SECTION 450:55-5-7. Treatment planning

(a)   The PACT team shall evaluate each consumer and develop an individualized comprehensive treatment plan within eight (8) weeks of admission, which shall identify individual needs and problems and specific measurable goals along with the specific services and activities necessary for the consumer to meet those goals and improve his or her capacity to function in the community. The treatment plan shall be developed in collaboration with the consumer or guardian when feasible. The consumer's participation in the development of the treatment plan shall be documented.

(b)   Individual treatment team members shall ensure the consumer is actively involved in the development of treatment and service goals.

(c)   The treatment plan shall clearly specify the services and activities necessary to meet the consumer's needs and who will be providing those services and activities.

(d)   The following key areas shall be addressed in every consumer's treatment plan: symptom management, physical health issues, substance abuse, education and employment, social development and functioning, activities of daily living, and family structure and relationships.

(e)   The primary case manager and the individual treatment team shall be responsible for reviewing and revising the treatment goals and plan whenever there are major decision points in the consumer's course of treatment, e.g., significant change in consumer's condition, etc., at least every twelve (12) months a new comprehensive treatment plan will be developed. The revised treatment plan shall be based on the results of a treatment planning meeting. The plan and review will be signed by the consumer, the primary case manager, individual treatment team members, the team leader, the psychiatrist, and all other PACT team members.

(f)   The PACT team shall maintain written assessment and treatment planning policies and procedures to assure that appropriate, comprehensive, and on-going assessment and treatment planning occur.

(g)   Compliance with 450:55-5-7 shall be determined by review of the clinical records.

[Source: Added at 20 Ok Reg 683, eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 24 Ok Reg 1422, eff 7-1-07; Amended at 27 Ok Reg 1015, eff 7-1-10; Amended at 31 Ok Reg 2068, eff 10-1-14]