Page 1429

facility’s treatment program, and that persistent clinical indications exist that the child needs a more intensive psychiatric treatment of the level of a psychiatric hospital; however, the residential psychiatric treatment center may not make a finding under this paragraph merely because the child suffers a short-term or episodic worsening of the child’s condition or behavior, unless the facility documents that it has repeatedly but unsuccessfully attempted intervention using all of its services and those of special consultants as appropriate to arrest or reverse the worsening of the child’s condition or behavior;

(3) child’s medical condition requires transfer to a medical setting; or

(4) child no longer requires the intensity of service and treatment of a residential psychiatric treatment center based on documentation

(A) of demonstrably sustainable gains in the areas described in 7 AAC 50.845(b)(1)(B) that the child can sustain without requiring cueing or control by the program staff of a residential psychiatric treatment center;

(B) that the child can be safely and effectively treated in a less restrictive setting; and

(C) of a final plan as required under (b) of this section for transition, discharge, and care after discharge for the child. (b) A final plan for transition, discharge, and care after discharge for the child must

(1) ensure that the residential psychiatric treatment center meets the needs of the child and the child’s family through the arrangement of after-care services, and that the treatment team assembled under 7 AAC 50.840 and the facility’s clinical staff will consult and be available for intervention for at least the longer of

(A) one month for every two months that the child received care in the facility; or

(B) three months;

(2) require that the residential psychiatric treatment center, during the time set out in (1) of this subsection, contact at least once a month the treatment team assembled under 7 AAC 50.840, so that the facility can ensure an appropriate transition of the child to community placement and treatment; and

(3) include the following documentation:

(A) where and with whom the child will live;

(B) specified medical and mental health providers to provide ongoing care to the child;

(C) identification of a school for the child to attend, with an IEP in place for the child;

(D) specific supports and services from persons or programs including the case