1. (a) Upon completion of the admission evaluation, an individualized service plan shall be developed by a LBHP or licensure candidate in collaboration with the person served.
2. (b) The service plan shall be based on the presenting problems or diagnosis, intake assessment, biopsychsocial assessment, and expectations of recovery of the person served.
3. (c) Frequency of services shall be determined by mutual agreement between the facility treatment team and the person served.
4. (d) Service plans shall be completed by the fourth visit after admission.

5. (e) The service plan review should occur according to the time frame required by the agency but, no less often than every six (6) months; and further, is required by any of the following situations:

   1. (1) Change in goals and objectives based upon documented progress, or identification of any new problem;
   2. (2) Change in primary therapist or rehabilitation service provider assignment;
   3. (3) Change in frequency and types of services provided;
   4. (4) Critical incident reports; or
   5. (5) Sentinel events.
6. (f) Each person served accepted for treatment shall be assessed initially and periodically by qualified personnel to determine the most appropriate combination of services and treatment. The service plan also must identify the frequency and intensity of services to be provided.
7. (g) The plan must be reviewed and updated to reflect that personal history, current needs for medical, social, and psychological services, and current needs for education, vocational rehabilitation, and employment services of the person served. Service plan updates shall be completed by an LBHP or licensure candidate. Service plan updates completed by a licensure candidate must be co-signed and dated by a fully licensed LBHP.

8. (h) Service plans, both comprehensive and update, must include dated signatures of the person served (if age fourteen [14] or older), the parent/guardian (if required by law), and the LBHP or Licensure Candidate. If a minor is eligible to self-consent to treatment pursuant to state law, a parent/guardian signature is not required. Licensure candidate signatures must be co-signed by a fully-licensed LBHP in good standing. Signatures must be obtained after the service plan is completed. (i) Compliance with 450:70-3-8 may be determined by:

   1. (1) A review of policies and procedures,
   2. (2) Treatment records, and
   3. (3) Other facility documentation.

Added at 24 Ok Reg 2634, eff 7-12-07

Amended at 26 Ok Reg 1303, eff 7-1-09

Amended at 30 Ok Reg 1425, eff 7-1-13

Amended at 34 Ok Reg 1830, eff 10-1-17

Amended at 35 Ok Reg 1866, eff 10-1-18

Amended at 36 Ok Reg 1164, eff 11-1-19

Amended at 38 Ok Reg 1405, eff 9-15-21

Amended at 39 Ok Reg 2017, eff 9-15-22

Amended at 40 Ok Reg 1079, eff 9-15-23