N.J. Admin. Code § 10:37A-4.5 - Individualized rehabilitation plan

(a) No later than 30 days after the consumer has been admitted, PA staff shall be responsible for partnering with the consumer to develop, implement, monitor, and update an individualized rehabilitation plan.

(b) Within the parameters established by State and Federal confidentiality laws and N.J.A.C. 10:37A-2.2(d), the PA shall consult with identified providers and significant others in developing the individualized rehabilitation plan.

(c) The individualized rehabilitation plan for each consumer shall be based upon the comprehensive rehabilitation needs assessment, WRAP(R) and advance directive for mental health care, most recent nursing assessment, and any other existing assessments.

(d) An individualized rehabilitation plan shall include the following information:

1. The valued life role the consumer wants to achieve or maintain, the consumer's rehabilitation and recovery goals, and time-framed, measurable objectives;

2. The strategies and interventions to be employed, as well as anticipated outcomes;

3. Specific measurable criteria for program discontinuance or reduction in services that delineate a desired behavioral change or skill attainment;

4. A schedule of updates to the plan; and

5. All relevant providers serving the consumer.

(e) Each individualized rehabilitation plan and subsequent revisions shall be signed and dated by:

1. A physician or licensed practitioner authorized to recommend a course of treatment;

2. Other appropriate team members;

3. The team member responsible for scheduling and conducting reviews for that consumer and his or her supervisor; and

4. The consumer.

i. If the consumer declines to sign the individualized rehabilitation plan, the PA shall document this fact.

(f) Review of the individualized rehabilitation plan shall occur as follows:

1. A consumer may request a review and/or revision of the individualized rehabilitation plan at any time.

2. In addition to any request by the consumer, the PA shall review and, as necessary, revise the individualized rehabilitation plan within three months of its development and every three months thereafter.

Notes

N.J. Admin. Code § 10:37A-4.5

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016