Section 440IAC7.5-2-8. Resident health and treatment

   (a) An individualized treatment plan shall be developed and followed for each resident as follows:

(1) The treatment team, with the active participation of the resident, shall design and implement a written, comprehensive individualized treatment plan in collaboration with the case manager and under the direction of the agency as follows:

(A) A preliminary plan or a referral application indicating the desired treatment objectives must be completed before placement.

(B) A fully developed individual treatment plan shall be completed within the first thirty (30) days of enrollment.

(2) The individual treatment plan shall be reviewed at least every ninety (90) days.

  (b) Each person admitted to a residential facility shall have written evidence of the following:

(1) The resident has had a physical examination:

(A) not more than six (6) months before admission; or

(B) within three (3) months after admission.

(2) A tuberculin skin test shall be completed and read within three (3) months before admission. If the individual has not had the tuberculin skin test within three (3) months before admission, the person may be admitted to the facility, but must have the test upon admission and it must be read within seventy-two (72) hours after the administration of the test.

  (c) The agency must assist the resident to obtain medical and dental care as follows:

(1) The facility shall have a written plan that outlines the procedures used to access and treat:

(A) dental;

(B) pharmacological;

(C) optometric;

(D) auditory;

(E) psychiatric; and

(F) general medical;

care needs of residents, including at least an annual physical and dental exam.

(2) The plan shall include the following:

(A) Procedures for evaluating the resident's needs.

(B) Referral to appropriate health care providers, including choice of private practitioners.

(C) Assistance in obtaining insurance or other aid for the payment of fees for medical and dental services.

(D) Methods of training each resident to monitor the resident's own personal health, hygiene, and dental conditions.

  (d) The agency shall have a written plan outlining procedures in cases of emergency or illness of staff, residents, or household member.

  (e) Each resident shall be instructed in how to access physical emergency services and the agency's clinical emergency services. (Division of Mental Health and Addiction; 440 IAC 7.5-2-8; filed Jun 10, 2002, 2:25 p.m.: 25 IR 3133; filed Mar 30, 2005, 3:00 p.m.: 28 IR 2359; readopted filed Nov 5, 2008, 3:50 p.m.: 20081119-IR-440080742RFA; readopted filed Jul 21, 2011, 9:39 a.m.: 20110817-IR-440110249RFA)