Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 450. Department of Mental Health and Substance Abuse Services |
Chapter 17. Standards and Criteria for Community Mental Health Centers |
Subchapter 7. Facility Clinical Records |
SECTION 450:17-7-12. Discharge summary
Latest version.
- (a) A discharge summary shall document the consumer's progress made in treatment; response to services rendered; and recommendation for any referrals, if deemed necessary. It shall include a discharge plan which lists written recommendations, and specific referrals for implementing aftercare services, including medications. Aftercare plans shall be developed with the knowledge and cooperation of the consumer, when possible.(b) A discharge summary shall be entered in each consumer's record within fifteen (15) days of release, discharge, or transfer from inpatient treatment or upon discharge from facility services. Consumers who have received no services for one hundred twenty (120) days shall be discharged if it is determined that services are no longer needed or desired.(c) In the event of death of a consumer: A summary statement including this information shall be documented in the record; and(d) Compliance with 450:17-7-12 shall be determined by a review of closed consumer records.