Utah Admin. Code 432-152-11

Current through Bulletin 2024-23, December 1, 2024

Section R432-152-11 - Individual Program Plan

(1) The licensee shall ensure each client's program plan is developed by an interdisciplinary team that represents the professions, disciplines or service areas that are relevant to:

(a) identifying the client's needs, as described by the comprehensive functional assessment required in Section R432-152-12; and

(b) designing programs that meet the client's needs.

(2) The licensee shall ensure the interdisciplinary team meetings include the following participants:

(a) representatives of other agencies who may serve the client; and

(b) the client and the client's legal guardian unless participation is unobtainable or inappropriate.

(3) Within 30 days after admission, the interdisciplinary team shall prepare for each client an individual program plan that states the specific objectives necessary to meet the client's needs, as identified by the comprehensive functional assessment required by Section R432-152-12, and the planned sequence for dealing with those objectives that shall be:.

(a) stated separately, in terms of a single behavioral outcome;

(b) be assigned projected completion dates;

(c) be expressed in behavioral terms that provide measurable indices of performance;

(d) be organized to reflect a developmental progression appropriate to the individual; and

(e) be assigned priorities.

(4) Each written training program designed to implement the objectives in the individual program plan shall specify the:

(a) methods to be used;

(b) schedule for use of the method;

(c) person responsible for the program;

(d) type of data and frequency of data collection necessary to be able to assess progress toward the desired objectives;

(e) inappropriate client behavior, if applicable; and

(f) appropriate expression of behavior and the replacement of inappropriate behavior, if applicable, with behavior that is adaptive or appropriate.

(5) The licensee shall ensure that the individual program plan:

(a) describes relevant interventions to support the individual toward independence;

(b) identifies the location where program strategy information, that shall be accessible to any person responsible for implementation, can be found;

(c) includes training in personal skills essential for privacy and independence, including toilet training, personal hygiene, dental hygiene, self-feeding, bathing, dressing, grooming and communication of basic needs as client needs dictate or until a client is assessed to be developmentally incapable of acquiring them;

(d) identifies mechanical supports, if needed, to achieve proper body position, balance or alignment, including the reason for each support, the situations that each is to be applied, and a schedule for the use of each support;

(e) provides that clients who have multiple disabling conditions spend a major portion of each waking day out of bed and outside the bedroom area, moving about by various methods and devices when possible; and

(f) includes opportunities for client choice and self-management.

(6) The licensee shall ensure a copy of each client's individual program plan is provided to relevant staff, staff of other agencies who work with the client or a legal guardian.

(7)

(a) As soon as the interdisciplinary team has formulated a client's individual program plan, the licensee shall ensure each client receives a continuous active treatment services program consisting of needed interventions and services with enough number and frequency to support the achievement of the objectives identified in the individual program plan.

(b) The licensee shall ensure an active treatment services schedule is developed that outlines the current active treatment services program and that is readily available for review by relevant staff.

(c) Staff who work directly with the client shall implement each client's individual program plan, except those facets of the individual program plan that may be implemented only by licensed personnel.

(8) The licensee shall document, in measurable terms, data and significant events relative to the accomplishment of the criteria specified in individual client program plans.

(9) The QIDP shall review and revise the individual program plan; including situations that the client:

(a) has successfully completed an objective or objectives identified in the individual program plan;

(b) is regressing or losing skills already gained;

(c) is failing to progress toward identified objectives after reasonable efforts have been made; or

(d) is being considered for training towards new objectives.

Utah Admin. Code R432-152-11

Amended by Utah State Bulletin Number 2022-04, effective 1/31/2022

Adopted by Utah State Bulletin Number 2024-01, effective 12/19/2023