0940-05-18-.05
Individual Plan Of Care (Ipc) Requirements For Crisis Stabilization
Cite as Tenn. Comp. R. & Regs. 0940-05-18-.05
UNIT FACILITIES.
(1)
A plan must be developed for each service recipient. The plan must be based on initial and
on-going assessment of need, designed to resolve the immediate psychiatric crisis, and be
completed within six (6) hours of admission. The IPC must be documented in the service
recipient’s record and must include the following:
(a)
The service recipient’s name.
(b)
The date of plan development.
(c)
Standardized diagnostic formulation(s) including, but not limited to the current
Diagnostic and Statistical Manual (DSM) and/or current International Statistical
Classification of Diseases and Related Health Problems (ICD);
(d)
Problems and strengths of the service recipient that are to be addressed.
(e)
Observable and measurable individual objectives that relate to the specific problems
identified.
(f)
Interventions that address specific objectives, identify staff responsible for
interventions, and planned frequency.
(g)
Signatures of treatment staff responsible for developing plan, including qualified
prescriber;
(h)
Signature of service recipient (and/or parent/guardian, conservator, legal custodian or
attorney-in-fact). Reasons for refusal to sign and/or inability to participate in IPC
development must be documented.
(i)
A projected discharge date and anticipated post discharge needs including
documentation of resources needed in the community.
(j)
A review of the IPC must occur at least daily or upon completion of the stated goal(s)
and objective(s) and must include the following documentation:
1.
Dated signature(s) of appropriate treatment staff, including qualified prescriber.
2.
Progress toward each treatment objective, with revisions as indicated;
3.
Status of discharge plans, including availability of resources needed in the
community, with revisions as indicated; and
MINIMUM PROGRAM REQUIREMENTS FOR MENTAL HEALTH
CHAPTER 0940-05-18
CRISIS STABILIZATION UNIT FACILITIES
4.
A statement by the staff psychiatrist or physician of justification for the level of
service(s) needed including an assessment of suitability for treatment in a less
restrictive environment.