) The plan shall identify, at a minimum,
all of the following:
(a) All individuals,
including family members, friends, and professionals that the individual
desires or requires to be part of the planning process.
(b) The services, supports, and treatments
that the recipient requested of the provider.
(c) The services, supports, and treatments
committed by the responsible mental health agency to honor the recipient's
request specified in subdivision (b) of this subrule.
(d) The person or persons who will assume
responsibility for assuring that the committed services and supports are
delivered.
(e) When the recipient
can reasonably expect each of the committed services and supports to commence,
and, in the case of recurring services or supports, how frequently, for what
duration, and over what period of time.
(f) How the committed mental health services
and supports will be coordinated with the recipient's natural support systems
and the services and supports provided by other public and private
organizations.
(g) Limitations of
the recipient's rights. Limitations of the recipients rights, any intrusive
behavior treatment techniques, or any use of psycho-active drugs for behavior
control purposes shall be reviewed and approved by a specially constituted body
comprised of at least 3 individuals, 1 of whom shall be a fully- or limited-
licensed psychologist with the formal training or experience in applied
behavior analysis, and 1 of whom shall be a licensed physician/psychiatrist.
Both of the following apply:
(i) Limitations
of the recipients rights, any intrusive treatment techniques or any use of
psychoactive drugs where the target behavior is due to an active substantiated
Axis 1 psychiatric diagnosis listed in the Diagnostic and Statistical Manual of
Mental Disorders need not be reviewed and approved by a specially constituted
body described in this subdivision. DSM-IV-TR (Text Revision), 2000, published
by the American Psychiatric Association, is adopted by reference and can be
obtained from American Psychiatric Publishing Inc., 1000 Wilson Boulevard,
Suite 1825, Arlington, VA 22209 at a cost of $60.00. This manual is also
available from the Michigan Department of Community Health, Office of
Psychiatric and Medical Services, 320 South Walnut, Lansing, MI 48913 for the
cost noted above plus $20.00 shipping and handling.
(ii) Any limitation shall be justified,
time-limited, and clearly documented in the plan of service. Documentation
shall be included that describes attempts that have been made to avoid
limitations, as well as what actions will be taken as part of the plan to
ameliorate or eliminate the need for the limitations in the future.
(h) Strategies for assuring that a
recipient has access to needed and available supports identified through a
review of his or her needs. Areas of possible need may include any of the
following:
(i) Food.
(ii) Shelter.
(iii) Clothing.
(iv) Physical health care.
(v) Employment.
(vi) Education.
(vii) Legal services.
(viii) Transportation.
(ix) Recreation.
(i) A description of any involuntary
procedures and the legal basis for performing them.
(j) A specific date or dates when the overall
plan, and any of its subcomponents will be formally reviewed for possible
modification or revision.
(3) The plan shall not contain privileged
information or communications.
(4)
Except as otherwise noted in subrule (5) of this rule, the individual plan of
service shall be formally agreed to in whole or in part by the responsible
mental health agency and the recipient, his or her guardian, if any, or the
parent who has legal custody of a minor recipient. If the appropriate
signatures are unobtainable, then the responsible mental health agency shall
document witnessing verbal agreement to the plan. Copies of the plan shall be
provided to the recipient, his or her guardian, if any, or the parent who has
legal custody of a minor recipient.
(5) Implementation of a plan without
agreement of the recipient, his or her guardian, if any, or parent who has
legal custody of a minor recipient may only occur when a recipient has been
adjudicated under section 469a, 472a, 473, 515, 518, or 519 of the act.
However, if the proposed plan in whole or in part is implemented without the
concurrence of the adjudicated recipient or his or her guardian, if any, or the
parent who has legal custody of a minor recipient, then the stated objections
of the recipient or his or her guardian or the parent who has legal custody of
a minor recipient shall be included in the plan.
Notes
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No prior version found.