To review and update a service plan, you must:
  (1) Evaluate the child's progress and the effectiveness of strategies and techniques used toward meeting identified needs, including educational progress reports and medical interventions;
  (2) Identify any new needs and strategies or techniques to meet these needs, including instructions to appropriate employees;
  (3) Document any achieved or changed objectives;
  (4) If the review shows no progress towards meeting the identified needs of the child, document reasons for continued placement;
  (5) Evaluate the possible effectiveness and side effects in the use of psychotropic medications prescribed for the child, any change in psychotropic medications during the period since the last review, and the behaviors and reactions of the child observed by caregivers, professional level service providers, and parents, if applicable;
  (6) Document visitation and contacts between the child and the child's parents, the child and the child's siblings, and the child and the child's extended family;
  (7) Update the estimated length-of-stay and discharge plans, if changed;
  (8) Evaluate the use and effectiveness of emergency behavior intervention techniques, if used, since the last service plan. If applicable, this evaluation must focus on:
    (A) The frequency, patterns, and effectiveness of types of emergency behavior interventions;
    (B) Strategies to reduce the need for emergency behavior interventions overall; and
    (C) Specific strategies to reduce the need for use of personal and mechanical restraints, emergency medication, and/or seclusion, where applicable;
  (9) Document in the child's record the review and update of the plan; and
  (10) Document the names of the persons participating in the review and update.

Source Note: The provisions of this §748.1385 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909