Regulation .01 Individual Case Records.
Regulation .01 Individual Case Records.LinkCopy Citation
A.
Required. Each facility or other program to which a youth is principally assigned shall maintain a case record for each youth assigned to that program.
B.
Contents. The case record shall include:
(1)
Identifying information about the youth and the youth's parents, guardians, or care-givers;
(2)
A recent photograph of the youth;
(3)
Prior placement information;
(4)
A treatment service plan adopted under Courts and Judicial Proceedings Article, §3-8A-20.1, Annotated Code of Maryland;
(5)
Documentation of services provided during the youth's detention or commitment;
(6)
Documentation of services provided or offered to the youth in the community;
(7)
Written reports about the youth;
(8)
Health records, including health, mental health, substance abuse, and other evaluations of the youth, including suicide risk;
(9)
Educational records;
(10)
Legal documents;
(11)
Classification and assessment documents;
(12)
A discharge plan that specifies the required level of supervision and services;
(13)
Disciplinary incident documentation; and
(14)
Progress notes.
C.
Retention Period. The Department shall retain the case record for each youth in accordance with its most currently approved records retention schedule.