Community Services Programs

Mental Health Agency Licensing Standards; Inpatient Service Standards - Discharge Planning

N.10 Each client record contains documentation of current discharge or termination planning as required by IN.5.

IN.11 A discharge summary is entered in the client record within 15 days of discharge and includes the client's course of treatment and ongoing needs at discharge.

IN.11.A. Each discharge summary minimally addresses, but need not be limited to the following:

  • IN.11.A.1 the reasons for termination of service;
  • IN.11.A.2 the final assessment, including the general observations and significant findings of the client's condition initially, while services were being provided and at discharge;
  • IN.11.A.3 the course and progress of the client with regard to each identified problem;
  • IN.11.A.4 the recommendations and arrangements for further continued service needs.

IN.12 The agency documents the client's stated preference for living situation in the discharge plan.

Interpretive Guideline for IN.12
When the client's preference for living situation cannot be accommodated, the reasons are documented.

IN.13 Applicants who are not eligible for services will be referred to appropriate services, if required, available and desired.

IN.13.A. The agency has a policy and procedure on referral and/or transfers of individuals deemed inappropriate for services offered by the agency that minimally includes communicating the rationale for the referral/transfer to the applicant and providing them with a list of alternative service providers and advocacy services.

IN.13.B. The agency provides and documents other assistance as required to assist the individual to obtain/access the services to which they are referring him/her.