Client Record Requirements For Intensive Day Treatment Program

FACILITIES. The individual record for each client must contain the following information: MINIMUM PROGRAM REQUIREMENTS FOR MENTAL CHAPTER 0940-05-30 HEALTH INTENSIVE DAY TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS FACILITIES (1) Documentation of the IPP and the IEP (if required) and of their implementation; (2) Progress notes which must be developed after each service contact, and which must include written documentation of client progress or changes which have occurred within the IPP; (3) Documentation of all drugs prescribed or administered by the facility which indicates date prescribed, type, dosage, frequency, amount, and reason; (4) Narrative summary review of all medications prescribed at least every six (6) months which includes specific reasons for continuation of each medication; (5) Results of assessments required by Rule 0940-05-30-.03; and (6) Discharge summary which states, if appropriate, client condition at the time of discharge and signature of person preparing the summary.