Section 52.22. Assessment and treatment planning and review.

 

(1)   Timeliness. Within 30 days after resident center admission, center professional staff and, as necessary, outside consultants, shall conduct an initial assessment of the resident's treatment and service needs and, based on that assessment, shall develop for the resident a written treatment plan. In developing the treatment plan, center staff shall, if possible, involve all of the following:

(a) The placing person or agency.

(b) Resident care worker staff who work with the resident.

(c) The resident, if 12 years of age or older.

(d)

1. If the resident is under age 18, the resident's parents or guardian and legal custodian, if any, and other persons important to the resident.

2. If the resident is 18 years of age or over, other authorities or agencies involved in the resident's placement; the resident's guardian, if any; and, with the resident's consent, other persons important to the resident.

(2)   Assessment and treatment plan development.

(a) Based on the initial assessment under sub. (1) (intro.) , the treatment plan for a new resident shall address the resident's strengths and weaknesses in all of the following areas:

1. Behavioral functioning.

2. Psychological or emotional adjustment.

3. Personal and social development.

4. Familial relationships and family history.

5. Medical and health needs as indicated by the health screening under s. DCF 52.21 (8) .

6. Educational and vocational needs.

7. Independent living skills and adaptive functioning.

8. Recreational interests and abilities.

(b) The treatment plan shall be time-limited, goal-oriented and individualized to meet the specific needs of the resident as identified from the assessment and shall include all of the following components:

1. The resident's treatment goals and permanency planning goals which specify whether the resident is to return as quickly as possible to his or her family or attain another placement providing long-term stability.

2. A statement of behavioral or functional objectives that specifies behaviors to be changed, eliminated or modified, and includes projected achievement dates, with measurable indicators or criteria for monitoring progress and assessing achievement of treatment goals. The statement shall identify all staff responsible for working with the resident in achieving the objectives.

3. Conditions for discharge of the resident.

4. When applicable, a description of any specialized service contracted by the center for the resident under s. DCF 52.12 (8) .

5. Identification of services and their arrangements on behalf of the resident and his or her family.

(c)

1. A treatment plan shall be dated and signed by center staff who participated and by the placing person or agency when participating.

2. A copy of the center's dated and signed treatment plan shall be provided to the resident's placing person or agency and upon request, anyone else participating in the treatment planning process.

(3)   Implementation and review.

(a) A resident's services case manager shall coordinate, monitor and document the following in the resident's treatment record during implementation of the resident's treatment plan:

1. Assessment of the resident's progress in response to treatment, in dated summary form, using criteria found in the resident's treatment plan.

2. Significant events relating to implementation of the resident's treatment plan.

(b) The center, if possible with the staff and consultants who participated in the resident's assessment and treatment plan development, shall conduct treatment plan reviews as follows:

1. At least once every 3 months for progress being made toward meeting the goals described in the resident's treatment plan.

2. As necessary, consistent with resident treatment plan goals and the permanency planning goals of the placing person or agency.

(c) Center staff shall record in the resident's treatment record the results of all treatment plan reviews, the date of each review and the names of participants.

History: Cr. Register, February, 2000, No. 530 , eff. 9-1-00; corrections in (2) (a) 5. and (b) 4. made under s. 13.92 (4) (b) 7. , Stats., Register November 2008 No. 635 ; EmR1414 : emerg. renum. (1) (d) to (1) (d) 1., 2. and am., eff. 8-1-14; CR 14-054 : renum. (1) (d) to (1) (d) 1., 2. and am. Register April 2015 No. 712 , eff. 5-1-15.