(a)
(1) A plan of safe care shall be developed for all children with physical limitations, medical conditions, or behaviors that are indicative of harm to self or others, including without limitation:
- (A) Arson;
- (B) Physical aggression;
- (C) Sexual aggression;
- (D) Suicidal behaviors; or
- (E) Other self-harming tendencies.
(2) This plan shall:
- (A) Identify the behavior or problem; and
- (B) Specify the safeguards that are to be implemented.
(3) The agency shall:
- (A) Document that the childcare staff are informed of the provisions of the plan; and
- (B) Place a copy of the plan into the child’s record.
(b)
- (1) The agency shall have a written policy describing the risk levels it will accept in children with sexually maladaptive behaviors who are being considered for admission.
- (2) The written policy shall also describe the therapeutic interventions it will utilize for each risk level.
(c) The agency shall assign a caseworker to each child who is responsible for doing:
- (1) Assessments;
- (2) Treatment planning; and
- (3) Casework services.
- (d) Intake information shall be completed on each child in care within ten (10) working days after admission.
(e) The intake shall include:
(1) Demographic information on the child and parent or parents, including:
- (A) Name;
- (B) Address;
- (C) Birth date;
- (D) Gender;
- (E) Race; and
- (F) Religious preference;
- (2) A factual description of the circumstances requiring placement;
- (3) A brief social history of the family;
- (4) The child’s current legal status or custody;
- (5) Any history of previous placements outside the family;
- (6) Description of the offense or sexually maladaptive behavior, including police reports and victim statements, if available;
- (7) Psychosexual assessment, if available; and
- (8) Discharge summary from previous sexual rehabilitative-specific treatment, if applicable and available.
(f)
(1) A psychosexual evaluation shall be conducted by a licensed mental health professional, as recognized by Arkansas Medicaid, who:
- (A) Is a member of the Association for the Treatment & Prevention of Sexual Abuse; or
- (B) Has forty (40) hours of sexual rehabilitative treatment training.
(2) The evaluation shall be completed within:
- (A) The past twelve (12) months; or
- (B) Seven (7) days following admission of the child.
(g)
- (1) Each child shall be evaluated for learning disabilities and language disorders within the past eighteen (18) months.
- (2) If a child is admitted without an evaluation, the evaluation shall be completed within thirty (30) days of admission.
- (h) An assessment of services needed to ensure the health and welfare of the child, including medical history and psychological history, shall be completed for each child and included in the treatment plan.
(i) The agency shall develop a treatment plan for each child that includes tasks appropriate to the needs of the child as identified in the:
- (1) Intake;
- (2) Psychosexual assessment; and
- (3) If applicable, the psychological evaluation.
- (j) The treatment plan shall be developed within thirty (30) days after placement.
(k) The child’s treatment plan shall contain, at the minimum:
- (1) A diagnosis related to their sexually maladaptive behavior;
- (2) Specific needs of the child;
- (3) A plan for meeting the child’s needs;
- (4) Special treatment issues, for example, psychotropic medications, sexual misconduct, and neurological disorders, shall be identified with a statement of how the special needs shall be met;
- (5) A plan to ensure that the child’s educational needs are met according to applicable state law; and
- (6) Date of next review of the treatment plan.
- (l) If treatment services are contracted, there shall be evidence of participation by the contracted therapist in treatment planning reviews and individualized program implementation.
(m) The child’s treatment plan shall be:
- (1) Reviewed quarterly; and
- (2) Updated to reflect the child’s progress.
- (n) A copy of the treatment plan shall be made available to the parent or parents, guardian or guardians, court, or other agencies that are involved in delivering treatment plan services.
- (o) An agency caseworker shall visit the child monthly to monitor the progress of the treatment plan.