Observations
Based on a review of client records, the facility failed to document an individualized treatment plan in six of six client records.
The findings include:
Six client records were reviewed on May 28, 2009. Individualized treatment plans were required in six client records. Identical, photocopied treatment plans were found in client records # 1, 2, 3, 4, 5 and 6.
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Plan of Correction
We will institute a comprehensive treatment plan that is currently being utilized in our InPatient Treatment Center. This plan is multi-dimensional and includes goals and objectives with time frames and dates of completion.The plan includes Family, Identification,Employment, Drug and Alcohol Treatment Needs,Violence Prevention,Domestic Violence,Sex Offenses,Medical Issues,Mental Health, Educational/Vocational, Life Skills,Personal Finances,Housing.
The Program Director along with the assigned therapist will oversee this transition.
The Gateway Corrections Division will utilize the aformentioned treatment plan,exclusively as part of the standard protocol for treatment documentation; in that, it meets the requirements of the Department of Health. The former treatment plan will
be destroyed |