Section 5200.31. Treatment planning  


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  • A qualified mental health professional or treatment planning team shall prepare an individual comprehensive treatment plan for every patient which shall be reviewed and approved by a psychiatrist. For patients undergoing involuntary treatment, the treatment team shall be headed by a physician or psychologist. The treatment plan shall include the following:

    (1) Be based on the results of the diagnostic evaluation described in paragraph (7).

    (2) Be developed within 15 days of intake, and for voluntary patients, be reviewed and updated every 120 days or 15 patient visits—whichever is first—by the mental health professional and the psychiatrist. For involuntary patients review shall be done every 30 days. Written documentation of this review in the case record is required.

    (3) Specify the goals and objectives of the plan, prescribe an integrated program of therapeutic activities and experience, specify the modalities to be utilized and a time of expected duration and the person or persons responsible for carrying out the plan.

    (4) Be directed at specific outcomes and connect these outcomes with the modalities and activities proposed.

    (5) Be formulated with the involvement of the patient.

    (6) For children and adolescents, when required by law or regulations, be developed and implemented with the consent of parents or guardians and include their participation in treatment as required.

    (7) Specify an individualized active diagnostic and treatment program for each patient which shall include where clinically appropriate services such as diagnostic and evaluation services, individual, group and family psychotherapy, behavior therapy, crisis intervention services, medication and similar services. For each patient the clinic shall provide diagnostic evaluation which shall include an assessment of the psychiatric, medical, psychological, social, vocational, and educational factors important to the patient.

Notation

Cross References

This section cited in 55 Pa. Code § 5200.22 (relating to staffing pattern); and 55 Pa. Code § 5200.23 (relating to psychiatric supervision).