Transitional Service Following Discharge Sample Clauses

Transitional Service Following Discharge. Transition and discharge planning must begin at the time of admission. The Contractor must develop an initial transition/discharge plan within 30 days of placement. A review of the transition/discharge plan must be completed within 30 days of intervention and every quarter thereafter. These plans must be created in collaboration with the child, parent or guardian, agency with placement responsibility, xxxxxx parents, relative caregiver, local community mental health providers, permanency resource monitor and the assigned residential staff responsible for the creation and review (the Family Transition Coordinator (FTC) if assigned). Discussions relating to the development of the plan will include services the youth identifies for themselves, needed supports identified by the family, consideration regarding a referral to CMH for wraparound services up to 180 days prior to discharge, and formal and natural community supports to link the youth and family to prior to discharge. The youth’s transition/discharge plan along with a projected date for discharge must be included in each youth’s/family’s service plan. The youth’s/family’s transition/discharge plan will include the level of care projected to be needed at discharge. The plan will include recommended services, transfer of information (e.g., medical records, mental health records) and a graduated visitation schedule; an extended plan to spend time together as a family or with supportive adults. The Contractor must ensure the child’s/family’s transition/discharge plan is reviewed and updated during quarterly team meetings. The child will be engaged with their Lawyer Guardian ad Litem (LGAL) and/or other supportive adult should be included during all subsequent family team meetings following admission.
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