26 Tex. Admin. Code § 306.19 - Screening, Assessment, and Treatment Planning
(a) Screening and assessment. When a
screening determines an assessment is necessary, an integrated assessment must
be conducted to consider relevant past and current medical, psychiatric, and
substance use information, including:
(1)
information from the individual (and LAR on the individual's behalf) regarding
the individual's strengths, needs, natural supports, responsiveness to previous
treatment, as well as preferences for and objections to specific
treatments;
(2) the needs and
desire of the individual for family member involvement in treatment and
services if the individual is an adult without an LAR; and
(3) recommendations and conclusions regarding
treatment needs and eligibility for services for individuals.
(b) Treatment plan development.
(1) The individual (and LAR on the
individual's behalf, if applicable) must be involved in all aspects of planning
the individual's treatment. If the individual has requested the involvement of
a family member, then the provider must attempt to involve the family member in
all aspects of planning the individual's treatment.
(2) The treatment plan must identify services
to be provided and must include measurable outcomes that address
COPSD.
(3) The treatment plan must
identify the LAR's or family members' need for education and support services
related to the individual's mental illness and substance abuse and a method to
facilitate the LAR's or family members' receipt of the needed education and
support services.
(4) The
individual, LAR, and, if requested, family member, must be given a copy of the
treatment plan.
(c)
Treatment plan review. Each individual's treatment plan must be reviewed in
accordance with DSHS-defined timeframes and the review must be
documented.
(d) Progress notes. The
medical record notes must contain a description of the individual's progress
towards goals identified in the treatment plan, as well as other clinically
significant activities or events.
(e) Episode of care summary. Upon discharge
or transfer of an individual from one entity to another, the individual's
medical record must identify the services provided according to this subchapter
and the items referenced in §
301.353 (relating to Provider
Responsibilities for Treatment Planning and Service Authorization) of this
title, governing Mental Health Community Services Standards.
Notes
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