§ 5240.96. Individual treatment plan.
(a) A written ITP shall be completed by a graduate-level professional within 30 days after the initiation of group services and be based on the assessment completed in accordance with § 5240.95 (relating to assessment).
(b) The ITP must include the recommendations from the licensed professional who completed the written order for group services in accordance with § § 1155.32(a)(1) and 1155.34(a)(1) (relating to payment conditions for individual services; and payment conditions for group services).
(c) The ITP shall be strength-based with individualized goals and objectives to address the identified therapeutic needs for the child, youth or young adult to function at home, school or in the community.
(d) The ITP must include the following:
(1) Specific goals and objectives to address the identified therapeutic needs with definable and measurable outcomes.
(2) Whether and how parent, legal guardian or caregiver participation is needed to achieve the identified goals and objectives.
(3) Structured therapeutic activities, community integration activities and individual interventions to address identified therapeutic needs for the child, youth or young adult to function at home, school or in the community.
(4) Time frames to complete each goal.
(5) Settings where group services may be provided.
(6) Number of hours that group services will be provided to the child, youth or young adult.
(e) The ITP shall be developed in collaboration with the child, youth, young adult or parent, legal guardian or caregiver of the child or youth as appropriate.
(f) The ITP shall be reviewed and updated at least every 6 months or if one of the following occurs:
(1) The child, youth or young adult has made sufficient progress to require that the ITP be updated.
(2) The child, youth or young adult has not made significant progress towards the goals identified in the ITP within 90 days from the initiation of the services.
(3) The youth or young adult requests an update.
(4) A parent, legal guardian or caregiver of the child or youth requests an update.
(5) The child, youth or young adult experiences a crisis event.
(6) The ITP is no longer clinically appropriate for the child, youth or young adult.
(7) A staff person, primary care physician, other treating clinician, case manager or other professional involved in the child’s, youth’s or young adult’s services provides a reason an update is needed.
(8) The child, youth or young adult experiences a change in living situation that results in a change of the child’s, youth’s or young adult’s primary caregivers.
(g) An ITP update must include the elements in subsection (d) and the following:
(1) A description of progress or lack of progress toward previously identified goals and objectives.
(2) A description of any new goals, objectives and interventions.
(3) A description of any changes made to previously identified goals, objective or interventions.
(4) A description of new interventions to be used to reach previously identified goals and objectives.
(h) The ITP and all updates shall be reviewed, signed and dated by the youth, young adult or parent or legal guardian of the child or youth, and the staff person who completed the ITP.
(i) The ITP and all updates shall be reviewed, signed and dated by an individual who meets the qualifications of a clinical director in § 5240.12 (relating to staff qualifications).
Cross References This section cited in 55 Pa. Code § 1155.34 (relating to payment conditions for group services); 55 Pa. Code § 5240.41 (relating to individual records); 55 Pa. Code § 5240.98 (relating to requirements for group services in school settings); and 55 Pa. Code § 5240.102 (relating to assessment and individual treatment plan).
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