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⭐OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. Title 450 Chapter 18 Standards and Criteria for Alcohol and Drug Treatment Programs
OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. Title 450 Chapter 18 Standards and Criteria for Alcohol and Drug Treatment Programs
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1 OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES Post Office Box Oklahoma City, OK (405) Title 450 Chapter 18 Standards and Criteria for Alcohol and Drug Treatment Programs Effective July 11, 2010 Authority: Oklahoma Board of Mental Health and Substance Abuse Services; 43A O.S , 3-306, 3-317, 3-403(1), 3-404, 3-406, and History: Codified ; Added at 13 OK Reg 2769, effective 07/01/96; Amended at 14 OK Reg 107, effective 10/02/96 (Emergency); Amended at 14 OK Reg 1934, effective 05/27/97; Amended at 16 OK Reg 1523, effective 07/01/99; Amended at 17 OK Reg 2132, 2135, 2139, effective ; Amended at 18 OK Reg 2183, effective 07/01/01; Amended at 19 OK Reg 2333; Amended at 20 OK Reg 653, effective 02/27/03; Amended at 21 OK Reg 1739, effective 07/01/04; Amended at 22 OK Reg 2109, effective 07/01/05; Amended at 23 OK Reg 1953, effective 07/01/06; Amended at 24 OK Reg 2580, effective 07/12/07; Amended at 25 OK Reg 2532, effective 07/11/08; Amended at 27 OK Reg 2237, effective 07/11/10. Unofficial Copy Official copies of administrative rules can be obtained only from the Office of Administrative Rules, Secretary of State. The official rules are the text accepted by the Oklahoma Secretary of State for publication in the Oklahoma Register and the Oklahoma Administrative Code as required by 75 O.S. 250 et seq. ODMHSAS has attempted to insure the text within this publication is the same as that on file with the Secretary of State. Any differences will be decided in favor of the text on file with the Secretary of State. This publication includes permanent rules in effect July 11, 2010.2 TABLE OF CONTENTS SUBCHAPTER 1. GENERAL PROVISIONS... Page 9 450: Purpose 450: Definitions 450: Meaning of verbs in rules 450: Applicability 450: Alcohol and drug abuse prevention, training, treatment and rehabilitation authority [REVOKED] 450: Annual review of standards and criteria [REVOKED] 450: New standards and criteria [REVOKED] 450: Suspension of Rules 450: Staff qualifications SUBCHAPTER 3. SUBSTANCE ABUSE TREATMENT SERVICES [REVOKED]... Page 21 Part 1. Levels of Care [REVOKED] 450: Levels of Care [AMENDED AND RENUMBERED] 450: HIV Education, Testing and Counseling Services [AMENDED AND RENUMBERED] 450: Treatment Professional [AMENDED AND RENUMBERED] Part 3. Outpatient Services [REVOKED] 450: Outpatient services [AMENDED AND RENUMBERD] 450: Outpatient services, admission criteria [AMENDED AND RENUMBERED] 450: Outpatient services, discharge criteria [AMENDED AND RENUMBERED] Part 5. Intensive Outpatient Services [REVOKED] 450: Intensive outpatient services [AMENDED AND RENUMBERED] 450: Services requirements [AMENDED AND RENUMBERED] 450: Intensive outpatient services, admission criteria [AMENDED AND RENUMBERED] 450: Intensive outpatient, discharge criteria [AMENDED AND RENUMBERED] Part 7. Medically Supervised Detoxification [REVOKED] 450: Medically supervised detoxification [AMENDED AND RENUMBERED] 450: Medically-supervised detoxification, admission criteria [AMENDED AND RENUMBERED] 450: Medically-supervised detoxification, discharge criteria [AMENDED AND RENUMBERED] Unofficial Copy: OAC Title 450:18 2 Effective 07/11/20103 Part 9. Non-Medical Detoxification [REVOKED] 450: Non-medical detoxification [AMENDED AND RENUMBERED] 450: Non-medical (social) detoxification, admission criteria [AMENDED AND RENUMBERED] 450: Non-medical (social) detoxification, discharge criteria [AMENDED AND RENUMBERED] Part 11. Residential Treatment [REVOKED] 450: Residential treatment for adults [AMENDED AND RENUMBERED] 450: Adult residential treatment, admission criteria [AMENDED AND RENUMBERED] 450: Adult residential treatment, discharge criteria [AMENDED AND RENUMBERED] Part 13. Residential Treatment for Persons with Dependent Children [REVOKED] 450: Residential treatment for persons with dependent children [AMENDED AND RENUMBERED] 450: Residential treatment for persons with dependent children, admission criteria [AMENDED AND RENUMBERED] 450: Residential treatment for persons with dependent children, discharge criteria [AMENDED AND RENUMBERED] Part 15. Adult Residential Treatment for the Dually Diagnosed [REVOKED] 450: Adult residential treatment for the dually diagnosed [AMENDED AND RENUMBERED] 450: Adult residential treatment for the dually diagnosed, admission criteria [AMENDED AND RENUMBERED] 450: Residential treatment for the dually, discharge criteria [AMENDED AND RENUMBERED] Part 17. Residential Treatment for Adolescents [REVOKED] 450: Residential treatment for adolescents [AMENDED AND RENUMBERED] 450: Residential treatment for adolescents, admission criteria [AMENDED AND RENUMBERED] 450: Residential treatment for adolescents, discharge criteria [AMENDED AND RENUMBERED] Part 19. Halfway House Services [REVOKED] 450: Halfway house services [AMENDED AND RENUMBERED] 450: Halfway house services, admission criteria [AMENDED AND RENUMBERED] 450: Halfway house services, discharge criteria [AMENDED AND RENUMBERED] Unofficial Copy: OAC Title 450:18 3 Effective 07/11/20104 Part 20. Adolescent Halfway House Services [REVOKED] 450: Adolescent halfway house services [AMENDED AND RENUMBERED] 450: Adolescent halfway house services, admission criteria [AMENDED AND RENUMBERED] 450: Adolescent halfway house services, discharge criteria [AMENDED AND RENUMBERED] Part 21. Halfway House Services for Persons with Dependent Children [REVOKED] 450: Halfway house services for persons with dependent children [AMENDED AND RENUMBERED] 450: Halfway house services for persons with dependent children, admission criteria [AMENDED AND RENUMBERED] 450: Halfway house services for persons with dependent children, discharge criteria [AMENDED AND RENUMBERED] Part 23. Three Quarterway Houses Services [REVOKED] 450: Three quarterway house services [REVOKED] Part 25. Medication Assisted Treatment [REVOKED] 450: Opioid treatment program services [AMENDED AND RENUMBERED] 450: Programs using opiate antagonist or long action opiate agonist [AMENDED AND RENUMBERED] SUBCHAPTER 5. ORGANIZATIONAL AND FACILITY MANAGEMENT... Page : Purpose 450: Applicability 450: Organizational and facility description Information analysis and planning 450: Performance improvement program 450: Physical facility environment and safety 450: Hygiene and sanitation 450: Standards for food service 450: Dietetic services 450: Pharmacy services and medications 450: Day school 450: Performance improvement program [REVOKED] 450: Critical incident reporting 450: Mechanical restraints [REVOKED] 450: Community information, consultation, outreach, and street outreach Unofficial Copy: OAC Title 450:18 4 Effective 07/11/20105 SUBCHAPTER 7. FACILITY CLINICAL RECORDS... Page 31 Part 1. Record System 450: Purpose 450: Consumer record system 450: Consumer records, basic requirements 450: Confidentiality, substance abuse records [REVOKED] 450: Confidentiality of mental health and drug or alcohol abuse treatment information 450: Consumer record storage, retention and disposition Part 3. Screening, Intake, and Assessment 450: Clinical record content, screening, intake and assessment 450: Intake and assessment, process requirements 450: Biopsychsocial assessment 450: Biopsychsocial assessment, time frame 450: Biopsychsocial assessments of children accompanying a parent into treatment 450: Biopsychsocial assessments of children accompanying a parent into treatement, time frame 450: Clinical record content, on-going assessment Part 5. Biopsychsocial Assessment [REVOKED] 450: Biopsychsocial assessment [AMENDED AND RENUMBERED TO 450: ] 450: Biopsychsocial assessment, time frame [AMENDED AND RENUMBERED TO 450: ] 450: Biopsychsocial assessments of children accompanying a parent into treatment [AMENDED AND RENUMBERED TO 450: ] 450: Biopsychsocial assessments of children accompanying a parent into treatment, time frame [AMENDED AND RENUMBERED TO 450: ] Part 7. Case Management 450: Case management services 450: Case management services, locale, and frequency 450: Case management services for consumer's admitted to higher levels of care 450: Case management services for consumers in detoxification, residential and halfway house setting [REVOKED] 450: Case management services, staff credentials Part 9. Service Planning 450: Service Plan 450: Comprehensive Service plans, time frames Unofficial Copy: OAC Title 450:18 5 Effective 07/11/20106 450: Treatment plans, review and update [REVOKED] 450: Service plans, medically supervised detoxification Part 11. Progress Notes 450: Progress notes Part 13. Discharge Planning 450: Discharge assessment 450: Continuing care plan 450: Discharge summary 450: Unplanned discharges [REVOKED] Part 15. Other Case Record Materials 450: Consultation reports 450: Psychological or psychometric testing 450: Records and reports from other entities 450: Medication record 450: Discharge summary [AMENDED AND RENUMBERED] Part 17. Methadone Records [REVOKED] 450: Care review team [REVOKED] SUBCHAPTER 9. SERVICES SUPPORT AND ENHANCEMENT... Page 44 Part 1. Staff Support 450: Purpose 450: Clinical supervision 450: Staff privileging 450: Consumer-based planning [REVOKED] 450: Client outcome [REVOKED] 450: Client satisfaction with services received [REVOKED] 450: Concurrent utilization review [REVOKED] 450: Peer review [REVOKED] 450: Treatment outcome follow-up [REVOKED] 450: Referrals [REVOKED] Part 2. Organizational and Facility Management [REVOKED] 450: Organizational and facility description [AMENDED AND RENUMBERED] 450: Information analysis and planning [AMENDED AND RENUMBERED] 450: Performance improvement program [AMENDED AND RENUMBERED] SUBCHAPTER 11. CONSUMER RIGHTS... Page : Consumer rights 450: Consumer rights, outpatient services [REVOKED] Unofficial Copy: OAC Title 450:18 6 Effective 07/11/20107 450: Consumer's grievance policy 450: ODMHSAS Advocate General SUBCHAPTER 13. SUBSTANCE ABUSE TREATMENT SERVICES... Page 46 Part 1. Levels of Care 450: Levels of Care 450: HIV/STD/AIDS education, testing and counseling services 450: Treatment Professional [REVOKED] 450: Co-occurring Disorder Capability [REVOKED] Part 3. Outpatient Services 450: Outpatient services 450: Outpatient services, admission criteria 450: Outpatient services, discharge criteria Part 5. Intensive Outpatient Services [REVOKED] 450: Intensive outpatient services [REVOKED] 450: Service requirements [REVOKED] 450: Intensive outpatient services, admission criteria [REVOKED] 450: Intensive outpatient, discharge criteria [REVOKED] Part 7. Medically Supervised Detoxification 450: Medically-supervised detoxification 450: Medically-supervised detoxification, admission criteria 450: Medically-supervised detoxification, discharge criteria Part 9. Non-Medical Detoxification 450: Non-medical detoxification 450: Non-medical detoxification, admission criteria 450: Non-medical detoxification, discharge criteria Part 11. Residential Treatment 450: Residential treatment for adults 450: Adult residential treatment, admission criteria 450: Adult residential treatment, discharge criteria Part 13. Residential Treatment for Persons with Dependent Children 450: Residential treatment for persons with dependent children 450: Residential treatment for persons with dependent children, admission criteria 450: Residential treatment for persons with dependent children, discharge criteria Unofficial Copy: OAC Title 450:18 7 Effective 07/11/20108 Part 15. Residential Treatment for Adults with Co-occurring Disorders 450: Adult residential treatment for consumers with co-occurring disorders 450: Adult residential treatment for consumers with co-occurring disorders, admission criteria 450: Residential treatment for consumers with co-occurring disorders, discharge criteria Part 17. Residential Treatment for Adolescents 450: Residential treatment for adolescents 450: Residential treatment for adolescents, admission criteria 450: Residential treatment for adolescents, discharge criteria Part 19. Halfway House Services 450: Halfway house services 450: Halfway house services, admission criteria 450: Halfway house services, discharge criteria Part 20. Adolescent Halfway House Services 450: Adolescent halfway house services 450: Adolescent halfway house services, admission criteria 450: Adolescent halfway house services, discharge criteria Part 21. Halfway House Services for Persons with Dependent Children 450: Halfway house services for persons with dependent children 450: Halfway house services for persons with dependent children, admission criteria 450: Halfway house services for persons with dependent children, discharge criteria Part 23. Peer Support Services 450: Peer support services 450: Recovery Support Specialists staff requirements 450: Peer Support services: Locale and frequency Part 25. Medication Assisted Treatment [REVOKED] 450: Opioid treatment program services [REVOKED] 450: Programs using opiate antagonist or long acting opiate agonist [REVOKED] Unofficial Copy: OAC Title 450:18 8 Effective 07/11/20109 SUBCHAPTER 1. GENERAL PROVISIONS 450: Purpose This chapter sets forth the standards and criteria used in the certification of facilities and organizations providing substance abuse treatment services for alcohol or drug dependent consumers and implements 43A O.S , 3-415, 3-416, 3-417, , 3-601, and The rules regarding the certification processes, including, but not limited to, the application process, fees, and administrative sanctions are found in OAC 450:1, Subchapters 5 and : Definitions The following words or terms, when used in this chapter, shall have the following meaning, unless the context clearly indicates otherwise: "Acute intoxication or withdrawal potential" means one dimension to be considered in consumer placement, continued stay, and discharge and is an evaluation of the consumer s withdrawal patterns and current level of intoxication and potential for withdrawal complications as it impacts level of care decision making. "Admission" means the acceptance of a consumer by a treatment program to receive services at that program. "Admission criteria" means those criteria which shall be met for admission of a consumer for services. "Adult" means any individual eighteen (18) years of age or older. "ASAM" means the American Society of Addiction Medicine. "ASAM levels of care" means the different options for treatment as described in the current edition of the ASAM PPC that vary according to the intensity of the services offered. Each treatment option is a level of care. "ASAM patient placement criteria" or "ASAM PPC" means the most current edition of the American Society of Addiction Medicine's published criteria for admission to treatment, continued services, and discharge. "Assessment" means those procedures by which a program provides an on-going evaluation process with the consumer as outlined in applicable rules throughout OAC 450 to collect pertinent information needed as prescribed in applicable rules and statutes to determine courses of actions or services to be provided on behalf of the consumer. Assessment may be synonymous with the term evaluation. "Behavioral health services" means a wide range of diagnostic, therapeutic, and rehabilitative services used in the treatment of mental illness, substance abuse, and cooccurring disorders. "Biomedical condition and complications" means one dimension to be considered in placement, continued stay, and discharge and is an evaluation of the consumer s current physical condition and history of medical and physical functioning as it impacts level of care decision making. "Biopsychsocial assessment" means face-to-face interviews conducted by a qualified service provider designed to elicit historical and current information regarding the behaviors, experiences, and support systems of a consumer, and identify the consumer s strengths, needs, abilities, and preferences for the purpose of guiding the Unofficial Copy: OAC Title 450:18 9 Effective 07/11/201010 consumer s recovery plan. "Case management services" means planned referral, linkage, monitoring, support, and advocacy provided in partnership with a consumer to assist that consumer with self-sufficiency and community tenure and take place in the individual s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff. "Child" or "Children" means any individuals under eighteen (18) years of age. "Client" See "Consumer. "Clinical supervision" means an organized process by which knowledgeable and skilled supervisors systematically and routinely provide ongoing and in-depth review of direct service providers' performance which leads to professional growth, clinical skills development, and increased self-awareness. "Community-based Structured Crisis Center" or "CBSCC" means a program of non-hospital emergency services for mental health and substance abuse crisis stabilization as authorized by 43A O.S including, but not limited to, observation, evaluation, emergency treatment, and referral, when necessary, for inpatient psychiatric or substance abuse services. This service is limited to CMHCs who are certified by the Department of Mental Health and Substance Abuse Services or facilities operated by the Department of Mental of Substance Abuse Services. "Community education, consultation, and outreach" means services designed to reach the facility s target population, to promote available services, and to give information on mental health, alcohol and other drugs, domestic violence, sexual assault, and other related issues to the general public, the target population, or to other agencies serving the target population. These services include presentations to human services agencies, community organizations, and individuals, other than individuals in treatment, and staff. These services may take the form of lecture presentations, films or other visual displays, and discussions in which factual information is disseminated. These presentations may be made by staff or trained volunteers. "Community mental health center" or "CMHC" means a facility offering a comprehensive array of community-based mental health services including, but not limited to, inpatient treatment, outpatient treatment, partial hospitalization, emergency care, consultation and education, and certain services at the option of the center including, but not limited to, prescreening, rehabilitation services, pre-care and aftercare, training programs, and research and evaluation. "Consultation" means the act of providing information or technical assistance to a particular group or individual seeking resolution of specific problems. A documented process of interaction between staff members or between facility staff and unrelated individuals, groups, or agencies for the purpose of problem solving or enhancing their capacities to manage consumers or facilities. "Consumer" means an individual, adult, adolescent, or child, who has applied for, is receiving or has received evaluation or treatment services from a facility operated or certified by ODMHSAS or with which ODMHSAS contracts and includes all persons referred to in OAC Title 450 as client(s) or patient(s) or resident(s) or a combination thereof. Unofficial Copy: OAC Title 450:18 10 Effective 07/11/201011 "Consumer record" means the collection of written information about a consumer s evaluation or treatment that includes the intake data, evaluation, treatment or service plan, description of treatment or services provided, continuing care plan, and discharge information on an individual consumer. "Continuing care" means providing a specific period of structured therapeutic involvement designed to enhance, facilitate, and promote transition from a current level of services to support ongoing recovery. "Contract" means a document adopted by the governing authority of a treatment facility and any other organization, facility, or individual, which specifies services, personnel, or space to be provided by the program, as well as the monies to be expended in exchange. "Co-occurring disorder" (COD) means any combination of mental health symptoms and substance abuse symptoms or diagnoses that affect a consumer and are typically determined by the current Diagnostic and Statistical Manual of Mental Disorders. "Co-occurring disorder capability" means the organized capacity within any type of program to routinely screen, identify, assess, and provide properly matched interventions to consumer s with co-occurring disorders. "Co-occurring disorder enhanced" means that the program (or subunit of the program) provides a specialized service designed for individuals with co-occurring disorders, usually with a higher level of available service capacity or intensity for the cooccurring substance use disorder than would be the case in a comparable co-occurring disorder capable program. "Correctional institution" means any penal or correctional facility, jail, reformatory, detention center, work farm, halfway house, or residential community program operated by, or under contract to, the United States, a state, a territory, a political subdivision of a state or territory, or an Indian tribe, for the confinement or rehabilitation of persons charged with or convicted of a criminal offense, or other persons held in lawful custody. Other persons held in lawful custody include juvenile offenders adjudicated delinquent, aliens detained awaiting deportation, persons committed to mental institutions through the criminal justice system, witnesses, or others awaiting charges or trial. Programs which are providing treatment services within a correctional facility may be exempt from certain services described in this chapter which cannot be provided due to circumstance. "Crisis Diversion" means an unanticipated, unscheduled situation requiring supportive assistance, face-to-face or telephone, to resolve immediate problems before they become overwhelming and severely impair the individual's ability to function or maintain in the community. "Crisis intervention" means actions taken and services provided to address emergency psychological, physiological, and safety aspects of alcohol, drug-related, and mental health crises. "Critical incident" means an occurrence or set of events inconsistent with the routine operations of a facility, service setting, or otherwise routine care of a consumer. Critical incidents specifically include, but are not necessarily limited to the following: adverse drug events; self-destructive behavior; deaths and injuries to consumers, staff, Unofficial Copy: OAC Title 450:18 11 Effective 07/11/201012 and visitor; medication errors; residential consumers that have absent without leave (AWOL); neglect or abuse of a consumer; fire; unauthorized disclosure of information; damage to or theft of property belonging to consumers or the facility; other unexpected occurrences; or events potentially subject to litigation. A critical incident may involve multiple individuals or results. "Cultural competency" means the ability to recognize, respect, and address the unique needs, worth, thoughts, communications, actions, customs, beliefs, and values that reflect an individual s racial, ethnic, religious, sexual orientation, and/or social group. "Day school" means the provision of therapeutic and accredited academic services on a regularly scheduled basis. "Department" or "ODMHSAS" means the Oklahoma Department of Mental Health and Substance Abuse Services. "Detoxification" means the process of eliminating the toxic effects of drugs and alcohol from the body. Supervised detoxification methods include social detoxification and medical monitoring or medical management and are intended to avoid withdrawal complications. "DHS" or "OKDHS" means the Oklahoma Department of Human Services. "Diagnosis" means the determination of a disorder as defined by current DSM criteria and in accordance with commonly accepted professional practice standards. "Dietitian" or "Dietician" means an individual trained and licensed in the development, monitoring, and maintenance of food and nutrition in accordance with the Oklahoma State Board of Medical Licensure and Supervision. "Discharge criteria" means individualized measures by which a program and the consumer determine readiness for discharge or transition from services being provided by that facility. These may reference general guidelines as specified in facility policies or procedures and/or in published guidelines including, but not limited to, the current ASAM PPC, but should be individualized for each consumer and articulated in terms of consumer behaviors, resolutions of specific problems, and attainment of goals developed in partnership with the participant and the provider. "Discharge planning" means the process, begun at admission, of determining a consumer s continued need for treatment services and of developing a plan to address ongoing consumer post-treatment and recovery needs. Discharge planning may or may not include a document identified as a discharge plan. "Discharge summary" means a clinical document in the treatment record summarizing the consumer s progress during treatment, with goals reached, continuing needs, and other pertinent information including documentation of linkage to aftercare. "DOC" or "ODOC" means the Oklahoma Department of Corrections. "Documentation" means the provision of written, dated, and authenticated evidence to substantiate compliance with standards, e.g., minutes of meetings, memoranda, schedules, notices, logs, records, policies, procedures, and announcements. "Drug abuse" means the use of a drug in a manner inconsistent with or unrelated to acceptable medical practice. Unofficial Copy: OAC Title 450:18 12 Effective 07/11/201013 "DSM" means the most current edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association. "Education" means the dissemination of relevant information specifically focused on increasing the awareness of the community and the receptivity and sensitivity of the community concerning mental health, substance abuse, or other related problems and services related to the specific focus of treatment. "Educational group" means groups in which information is provided to consumers or consumers in a teaching or instructional format and typically related to the current focus of treatment, designated to positively impact a consumer s recovery. "Efficiency" means a program's measure of cost-benefit or cost effectiveness through a comparison to some alternative method. "Emergency services" means a twenty-four (24) hour capability for assessment, intervention, and resolution of a consumer s crisis or emergency provided in response to unanticipated, unscheduled emergencies requiring prompt intervention to resolve immediate, overwhelming problems that severely impair the individual's ability to function or remain in the community and may include placement of the individual in a protective environment, detoxification, individual and group consultation, and medical assessment. "Emotional, behavioral or cognitive conditions and complications" means one dimension to be considered in consumer placement, continued stay, and discharge and is an evaluation of the consumer s historical and current emotional, behavioral, or cognitive status including the presence and severity of any diagnosed mental illnesses, as well as, the level of anxiety, depression, impulsivity, guilt, and behavior that accompanies or follows these emotional states and historical information, as it impacts on level of care decision making. "Evaluation" See "Assessment." "Evidence based practice" means programs or practices that are supported by research methodology and have produced consistently positive patterns of results when replicated within the intent of the published guidance. "Executive director" means the person hired by the governing authority to direct all the activities of the organization; may be used synonymously with administrative director, administrator, chief executive officer, and director. "Face-To-Face" for the purposes of the delivery of behavioral health care, means a face-to-face physical contact and in-person encounter between the health care provider and the consumer, including the initial visit. The use of telemedicine shall be considered a face-to-face encounter. "Facilities" or "facility" means entities as described in Title 43A O.S (7), community mental health centers, residential mental health facilities, community-based structured crisis centers, certified services for the alcohol and drug dependent, programs of assertive community treatment, eating disorder treatment, gambling addiction treatment, and narcotic treatment programs. "Family" means the parents, brothers, sisters, other relatives, foster parents, guardians, and others who perform the roles and functions of family members in the lives of consumers. Unofficial Copy: OAC Title 450:18 13 Effective 07/11/201014 "Goals" means broad general statements of purpose or intent that indicates the general effect the facility or service is intended to have. "Governing authority" means the individual or group of people who serve as the treatment facility's board of directors and who are ultimately responsible for the treatment facility's activities and finances. "Guardian" means an individual who has been given the legal authority for managing the affairs of another individual. "Halfway house" means low intensity substance abuse treatment in a supportive living environment to facilitate the individual's reintegration into the community, most often following completion of primary treatment. Corresponding ASAM PPC Treatment Level: Level III.1, Clinically managed Low Intensity Residential Services. "Halfway house for persons with children" means a halfway house that includes services for the recovering person's children who will reside with him or her in the house. Corresponding ASAM PPC Treatment Level: Level III.1, Clinically managed Low Intensity Residential Services. "Infant" means any child from birth up to 3 years of age. "Initial contact" means a person's first contact with the facility, e.g., a request for information or service by telephone or in person. "Inpatient services" means the process of providing care to persons who require twenty-four (24) hour supervision in a hospital or other suitably equipped medical setting as a result of acute or chronic medical or psychiatric illnesses and professional staff providing medical care according to a treatment plan based on documentation of need. "Intake" means the overall process by which information is collected to determine the needs of the consumer. "Integrated consumer information system" or "ICIS" is a comprehensive management information system based on national standards for mental health and substance abuse databases. It is a repository of diverse data elements that provide information about organizational concepts, staffing patterns, consumer profiles, program or treatment focus, and many other topics of interest to clinicians, administrators, and consumers. It includes unique identifiers for agencies, staff, and consumers that provide the ability to monitor the course of consumer services throughout the statewide ODMHSAS network. ICIS collects data from hospitals, community mental health centers, substance abuse agencies, community residential mental health facilities, prevention programs, and centers for the homeless which are operated or funded in part by ODMHSAS. "Intervention" means a process or technique intended to facilitate behavior change. "Length of stay" means the number of days or number of sessions attended by consumers in the course of treatment. "Licensed physician" means an individual with an M.D. or D.O. degree who is licensed in the State of Oklahoma to practice medicine. "Licensed practical nurse" means an individual who is a graduate of an approved school of nursing and is licensed in the State of Oklahoma to provide practical nursing services. "Licensure" means the process by which an agency of government grants permission to persons or health facilities meeting qualifications to engage in a given Unofficial Copy: OAC Title 450:18 14 Effective 07/11/201015 occupation or business or use a particular title. "Life skills" means abilities and techniques necessary to function independently in society. "Medical care" means those diagnostic and treatment services which, under the laws of the jurisdiction in which the facility is located, can only be provided or supervised by a licensed physician. "Medical detoxification" means diagnostic and treatment services performed by licensed facilities for acute alcohol or drug intoxication, delirium tremens, and physical and neurological complications resulting from acute intoxication. Medical detoxification includes the services of a physician and attendant medical personnel including nurses, interns, and emergency room personnel, the administration of a medical examination and a medical history, the use of an emergency room and emergency medical equipment if warranted, a general diet of three meals each day, the administration of appropriate laboratory tests, and supervision by properly trained personnel until the person is no longer medically incapacitated by the effects of alcohol or drugs. [43 A O.S (5)] It is an organized service delivered by medical and nursing professionals that provides for twenty-four (24)-hour medically directed evaluation and withdrawal management in an acute care inpatient setting. Services are delivered under a defined set of physician-approved policies and physician-managed procedures or medical protocols. Corresponding ASAM PPC Treatment Level: Level IV-D, Medically Managed Intensive Inpatient Detoxification. "Medical services" means the administration of medical procedures by a physician, registered nurse, nurse practitioner, physician s assistant, or dentist and in accordance with a documented treatment plan and medical supervision available to provide the consumer with the service necessitated by the prevalent problem identified and includes physical examinations, detoxification from alcohol or drugs, methadone maintenance, dental services, or pharmacy services, etc. "Medically supervised detoxification" means detoxification outside of a medical setting, directed by a physician who has attendant medical personnel including nurses for intoxicated consumers, and consumer s withdrawing from alcohol and other drugs, presenting with no apparent medical or neurological symptoms as a result of their use of substances that would require hospitalization as determined by an examining physician. Corresponding ASAM PPC Treatment Level: Level III, 7-D, Medically Monitored Inpatient Detoxification. Detoxification is intended to stabilize and prepare consumers in accessing treatment. "Medication" means any prescription or over-the-counter drug that is taken orally, injected, inserted, applied topically, or otherwise administered by staff or selfadministered by the consumer for the appropriate treatment or prevention of medical or psychiatric issues. "Medication error" means an error in prescribing, dispensing, or administration of medication, regardless if the error reached the consumer, e.g., omission of prescribed drugs, giving drugs not prescribed, prescribing inappropriate drugs, prescribing or administering incorrect dosages, incorrectly filling or labeling prescriptions, or incorrectly transcribing medication orders. "Medication-self administration" means the consumers administer their own Unofficial Copy: OAC Title 450:18 15 Effective 07/11/201016 medication to themselves, or their children, with staff observation. "Minutes" means a record of business introduced, transactions and reports made, conclusions reached, and recommendations made during a meeting. "Neglect" means: (A) the failure of staff to provide adequate food, clothing, shelter, medical care or supervision which includes, but is not limited to, lack of appropriate supervision that results in harm to a consumer; (B) the failure of staff to provide special care made necessary by the physical or mental condition of the consumer; (C) the knowing failure of staff to provide protection for a consumer who is unable to protect his or her own interest; or (D) staff knowingly causing or permitting harm or threatened harm through action or inaction that has resulted or may result in physical or mental injury. "Non-medical detoxification" means detoxification services for intoxicated consumers and consumers withdrawing from alcohol or other drugs presenting with no apparent medical or neurological symptoms as a result of their use of substances. Corresponding ASAM PPC Treatment Level: Level III, 2-D, Clinically managed Residential Detoxification. Detoxification is intended to stabilize and prepare consumers in accessing treatment. "Objectives" means a specific statement of planned accomplishments or results that are specific, measurable, attainable, realistic, and time-limited. "ODMHSAS" means the Oklahoma Department of Mental Health and Substance Abuse Services. "Oklahoma Administrative Code" or "OAC" means the publication authorized by 75 O.S. 256 known as The Oklahoma Administrative Code or, prior to its publication, the compilation of codified rules authorized by 75 O.S. 256(A)(1)(a) and maintained in the Office of Administrative Rules. "OSDH" means the Oklahoma State Department of Health. "Outpatient services" means an organized, nonresidential treatment service in regularly scheduled sessions intended for individuals not requiring a more intensive level of care or those who require continuing services following more intensive treatment regimens. Corresponding ASAM PPC Treatment Level: Level I, Outpatient Treatment. "Outreach" means the process of reaching into a community systematically for the purposes of identifying persons in need of services, alerting persons and their families to the availability of services, locating needed services, and enabling persons to enter into and accept the service delivery system. "Paraprofessional" means a person who does not have an academic degree related to the scope of treatment or support services being provided, but performs prescribed functions under the general supervision of that discipline. "Performance Improvement" or "PI" means an approach to the continuous study and improvement of the processes of providing health care services to meet the needs of consumers and others. Synonyms, and near synonyms, include continuous quality improvement, continuous improvement, organization-wide quality improvement, and total quality management. Unofficial Copy: OAC Title 450:18 16 Effective 07/11/201017 "Personnel record" means a chart or file containing the employment history and actions relevant to individual employee or volunteer activities within an organization and may contain application, evaluation, salary data, job description, citations, credentials, etc. "Play therapy means a form of action therapy that uses, but is not limited to, sand play, fairy tales, art and puppetry to encourage communication in children who have inadequate or immature verbalization skills or who verbalize excessively due to defensiveness. "Policy" means statements of facility intent, strategy, principle, or rules in the provision of services; a course of action leading to the effective and ethical provision of services. "Prevention" means the assessment, development, and implementation of strategies designed to prevent the adverse effects of mental illness, substance abuse, addiction, and trauma. "Procedures" means the written methods by which policies are implemented. "Process" means information about what a program is implementing and the extent to which the program is being implemented as planned. "Program" means a structured set of activities designed and structured to achieve specific objectives relative to the needs of the consumers or patients. "Program effectiveness outcome" means a written plan and operational methods of determining the effectiveness of services provided that objectively measures facility resources, activities, and consumer outcomes. "Progress notes" means a chronological written description of services provided to a consumer, resident, client, or patient that documents, utilizing acceptable documentation practices, the consumer s response related to the intervention plan or services provided. "Psychiatrist" means a licensed physician who specializes in the assessment and treatment of individuals having psychiatric disorders and who is fully licensed to practice medicine in the state in which he or she practices and is certified in psychiatry by the American Board of Psychiatry and Neurology or has equivalent training or experience. "Psychological-Social evaluations" are in-person interviews conducted by professionally trained personnel designed to elicit historical and current information regarding the behavior and experiences of an individual and are designed to provide sufficient information for problem formulation and intervention. "Psychotherapy" or Therapy means a goal directed process using generally accepted clinical approaches provided face-to-face by a qualified service provider with consumers in individual, group, or family settings to promote positive, emotional, or behavioral change. "Readiness to change" means one dimension to be considered in consumer placement, continued stay, and transition and is an evaluation of the consumer s current emotional and cognitive awareness of the need to change, coupled with a commitment to change. "Recovery" means an ongoing process of discovery and/or rediscovery that must be self-defined, individualized, and may contain some, if not all, of the fundamental Unofficial Copy: OAC Title 450:18 17 Effective 07/11/201018 components of recovery as outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA). "Recovery/living environment" means one dimension to be considered in consumer placement, continued stay, and discharge and is an evaluation of the consumer s current recovery environment, current relationships, degree of support for recovery, current housing, employment situation, availability of alternatives, and historical information as it impacts on level of care decision making. "Registered nurse" means an individual who is a graduate of an approved school of nursing and is licensed in the State of Oklahoma to practice as a registered nurse. "Rehabilitation services" means face-to-face individual or group services provided by qualified staff to develop skills necessary to perform activities of daily living and successful integration into community life. "Relapse" means the process which may result in the return to the use of substances after a period of abstinence. "Relapse potential, continued use, or continued problem potential" means one dimension to be considered in consumer placement, continued stay, and discharge and is an evaluation of the consumer s attitudes, knowledge, and coping skills, as well as the likelihood that the consumer will relapse from a previously achieved and maintained abstinence and/or stable and healthy mental health function. If an individual has not yet achieved abstinence and/or stable and healthy mental health function, this dimension assesses the likelihood that the individual will continue to use alcohol or other drugs and/or continue to have mental health problems. "Residential treatment"-substance abuse means treatment for a consumer in a live-in setting which provides a regimen consisting of twenty-four (24) treatment hours per week. This level of care should correspond with the ASAM PPC Treatment Level: Level III.5, Clinically managed High-Intensity Residential Services. "Residential treatment for persons with children"-substance abuse means a residential treatment facility that includes services for the recovering person's children who will reside with him or her in the residential facility. Corresponding ASAM PPC Treatment Level (Parent Only): Level III.5 Clinically Managed High-Intensity Residential Services. "Safety officer" means the individual responsible for ensuring the safety policies and procedures are maintained and enforced within the facility. "Screening" means the process to determine whether the person seeking assistance needs further comprehensive assessment. "Sentinel event" is a type of critical incident that is an unexpected occurrence involving the death or serious physical or psychological injury to a consumer or risk thereof. Serious injury specifically includes loss of limb or function. The phrase "or risk thereof" includes a variation in approved processes which could carry a significant chance of a serious adverse outcome to a consumer. These events signal the need for immediate investigation and response. Sentinel events include, but are not limited to: suicide, homicide, criminal activity, assault and other forms of violence, including domestic violence or sexual assault, and adverse drug events resulting in serious injury or death. "Service plan" or "Treatment plan" means the document used during the process Unofficial Copy: OAC Title 450:18 18 Effective 07/11/201019 by which a qualified service provider and the consumer together and jointly identify and rank problems, establish agreed-upon immediate short-term and long-term goals, and decide on the treatment process and resources to be utilized. "Service Provider" means a person who is allowed to provide substance abuse services within the regulation and scope of their certification level or license. "Significant others" means those individuals who are, or have been, significantly involved in the life of the consumer. "Social detoxification" See "Non-medical detoxification." "Socialization" means all activities, which encourage interaction and the development of communication, interpersonal, social, and recreational skills and can include consumer education. "Staff privileging" means an organized method for treatment facilities to authorize an individual permission to provide specific care and treatment services to consumers within well-defined limits, based on the evaluation of the individual's license, education, certification, training, experience, competence, judgment, and other credentials. "Substance abuse treatment services" means the coordination of treatment activities for consumers by service provider that includes, but is not limited to, the following: (A) Intake including screening, diagnostic impression, and assessment. (B) Treatment planning and revision, as necessary. (C) Continuing care review to assure continuing stay and discharge criteria are met. (D) Case management services. (E) Reports and record keeping of consumer related data. (F) Consultation that facilitates necessary communication in regard to consumers. (G) Discharge planning that assists consumers in developing continuing care plans and facilitates transition into post-treatment recovery. (H) Group and individual therapy. (I) Education, as necessary. "Substance-use disorders" means alcohol or drug dependence or psychoactive substance use disorder as defined by current DSM criteria or by other standardized and widely accepted criteria. "Supportive services" refers to assistance with the development of problemsolving and decision making skills to maintain or achieve optimal functioning within the community and can include consumer education. "Therapeutic hour(s)" means the amount of time in which the consumer is engaged with a service provider identifying, addressing, and/or resolving issues that are related to the consumer s treatment plan. "Trauma informed capability" means the capacity for a facility and all its programs to recognize and respond accordingly to the presence of the effects of past and current traumatic experiences in the lives of its consumers. "Treatment" means the broad range of emergency, inpatient, intermediate and outpatient services and care including diagnostic evaluation, medical, psychiatric, psychological and social service care, vocational rehabilitation, and career counseling. Unofficial Copy: OAC Title 450:18 19 Effective 07/11/201020 [43A O.S (11)]. "Treatment hours residential" means the structured hours in which a consumer is involved in receiving professional services to assist in achieving recovery. "Volunteer" means any person who is not on the program s payroll, but provides services and fulfills a defined role within the program and includes interns and practicum students. "Walk through" means an exercise in which staff members of a facility walk through the program s treatment processes as a consumer. The goal is to view the agency processes from the consumer s perspective for the purpose of removing barriers and enhancing treatment. "Wellness" means the condition of good physical, mental, and emotional health, especially when maintained by an appropriate diet, exercise, and other lifestyle modifications. 450: Meaning of verbs in rules The attention of the facility is drawn to the distinction between the use of the words "shall," "should," and "may" in this chapter: (1) "Shall" is the term used to indicate a mandatory statement, the only acceptable method under the present standards. (2) "Should" is the term used to reflect the most preferable procedure, yet allowing for the use of effective alternatives. (3) "May" is the term used to reflect an acceptable method that is recognized but not necessarily preferred. 450: Applicability This chapter is applicable to all substance abuse treatment facilities and organizations providing treatment, therapy, rehabilitation services, and substance abuse treatment services which are statutorily required to be certified by the ODMHSAS. 450: Alcohol and drug abuse prevention, training, treatment and rehabilitation authority [REVOKED] 450: Annual review of standards and criteria [REVOKED] 450: New standards and criteria [REVOKED] 450: Suspension of rules A portion of these standards may be suspended during a specific time frame to allow the certified provider the opportunity to engage in performance improvement activities in partnership with ODMHSAS. Suspension may be granted after the provider has submitted a formal written request to the Commissioner, or designee, of the Department of Mental Health and Substance Abuse Services and a letter of approval from the Commissioner, or designee of the Department of Mental Health and Substance Abuse Unofficial Copy: OAC Title 450:18 20 Effective 07/11/2010 View more
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Behavioral Health Covered Services Inpatient Services - 24-hour services, delivered in a licensed hospital setting, that provide clinical intervention for mental health or substance use diagnoses, or both. More information Performance Standards
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OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES Post Office Box 53277 Oklahoma City, OK 73152 (405) 522-3908 Title 450 Chapter 70 Standards and Criteria for Opioid Substitution Treatment More information [Provider or Facility Name]
[Provider or Facility Name] SECTION: [Facility Name] Residential Treatment Facility (RTF) SUBJECT: Psychiatric Security Review Board (PSRB) In compliance with OAR 309-032-0450 Purpose and Statutory Authority More information CHEMICAL DEPENDENCE INPATIENT REHABILITATION SERVICES. [Statutory Authority: Mental Hygiene Law Sections 19.07(e), 19.09(b), 19.40, 32.01, 32.
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Rules of Department of Mental Health Division 30 Certification Standards Chapter 3 Alcohol and Drug Abuse Programs Title Page 9 CSR 30-3.010 Definitions...5 9 CSR 30-3.020 Procedures to Obtain Certification...5 More information ***DRAFT - NOT FOR FILING***
5122-30-03 Definitions. (A) The following definitions apply to Chapter 5122-30 of the Administrative Code. (1) "Abuse" means any act or absence of action inconsistent with human rights which results or More information Fairfax-Falls Church Community Services Board
LOB #267: ADULT RESIDENTIAL TREATMENT SERVICES Purpose Adult Residential Treatment Services provides residential treatment programs for adults with severe substance use disorders and/or co occurring mental More information LEVEL III.1 SA: HALFWAY HOUSE - Adult
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STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE MENTAL HEALTH COUNSELOR V 43* B 10.135 MENTAL HEALTH COUNSELOR IV 41* B 10.137 More information Great Bay Mental Health Associates, Inc. Notice to Clients and Consent to Mental Health Treatment Agreement Courtney A. Atherton, MA, LCMHC, MLADC
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WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL General Guidelines for Treatment of Compensable Injuries Patient must have a diagnosed mental illness as defined by DSM-5 More information Who Can Diagnose R9-20-204. Staff Member and Employee Qualifications and Records
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Section R9-10-301. R9-10-302. R9-10-303. R9-10-304. R9-10-305. R9-10-306. R9-10-307. R9-10-308. R9-10-309. R9-10-310. R9-10-311. R9-10-312. R9-10-313. R9-10-314. R9-10-315. R9-10-316. R9-10-317. R9-10-318. More information Mental Health Emergency Service Interventions for Children, Youth and Families
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RULES OF THE TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES CHAPTER 0940-5-45 MINIMUM PROGRAM REQUIREMENTS FOR ALCOHOL AND DRUG RESIDENTIAL REHABILITATION TREATMENT FACILITIES TABLE More information ARTICLE 10. OUTPATIENT TREATMENT CENTERS
Section R9-10-1001. R9-10-1002. R9-10-1003. R9-10-1004. R9-10-1005. R9-10-1006. R9-10-1007. R9-10-1008. R9-10-1009. R9-10-1010. R9-10-1011. R9-10-1012. R9-10-1013. R9-10-1014. R9-10-1015. R9-10-1016. R9-10-1017. More information AMOUNT, DURATION, AND SCOPE OF MEDICAL AND REMEDIAL CARE AND SERVICES PROVIDED TO THE CATEGORlCALL Y NEEDY
Transmittal# 13-02 Page 6-d.l 0 CARE AND SERVICES PROVIDED TO THE CATEGORlCALL Y NEEDY Rehabilitative: Substance Use Disorder Services: Substance Use Disorder (SUD)treatment services include; screening, More information 2017 © DocPlayer.net Privacy Policy | Terms of Service | Feedback