Discharge Aftercare

Discharge Aftercare A. No later than seven (7) days prior to the resident’s projected discharge date, the treatment team must develop a provisional aftercare plan for the resident. The plan's content must include, but not be limited to: 1. The planned discharge date, 2. The date of the resident’s admission and discharge, 3. The name of the person/agency expected to assume care and custody of the resident, 4. The physical location/address where the resident is expected to reside, 5. A list of the resident’s psychiatric diagnoses, 6. Behavior management recommendations for parents and any other suggestions which might contribute towards the resident’s successful participation in family life, 7. Educational summary and practical recommendations/suggestions for teachers which might contribute towards the resident’s success at school, and 8. Treatment recommendations or observations/comments for follow-up mental health clinicians which may increase the likelihood of success in therapeutic aftercare. B. At the time of the resident’s discharge the facility must: 1. Amend the provisional aftercare plan to include: a) The dates of the resident's admission and discharge, b) The name of the person/agency expected to assume care and custody of the resident, c) The physical location/address where the resident is expected to reside, d) A list of the resident's psychiatric diagnoses, e) Detailed information about the resident's medications the names, strengths and dosage instruction in lay terms for all medications prescribed for the resident, as well as any special instructions such as lab work requirements, f) Behavior management and other pertinent recommendations for parents/caregivers, g) Names, addresses and telephone numbers of the agencies/persons who will provide follow -up mental health services, the date and time of initial aftercare appointments, and treatment recommendations for the providers of those services, h) Place where the resident will be attending school, a summary of the resident’s educational progress while at the PRTF, his/her current educational standing, and recommendations for the resident’s teachers, i) Other recommended resources, if applicable, including recreational, rehabilitative, or other special programs believed to offer benefit to the resident, j) The parent/guardian's signed acknowledgment that she/he was provided: 1) A copy of the resident's aftercare plan, 2) A minimum of a seven (7) day supply of the resident’s medications, and 3) Prescriptions for a thirty (30) day supply of the resident’s medications. 2. Provide the parent/guardian with: a) A written copy of the final aftercare plan. b) A supply of all current medications prescribed for the resident, equal to the amount already stocked for that resident by the PRTF but not less than a seven (7) day supply or more than a thirty (30) day supply. c) Prescriptions for a thirty (30) day supply of all medications prescribed for the resident. 3. Seek the parent’s/guardian’s consent to release copies of the resident’s educational summary and recommendations to the resident’s school. If this consent is obtained, the educational information must be mailed to the resident’s school within one working day following the resident’s discharge. The school must not be sent the resident’s complete aftercare plan, but only the part pertaining to education. 4. Seek the parent’s/guardian’s consent to release copies of the resident’s aftercare plan and discharge summary to the providers of follow-up mental health services. If this consent is obtained, the aftercare plan and discharge summary must be mailed to mental health aftercare within two (2) weeks following the resident’s discharge.