55 Pa. Code § 5240.22 - Individual treatment plan
(a) A
written ITP shall be completed within 30 days after the initiation of a service
and be based on the assessment completed in accordance with §
5240.21 (relating to
assessment).
(b) The ITP must
include the recommendations from the licensed professional who completed the
written order for IBHS in accordance with §
1155.32(a)(1)
(relating to payment conditions for individual services).
(c) The ITP shall be strength-based with
individualized goals and objectives to address the identified therapeutic needs
for the child, youth or young adult to function at home, school or in the
community.
(d) The ITP must include
the following:
(1) Service type and the number
of hours of each service.
(2)
Whether and how parent, legal guardian or caregiver participation is needed to
achieve the identified goals and objectives.
(3) Safety plan to prevent a crisis, a crisis
intervention plan and a transition plan.
(4) Specific goals, objectives and
interventions to address the identified therapeutic needs with definable and
measurable outcomes.
(5) Time
frames to complete each goal.
(6)
Settings where services may be provided.
(7) Number of hours of service at each
setting.
(e) The ITP shall
be developed in collaboration with the child, youth, young adult or parent,
legal guardian or caregiver of the child or youth, as appropriate.
(f) The ITP shall be reviewed and updated at
least every 6 months or if one of the following occurs:
(1) The child, youth or young adult has made
sufficient progress to require that the ITP be updated.
(2) The child, youth or young adult has not
made significant progress towards the goals identified in the ITP within 90
days from the initiation of the services.
(3) The youth or young adult requests an
update.
(4) A parent, legal
guardian or caregiver of the child or youth requests an update.
(5) The child, youth or young adult
experiences a crisis event.
(6) The
ITP is no longer clinically appropriate for the child, youth or young
adult.
(7) A staff person, primary
care physician, other treating clinician, case manager or other professional
involved in the child's, youth's or young adult's services provides a reason an
update is needed.
(8) The child,
youth or young adult experiences a change in living situation that results in a
change of the child's, youth's or young adult's primary caregivers.
(g) An ITP update must include the
elements in subsection (d) and the following:
(1) A description of progress or lack of
progress toward previously identified goals and objectives.
(2) A description of any new goals,
objectives and interventions.
(3) A
description of any changes made to previously identified goals, objectives or
interventions.
(4) A description of
new interventions to be used to reach previously identified goals and
objectives.
(h) The ITP
and all updates shall be reviewed, signed and dated by the youth, young adult
or parent or legal guardian of the child or youth, and the staff person who
completed the ITP.
(i) The ITP and
all updates shall be reviewed, signed and dated by an individual who meets the
qualifications of a clinical director in §
5240.12 (relating to staff
qualifications).
(j) This section
does not apply to ABA services or group services.
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