24 Miss. Code. R. 2-54.20 - Program Requirement Four (4): Scope of Services - Person-Centered and Family-Centered Treatment Planning
A. The CCBHC
directly, or through a DCO, provides person-centered and family-centered
treatment planning, including but not limited to, risk assessment and crisis
planning (CCBHCs may work collaboratively with DCOs to complete these
activities). Person-centered and family-centered treatment planning satisfies
the requirements below and is aligned with the requirements of the applicable
section of the Affordable Care Act, including person receiving services
involvement and self-direction. Note: Refer to the program requirement
related to coordination of care and treatment planning.
B. The CCBHC develops an individualized
treatment plan based on information obtained through the comprehensive
evaluation and the person receiving services' goals and preferences. The plan
shall address the person's prevention, medical, and behavioral health needs.
The plan shall be developed in collaboration with and be endorsed by the person
receiving services; their family (to the extent the person receiving services
so wishes); and family/caregivers of youth and children or legal guardians.
Treatment plan development shall be coordinated with staff or programs
necessary to carry out the plan. The plan shall support care in the least
restrictive setting possible. Shared decision-making is the preferred model for
the establishment of treatment planning goals. All necessary releases of
information shall be obtained and included in the health record as a part of
the development of the initial treatment plan.
C. The CCBHC uses the initial evaluation,
comprehensive evaluation, and ongoing screening and assessment of the person
receiving services to inform the treatment plan and services
provided.
D. Treatment planning
includes needs, strengths, abilities, preferences, and goals, expressed in a
manner capturing the words or ideas of the person receiving services and, when
appropriate, those of the family/caregiver of the person receiving
services.
E. The treatment plan is
comprehensive, addressing all services required, including recovery supports,
with provision for monitoring of progress towards goals. The treatment plan is
built upon a shared decision-making approach.
F. Where appropriate, consultation is sought
during treatment planning as needed (e.g., eating disorders, traumatic brain
injury, intellectual and developmental disabilities, interpersonal violence and
human trafficking).
G. The person's
health record documents any advance directives related to treatment and crisis
planning. If the person receiving services does not wish to share their
preferences, that decision is documented. Note: Refer to Program
Requirement Three (3) requiring the development of a crisis plan with each
person receiving services.
Notes
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