Service discharge summary.

(a) An alcohol and drug counselor must write a new text begin service new text end discharge summary for each client. The new text begin service discharge new text end summary must be completed within five days of the client's service termination deleted text begin or within five days from the client's or program's decision to terminate services, whichever is earlier deleted text end . new text begin A copy of the client's service discharge summary must be provided to the client upon the client's request. new text end

(b) The service discharge summary must be recorded in the six dimensions listed in section 245G.05, subdivision 2 , paragraph (c), and include the following information:

(1) the client's issues, strengths, and needs while participating in treatment, including services provided;

(2) the client's progress toward achieving each goal identified in the individual treatment plan;

(3) a risk description according to section 245G.05 ; deleted text begin and deleted text end

(4) the reasons for and circumstances of service termination. If a program discharges a client at staff request, the reason for discharge and the procedure followed for the decision to discharge must be documented and comply with the deleted text begin program's policies on staff-initiated client discharge. If a client is discharged at staff request, the program must give the client crisis and other referrals appropriate for the client's needs and offer assistance to the client to access the services. deleted text end new text begin requirements in section 245G.14, subdivision 3, clause (3); new text end

deleted text begin (c) For a client who successfully completes treatment, the summary must also include: deleted text end

deleted text begin (1) deleted text end new text begin (5) new text end the client's living arrangements at service termination;

deleted text begin (2) deleted text end new text begin (6) new text end continuing care recommendations, including transitions between more or less intense services, or more frequent to less frequent services, and referrals made with specific attention to continuity of care for mental health, as needed; new text begin and new text end

deleted text begin (3) deleted text end new text begin (7) new text end service termination diagnosis deleted text begin ; and deleted text end new text begin . new text end

deleted text begin (4) the client's prognosis. deleted text end