Discharge and aftercare

Discharge and aftercare.

(1) Policies and procedures. A center shall have written policies and procedures which explain the process for discharge of a resident. Those policies and procedures shall ensure that center professional staff document and date in the resident’s treatment record all of the following:

(a) That center professional staff have attempted involvement of the resident, if able to understand, and the resident’s parents or guardian and legal custodian, if any, and placing person or agency, if different, in developing the plan for aftercare.

(b) That center professional staff have prepared in writing, at least 30 days before the planned discharge of the resident, an aftercare plan for the resident that includes all of the following:

1. Identification of persons and agencies participating in development of the aftercare plan.

2. Recommendations for continuing or additional services and identification of service providers.

3. The name, address and telephone number of the person or agency to receive the former resident upon discharge and the relationship, if any, of the former resident to that person or the head of that agency.

(c) That center professional staff have provided copies of the aftercare plan to the resident, if able to understand, and the resident’s parents, guardian and legal custodian and placing person or agency if not the same.

(2) Preparation for discharge.

(a) The center shall document in the resident’s treatment record efforts made by center staff to prepare the resident and the resident’s family for discharge including but not limited to, discussing with them their feelings about becoming a family unit again or, where applicable, efforts to help the resident and resident’s family adjust to a different placement or living arrangement.

(b) Each resident who has not had a health examination within the periodicity schedule of the medical assistance HealthCheck program shall have a complete health examination before discharge.

mited to, discussing with them their feelings about becoming a family unit again or, where applicable, efforts to help the resident and resident’s family adjust to a different placement or living arrangement.

(b) Each resident who has not had a health examination within the periodicity schedule of the medical assistance HealthCheck program shall have a complete health examination before discharge.

(c) The center shall ensure that at discharge a resident’s personal clothing and belongings go with the resident.

(3) Discharge summary. The center shall send to the placing person or agency within 30 days following the resident’s discharge a copy of the former resident’s discharge summary and place a copy in the former resident’s treatment record. The discharge summary shall include all of the following:

(a) The date and reason for discharge.

(b) A summary of services provided during care.

(c) An assessment of goal achievement.

(d) A description of remaining needs.

(4) Additional provisions for residents from out-of-state. The center shall notify the department’s interstate compact office at the end of each month of all out-of-state resident discharges from the center for that month, who received each resident at discharge and the destination of the resident at discharge.