Policy Manual


Involuntary Discharge and/or Termination of Services      

Type: Procedure                 Category: Service Delivery                 Level: Community Care 

Parties: Community Care employees and contractees

Printer Friendly Version: http://apps.comcareme.org/policymanual/default.aspx?code=3.MEP.41&nonav=yes

Supporting References: COA Standards CM 8, FPS 9, FC 14, MH 9, VOC 12

Parent Effective Date Approval Level Revision Dates Last Reviewed
N/A  1-1-2004  Management Team  2/03, 5/06, 1/09  1-1-2009
Related Document Code Related Document Name Type
3.me.18 Discharge Policy

Procedure:  .

1.When a Community Care employee and /or contractee recognizes that it may be necessary for an involuntary discharge or terminate services, the Clinical Supervisor will review the need for discharge or termination of services with the Community Care service provider.

2. An emergency team meeting involving the client and/or family and/or legal guardian will be organized to determine if additional staffing or environmental changes would be possible to maintain the current services provided by the current program.

3. If it is determined that the program cannot provide services to keep the client or others safe, the client and/or family and/or legal guardian are involved in the planning for discharge or termination from services. In such cases, with the permission of the client and/or legal guardian, clients being discharged or terminated from services will have priority for placement in other Community Care programs if they are found to be appropriate. When necessary and with the permission of the client and/or legal guardian, the Community Care service provider will begin seeking alternative community resources to refer the client to.

4. When safe and in order to have a thorough and complete discharge plan, all team members will be invited to a planning meeting to discuss the needs for continuity of services, including the family of origin, kin, or significant others is the client's life.

5. If services are terminated or discharge is involuntary, the client and/or family and/or legal guardian will be notified in writing within 5 days of the documented team decision.

6. Community Care will notify any collaborating service providers, including the courts, as appropriate of the decision to discharge or terminate services.

Clinic Services: The definition of a cancellation is when a client, potential client, or a client´┐Żs guardian/representative calls less than 24 hours before a scheduled appointment to cancel, reschedule, or simply does not show for an appointment. When contact can be made, the clinic office manager or designee will explore the barriers a client may be experiencing in receiving the service and assess the level of commitment to the service, which could result in discharge/termination of services if barriers are unable to be addressed.

1. Psychotherapy-Individuals will be allowed up to 2 cancellations of scheduled appointments for each treatment cycle, which lasts 90 days (or one quarter);

2. Psychiatric medication management- Individuals will be allowed no more than 2 consecutive no shows/cancellations, or no more than 3 cancellations within a 6 month period

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