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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 450. Department of Mental Health and Substance Abuse Services |
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Chapter 27. Standards and Criteria for Mental Illness Service Programs |
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Subchapter 7. Clinical Services |
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Part 5. CLINICAL DOCUMENTATION |
SECTION 450:27-7-46. 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) calendar days of discharge from facility services.(c) In the event of death of a consumer, in lieu of a discharge summary, a summary statement including applicable information shall be documented in the record.(d) Compliance with 450:27-7-46 shall be determined by a review of closed consumer records.