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Discharge
Policy and Planning
General Standard
A discharge determination is based on a comprehensive need assessment
and planned integration with the resident’s treatment plan.
Specific Criteria
Discharge or transition planning would be initiated if any or a combination
of the following conditions occurred:
- Behavior management requires a more restrictive level
of care (e.g., violent behavior or self-injurious behavior requiring
hospitalization)
- Court involvement dictates an alternative care plan
- Campbell County School placement is terminated (e.g.,
expulsion)
- Family refusal of, withdrawal from, or lack of cooperation
with, treatment
- Achievement of treatment goals and objectives indicates
that service is no longer required
- Discharge Process
When the treatment team has identified a specific indicator
for consideration of discharge, as outlined above, the following process
is operationalized:
- A meeting of the clinical/treatment team, resident, family,
and significant others (e.g., Social Worker, CDW, etc.) is convened
to review the resident’s status and a discharge recommendation
is offered
- A discharge and aftercare plan is developed and appropriate
referrals and linkages are made by the clinical team in accordance with
the clinical team’s findings and recommendations.
- A discharge summary, including the presenting problem(s),
brief case history, course of treatment, prescribed medications, response
to treatment and progress, reason for discharge, final diagnostic impression,
prognosis and aftercare plan will be completed within ten days of discharge.
The clinical staff maintains appropriate contact with the
resident and his family following the resident’s transition from
the program. The nature and duration of this contact is dictated by the
needs of the resident and his family. The clinical staff can network with
other community resources/agencies, as they might be needed to provide
ongoing support or treatment services to the former resident and family.
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