Pa. Code 5240.86

Individual treatment plan

This section requires ABA service providers to complete a written Individual Treatment Plan (ITP) within 45 days of initiating ABA services, based on a prior assessment. The ITP must be strength-based, include specific measurable goals, safety and crisis plans, and detail service types, hours, and settings. It must be developed collaboratively with the child, youth, young adult, or their parent/guardian, reviewed and updated at least every six months or upon specified clinical or circumstantial triggers, and signed by both the client/guardian and a qualified clinical director.

55 Pa. Code § 5240.86 - Individual treatment plan 

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(a)
 A
 written ITP shall be completed by an individual qualified to provide behavior
 analytic services or behavior consultation-ABA services within 45 days after
 the initiation of ABA services and be based on the assessment completed in
 accordance with §
 
5240.85
 (relating to
 assessment).

(b)
 The ITP must
 include the recommendations from the licensed professional who completed the
 written order for ABA services in accordance with §
 
1155.33
(a)(1) 

 (relating to payment conditions for ABA services).

(c)
 The ITP must be strength-based with
 individualized goals and objectives to address the identified skill deficits,
 targeted behaviors or both for the child, youth or young adult to function at
 home, school or in the community.

(d)
 The ITP must include the following: 
 
(1)
 Service type and number of hours of each
 service.

(2)
 Specific measurable
 long, intermediate and short-term goals and objectives to address socially
 significant behaviors, skill deficits or both.

(3)
 Delineation of the frequency of baseline
 behaviors, the treatment planned to address behaviors, skill deficits or both,
 and the frequency at which the child's, youth's or young adult's progress in
 achieving each goal is measured.

(4)
 Time frames to complete each
 goal.

(5)
 Whether and how parent,
 legal guardian or caregiver training, support and participation is needed to
 achieve the identified goals and objectives.

(6)
 ABA interventions that are tailored to
 achieving the child's, youth's or young adult's goals and objectives.

(7)
 Settings where services may be
 provided.

(8)
 Number of hours of
 service at each setting.

(9)
 Safety
 plan to prevent a crisis, a crisis intervention plan and a transition
 plan.

(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 ABA 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, objectives or
 interventions.

(4)
 A description of
 any 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 a 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 §
 
5240.81
 (relating to staff
 qualifications for ABA services).

Notes

55

 Pa. Code §
 
5240.86

This section cited in 55 Pa. Code §
 
1155.33
 (relating to payment
 conditions for ABA services); 55 Pa. Code §
 
5240.41
 (relating to individual
 records); 55 Pa. Code §
 
5240.97
 (relating to group
 services provision); 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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