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Based on review of documentation and interview, it was discovered that 5 of 5 medical records of minor patients reviewed failed to reveal involvement of family members/guardians in Treatment Team meetings.

Findings were:
Facility policy entitled "Treatment Planning" stated in part "The interdisciplinary treatment team members include but are not limited to: psychiatrist/nurse practitioner, psychiatric nurse, case manager, Recreational Therapy staff, the patient, the patient's parent/guardian/family member (if appropriate and/or consented) and in accordance with law and regulation (if a minor) and other support staff as identified ....The involvement of the family/guardian throughout the course of the patient's treatment begins at admission, continues throughout treatment and discharge. Patients and parents/guardians/family members are strongly encouraged to participate in treatment team meetings, as patient and parent/guardian/family member input into treatment objectives and goals are valuable in planning the patient's course of treatment and aftercare. The clinical service staff member will ensure that the patient/parents/guardians/family members are informed about the schedule for treatment team meetings. Parent/guardian/family members may participate in the MTP or TPR meeting via conference telephone call if unable to attend in person."

Review of the medical records of Patients # 1 through 5 revealed no indication that the parents or guardians of these minor patients participated in treatment team meetings. In a telephone interview with the parent/guardian of Patient # 1 on 1/27/16, the parent denied being informed of the date and time of his child ' s treatment team meeting and therefore was denied ability to participate.

In an interview the Risk Manager on February 3, 2015, the lack of parental involvement in treatment team meetings was confirmed.