1. (a) If a child is admitted to an in-patient psychiatric or acute care hospital, the placement or episode of treatment shall continue through the date the child was admitted.
2. (b) With prior approval from an administrator, the department shall choose to hold the bed for up to 7 days in accordance with He-C 6350.04.
3. (c) If a child is admitted to an in-patient psychiatric or acute care hospital, the residential treatment program shall attempt to contact the appropriate JPPO, CPSW, CME representative, or family immediately.

4. (d) Unless (g) below applies, the initial psycho-social assessment, the initial treatment plan, and the discharge summary, described in He-C 6350.12 and He-C 6350.13, shall not be required if one of the following criteria is met:

   1. (1) In the case of an unplanned admittance pursuant to (a) above, and the child returns to the residential treatment program within 10 business days; or
   2. (2) In the case of planned or unplanned admittance pursuant to (a) above due to a known pre-existing condition which was identified in the residential treatment program’s documentation prior to the admittance, and the child returns to the residential treatment program within 30 days.
5. (e) If documentation referenced in (d) is not completed, there shall be documentation in the child’s file of the treatment team’s consent to these decisions.
6. (f) If a child returns to the residential treatment program after an admittance pursuant to (a) and (d)(2) above , the lapse in placement exceeds 30 days and the bed is closed pursuant to (d)(1) above, it shall be considered a new placement and the program shall comply with He-C 6350.12 and He-C 6350.13.
7. (g) If extenuating circumstances, including clinical regression or extreme behaviors such as, but not limited to, assaultive, destructive, self-injurious, or self-destructive behaviors, have occurred during an admittance through (a) above, updates or revisions shall be made to the psycho-social assessment and treatment plan in accordance with He-C 6350.13.
8. (h) If the department determines that additional services are required, the department shall authorize one staff to one child services outside the residential treatment placement, notwithstanding He-C 6350.04(f).

Source. #6617, eff 10-25-97; ss by #8453, INTERIM, eff 10-25-05, EXPIRED: 4-23-06 New. #8693, eff 7-27-06; ss by #10759, eff 1-17-15 (from He-C 6350.25); ss by #14178, INTERIM, eff 1-18-25; ss by #14490, eff 1-22-26, EXPIRES: 1-22-36 (formerly He-C 6350.23)