Pa. Code 5240.96

Individual treatment plan

This section establishes requirements for the Individual Treatment Plan (ITP) for children, youth, and young adults receiving group behavioral health services under 55 Pa. Code Chapter 5240. A graduate-level professional must complete a written ITP within 30 days of initiating group services, incorporating strength-based, individualized goals and measurable outcomes addressing the client's therapeutic needs at home, school, or in the community. The ITP must be developed collaboratively with the client and/or their parent, guardian, or caregiver, and reviewed and updated at least every six months or upon specified clinical or circumstantial triggers.

55 Pa. Code § 5240.96 - Individual treatment plan 

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(a)
 A
 written ITP shall be completed by a graduate-level professional within 30 days
 after the initiation of group services and be based on the assessment completed
 in accordance with §
 
5240.95
 (relating to
 assessment).

(b)
 The ITP must
 include the recommendations from the licensed professional who completed the
 written order for group services in accordance with §§
 
1155.32
(a)(1)
 and
 
1155.34
(a)(1) 

 (relating to payment conditions for individual services; and payment conditions
 for group services).

(c)
 The ITP
 shall be strength-based with individualized goals and objectives to address the
 identified therapeutic needs for the child, youth or young adult to function at
 home, school or in the community.

(d)
 The ITP must include the following: 
 
(1)
 Specific goals and objectives to address
 the identified therapeutic needs with definable and measurable
 outcomes.

(2)
 Whether and how
 parent, legal guardian or caregiver participation is needed to achieve the
 identified goals and objectives.

(3)
 Structured therapeutic activities,
 community integration activities and individual interventions to address
 identified therapeutic needs for the child, youth or young adult to function at
 home, school or in the community.

(4)
 Time frames to complete each
 goal.

(5)
 Settings where group
 services may be provided.

(6)

 Number of hours that group services will be provided to the child, youth or
 young adult.

(e)
 The ITP
 shall be developed in collaboration with the child, youth, young adult or
 parent, legal guardian or caregiver of the child or youth as
 appropriate.

(f)
 The ITP shall be
 reviewed and updated at least every 6 months or if one of the following occurs:
 
(1)
 The child, youth or young adult has made
 sufficient progress to require that the ITP be updated.

(2)
 The child, youth or young adult has not
 made significant progress towards the goals identified in the ITP within 90
 days from the initiation of the services.

(3)
 The youth or young adult requests an
 update.

(4)
 A parent, legal
 guardian or caregiver of the child or youth requests an update.

(5)
 The child, youth or young adult
 experiences a crisis event.

(6)
 The
 ITP is no longer clinically appropriate for the child, youth or young
 adult.

(7)
 A staff person, primary
 care physician, other treating clinician, case manager or other professional
 involved in the child's, youth's or young adult's services provides a reason an
 update is needed.

(8)
 The child,
 youth or young adult experiences a change in living situation that results in a
 change of the child's, youth's or young adult's primary caregivers.

(g)
 An ITP update must include the
 elements in subsection (d) and the following: 
 
(1)
 A description of progress or lack of
 progress toward previously identified goals and objectives.

(2)
 A description of any new goals,
 objectives and interventions.

(3)
 A
 description of any changes made to previously identified goals, objective or
 interventions.

(4)
 A description of
 new interventions to be used to reach previously identified goals and
 objectives.

(h)
 The ITP
 and all updates shall be reviewed, signed and dated by the youth, young adult
 or parent or legal guardian of the child or youth, and the staff person who
 completed the ITP.

(i)
 The ITP and
 all updates shall be reviewed, signed and dated by an individual who meets the
 qualifications of a clinical director in §
 
5240.12
 (relating to staff
 qualifications).

Notes

55

 Pa. Code §
 
5240.96

This section cited in 55 Pa. Code §
 
1155.34
 (relating to payment
 conditions for group services); 55 Pa. Code §
 
5240.41
 (relating to individual
 records); 55 Pa. Code §
 
5240.98
 (relating to requirements
 for group services in school settings); and 55 Pa. Code §
 
5240.102
 (relating to assessment
 and individual treatment plan).

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