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5.2.1.2.2 Active Treatment Plan Requirements
There must be an assessment that explains why the client was unable to achieve the expected treatment objectives that were previously set. The assessment must address the following:
• Factors that interfered or are interfering with the client's ability to make progress as expected
•The continued appropriateness of the treatment goals
•The continued appropriateness of the type of therapy being utilized
•The need for obtaining consultation
•The current diagnosis and the need for revisions and/or additional assessments
•The ongoing treatment plan must reflect the initial treatment plan requirements and the additional information must include:
•Changes in primary treatment focus or discharge goals have been identified and are consistent with the client's current condition
•The expected progress toward the discharge goals is described within the extended time frame
•Appropriate adjustments have been made in the medication regimen based on the client's therapeutic response
•No contraindications to the use of the prescribed medications are present
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