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Therecipient continues tomeet admission criteriaasevidenced by activepsychiatric <br />symptomsandcontinued functional impairment <br />Documentation indicates thatsymptomsarereduced, butdischarge criteria have notbeen <br />met <br />Theessentialgoalsareexpectedtobeaccomplished withintherequested timeframe <br />Attempts tocoordinate care andtransitiontherecipienttootherservices have been <br />documented <br />IRTSDischargeCriteria <br />Discharge arecipientfromIRTSwhentherecipientmeetsatleastone ofthe following: <br />Nolonger meetscontinuing staycriteria <br />HasmetITP goalsandobjectives <br />Showsevidenceofdecreased impairment andappropriate, lessrestrictivecommunity-based <br />alternatives exist <br />Hassymptoms andneedsthat permitalesser level ofserviceand adequate supports and <br />servicesareinplace <br />IsvoluntarilyinvolvedinhisorherITP andnolongeragrees toparticipate intheIRTS <br />services <br />Exhibits severeexacerbation ofsymptoms, decreased functioning, disruptive ordangerous <br />behaviors andrequiresamore intensivelevel ofservice <br />Hasmedicalorphysicalhealthneedsthatexceed whatcan bebrought intothe residential <br />treatmentsetting <br />Does notparticipateintheprogramdespite multiple attempts toengage himorherandto <br />addressnonparticipation issues <br />Doesnotmakeprogress towardtreatmentgoals andthere isno reasonableexpectation that <br />progresswillbemade <br />Leavesagainstmedical advice foranextendedperiod (determinedby writtenprocedures of <br />provideragency) <br />CoveredServices <br />PlanandcoordinateIRTS withthelocal mentalhealth servicedelivery system. Recipientsmay <br />access andreceiveservices fromtheprogram outside ofthe facilitywhenitwouldbenefitthe <br />continuityoftreatmentandtransition tothecommunity. Thefollowingservices mustbeavailable <br />andoffered aspartoftheprogram design: <br />Supervision anddirection <br />Individualized assessment andtreatmentplanning <br />Crisis assistance, developmentofhealth caredirectivesandcrisis preventionplans <br />Nursingservices <br />Interagency casecoordination <br />Transition anddischargeplanning <br />Livingskillsdevelopment, including: <br />Medication self-administration <br />Healthyliving