Section 440IAC11-3-5. Support and rehabilitative services

   (a) Services provided to each individual shall be based on an individualized rehabilitation plan that meets the following requirements:

(1) An initial plan is prepared within seven (7) business days of an individual's admission to ACT services.

(2) A comprehensive plan that is a person-centered plan must be developed within thirty (30) days of admission.

(3) The plan:

(A) is developed by the individual and the ACT team; and

(B) may include others whom the individual chooses to be a part of the treatment team.

(4) The plan contains:

(A) specific goals; and

(B) objective criteria for meeting the goals.

(5) The plan includes criteria for graduation.

(6) The individual and ACT team shall:

(A) review the plan at least every ninety (90) days; and

(B) update the plan at least annually.

(7) The plan shall be signed by the individual and the team members.

  (b) Based on individual needs and rehabilitation plan goals and objectives, the team shall perform the following functions for ACT individuals:

(1) Locate safe, affordable housing, with an emphasis on an individual's choice and independent community housing.

(2) Provide financial management support, including the use of legal mechanisms such as representative payee.

(3) Support the individual in skills training, including the following:

(A) Self care.

(B) Homemaking.

(C) Financial management.

(D) Use of transportation.

(E) Use of health and social service resources.

(F) Social and interpersonal relationships.

(G) Leisure time activities.

(4) Provide education to the individual regarding mental illness or addiction issues.

  (c) The ACT team shall monitor and provide supervision, education, and support in the administration of psychiatric medications for all ACT individuals.

  (d) All team members shall monitor symptom response and medication side effects.

  (e) Team members shall educate individuals about symptom management and the prevention of relapse.

  (f) The team shall actively and assertively engage and reach out to individuals' family members or significant others, after obtaining the individual's permission. With the individual's consent, the team shall do the following:

(1) Establish ongoing communication and collaboration between the team and family members.

(2) Educate the family about the following:

(A) Mental illness.

(B) The family's role in treatment.

(C) Symptom management.

(D) Relapse prevention.

(3) Provide interventions to promote positive interpersonal relationships.

  (g) The team shall facilitate an individual's access to the following services:

(1) Medical and dental services.

(2) Social services.

(3) Transportation and access to transportation.

(4) Legal advocacy.

(Division of Mental Health and Addiction; 440 IAC 11-3-5; filed Feb 9, 2011, 10:24 a.m.: 20110309-IR-440090875FRA)