Requests for Discharge from Services; Disengagement from Services

If a client or the client’s legally authorized representative requests discharge from DMH services, the request will be referred to the Area Director or designee for review. (a) If the Area Director or designee concurs with the request, the client shall be discharged. (b) If such request is against the advice of the Area Director or designee, the Department shall direct efforts, for a reasonable period of time, to encourage the client or the client’s legally authorized representative to continue such services. If, notwithstanding such efforts, the client or the client’s legally authorized representative still requests discharge, the client shall be discharged. Efforts to encourage continued participation and discharge from services shall be documented in the client's record. If a client disengages from DMH services without formal request or notification, the Department shall direct efforts to reengage the client. The mechanisms and time frame for such reengagement efforts shall be determined by the Area Director or designee. (a) When a clinical decision is made that reengagement efforts have failed and are unlikely to succeed in the foreseeable future, the Area Director or designee shall be notified. (b) If the Area Director or designee concurs, the client shall be discharged and shall no longer be a client. Efforts to reengage the client and discharge from services shall be documented in the client's record.