4 Pa. Code § 257.4 - Case management
(a)
Statement of policy. As a component of the Comprehensive Drug
and Alcohol Treatment and Prevention Plan, each SCA shall, in cooperation with
service providers, develop a plan for the provision of a case management system
for all individuals entering or currently a client of drug or alcohol treatment
services provided by that SCA. The case management system shall be in
accordance with the provisions set forth in this section.
(b)
Performance. The SCA
shall have the following responsibilities:
(1) The SCA shall be responsible for the
planning and implementation of the case management system. The SCA shall
perform the following functions:
(i)
Supervise, coordinate, monitor and ensure the performance of case management
activities.
(ii) Periodically
review client service plans for continuity of service, continued
appropriateness of service, and utilization of available resources. The SCA may
review random samples for conformance with written policies or guidelines, or
both, for service plans developed by the SCA in cooperation with service
providers.
(2) The SCA
shall perform or delegate the performance of the following functions to
treatment service providers:
(i) Development
of a comprehensive confidential personal history, including any significant
medical, social, occupational and family information.
(ii) Arrangement for the provision of needed
medical, functional, psychological, psychiatric, social or vocational
diagnostic assessments.
(iii)
Thorough exploration of service needs and discussion with the client concerning
service options to which he may be referred.
(iv) Preparation of a written service plan
utilizing all appropriate available service resources and listing the services,
to be provided. This plan shall be developed in cooperation with and agreed to
by the service provider and the client. The service plan shall also include
referral to any services not specifically for drug and alcohol clients, for
example legal services and dental services, for which the client may be
eligible.
(v) Prompt arrangement
for delivery of the requested services.
(vi) If a client has been referred for
services, liaison, follow-up, or advocacy, as appropriate, to promote client
satisfaction, continued delivery of services, and continuity of
services.
(vii) Case consultation,
as appropriate.
(viii) Assignment
of a client number for UDCS reporting forms and the completion of UDCS forms
and intake forms as appropriate.
(ix) Determination of liability and
preparation of abatement requests for those cases where liability payment
cannot be collected.
(3)
Each treatment service provider shall perform the following functions:
(i) Development and periodic review of
individual treatment and rehabilitation plans which document the specific
activities to be provided by the service provider as specified in
§262.6(b)(2) (relating to general standards for treatment
activities).
(ii) Assignment of a
primary counselor to assure that services are provided according to treatment
and rehabilitation plans.
(iii)
Performance of any case management activities delegated to the provider by the
SCA as set forth in subsection (b)(2).
(4) As set forth in §
254.20 (relating to appeals), an
aggrieved party shall have the right to appeal an SCA decision to the
Council.
(c)
Client records. Client records shall be managed in accordance
with the following:
(1) Clearly stated
written policies shall be developed cooperatively by the SCA and service
providers and utilized in the performance of case management stating the
following:
(i) The types and form of records
gathered on each applicant for services.
(ii) The types and form of ongoing records to
be kept on each individual.
(2) A complete client record shall be
maintained on each individual whose case is managed which shall include, but
not be limited to, the following:
(i)
Significant medical, social, occupational and family history.
(ii) The client's treatment plan.
(iii) Records of any significant client
contacts.
(iv) Records of any
referral contacts.
(v) Consent
forms for the release of client information.
(vi) Records of any client-related
consultation, conversations and so forth with service providers.
(vii) Records of the release of any client
information and copies of any client-related correspondence.
(viii) Records or referral
follow-up.
(ix) Documentation of
monitoring of the service plan.
(d)
Confidentiality. To
insure confidentiality the following safeguards shall be taken:
(1) All client records shall be confidential
in accordance with Federal and State laws or regulations.
(i) Client records shall be secured within a
locked storage container.
(ii) Only
those individuals actually performing case management functions, including SCA
staff performing case management functions, may have access to the client
records. This includes clerical personnel assigned the responsibility of case
management files.
(2)
Client records may be released for treatment purposes if written informed and
voluntary consent has been obtained from the client, in accordance with §
255.5 (relating to projects and
coordinating bodies: disclosure of client orientation information).
(i) Informed and voluntary consent shall be
obtained from the client for disclosure of client information necessary for the
performance of case management functions.
(ii) Informed and voluntary consent shall be
obtained from the client for the release of information to a treatment project
to which the client is referred during an agreed upon and specified period of
time.
(iii) A copy of any client
consent shall be given to the client and the original maintained in the client
records.
(iv) When client
information is disclosed to an authorized person or organization the
information shall not be redisclosed.
(e)
Client rights. Client
rights shall be defined as follows:
(1) A
person receiving care or treatment under the provisions of or subject to the
provisions of section 7 of the act of April 14, 1972 ( P. L. 221, No. 63)
(71
P. S. §
1690.107) shall retain all civil
rights and liberties except as provided by law. No client shall be deprived of
any civil right solely by reason of treatment.
(2) The case management system shall not
discriminate on the basis of age, race, creed, sex, ethnicity, color, national
origin, marital status, sexual orientation, handicap or
religion.
Notes
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