This regulation governs Plan of Care implementation requirements for Clubhouse providers in the District of Columbia. Clubhouse staff must discuss the Plan of Care with members on an ongoing basis, document member responses and participation, and have an independently licensed qualified practitioner approve and sign the plan at each review. Plans must be reviewed and updated at least every 180 days or upon significant changes in the member's condition, and copies must be distributed to the member, legal guardian, and any designated individuals.
View official source3911 CLUBHOUSE PLAN OF CARE IMPLEMENTATION 3911.1 Clubhouse assigned staff and the member shall discuss the Plan of Care on an ongoing basis. An encounter note describing the member’s response to, participation in and agreement to the Plan of Care shall be recorded in the member’s clinical record. 3911.2 In situations where the member does not demonstrate the capacity to sign or does not sign the Plan of Care, the reasons the member does not sign shall be recorded in the member’s clinical record, including each date when signature was attempted. 3911.3 An independently licensed qualified practitioner shall approve and sign the Plan of Care each time it is reviewed and updated. 3911.4 Documentation of participation of the member’s court-appointed guardian, family and significant others in the development of the Plan of Care shall also be included in the members's clinical record, as appropriate. 3911.5 Each Clubhouse provider shall develop policies and procedures for the Plan of Care review (Plan of Care Review Policy), which shall: (a) Include procedures for reviewing each member’s Plan of Care and ensuring that the plan contains Goals, Objectives and Interventions designed to meet the Treatment Goals set forth in the Plan of Care with respect to the provision of Clubhouse services to the member; and Require that the Plan of Care be reviewed and updated every one hundred eighty (180) days and at any time there is a significant change in the member’s condition or situation, which reflects progress toward or the lack of progress toward the treatment or recovery goals. The Plan of Care may be reviewed more frequently, as necessary, based on the member’s progress or circumstances. In addition to the requirements of § 3907.4 of this chapter, each Clubhouse shall provide a copy of the Plan of Care for each member when updated to: The member; Legal guardian (if applicable); and Anyone designated by the member. SOURCE: 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 § 3911