Case Management

(A) A member of the program's professional or paraprofessional staff must be assigned to each member as case coordinator to assume primary responsibility for that member’s case. The case coordinator supervises the implementation of the treatment plan, maintains the member’s records, initiates periodic review of the treatment plan for necessary modifications or adjustments, coordinates the various services provided by the program itself and by other agencies, coordinates referrals to other state agencies as needed, meets regularly with relatives and significant friends of the member, and monitors the member’s progress in accomplishing the treatment goals. (B) The case coordinator must review the member’s treatment goals and treatment response weekly and, during staff meetings, inform the staff of any significant changes in the member’s medical, mental, or emotional status. The entire staff must review the member’s overall progress every 90 calendar days and, with the participation of the member, alter or revise the treatment plan as necessary. (C) If the member fails to keep appointments or to adequately participate in the treatment plan, the case coordinator must make every effort to encourage the member to do so, and these follow-up efforts must be documented in the member’s record.