---
kind: "section"
citation: "42 C.F.R. § 441.156"
title: "42"
number: "441.156"
heading: "Team developing individual plan of care."
url: "https://uscodex.org/cfr/42/441.156"
---

# §441.156. Team developing individual plan of care.

- (a) The individual plan of care under [§ 441.155](/cfr/42/441.155.md) must be developed by an interdisciplinary team of physicians and other personnel who are employed by, or provide services to patients in, the facility.
- (b) Based on education and experience, preferably including competence in child psychiatry, the team must be capable of—
  - (1) Assessing the beneficiary's immediate and long-range therapeutic needs, developmental priorities, and personal strengths and liabilities;
  - (2) Assessing the potential resources of the beneficiary's family;
  - (3) Setting treatment objectives; and
  - (4) **Prescribing therapeutic modalities to achieve the plan's objectives.**
- (c) The team must include, as a minimum, either—
  - (1) A Board-eligible or Board-certified psychiatrist;
  - (2) A clinical psychologist who has a doctoral degree and a physician licensed to practice medicine or osteopathy; or
  - (3) A physician licensed to practice medicine or osteopathy with specialized training and experience in the diagnosis and treatment of mental diseases, and a psychologist who has a master's degree in clinical psychology or who has been certified by the State or by the State psychological association.
- (d) The team must also include one of the following:
  - (1) **A psychiatric social worker.**
  - (2) A registered nurse with specialized training or one year's experience in treating mentally ill individuals.
  - (3) An occupational therapist who is licensed, if required by the State, and who has specialized training or one year of experience in treating mentally ill individuals.
  - (4) A psychologist who has a master's degree in clinical psychology or who has been certified by the State or by the State psychological association.

## Notes

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45229, Sept. 29, 1978, unless otherwise noted.