Community Services Programs

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

RS.11
Each client record contains documentation of current discharge or termination planning, if appropriate.

RS.11.A.
Planning for discharge to another setting or service will be contingent upon the client's consent to the establishment of such a discharge as a goal.

RS.12
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.

RS.12.A.
Each discharge summary minimally addresses, but need not be limited to the following:

RS.12.A.1
the reasons for termination of service;

RS.12.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; 

RS.12.A.3
the course and progress of the client with regard to each identified problem; and

RS.12.A.4
the recommendations and arrangements for further continued service needs.

RS.13
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.

RS.13.A.
For agencies serving BDS class members, the agency shall first obtain prior written approval for discontinuing or interrupting services from the Department.

RS.13.B
For agencies serving BDS 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.

RS.13.C
For agencies serving BDS class members, the agency shall give such notice as may be required by law or regulation.

RS.13.D
For agencies serving BDS class members, the agency shall assist the client in obtaining the services from another agency.

RS.13.E
For agencies serving BDS 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.

RS.14
The agency will have a discharge protocol that protects the client from summary discharge and allows the agency to maintain program integrity.

RS.14.A.
The agency has a policy and procedure for discharging clients that include the terms upon which a client may be discharged (e.g., disciplinary reasons, under-utilization of the program).

RS.14.B.
Except in emergency cases, clients shall be given 30 days notice before discharge.

RS.14.C.
The agency will not summarily discharge client. All substantiated complaints will be assessed for the seriousness of the violation and actions taken to achieve compliance.

RS.15
The agency documents the client's stated preference for living situation in the discharge plan.

Interpretive Guideline for RS.15
When the client's preference for living situation cannot be accommodated, the reasons are documented.

RS.16
Applicants who are not eligible for services will be referred to appropriate services, if required, available and desired.

RS.16.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.

RS.16.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.