<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.21.22.08" title_num="10" subtitle_num="21" chapter_num="22" heading="Evaluation and Planning Services.">
  <paragraph num="A.">
    <text>Assessment. Within 30 days of initiation of RRP services, staff, in collaboration with the individual, shall complete an RRP assessment that includes:</text>
    <paragraph num="(1)">
      <text>The rehabilitation service requirements noted in the PRP assessment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An assessment of the individual's:</text>
      <paragraph num="(a)">
        <text>Need for RRP services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Behaviors, if any, that are potentially dangerous to self or others;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ability to perform basic self-care and to maintain personal safety;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>History, if any, of requiring intermittent intensive levels of support in order to remain in the community; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Need for changing intensity of intervention based on the episodic nature of illness.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Individualized Rehabilitation Plan (IRP).</text>
    <paragraph num="(1)">
      <text>Initial IRP. Within 30 days of initiation of RRP services and based on the assessment in §A of this regulation, staff shall specify in the IRP:</text>
      <paragraph num="(a)">
        <text>RRP goals; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The range of:</text>
        <paragraph num="(i)">
          <text>Frequency of residential services; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Intensity of staff support, as described in Regulation .09D of this chapter.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the individual's service needs change, the RRP staff shall:</text>
      <paragraph num="(a)">
        <text>Provide and document in the individual's record the services required by the change;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Notify relevant staff of the change initiated; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Incorporate this information in the next IRP review.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>IRP Review. As frequently as necessary, as determined by an individual's rehabilitation coordinator, and at a minimum of every 6 months, the rehabilitation coordinator shall:</text>
      <paragraph num="(a)">
        <text>Review and record in the individual's medical record:</text>
        <paragraph num="(i)">
          <text>The individual's progress toward the accomplishment of previously identified rehabilitation goals;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Goal changes, based on a review of the individual's progress; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Changes in interventions, including staff responsibility;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Communicate promptly the results of the IRP review to:</text>
        <paragraph num="(i)">
          <text>Relevant program staff; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>With proper consent, family or significant others designated by the individual, and community mental health programs providing services to the individual.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Signature of the IRP and Reviews. Staff shall obtain the individual's written or tape-recorded agreement or disagreement with the plan and, in addition, the following shall sign the plan and reviews:</text>
      <paragraph num="(a)">
        <text>The rehabilitation coordinator; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staff responsible for implementing the plan.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Continuing Evaluation. The RRP director shall ensure that RRP staff document in the individual's PRP record contact notes and, at least monthly, progress summary notes of services, including any change in intensity of staff support, delivered at the RRP.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Documentation. RRP staff shall document the assessment, IRP, contact notes, and progress summary notes for residential services in either:</text>
    <paragraph num="(1)">
      <text>The PRP record; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In documents separate from the PRP record, if the PRP record references the separate documents.</text>
    </paragraph>
  </paragraph>
</regulation>