1. (a) Discharge planning begins at the date of admission, and goals toward discharge shall be continually addressed in the interdisciplinary team meetings and when the comprehensive individual plan of care is reviewed.

2. (b) When a resident is to be discharged, the psychiatric residential treatment facility must:

   1. (1) Have documentation in the resident’s record that the resident was discharged for no longer meeting medical necessity requirements for psychiatric residential treatment facility level of care;
   2. (2) Develop a discharge plan agreed upon by the resident’s parent or legal guardian for discharge with identified and confirmed needed step-down mental health and medication management services;

   3. (3)

      1. (A) Provide the Office of Long-Term Care with a monthly report if the PRTF serves an out-of-state population.
      2. (B) The report shallon an approved office form and must outline the discharge plans for all out of state patients during that month, and shall include the following information: the patient’s name, sending state, date of discharge, discharge state and location, and receiving person/entity.
      3. (C) Any facility that fails to provide this monthly report shall have an administrative hold placed on the facility prohibiting out-of-state patients until such time the report is submitted;

   4. (4)

      1. (A) Provide the office with a monthly report, on an approved office form, discharge information for each child discharged from the facility.
      2. (B) This report shall be provided by the fifth day of the following month.

3. (c) At the time of the scheduled discharge, the psychiatric residential treatment facility must:

   1. (1) Develop a final summary of the resident’s developmental, educational, behavioral, psychiatric, social, health, and nutritional status and, with the consent of the resident’s parent or legal guardian, provide a copy to authorized persons and agencies, the school district for which the resident will be returning, if applicable;
   2. (2) Provide a post-discharge individual plan of care that documents all mental health, medication services, and education services that allow the resident to reintegrate into a home and community setting including family and school supports;

   3. (3)

      1. (A) Administer and provide a copy of the outcome measures established at the time of admission, every three (3) months after, and at discharge; the assessment must utilize a standardized tool designed to measure outcomes; and
   4. (4) Unless otherwise prohibited, provide thirty (30) days of medication for every medication that the resident is prescribed.

4. (d) At the time of an unscheduled discharge, the psychiatric residential treatment facility must:

   1. (1) Provide clinical rationale for the unscheduled discharge that must be included in the resident’s medical record;
   2. (2) Develop a final summary of the resident’s developmental, educational, behavioral, psychiatric, social, health, and nutritional status and, with the consent of the resident’s parent or legal guardian, provide a copy to authorized persons and agencies, the school district for which the resident will be returning, if applicable;
   3. (3) Administer and provide a copy of the outcome measures established at the time of admission, every three (3) months after, and at discharge; the assessment must utilize a standardized tool designed to measure outcomes;
   4. (4) Provide a post-discharge individual plan of care that documents all mental health, medication services, and education services that allow the resident to reintegrate into a home and community setting including family and school; and
   5. (5) Provide the Department of Human Services with notice, within twenty-four (24) hours, if an out-of-state child has been detained or admitted to another treatment setting in the State of Arkansas.

Codification Notes: "PRTF" means a psychiatric residential treatment facility.