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�s 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