Individual Plan Of Care Requirements

(1) A Plan of Care must be developed for each service recipient. The plan must be based on initial and on-going assessment of needs and strengths and must be completed within fourteen (14) days of admission into the vocational program. Documentation of the plan must be made in the service recipient’s record and must include the following: (a) Service recipient’s name. (b) Date of plan of care development. (c) Needs and strengths of the service recipient that are to be addressed within the particular service/program component. MINIMUM PROGRAM REQUIREMENTS FOR MENTAL HEALTH CHAPTER 0940-05-29 PSYCHOSOCIAL REHABILITATION PROGRAM FACILITIES (d) Observable and measurable service recipient long and short-term goals that are related to specific needs identified and which are to be addressed by the particular service/program component. (e) Interventions that address specific goals and objectives, identify staff responsible for interventions, and planned frequency of contact. (f) Signature(s) of the staff who develop the plan and the primary staff responsible for its implementation. (g) Signature of service recipient (and/or conservator, legal guardian, or attorney in-fact). Reasons for refusal to sign and/or inability to participate in the Plan of Care development must be documented. (2) The Plan of Care must be reviewed by program staff and the service recipient within three months of the initial development of the Plan of Care. The second review must take place within six months after the development of the Plan of Care, and every six months thereafter. The review must include the following documentation: (a) Dated signature(s) of appropriate staff; and (b) An assessment of progress toward each goal and/or objective with revisions as indicated.