SECTION 450:18-7-81. Service Plan

(a)   The service plan is performed with the active participation of the consumer and a support person or advocate, if requested by the consumer. In the case of children under the age of eighteen (18), it is performed with the participation of the parent or guardian, if allowed by law, and the child as age and developmentally appropriate. The service plan shall provide the formation of measurable service objectives and reflect ongoing changes in goals and objectives based upon consumer's progress or preference or the identification of new needs, challenges, and problems. The service plan shall be completed by a LBHP or Licensure Candidate.

(b)   The service plan is developed after and based on information obtained in the assessment and includes the evaluation of the assessment information by the clinician and the consumer.

(c)   The service plan must have an overall general focus on recovery which, for adults, may include goals like employment, independent living, volunteer work, or training, and for children, may include areas like school and educational concerns and assisting the family in caring for the child in the least restrictive level of care.

(d)   Comprehensive service plan contents shall address the following:

(1)   Consumer strengths, needs, abilities, and preferences;

(2)   Identified presenting challenges, needs, and diagnosis;

(3)   Goals for treatment with specific, measurable, attainable, realistic, and time-limited objectives;

(4)   Type and frequency of services to be provided;

(5)   Description of consumer's involvement in, and response to, the service plan;

(6)   The service provider who will be rendering the services identified in the service plan; and

(7)   Discharge criteria that are individualized for each consumer and beyond that which may be stated in the ASAM criteria.

(e)   Service plan updates shall address the following:

(1)   Progress on previous service plan goals and/or objectives;

(2)   A statement documenting a review of the current service plan and an explanation if no changes are to be made to the service plan;

(3)   Change in goals and/or objectives based upon consumer's progress or identification of new needs and challenges;

(4)   Change in frequency and/or type of services provided;

(5)   Change in staff who will be responsible for providing services on the plan; and

(6)   Change in discharge criteria.

(f)   Service plan updates should occur at a minimum of every six (6) months during which services are provided.

(g)   Service plans, both comprehensive and update, must include dated signatures for the consumer (if over age 14), the parent/guardian (if under age 18 and allowed by law), and the primary service practitioner. Signatures must be obtained after the service plan is completed.

(h)   Compliance with 450:18-7-81 shall be determined by a review of the clinical records, interviews with staff and consumers, and other facility documentation.

[Source: Added at 13 Ok Reg 2769, eff 7-1-96; Amended at 14 Ok Reg 676, eff 12-24-96 (emergency); Amended at 14 Ok Reg 1934, eff 5-27-97; Amended at 19 Ok Reg 2375, eff 7-1-02; Amended at 22 Ok Reg 2109, eff 7-1-05; Amended at 23 Ok Reg 1953, eff 7-1-06; Amended at 24 Ok Reg 2580, eff 7-12-07; Amended at 27 Ok Reg 2237, eff 7-11-10; Amended at 31 Ok Reg 2004, eff 10-1-14; Added at 35 Ok Reg 1821, eff 10-1-18]