This regulation governs the Plan of Care development process for Clubhouse programs, a community mental health rehabilitation service in DC. Clubhouses must complete a Diagnostic Assessment, develop a Clubhouse-specific Plan of Care, and consider the member's cultural values and evidence-based practice options. The Plan of Care must be coordinated with any existing MHRS Plan of Care if the member is enrolled in a Community Support Agency (CSA), and court-appointed guardians and consenting family members may be involved in the planning process.
View official source3909 CLUBHOUSE PLAN OF CARE DEVELOPMENT PROCESS 3909.1 The Clubhouse Plan of Care development process for members shall, at a minimum, include: (a) The completion of a Diagnostic Assessment service and required components as described in § 3418 of this subtitle, unless the referral comes from a CSA, in which case the CSA may provide the Diagnostic/Assessment report; (b) Development of a Clubhouse Plan of Care as described in § 3910 of this chapter; (c) Consideration of the member’s beliefs, values, and cultural norms in how, what, and by whom Clubhouse services are to be provided; and (d) Consideration, screening, and assessment of the member for treatment via other appropriate evidence-based practices (EBP) offered through DBH MHRS providers. 3909.2 Court-appointed guardians for members, if applicable, shall be involved in the Plan of Care planning process. Family members and significant others of adult members may participate in the Plan of Care planning process to the extent that the adult member consents to the involvement of the family member and significant other. 3909.3 The Clubhouse Plan of Care shall be developed by the Clubhouse in accordance with the member’s existing MHRS Plan of Care for those members enrolled in a CSA and in cooperation with other specialty providers if applicable. 3909.4 The Clubhouse Plan of Care shall be developed by the Clubhouse for those members not enrolled in a CSA or other specialty provider. SOURCE: Emergency and Proposed Rulemaking published at 57 DCR 4010 (May 7, 2010)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698, 8708 (September 24, 2010); as amended by Final Rulemaking published at 66 DCR 5638 (May 3, 2019); as amended by Final Rulemaking published at 67 DCR 10674 (September 4, 2020). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 3909