Pa. Code 5240.22

Individual treatment plan

This section requires Intensive Behavioral Health Services (IBHS) providers to complete a written Individual Treatment Plan (ITP) within 30 days of service initiation, based on a prior assessment. The ITP must be strength-based, include individualized goals, safety and crisis plans, service hours, and settings, and be developed collaboratively with the child, youth, or young adult and their caregivers. The ITP must be reviewed and updated at least every six months or upon specified triggering events, and must be signed by the client/guardian and a qualified clinical director. This section applies to individual IBHS services only and explicitly excludes ABA services and group services.

55 Pa. Code § 5240.22 - Individual treatment plan 

 State Regulations 

 Compare

(a)
 A
 written ITP shall be completed within 30 days after the initiation of a service
 and be based on the assessment completed in accordance with §
 
5240.21
 (relating to
 assessment).

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

 (relating to payment conditions for individual 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)
 Service type and the number
 of hours of each service.

(2)

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

(3)
 Safety plan to prevent a crisis, a crisis
 intervention plan and a transition plan.

(4)
 Specific goals, objectives and
 interventions to address the identified therapeutic needs with definable and
 measurable outcomes.

(5)
 Time
 frames to complete each goal.

(6)

 Settings where services may be provided.

(7)
 Number of hours of service at each
 setting.

(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, objectives 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).

(j)
 This section
 does not apply to ABA services or group services.

Notes

55

 Pa. Code §
 
5240.22

This section cited in 55 Pa. Code §
 
1155.32
 (relating to payment
 conditions for individual services); 55 Pa. Code §
 
5240.41
 (relating to individual
 records); and 55 Pa. Code §
 
5240.102
 (relating to assessment
 and individual treatment plan).

State regulations are updated quarterly; we currently have two versions available.
 Below is a 
comparison between our most recent version and the prior quarterly release.

 More comparison features will be added as we have more versions to compare.

 No prior version found.

 State Regulations Toolbox