1. A. Case Coordination. The TGH clinical director shall assure that a child's case coordinator:

   1. (1) Integrates appropriate therapeutic and educational services into the child's ITP by coordinating with the child's previous placement provider, school, clinic or other mental health providers, and, if any, employer;
   2. (2) Makes home visits and meets with the primary caretaker to ameliorate problems in the home and facilitate reunification; and
   3. (3) Participates in treatment team meetings for the purposes of collaborating in service delivery and advocating for the child.
2. B. Group Therapy. Appropriately credentialed and privileged TGH staff or consultants shall, at least weekly at the TGH, provide group therapy that, unless otherwise indicated in the child's ITP, includes every child in the TGH.

3. C. Pychoeducational Groups. As required by the child's ITP, the child's care coordinator shall assure that the child has the opportunity to participate in appropriate groups for children who have special needs, including but not limited to groups for children who have been affected by:

   1. (1) Substance abuse;
   2. (2) Sexual assault;
   3. (3) Physical abuse; or
   4. (4) Home or community violence.

4. D. Medication Services.

   1. (1) The TGH clinical coordinator shall assure that medications prescribed for a child are stored securely and made available to the child as appropriate.

   2. (2) Administration. If a child's ITP requires that TGH staff administer medication, the following requirements apply:

      1. (a) Only an individual licensed under the Health Occupations Article, Annotated Code of Maryland, to administer medication may do so; and
      2. (b) Only a licensed practical nurse or a registered nurse may delegate the administration of medication according to the provisions of COMAR 10.27.11.

   3. (3) Monitoring. When required by the child's ITP, a TGH staff member privileged to do so shall provide the following services:

      1. (a) Supporting the child's self-administration of prescribed medication;
      2. (b) To the extent possible, monitoring compliance with instructions appearing on the label;
      3. (c) Reading the label to assure that each container of medication is clearly labeled with the child's name, the contents, directions for use, and expiration date;
      4. (d) Observing and documenting any apparent reactions to medication and, either verbally or in writing and in a timely fashion, communicating to the prescribing authority and TGH psychiatrist any problems that possibly may be related to the medication; and
      5. (e) Reinforcing education on the role and effects of medication in symptom management.

5. E. Health Promotion and Training.

   1. (1) When indicated in the child's ITP, TGH staff privileged to do so shall provide basic health teaching in the following areas:

      1. (a) Nutrition;
      2. (b) Exercise;
      3. (c) Dental care;
      4. (d) Substance abuse prevention; and
      5. (e) Prevention of injury and illness at home and in the community.
   2. (2) The clinical coordinator shall assure the provision of training in communicable disease prevention, including prevention of sexually transmitted diseases and blood-borne pathogens, including HIV/AIDS.

6. F. Discharge Procedures. A TGH licensee shall:

   1. (1) Carry out discharge planning in accordance with COMAR 14.31.06.17; and
   2. (2) If appropriate, forward a copy of each discharge plan to the appropriate CSA and the Administration.

Authority: Health-General Article, §§10-501 — 10-524, 10-701 — 10-714, 10-901, 10-920 — 10-926, 16-101 — 16-303; Article 49D, §4;
Annotated Code of Maryland

Effective date: January 13, 1986 (13:1 Md. R. 16)

Regulation .01 amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .02B amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .03 amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .05 amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .09A amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .14 amended effective February 15, 1993 (20:3 Md. R. 259)

Regulations .01 — .14 repealed and new Regulations .01 — .17 adopted effective November 27, 2000 (27:23 Md. R. 2147)

Regulation .02 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .03 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .04 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .05B amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .06 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .07A amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .09 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .11E amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .12F amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .13 amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .14B, C amended effective April 29, 2013 (40:8 Md. R. 723)

Regulation .14G adopted effective April 29, 2013 (40:8 Md. R. 723)