Community Services Programs
Mental Health Agency Licensing Standards; Outpatient Service Standards - Discharge Planning
Each client record contains documentation of current discharge or termination planning.
The agency has discharge planning policies and procedures.
The agency has a policy and procedure for determining when a client is considered "inactive".
The inactive status policy and procedure notes what documentation is kept on the client during inactive status.
The inactive status policy and procedure notes the duration of inactive status before the case is considered closed.
A discharge summary is entered in the client record within 15 days of discharge or on the 90th day of inactive status and includes the client's course of treatment and ongoing needs at discharge.
Each discharge summary minimally addresses, but need not be limited to the following:
the reasons for termination of service;
the final assessment, including general observations and significant findings of the client's condition initially, while services were being provided and at discharge;
the course and progress of the client with regard to each identified problem; and
the recommendations and arrangements for further continued service needs.
Interpretive Guideline for OP.12
For clients on inactive status, a discharge summary should be completed no later than 90 days following placement on inactive status or earlier given the following conditions:
1. another agency submits a request for the client's discharge summary prior to the 90th day of inactive status;
2. agency policy requires that a discharge summary be completed earlier than the 90th day of inactive status; and
3. practitioners who are leaving agency employment must complete discharge summaries on all of their inactive status clients regardless of time frame.
The agency has policies and procedures that specify under what conditions services may be discontinued or interrupted which minimally include how and when the client is notified.
For agencies serving DHHS class members, the agency shall first obtain prior written approval for discontinuing or interrupting services from the Department.
For agencies serving DHHS class members, the agency shall give thirty days advance written notice to the client and the client's guardian. If the client poses a threat of imminent harm to persons employed or served by the agency, the agency shall give notice that is reasonable under the circumstances.
For agencies serving DHHS class members, the agency shall give such notice as may be required by law or regulation.
For agencies serving DHHS class members, the agency shall assist the client in obtaining the services from another agency.
For agencies serving DHHS class members, the agency shall provide documented evidence in the client record of compliance with these standards, through letters, progress notes, phone logs, and/or facsimile.
Applicants, who are not eligible for services, will be referred to appropriate services, if required, available and desired.
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.
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.