Regulation text
55 Pa. Code § 5100.15 - Contents of treatment plan
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(a)
A
comprehensive individualized plan of treatment shall:
(1)
Be formulated to the extent feasible,
with the consultation of the patient. When appropriate to the patient's age, or
with the patient's consent, his family, personal guardian, or appropriate other
persons should be consulted about the plan.
(2)
Be based upon diagnostic evaluation which
includes examination of the medical, psychological, social, cultural,
behavorial, familial, educational, vocational, and developmental aspects of the
patient's situation.
(3)
Set forth
treatment objectives and prescribe an integrated program of therapies,
activities, experiences, and appropriate education designed to meet these
objectives.
(4)
Result from the
collaborative recommendation of the patient's interdisciplinary treatment
team.
(5)
Be maintained and updated
with progress notes, and be retained in the patient's medical record on a form
developed by the facility and approved by the Deputy Secretary of Mental
Health, as part of the licensing approval process.
(b)
The treatment plan shall indicate what
less restrictive alternatives were considered and why they were not utilized.
If the plan provides for restraints, the basis for the necessity for such
restraints must be stated in the plan under Chapter 13 (relating to use of
restraints in treating patients/residents).
(c)
Individual treatment plans shall be
written in terms easily explainable to the lay person and a copy of the current
treatment plan shall be available for review by the person in
treatment.
(d)
When the most
appropriate form of treatment for the individual is not available or is too
expensive to be feasible, that fact shall be noted on the treatment plan
form.
Notes
55
Pa. Code §
5100.15
This section cited in 55 Pa. Code §
5100.4
(relating to scope); and 55
Pa. Code §
5100.75
(relating to physical
examination and formulation of individualized treatment
plan).
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