a. The substance abuse treatment Sub-recipients Documentation in consumer must complete a reassessment, at minimum, records of a reassessment at every six months. specified timeframes 6. Progress Notes a. A progress note must be done on a client at least Documentation in consumer monthly records of ongoing assessment of needs and appropriate referrals Documentation of progress notes in consumer Documentation in consumer records at least monthly records of ongoing contact with other service Documentation in consumer records of progress Documentation in consumer toward meeting the goals in the care plan service plans that needs are closed out when they are met/deferred Documentation in consumer records after each Documentation in progress notes showing Sub-recipients full consumer service plans name/title; date; time; credentials within 3 days after that needs are closed out interaction with client when they are met/deferred Documentation in consumer record of efforts to Documentation in contact client consumer records of ongoing contact with other Documentation in consumer records showing no service Sub-recipients black spaces between progress notes 7. Discharge a. The substance abuse treatment Sub-recipients Documentation in consumer must consult with supervisor to decide that a records of supervisory consumer is to be discharged. consultation b. If discharge is due to a no show the Documentation in consumer must prior to the discharge make a records of EIS release of referral to the information TGA’s Early Intervention Services for possible reengagement to services c. After a decision has been made to discharge Documentation in consumer consumer, the substance abuse treatment records of discharge Sub-recipients must complete a discharge summary within specified summary within 10 business days. timeframes
a. The substance abuse treatment Sub-recipients must complete a reassessment, at minimum, every six months. Documentation in consumer records of a reassessment at specified timeframes 6. Progress Notes a. A progress note must be done on a client at least monthly Documentation in consumer records of ongoing assessment of needs and appropriate referrals Documentation of progress notes in consumer records at least monthly Documentation in consumer records of ongoing contact with other service Documentation in consumer records of progress toward meeting the goals in the care plan Documentation in consumer service plans that needs are closed out when they are met/deferred Documentation in consumer records after each progress notes showing Sub-recipients full name/title; date; time; credentials within 3 days after interaction with client Documentation in consumer service plans that needs are closed out when they are met/deferred Documentation in consumer record of efforts to contact client Documentation in consumer records showing no black spaces between progress notes Documentation in consumer records of ongoing contact with other service Sub-recipients 7. Discharge a. The substance abuse treatment Sub-recipients must consult with supervisor to decide that a consumer is to be discharged. Documentation in consumer records of supervisory consultation b. If discharge is due to a no show the must prior to the discharge make a referral to the TGA’s Early Intervention Services for possible reengagement to services Documentation in consumer records of EIS release of information c. After a decision has been made to discharge consumer, the substance abuse treatment Sub-recipients must complete a discharge summary within 10 business days. Documentation in consumer records of discharge summary within specified timeframes