Ohio Admin. Code 5122-41-07 - Individual plan of care and services
(A)
PRTF services
will involve "active treatment," which means implementation of a professionally
developed and supervised individual plan of care described in paragraph (B) of
this rule, that is:
(1)
Developed and implemented as soon as possible but not
later than fourteen days after admission; and,
(2)
Designed to
achieve the youth's transition from the PRTF at the earliest possible
time.
(B)
Individual plan of care.
(1)
The individual
plan of care will be in writing and developed for each youth in order to
improve their condition to the extent that PRTF care is no longer
necessary.
(2)
The plan of care will:
(a)
Be based on a
diagnostic evaluation that includes examination of the medical, psychological,
social, behavioral, and developmental aspects of the youth's situation and
reflects the need for PRTF care.
(b)
Be developed by a
team of professionals specified in paragraph (D) of this rule in consultation
with the youth and their parents or caregiver and legal guardians if
applicable.
(c)
State treatment objectives.
(d)
Prescribe an
integrated program of therapies, activities, and experiences designed to meet
the objectives.
(3)
When a PRTF includes youth with intellectual or
developmental disabilities in its admission criteria, the examination will also
include an assessment by an occupational therapist to address underlying
sensory needs and communication needs.
(C)
The plan will be
reviewed at least every thirty days, and more often when clinically indicated,
by the team specified in this rule and the youth and family to:
(1)
Determine that
services being provided are or were necessary to be provided in a PRTF;
and,
(2)
Recommend changes in the plan as indicated by the
youth's overall progress in the PRTF.
(D)
Team developing
and reviewing individual plan of care.
(1)
The individual
plan of care developed in accordance with this rule will be developed and
reviewed by the interdisciplinary team identified in this paragraph. The
members of the team will be employed by or provide services to the youth in the
PRTF and their family or caregiver.
(2)
Based on
education and experience, including competence in child psychiatry, the team
will be able to:
(a)
Assess the youth's immediate and long-range therapeutic
needs, developmental priorities, and personal strengths and
liabilities;
(b)
Assess the potential resources of the youth's
family;
(c)
Set treatment objectives; and,
(d)
Prescribe
therapeutic modalities to achieve the plan's objectives.
(3)
At a
minimum, the team will include one of the following:
(a)
A board-eligible
or board-certified psychiatrist;
(b)
A licensed
psychologist and a physician licensed to practice medicine or osteopathy;
or,
(c)
A physician licensed to practice medicine or osteopathy
with specialized training and experience in the diagnosis and treatment of
mental illness, and a clinical psychologist who has a master's degree in
clinical psychology.
(4)
The team will
also include one of the following:
(a)
An individual with competency in behavioral health who
is one of the following: a licensed social worker, an independent social
worker, a licensed professional counselor, a professional clinical counselor, a
licensed marriage and family therapist, or an independent marriage and family
therapist;
(b)
A registered nurse, certified nurse practitioner or
clinical nurse specialist with specialized training or one year of experience
in treating individuals with behavioral health needs, e.g. mental illness or
substance use disorder; or,
(c)
A licensed
psychologist.
(5)
When a PRTF includes youth with intellectual or
developmental disabilities in its admission criteria, the team will include an
occupational therapist with experience in working with youth with intellectual
or developmental disabilities.
(E)
A PRTF will
provide to a youth all of the following treatment and other services:
(1)
A physical health
examination by a physician or advanced practice registered nurse not later than
twenty-four hours after admission; the PRTF will not compel but may accept an
examination completed within seventy-two hours prior to admission to meet this
standard.
(2)
A psychiatric evaluation by a psychiatrist or other
qualified independent medical practitioner not later than forty-eight hours
after admission; the PRTF will not compel but may accept an examination
completed within seventy-two hours prior to admission to meet this
standard.
(3)
Psychiatric services when clinically indicated.
Psychiatric services will be available at all times on site or by
telephone.
(4)
Nursing services when clinically
indicated.
(5)
Education services that meet the minimum standards
applicable to city, local, or exempted village school districts, community
schools, and chartered nonpublic schools as set forth in agency 3301 of the
Administrative Code.
(6)
Organized recreational activities.
(7)
Transportation to
other medical services, including laboratory, dental, vision, physical therapy,
occupational therapy, or speech therapy, which the PRTF may provide directly or
through a contractor.
(F)
In addition to
the treatment and other services specified in paragraph (E) of this rule, a
PRTF will provide to each youth the following therapeutic services:
(1)
A face-to-face
consultation, lasting at least fifteen minutes, and occurring not less than
once a week with a psychiatrist; other qualified physician; or a prescriber
either under the direction of a physician or other practitioner with
prescribing authority or practicing under a collaborative
agreement;
(2)
Individual counseling sessions with a licensed
clinician, occurring not less than twice a week, for a total of at least ninety
minutes each week;
(3)
Group counseling sessions with a licensed clinician,
occurring not less than five times a week, for a total of at least five hours
each week;
(4)
Family therapy or other family interventions in
accordance with the youth's individualized plan of care;
(5)
Art and music
therapeutic services will be available to all youth in accordance with the
youth's individualized plan of care;
(6)
Medication
administration, monitoring, and education as prescribed;
(7)
Substance use
disorder treatment in accordance with the American society of addiction
medicine (ASAM) criteria when clinically indicated and included in the PRTF's
admission criteria; and,
(8)
Ancillary services based on the youth's clinical needs
as indicated in the youth's individualized plan of care, provided seven days a
week for at least two hours each day.
At least one therapeutic service specified in this paragraph will be provided on site each day. The provision of all therapeutic services specified in this paragraph will not amount to less then eight hours, total, each week.
Notes
Promulgated Under: 119.03
Statutory Authority: 5119.141
Rule Amplifies: 5119.141, 5119.34
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