Rule 37.97.906 - THERAPEUTIC GROUP HOMES (TGH): THERAPEUTIC SERVICE REQUIREMENTS(1) The therapeutic services provided by the mental health professionals are "therapy," and services provided by the program manager or direct care staff are "therapeutic intervention" services. The purpose of therapeutic services is to: (a) reduce the impairment of the youth's mental disability and to improve the youth's functional level; (b) alleviate the emotional disturbances; (c) reverse or change maladaptive patterns of behavior; and (d) encourage personal growth and development.(2) Each youth must receive 75 minutes of therapy and 75 minutes of therapeutic intervention services per week (Sunday through Saturday). Therapy includes individual and group or family therapy as clinically indicated based on the specific treatment needs of the youth. Therapy requirements include the following: (a) Individual therapy must be provided at least 50 minutes out of the required 75 minutes per week. Individual therapy may be provided in two 25- minute sessions per week as clinically appropriate. The mental health professional must document specific reasons why a 50-minute therapy session cannot be provided.(b) Family therapy must be provided to the youth and family members as defined in ARM 37.97.102(9) and provided as outlined in the youth's treatment plan. If family therapy is not appropriate based on the particular situation of the youth, the mental health professional must document specific reasons why family therapy cannot be provided.(3) In the event the mental health professional is unavailable due to vacation, illness, or if the youth is on a home visit, or similar circumstance, alternative arrangements for therapy must be made based on the program's policy and procedures. The TGH must document why therapy was not provided and what alternative arrangements were made.(4) Therapy sessions and therapeutic interventions must address the youth's treatment goals and objectives in the treatment plan, and each session must be documented in the case record by the individual providing the service. Documentation must include the signature of the person who provided the service and the date, start and end times of each session.(5) Internal staff meetings to address the needs of each youth must be conducted weekly and must include the program manager, lead clinical staff, and direct care staff. Staff meeting time spent addressing the needs of youth may not be included as therapy or therapeutic intervention time.Mont. Admin. r. 37.97.906
NEW, 2011 MAR p. 387, Eff. 3/25/11; AMD, 2021 MAR p. 1217, Eff. 9/25/2021AUTH: 52-2-111, 52-2-603, 52-2-622, MCA; IMP: 52-2-113, 52-2-603, 52-2-622, MCA