1. (a) The individual treatment plan shall:

   1. (1) Be developed in writing by the multidisciplinary treatment team and, where possible, in collaboration with the inmate-patient. The treatment plan shall be developed as soon as possible, but no later than 72 hours following the inmate-patient's admission.
   2. (2) Be based on a comprehensive assessment of the inmate-patient's physical, mental, emotional and social needs.
   3. (3) Be reviewed and updated as often as indicated, but no less often than every seven (7) days, weekends and holidays excepted, for acute mental health inmate-patients and every thirty (30) days for nonacute mental health inmate-patients.

   4. (4) Include, but not be limited to:

      1. (A) A statement of the inmate-patient's physical and mental condition, including all mental health diagnoses.
      2. (B) Prescribed medication, dosage and frequency of administration.
      3. (C) Specific goals of treatment with intervention and actions that identify steps toward improvement or recovery and observable, measurable objectives.
      4. (D) Identification of methods to be utilized, the frequency for conducting each treatment method and the person(s) or discipline(s) responsible for each treatment method.
      5. (E) Documentation of the success or failure in achieving stated objectives.
      6. (F) Evaluation of the factors contributing to the inmate-patient's progress or lack of progress toward recovery and a statement of the multidisciplinary treatment team decision for follow-up action.
      7. (G) An activity plan.
      8. (H) A plan for other services needed by the inmate-patient which are not provided by the mental health treatment program.
      9. (I) Goals for aftercare and a plan for post-discharge follow-up.
2. (b) The individual treatment plan shall be in writing and be approved by a clinical psychologist, psychiatrist, licensed clinical social worker, licensed marriage, family and child counselor, or a psychiatric mental health nurse designated by the clinical director.
3. (c) The staff shall observe and note any chances in the inmate-patient's condition and the treatment plan shall be modified in response to the observed changes.

Note: Authority cited: Sections 1250.1(a)(12) and 1267.10(a), Health and Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety Code.

History

1. New section filed 7-14-94; operative 1-2-96 (Register 94, No. 28).

2. Change without regulatory effect renumbering former section 787 to new section 1107 filed 8-31-95 pursuant to section 100, title 1, California Code of Regulations (Register 95, No. 34).