104 CMR 29.11
Community Service Plans
(1) Each client who receives a DMH community service shall have a community service plan
that is consistent with applicable service standards. The plan shall be developed by the program
that provides the service, together with the client, and the client's legally authorized
representative and family members, if appropriate, and in collaboration with other service
providers, if applicable.
(2) General Provisions.
(a) In accordance with applicable service standards:
1. Community service plans are based on assessments, including clinical assessments,
conducted or arranged for by the program that provides the community service, as
appropriate.
To the maximum extent possible, community service plans should reflect the
strengths, preferences, service needs and goals of the client and family, as appropriate.
Community service plans contain measurable criteria for the completion of the
service and anticipated transition plan.
(b)
Upon acceptance, community service plans and reviews are signed by the client or
legally authorized representative.
(c)
Copies of the community service plans and reviews are given to the client or legally
authorized representative, and to the client's other service providers as authorized by the
client, or legally authorized representative.
(d)
If a client receives Case Management, the case manager is included in the planning
activities, and a copy of the client's community service plan and modifications thereto are
submitted to the case manager. The community service plan shall be compatible with the
client's individual service plan.
(e) If a client is not receiving Case Management, the client's community service plan and
modifications thereto are provided to the Department upon request.