1. A. Required. Each facility or other program to which a youth is principally assigned shall maintain a case record for each youth assigned to that program.

2. B. Contents. The case record shall include:

   1. (1) Identifying information about the youth and the youth's parents, guardians, or care-givers;
   2. (2) A recent photograph of the youth;
   3. (3) Prior placement information;
   4. (4) A treatment service plan adopted under Courts and Judicial Proceedings Article, §3-8A-20.1, Annotated Code of Maryland;
   5. (5) Documentation of services provided during the youth's detention or commitment;
   6. (6) Documentation of services provided or offered to the youth in the community;
   7. (7) Written reports about the youth;
   8. (8) Health records, including health, mental health, substance abuse, and other evaluations of the youth, including suicide risk;
   9. (9) Educational records;
   10. (10) Legal documents;
   11. (11) Classification and assessment documents;
   12. (12) A discharge plan that specifies the required level of supervision and services;
   13. (13) Disciplinary incident documentation; and
   14. (14) Progress notes.
3. C. Retention Period. The Department shall retain the case record for each youth in accordance with its most currently approved records retention schedule.

Authority: Human Services Article, §9-204, Annotated Code of Maryland

Effective date: June 18, 2007 (34:12 Md. R. 1067)