OAR 415-057-0070: Treatment Planning and Documentation of Treatment Progress

(1) An individualized treatment plan will be developed and placed in the client record no later than 14 days from placement in the program. The treatment plan will include: (a) The primary client-centered problems and strengths as determined by the client, the DOC individual Oregon Corrections Plan and the comprehensive diagnostic assessment; (b) Individualized treatment objectives that were developed in collaboration with the client; (c) Applicable service and support delivery details including frequency and duration of each service; (d) Documentation of participation of any supportive person involved in the development of the treatment plan or client’s refusal to include any supportive person; (e) The date and signature of the client; and (f) The signature of the program staff with credentials and date of the signature. (2) At a minimum of once every seven days, program staff will document in the permanent record a comprehensive summary of the client’s progress toward achieving the individualized treatment objectives in the client’s treatment plan and any current obstacles to recovery and include documentation of any participation of the supportive person in treatment services or activities, and their input of client’s progress toward individualized treatment objectives. (3) The individual treatment plan will be reviewed and modified with the client, assigned program staff and any supportive person every 30 days, or more often as clinically appropriate.