N.J. Admin. Code § 10:52A-4.10 - Individualized Recovery Plan

Current through Register Vol. 54, No. 7, April 4, 2022

(a) The interdisciplinary treatment team shall develop an Individualized Recovery Plan for each beneficiary participating in an APH and PH program. The Individualized Recovery Plan shall address urgent problems or barriers which staff have prioritized from the comprehensive assessment and, to the greatest extent possible, effectuate agreement and mutual understanding between the beneficiary and the program staff.
(b) In each APH program, staff shall formulate the Individualized Recovery Plan and implement it at the completion of the comprehensive assessment, but no later than 14 business days after the beneficiary's admission to the program. In each PH program, staff shall formulate the Individualized Recovery Plan and implement it at the completion of the comprehensive assessment, but no later than six weeks after the beneficiary's admission to the program.
(c) In each APH program, assigned staff from the interdisciplinary treatment team shall document in the Individualized Recovery Plan the beneficiary's progress toward treatment objectives and his or her response to interventions, and shall revise and update the Individualized Recovery Plan every 30 days. In each PH program, assigned staff from the interdisciplinary treatment team shall document in the Individualized Recovery Plan the beneficiary's progress toward treatment objectives and his or her response to interventions, and shall revise and update the Individualized Recovery Plan every 90 days for the first year and every 180 days thereafter.
(d) The Individualized Recovery Plan shall:
1. Be written in language which can be easily understood by the beneficiary;
2. Contain the signatures of the beneficiary, primary case coordinator or counselor and direct care staff supervisor. The beneficiary's signature on the Individualized Recovery Plan shall indicate that the beneficiary was involved in the formulation of the plan or that the beneficiary reviewed and approved of the plan. In the event that the beneficiary is not involved in the development of the plan or the beneficiary does not agree with any part of the plan, his or her lack of participation or disagreement shall be documented in the comments section of the Individualized Recovery Plan;
3. Contain the direction of the course of treatment;
4. Contain the psychiatrist's or advanced practice nurse's signature, which shall reflect agreement with the direction of the course of treatment;
5. Contain the beneficiary's self-stated overall goals and objectives related to chosen, valued role(s) and specific plans to achieve these roles, with target dates for achievement, including further in-depth and ongoing assessment in the identified areas;
6. List specific interventions, strategies and activities to implement the Individualized Recovery Plan, including clear reference to necessary off-site services to assist in the transfer of learning;
7. Identify the staff responsible for implementing each intervention; and
8. Contain a comment section under which the beneficiary states in his or her own words any concerns, agreements or disagreements with either the development or final Individualized Recovery Plan.
(e) The adult APH and PH program shall include the beneficiary and family (with consent) participation in service planning. To assure family participation in developing the Individualized Recovery Plan and revisions, the program staff shall seek input from family members at each service planning milestone, provided that the beneficiary has given written consent to release information related to the treatment of his or her mental illness.
(f) The beneficiary shall attend treatment team meetings to discuss progress and potential plan revisions. Staff shall document the beneficiary's involvement in the record.
(g) The treatment team shall document any progress after each Individualized Recovery Plan meeting.
(h) Following completion of the Individualized Recovery Plan, the treatment team shall develop an active treatment schedule which addresses the issues identified in the comprehensive assessment.

Notes

N.J. Admin. Code § 10:52A-4.10

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