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<regulation prefix="Regulation" num=".12" citation="COMAR 10.21.07.12" title_num="10" subtitle_num="21" chapter_num="07" heading="Treatment and Support Services Provided by the TGH.">
  <paragraph num="A.">
    <text>Case Coordination. The TGH clinical director shall assure that a child's case coordinator:</text>
    <paragraph num="(1)">
      <text>Integrates appropriate therapeutic and educational services into the child's ITP by coordinating with the child's previous placement provider, school, clinic or other mental health providers, and, if any, employer;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Makes home visits and meets with the primary caretaker to ameliorate problems in the home and facilitate reunification; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Participates in treatment team meetings for the purposes of collaborating in service delivery and advocating for the child.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Group Therapy. Appropriately credentialed and privileged TGH staff or consultants shall, at least weekly at the TGH, provide group therapy that, unless otherwise indicated in the child's ITP, includes every child in the TGH.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Pychoeducational Groups. As required by the child's ITP, the child's care coordinator shall assure that the child has the opportunity to participate in appropriate groups for children who have special needs, including but not limited to groups for children who have been affected by:</text>
    <paragraph num="(1)">
      <text>Substance abuse;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sexual assault;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Physical abuse; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Home or community violence.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Medication Services.</text>
    <paragraph num="(1)">
      <text>The TGH clinical coordinator shall assure that medications prescribed for a child are stored securely and made available to the child as appropriate.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Administration. If a child's ITP requires that TGH staff administer medication, the following requirements apply:</text>
      <paragraph num="(a)">
        <text>Only an individual licensed under the Health Occupations Article, Annotated Code of Maryland, to administer medication may do so; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Only a licensed practical nurse or a registered nurse may delegate the administration of medication according to the provisions of COMAR 10.27.11.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Monitoring. When required by the child's ITP, a TGH staff member privileged to do so shall provide the following services:</text>
      <paragraph num="(a)">
        <text>Supporting the child's self-administration of prescribed medication;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To the extent possible, monitoring compliance with instructions appearing on the label;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Reading the label to assure that each container of medication is clearly labeled with the child's name, the contents, directions for use, and expiration date;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Observing and documenting any apparent reactions to medication and, either verbally or in writing and in a timely fashion, communicating to the prescribing authority and TGH psychiatrist any problems that possibly may be related to the medication; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Reinforcing education on the role and effects of medication in symptom management.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Health Promotion and Training.</text>
    <paragraph num="(1)">
      <text>When indicated in the child's ITP, TGH staff privileged to do so shall provide basic health teaching in the following areas:</text>
      <paragraph num="(a)">
        <text>Nutrition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Exercise;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Dental care;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Substance abuse prevention; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Prevention of injury and illness at home and in the community.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The clinical coordinator shall assure the provision of training in communicable disease prevention, including prevention of sexually transmitted diseases and blood-borne pathogens, including HIV/AIDS.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Discharge Procedures. A TGH licensee shall:</text>
    <paragraph num="(1)">
      <text>Carry out discharge planning in accordance with COMAR 14.31.06.17; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If appropriate, forward a copy of each discharge plan to the appropriate CSA and the Administration.</text>
    </paragraph>
  </paragraph>
</regulation>