Title 7 . Health and Social Services

Chapter 50 . (Reserved)

Section 850. Discharge planning

7 AAC 50.850. Discharge planning

Discharge planning by a residential psychiatric treatment center must include the following documentation:

(1) documentation of discharge planning immediately upon the child's admission;

(2) documentation of the child's progress toward discharge; that progress must be documented at least

(A) twice a month by the facility's clinical staff; and

(B) at least once a month by the treatment team assembled under 7 AAC 50.840;

(3) documentation that the child, the child's family, if in the best interests of the child, the child's guardian or guardian ad litem, the child's case worker from the department or a child placement agency, local school personnel, and community support or treatment agencies have been engaged in development and implementation of the child's discharge plan, including plans for care after discharge;

(4) within the child's discharge plan, purposefully planned, time-oriented interventions designed to meet the identified discharge criterion, as appropriate to the problems of the child and the major goals for the child's care and treatment in the facility, and documentation that any significant delay in meeting an identified discharge criterion or delay of the discharge date was justified on the basis of

(A) a significant change in the child's behavior; or

(B) the continued instability of the child's condition or behavior so that the discharge criterion or discharge date could not be attained or that the goals for the child after discharge cannot be maintained by the child in a less restrictive setting than a residential psychiatric treatment center;

(5) within the child's discharge plan and as appropriate, proactive transition phase steps to assist the child's adjustment to the planned setting for care after discharge, including therapeutic passes to the community, visits to the post-discharge setting, or short stays of up to two nights in the post-discharge setting;

(6) documentation that the members of the treatment team assembled under 7 AAC 50.840 reached substantial agreement on necessary components of the discharge plan and the plan for care after discharge, including identification of agencies or persons responsible for each plan component;

(7) documentation that the discharge plan was completed in a sufficient amount of time before the projected date of discharge to facilitate successful community placement of the child, including collaboration with the local school district where the child will be placed to support the development of an IEP on or before the date of discharge.

History: Eff. 6/21/2001, Register 158

Authority: AS 44.29.020

AS 47.35.010