I. The needs and services of every client in the service delivery system shall be subject to a periodic review under the supervision of the administrator, which shall include but not be limited to:
      (a) A thorough clinical examination including an annual health assessment;
      (b) An assessment of the client's capacity to make informed decisions; and
      (c) Consideration of less restrictive alternatives for service, particularly for those clients in residential services.
   II. Such periodic review shall take place at least once during the first 6 months of service and annually thereafter. The administrator shall give written notice to the client and his or her nearest relative or legal guardian at least 10 days prior to a periodic review. The results of each periodic review shall become part of the client's clinical record, and recommendations resulting from such review shall be shared with the client, and, where appropriate, with his or her guardian, parent or nearest relative.
   III. Following any review or at any other time, the administrator may recommend termination of service or may refer the client to a more appropriate service pursuant to RSA 171-A:8.
   IV. The commissioner shall adopt rules pursuant to RSA 541-A relative to the conduct of the review and the personnel who shall carry out the review.
Source. 1975, 242:1. 1981, 492:25. 1995, 310:172. 2001, 101:11, eff. Aug. 20, 2001.