Documentation by the client’s case manager, clinical coordinator and psychiatrist of a client’s discharge from a CSP shall be entered in the client’s treatment record within one week after termination of treatment or services. Documentation of discharge shall include:

1. (1) The reasons for discharge;
2. (2) The client’s status and condition at discharge;
3. (3) A written final evaluation summary of the client’s progress toward the goals set forth in the treatment plan;
4. (4) A plan developed, in conjunction with the client, for care after discharge and for follow-up; and
5. (5) The signature of the case manager, clinical coordinator and psychiatrist.

History

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.