Pa. Code 5100.77

Discharge from voluntary inpatient treatment

This regulation governs the discharge process for patients receiving voluntary inpatient psychiatric treatment. It requires the treatment team to discharge patients when continued inpatient treatment is no longer indicated and to provide an appropriate post-discharge plan. It also establishes procedures when a patient refuses to cooperate with their individualized treatment plan, including director review, patient advisement of voluntary status, and potential discharge or commitment proceedings. Facilities using public funds must notify the relevant administrator of discharge plans.

55 Pa. Code § 5100.77 - Discharge from voluntary inpatient treatment 

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(a)
 In the event that the treatment team
 determines that continued voluntary inpatient treatment is not indicated, the
 treatment team shall discharge the patient with an appropriate post-discharge
 plan. If public funds are or will be involved, the director shall notify the
 administrator as early as feasible of the discharge plan. All persons being
 discharged from a State operated mental health facility shall be referred to
 the administrator per section 116 of the act (
50 P. S. §
 
7116
).

(b)
 In the event that any patient in
 voluntary inpatient treatment is unwilling to accept or cooperate with his
 individualized treatment plan, the treatment team shall advise the director of
 the facility of such fact. The director of the facility or designee shall
 review the circumstances including the availabilities of reasonable alternative
 treatment plans, and determine whether discharge is appropriate.

(c)
 When the director of the facility
 determines that the unwillingness of the patient to accept or cooperate with
 the individualized treatment plan, or reasonable alternative treatment plans,
 makes continued voluntary inpatient treatment inappropriate, he or she shall
 advise the patient of the voluntary nature of the treatment and the patient's
 right to withdraw.

(d)
 In the event
 that the patient continues to fail to accept or cooperate with the
 individualized treatment plan or reasonable alternative treatment plan, and
 fails to withdraw from voluntary inpatient treatment, the director of the
 facility shall advise the patient, and if public funds are involved, the
 Administrator, of his determination that discharge or commitment may be
 appropriate.

Notes

55

 Pa. Code §
 
5100.77

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