Current through Register Vol. 54, No. 7, April 4, 2022
1. IPU programs
shall include a wide range of services and treatment modalities. These shall
include medical psychiatric services, such as individual and group therapies,
neuroleptics, etc. and various psychological interventions, such as behavioral
modification and structured group processes, as defined within the context of
psychosocial therapeutic milieu.
Appropriate interdisciplinary staff shall be an ongoing part of treatment and
service planning for each client. Selected staff members from other community
mental health program elements (for example: Partial Care, Outpatient, etc.)
should also become a part of the treatment team, as needed, for continuity of
3. IPU Individual
Service Plans (ISPs) shall be designed to relieve the client from present
discomfort and to provide the client with the coping skills necessary to
function in the community. The treatment/service plan shall be explicit in
describing how/why the client could not cope in the community and what will be
done, during the stay, to help the client to function more adequately upon
discharge. (See N.J.A.C. 10:37-6, Article VIII.)
4. When appropriate, families and/or other
support system members shall be encouraged to participate in goal setting,
treatment planning, program services, and discharge planning.
5. When clients known to DYFS are admitted,
the IPU shall notify and involve DYFS in program and discharge planning, as
soon as possible.
completion of needs assessments, if a client under the age of 18 is in need of
DYFS services, referral to the appropriate District Office of DYFS should be
7. The services of the
various professional disciplines shall be integrated through regular staff
conferences initiated for the purpose of needs assessment, services and
discharge planning, and ongoing involvement of clients.
8. A daily schedule of group and individual
program/service options shall be made available to each client and shall be
developed with client participation whenever possible.
9. For clients who are discharged within 48
hours of admission, emphasis shall be on reinforcing the client's natural
support system, where appropriate, and on treatment and discharge planning,
described in (a)3 above.
(b) Records: IPU programs shall comply with
the requirements for medical/service records as specified by the Joint
Commission on the Accreditation of Hospitals and the Division. (See N.J.A.C.
10:37-6, Article XIII.)
1. Each client shall be involved
in determining service goals, modalities of treatment and timetables, to the
extent that his or her condition permits. Participation should be documented by
having the client's signature on the plan. (See N.J.A.C. 10:37-6, Article
VIII.) Client involvement shall include the development, modification,
execution, and registration of an advance directive for mental health treatment
if the consumer, after receiving complete information about such directives,
wishes to designate either a mental health representative or to execute an
participation in community-based activities (for example: Partial Care,
vocational programs, or visits to a future residence), shall be encouraged and
facilitated. Clients shall also be given opportunities to reorient themselves
to their home community while still an inpatient.
3. See N.J.A.C. 10:37-4.
1. Unified Services requirements applicable
to State and County psychiatric hospitals shall also apply to community-based
IPU programs. (See N.J.A.C. 10:37-6, Article XVIII.)
2. Discharge planning shall begin as soon
after admission as feasible.
Individual Service Plan (ISP) shall include linkages with appropriate community
mental health and related social services. The ISP shall identify comprehensive
service needs. (See N.J.A.C. 10:37-6, Article VIII.)
4. A review of the client's condition should
be made after 24 hours in order to certify/justify the initial stay. A
treatment plan shall be developed within 72 hours and be reviewed after one
week. Each client's treatment plan should be updated as often as possible. A
formal review of a client's treatment plan after the first week should
minimally be made on the 14th and 28th day of enrollment. Subsequently the
Individual Service Plan shall be reviewed and updated every two weeks up to
three months, and every three months thereafter. In each review, justification
for continued hospitalization, if necessary, should be recorded.
5. If a client is readmitted, the Unit should
ascertain and document where a breakdown in the individual's community and
natural support systems, his/her personal adaptive capabilities, and/or
emotional or physical condition occurred, so as to avoid subsequent