reglab/statecodes huggingface dataset:
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0031 - Certifications and Recognitions Required by Statute

Current through Reg. 50, No. 138; July 16, 2024
(1) Department Recognition of Accrediting
				Organizations.
(a) The Department shall
				recognize one (1) or more professional credentialing entities as an accrediting
				organization for persons providing substance use treatment, prevention, and
				recovery support services. A list of Department recognized accrediting
				organizations can be found at the following link:
				http://www.myflfamilies.com/service-programs/substance-abuse.
(b) Accrediting organizations that desire
				Department recognition shall submit a request in writing to the Director for
				the Office of Substance Abuse and Mental Health. The Director for the Office of
				Substance Abuse and Mental Health shall respond in writing to the
				organization's chief executive officer denying or granting recognition. An
				organization must meet the following criteria in order to be granted
				recognition by the Department.
1. The
				accrediting organization shall have fees and practice standards which apply to
				substance use services. These standards shall incorporate administrative,
				clinical, medical, support, and environmental management standards.
2. The accrediting organization shall have
				written procedures detailing the survey and accreditation process.
3. The accrediting organization shall submit
				evidence of three (3) years of experience functioning as an accreditation
				organization for substance use services.
4. For the purposes of this rule, a service
				provider must hold a valid license for each service component type prior to
				seeking accreditation for substance use treatment services, as defined in
				subsection  65D-30.002(18),
				F.A.C.
5. The provider must submit
				the accrediting survey report to the Department.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0032 - Display of Licenses

Current through Reg. 50, No. 138; July 16, 2024
(1) Display of
				Licenses. Licenses shall be displayed in a conspicuous, publicly accessible
				place within each facility.
(2) A
				license is valid only for the provider, location(s), service component, and
				type for which the license is issued.
(3) Licenses shall exhibit the name under
				which the provider conducts business.
(4) Marketing or advertising materials shall
				use the legal entity's name registered with the Division of Corporations, and
				any reference to a service component must use the name of the licensed service
				component as defined in subsection
				 397.311(26),
				F.S. and subsection  65D-30.002(17),
				F.A.C.
(5) Special Information
				Displayed on Licenses. In the case of addictions receiving facilities,
				inpatient detoxification, intensive inpatient treatment, and residential
				treatment, each license shall include the licensed bed capacity. The Department
				shall identify on the license all component(s) accredited by an accrediting
				organization recognized by the Department, which may be found at the following
				link:
				http://www.myflfamilies.com/service-programs/substance-abuse/licensure-regulation.
				In the case of providers or components of providers that are accredited,
				licenses shall also include the following statement, "This license was issued
				based, in part, on the survey report of a Department recognized accrediting
				organization." This statement will not be included on the license when issuance
				is also based on the results of the Department's licensing
				inspections.
(6) All licenses,
				certifications, or recognitions of any entity pursuant to this chapter shall
				also include the following statement, "The issuance of a license,
				certification, or recognition pursuant to chapter 65D-30, F.A.C., neither
				guarantees, expresses, nor implies an outcome. A license, certification, or
				recognition represents attainment of the minimum standards to conduct business
				as a substance use disorder treatment or prevention provider in the state of
				Florida."
(7) Failure to properly
				display a license is a Class IV violation as defined in rule
				 65D-30.0038, F.A.C., and must be
				corrected within five (5) calendar days.
Rulemaking Authority
					 397.321(5) FS.
					 Law Implemented 397.321(6),
					 397.407,
					 397.410
					 FS.
New 8-29-19.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0033 - License Types

Current through Reg. 50, No. 138; July 16, 2024
(1) Probationary
				License.
(a) Conditions Permitting Issuance.
				A probationary license is issued to a new applicant upon completion of all
				applicable requirements. For providers licensed for the same component at
				multiple locations, the license will display which service component locations
				are probationary and which provider locations have a current regular license
				for that service component.
(b) If
				all licensure requirements are not met after issuing of a probationary license,
				a regular license will not be issued. If the applicant continues to pursue
				licensure, a new application including the applicable fees must be
				submitted.
(c) Special Requirements
				Regarding Probationary Licenses. The following special requirements apply
				regarding new applicants:
1. A new applicant
				shall refrain from providing non-exempt services until a probationary license
				is issued;
2. New applicants that
				lease or purchase any real property during the application process do so at
				their own risk. Such lease or purchase does not obligate the Department to
				approve the applicant for licensing; and
3. In instances where an applicant fails to
				admit individuals for services during the initial probationary period, the
				Department shall not issue a regular license, even where other standards have
				been met. If an applicant continues to pursue licensure, the applicant must
				reapply and pay the associated fees.
4. The Department shall not issue a
				probationary license when doing so would place the health, safety, or welfare
				of individuals at risk.
(d) Issuing New Licenses. All licenses issued
				to a provider shall have the same expiration dates; any additional licenses
				that are issued to the provider will carry the same expiration date as
				provider's existing regular licenses.
(e) Methadone Medication Assisted Treatment
				for Opioid Use Disorder Addiction Provider Licenses. A methadone medication
				assisted treatment for opioid use disorder for addiction provider shall not
				initiate methadone medication assisted treatment during the probationary
				period, until SAMHSA provisional certification and DEA registration has been
				issued.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0034 - Change in Status of License

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Changing the Status of Licenses. Changes to a provider's license shall be
				permitted under the following circumstances:
(a) If adding a new site to an existing
				licensed component, the Department will issue a license which shall indicate a
				probationary license type for the specific location. Once the provider has
				satisfied the requirements for a regular license, the Department shall reissue
				an amended license to reflect the license type as regular. The provider will
				print the most recent version of the license and display it in a conspicuous,
				publicly accessible place within each facility;
(b) If a component operating under a regular
				license is found to be in substantial noncompliance, the Department will amend
				the license to reflect an interim type at that site. Once the provider has
				satisfied the requirements of a regular license for that component at the
				specific site, the Department will reissue a license to reflect a regular
				license type for that location. For each time the license is issued or reissued
				by the Department, the provider will print the most recent version of the
				license and display it in a conspicuous place, publicly accessible within each
				facility;
(c) A provider's current
				license shall be amended when a component at a specific site is discontinued.
				In such cases, the provider shall destroy its current license only after
				receipt of an amended license. Locations not affected by this provision shall
				be permitted to continue operation;
(d) Whenever there is a change in a
				provider's licensed bed capacity equal to or greater than 10 percent, the
				provider shall notify the Department within 24 hours of the change. The
				Department shall issue an amended license to the provider within 30 business
				days of receipt of notice;
(e) When
				there is a change in a provider's status regarding accreditation, the provider
				shall notify the Department in writing within five (5) business days of such
				change. In instances, where the change in status will adversely affect the
				provider's license or requires other sanctions, the Department shall notify the
				provider within 30 business days of receipt of the notice of the Department's
				pending action; and
(f) Any change
				in the name of a facility that remains under the same ownership and management
				shall be submitted in writing to the regional office within 30 days prior to
				the effective date of the change. Upon receipt of the notification, the
				regional office will issue a letter confirming receipt of the notification
				along with a replacement license listing the correct facility name. Following
				failure to provide such notification to the regional office, the Department
				shall issue the administrative penalty as established in subsection
				 65D-30.0038(6),
				F.A.C.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0035 - Required Fees

Current through Reg. 50, No. 138; July 16, 2024
(1) Licensing Fees.
				Applicants for a license to operate a licensed service component shall be
				required to pay a fee upon submitting an application to the regional office.
				The fees paid by privately-funded providers shall exceed fees paid by
				publicly-funded providers, as required in section
				 397.407(1),
				F.S. Applicants shall be allowed a reduction, hereafter referred to as a
				discount, in the amount of fees owed the Department. The discount shall be
				based on the number of facilities operated by a provider. The fee schedules are
				listed by component as follows:
Publicly-Funded Providers
Service Component
Fee ($)
Addictions Receiving Facility
325
Detoxification
325
Intensive Inpatient Treatment
325
Residential Treatment
300
Day or Night Treatment with Community Housing
250
Day or Night Treatment
250
Intensive Outpatient Treatment
250
Outpatient Treatment
250
Methadone Medication-Assisted Treatment for Opioid
							 Addiction
350
Aftercare
200
Intervention
200
Prevention
200
Applications to provide overlay services should be
							 accompanied by the fee equal to the amount of the licensure fee for the
							 relative service component(s).
Relocation Fee - The relocation fee is based on the
							 fee charged for the component(s) being relocated. The relocation fee will be
							 waived if due to a natural disaster.
Schedule of Discounts
Number of Licensed Facilities
Discount
2-5
10%
6-10
15%
11-15
20%
16-20
25%
20+
30%
Privately-Funded Providers
Service Component
Fee ($)
Addictions Receiving Facility
375
Detoxification
375
Intensive Inpatient Treatment
350
Residential Treatment
350
Day or Night Treatment with Community Housing
300
Day or Night Treatment
300
Intensive Outpatient Treatment
300
Outpatient Treatment
300
Methadone Medication-Assisted Treatment for Opioid
							 Addiction
400
Aftercare
250
Intervention
250
Prevention
250
Applications to provide overlay services should be
							 accompanied by the fee equal to the amount of the licensure fee for the
							 relative service component(s).
Relocation Fee - The relocation fee is based on the
							 fee charged for the component(s) being relocated. The relocation fee will be
							 waived if due to a natural disaster.
Schedule of Discounts
Number of Licensed Facilities
Discount
2-5
5%
6-10
10%
11-15
15%
16-20
20%
20+
25%
(2)
				The licensure fee must be included with all applications. Applications will not
				be processed if the fee is not received within 30 business days of the
				submission of the application.
Rulemaking Authority
					 397.321(5) FS.
					 Law Implemented 397.321(6),
					 397.407
					 FS.
New 8-29-19.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0038 - Violations; Imposition of Administrative Fines; Grounds

Current through Reg. 50, No. 138; July 16, 2024
(1) The Department shall classify violations
				of chapter 397, F.S. and chapter 65D-30, F.A.C. in accordance with sections
				 397.410(2)  and
				 397.411(7),
				F.S. Violations shall be classified on the written notice as follows:
(a) A class I violation is subject to an
				administrative fine of $400 for an isolated deficiency, $600 for a patterned
				deficiency, and $800 for a widespread deficiency.
(b) A class II violation is subject to an
				administrative fine of $300 for an isolated deficiency, $500 for a patterned
				deficiency, and $700 for a widespread deficiency.
(c) A class III violation is subject to an
				administrative fine of $200 for an isolated deficiency, $400 for a patterned
				deficiency, and $600 for a widespread deficiency.
(d) A class IV violation is subject to an
				administrative fine of $100 for an isolated, patterned, or widespread
				deficiency.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.004 - Common Licensing Standards

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Operating Procedures. Providers shall demonstrate organizational capability
				required by Section  397.403(1),
				F.S., through a written, indexed system of policies and procedures that are
				descriptive of services, and the population served. Administrative and clinical
				services must align with current best practices as defined in subsection
				 65D-30.002(7),
				F.A.C. All staff shall have a working knowledge of the operating procedures.
				These operating procedures shall be submitted with new applications and
				applications for new components to be available for review by the Department at
				any time.
(2) Quality Improvement.
				Providers shall have a quality improvement program which complies with the
				requirements established in Section
				 397.4103, F.S., and which
				ensures the use of a continuous quality improvement process.
(3) Provider Governance and Management.
(a) Governing Board. Any provider that
				applies for a license, shall be a legally constituted entity. Providers that
				are government-based and providers that are for-profit and not-for-profit, as
				defined in Section  397.311, F.S., shall have a
				governing board that shall set policy for the provider. The governing board
				shall maintain a record of all meetings where business is conducted relative to
				provider operations. These records shall be available for review by the
				Department.
(b) Insurance Coverage.
				Regarding to liability insurance coverage, providers shall assess the potential
				risks associated with the delivery of services to determine the amount of
				coverage necessary and shall purchase policies accordingly.
(c) Chief Executive Officer. A chief
				executive officer shall be appointed. If the entity is operated by a governing
				board, the governing board shall appoint a chief executive officer. The
				qualifications and experience required for the position of chief executive
				officer shall be defined in the provider's operating procedures. Documentation
				shall be available from the governing board providing evidence that a
				background screening has been completed in accordance with Chapters 397 and
				435, F.S., and there is no evidence of a disqualifying offense. Providers shall
				notify the regional office in writing within 24 hours when a new chief
				executive officer is appointed.
(d)
				Inmate Substance Abuse Programs operated by or under contract with the
				Department of Corrections, or the Department of Management Services and
				Juvenile Justice Commitment Programs and detention facilities operated by the
				Department of Juvenile Justice, are exempt from the requirements of subsection
				(3).
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0041 - Clinical Records

Current through Reg. 50, No. 138; July 16, 2024
(1) Record
				Management System. Clinical records shall be kept secure from unauthorized
				access and maintained in accordance with 42 Code of Federal Regulations, Part 2
				and subsection  397.501(7),
				F.S. Providers shall have record management procedures regarding content,
				organization, access, and use of records.
The record management system shall meet the following
				  additional requirements:
(a) Original
				clinical records shall be signed in ink and by hand or
				electronically;
(b) Record entries
				shall be legible;
(c) In instances
				where records are maintained electronically, a staff identifier code will be
				accepted in lieu of a signature;
(d) Documentation within records shall not be
				deleted; and
(e) Amendments or
				marked-through changes shall be initialed and dated by the individual making
				such changes.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0042 - Clinical and Medical Guidelines

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Screening. This requirement applies to addictions receiving facilities,
				detoxification, intensive inpatient treatment, residential treatment, day or
				night treatment with community housing, day or night treatment, intensive
				outpatient treatment, outpatient treatment, medication-assisted treatment for
				opioid addiction, and intervention. If the screening is not completed by a
				qualified professional, then it shall be countersigned and dated by a qualified
				professional.
(a) Determination of Need and
				Eligibility for Placement. The condition and needs of the individual shall
				dictate the urgency and timing of screening; screening is not required if an
				assessment is completed at time of admission. All individuals presenting for
				services, voluntarily or involuntarily, shall be evaluated to determine service
				needs and eligibility for placement or other disposition.
The person conducting the screening shall document the
				  rationale for any action taken and the validated tool used for service
				  determination.
(b) Consent
				for Drug Screen. If required by the circumstances pertaining to the
				individual's need for screening, or dictated by the standards for a specific
				component, individuals shall give informed consent for a drug screen.
(c) Consent for Release of Information.
				Consent for the release of information shall include information required in 42
				Code of Federal Regulations, Part 2., and may be signed by the individual only
				if the form is complete.
(d)
				Consent for Services. A consent for services form shall be signed by the
				individual prior to or upon placement, with the exception of involuntary
				placements.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0044 - Plans, Progress Notes, and Summaries

Current through Reg. 50, No. 138; July 16, 2024
(1) Treatment Plan, Treatment Plan Reviews,
				and Progress Notes.
(a) Treatment Plan. Each
				individual shall be afforded the opportunity to participate and be actively
				engaged in the development and subsequent review of the treatment plan. The
				treatment plan shall include goals and related measurable behavioral objectives
				to be achieved by the individual, the tasks involved in achieving those
				objectives, the type and frequency of services to be provided, and the expected
				dates of completion. The treatment plan shall be signed and dated by the person
				providing the service and by the individual. If the treatment plan is completed
				by other than a qualified professional, the treatment plan shall be reviewed,
				countersigned, and dated by a qualified professional within 10 calendar days of
				completion. In the case of Inmate Substance Abuse Programs operated by or under
				contract with the Department of Corrections, or the Department of Management
				Services, the treatment plan shall be reviewed, countersigned, and dated by a
				qualified professional within 30 calendar days of completion. A written
				treatment plan shall be completed on each individual.
1. For long-term outpatient methadone
				detoxification and methadone medication-assisted treatment for opioid
				addiction, the treatment plan shall be completed prior to or within 30 calendar
				days of placement.
2. For intensive
				inpatient treatment, the treatment plan shall be completed within three (3)
				calendar days of placement.
3. For
				residential treatment level 1, the treatment plan shall be completed prior to,
				or within seven (7) calendar days of placement.
4. For residential treatment levels 2, 3, and
				4 day or night treatment with community housing, the treatment plan shall be
				completed prior to or within 15 calendar days of placement.
5. For day or night treatment, the treatment
				plan shall be completed prior to or within 10 calendar days of
				placement.
6. For intensive
				outpatient treatment and outpatient treatment, the treatment plan shall be
				completed prior to or within 30 calendar days of placement.
7. For detoxification and addictions
				receiving facilities, an abbreviated treatment plan, as defined in subsection
				 65D-30.002(1),
				F.A.C., shall be completed upon placement. The abbreviated treatment plan shall
				contain a medical plan for stabilization and detoxification, provision for
				education, therapeutic activities and discharge planning, and in the case of
				addictions receiving facilities, a psychosocial assessment.
8. For providers that are licensed for
				multiple program components and deliver a continuum of care, any change in
				level of care requires a treatment plan review or treatment plan
				update.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0045 - Rights of Individuals

Current through Reg. 50, No. 138; July 16, 2024
(1) Individual
				Rights. Individuals applying for or receiving services for substance use
				disorders are guaranteed the protection of fundamental human, civil,
				constitutional, and statutory rights, including those specified in subsections
				 397.501(1)-(10),
				F.S.
(a) Provisions. Basic individual rights
				shall include:
1. Provisions for informing the
				individual, family member, or authorized guardian of their rights and
				responsibilities, assisting in the exercise of those rights, and an accessible
				grievance system for resolution of conflicts;
2. Provisions assuring that a grievance may
				be filed for any reason with cause;
3. The prominent posting of notices informing
				individuals of the grievance system;
4. Access to grievance submission
				forms;
5. Education of staff in the
				importance of the grievance system and individual rights;
6. Specific levels of appeal with
				corresponding time frames for resolution;
7. Timely receipt of a filed
				grievance;
8. The logging and
				tracking of filed grievances until resolved or concluded by actions of the
				provider's governing board;
9.
				Written notification of the decision to the appellant; and
10. Analysis of trends to identify
				opportunities for improvement.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0048 - Offender Referrals Under Chapter 397, F.S

Current through Reg. 50, No. 138; July 16, 2024
(1) Authority to Refer. Any offender,
				including any minor, who is charged with or convicted of a crime, is eligible
				for referral to a provider. The referral may be from the court or from the
				criminal or juvenile justice authority which has jurisdiction over that
				offender, and may occur prior to, in lieu of, or in addition to, final
				adjudication, imposition of penalty or sentence, or other action.
(2) Referral Information. Referrals shall be
				in writing and signed by the referral source.
(3) Provider Responsibilities.
(a) If the offender is not appropriate for
				placement by the provider, this decision must immediately be communicated to
				the referral source and documented in writing within 24 hours, stating reasons
				for refusal.
(b) The provider,
				after consultation with the referral source, may discharge the offender to the
				referral source.
(c) When an
				offender is successful or unsuccessful in completing treatment or when the
				commitment period expires, the provider shall communicate this to the referral
				source.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0049 - Voluntary and Involuntary Placement

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Voluntary and Involuntary Placement Under chapter 397, F.S., parts IV and V.
(a) Eligibility Determination.
1. Voluntary Placement. To be considered
				eligible for treatment on a voluntary basis, an applicant for services must
				meet diagnostic criteria for substance use disorders utilizing a validated tool
				used for service determination.
2.
				Involuntary Placement. To be considered eligible for services on an involuntary
				basis, a person must meet the criteria for involuntary placement as specified
				in section  397.675,
				F.S.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.005 - Standards for Addictions Receiving Facilities

Current through Reg. 50, No. 138; July 16, 2024
An addictions receiving facility is a secure, acute-care or
				  sub-acute, residential facility operated 24 hours-per-day, 7 days-per-week,
				  designated by the Department to serve individuals found to be substance use
				  impaired as described in section
				   397.675, F.S., and who meet the
				  placement criteria for this component. In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to addictions receiving facilities.
(1) Designation of Addictions Receiving
				Facilities. The Department shall designate addictions receiving facilities. The
				provider shall indicate on the licensure application for this service component
				that designation is requested. Once the designation request is received by the
				Regional Substance Abuse and Mental Health Program Office, the Regional
				Substance Abuse and Mental Health Program Director shall submit a written
				recommendation to the Office of Substance Abuse and Mental Health headquarters
				in Tallahassee, Florida. The headquarters Director of Substance Abuse and
				Mental Health may approve or deny the request and shall respond in writing to
				the Chief Executive Officer of the requesting provider.
(a) Criteria for Department approval of
				addictions receiving facility designation:
1.
				The Department ensures provider's policies and procedures achieve at least 80
				percent compliance with applicable licensing standards; and
2. The Department assesses that the provider
				is capable of providing a secure, acute care facility to include compliance
				with seclusion and restraint; and
3. A Regional Substance Abuse and Mental
				Health Director recommends in writing that the Department designate the
				provider's facility as a designated addictions receiving
				facility.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.006 - Standards for Detoxification

Current through Reg. 50, No. 138; July 16, 2024
In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to detoxification.
(1) Detoxification is a process involving
				acute or subacute care that is provided on a non-hospital inpatient or an
				outpatient basis to assist individuals who meet the placement criteria for this
				component to withdraw from the physiological and psychological effects of
				substance use.
(2) General
				Requirements. Detoxification protocols shall be developed by the medical
				director, or in accordance with the medical protocol established in subsection
				 65D-30.004(6),
				F.A.C., and implemented upon admission according to the physiological and
				psychological needs of the individual.
(3) Inpatient Detoxification.
(a) Services.
1. Stabilization. Stabilization services
				shall be provided as an initial phase of detoxification.
2. Supportive Counseling. Each individual
				shall participate in supportive counseling on a daily basis unless the
				individual is not sufficiently stable. Supportive counseling sessions shall be
				of sufficient duration to enable staff to make reasonable decisions regarding
				the individual's need for other services. Services shall be directed toward
				ensuring that the individual's most immediate needs are addressed and
				encouraging the individual to remain engaged in treatment and to follow up on
				referrals after discharge.
3. Daily
				Activities. The provider shall develop a schedule of daily activities that will
				be provided based on the detoxification protocols as defined in subsection
				 65D-30.002(27),
				F.A.C. This shall include recreational and educational activities, and
				participation shall be documented in the clinical record.
4. Involuntary Assessment and Disposition.
				Individuals who are involuntarily admitted into a detoxification unit under
				protective custody, emergency admission or involuntary assessment and
				stabilization pursuant to section
				 397.6772,
				 397.6797, or
				 397.6811, F.S., shall be
				assessed and referred as in subsection
				 65D-30.005(9),
				F.A.C.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0061 - Standards for Intensive Inpatient Treatment

Current through Reg. 50, No. 138; July 16, 2024
(1) Intensive Inpatient Treatment includes a
				planned regimen of evaluation, observation, medical monitoring, and clinical
				protocols delivered through an interdisciplinary team approach provided 24
				hours-per-day, 7 days per week in a hospital setting.
(2) Admission Criteria. Intensive inpatient
				treatment is appropriate for individuals whose acute biomedical, behavioral,
				cognitive, and emotional problems are severe enough to require primary medical
				and nursing care. These individuals may exhibit violent or suicidal behaviors,
				or other severe disturbances due to substance use. Program services may be
				offered in an appropriately licensed facility located in a community setting, a
				specialty unit in a general or psychiatric hospital, or other licensed health
				care facility. In addition to rule
				 65D-30.004, F.A.C., the
				following standards apply to intensive inpatient treatment.
(3) Specialized Services. Providers shall
				make provisions to meet the needs of individuals with a co-occurring substance
				use and mental health disorder and related biomedical disorders. This includes
				protocols for:
(a) Providing clinical services
				by an interdisciplinary team of qualified staff daily;
(b) Planning clinical program activities
				designed to stabilize acute substance use and other psychiatric symptoms,
				adapted to the individual's developmental stage and level of
				comprehension;
(c) Monitoring the
				individual's compliance in taking prescription medication on a regular basis,
				including medication education;
(d)
				Reviewing the individual's recent psychiatric history and mental status
				examination;
(e) Developing a
				comprehensive psychiatric history and conducting a mental status examination as
				determined by the individual's needs;
(f) Providing co-occurring enhanced services
				utilizing best practices; and
(g)
				Providing related biomedical services, as determined by the individual's
				needs.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.008 - Standards for Day or Night Treatment with Host Homes (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 397.321(5) FS.
					 Law Implemented 397.311(18)(d),
					 (e),
					 397.321(1),
					 397.419
					 FS.
New 5-25-00, Amended 4-3-03, Repealed
					 5-21-12.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0081 - Standards for Day or Night Treatment with Community Housing

Current through Reg. 50, No. 138; July 16, 2024
In addition to Rule
				   65D-30.004, F.A.C., the
				  following standards apply to day or night treatment with community
				  housing.
(1) Day or Night Treatment
				with Community Housing is provided on a nonresidential basis at least five (5)
				hours each day and at least 25 hours each week and is intended for individuals
				who can benefit from living independently in peer community housing while
				undergoing treatment. Day or night treatment with community housing is
				appropriate for individuals who do not require structured, 24-hours-a-day,
				7-days-a-week residential treatment. The housing must be provided and managed
				by the licensed service provider, including room and board and any ancillary
				services needed, such as supervision, transportation, and meals. Activities for
				day or night treatment with community housing programs emphasize rehabilitation
				and treatment services using multidisciplinary teams to provide integration of
				therapeutic and family services. This component allows individuals to live in a
				supportive, community housing location while participating in treatment.
				Treatment shall not take place in the housing where the individuals live, and
				that the housing is utilized solely for the purpose of assisting individuals in
				making a transition to independent living. Individuals who are considered
				appropriate for this level of care:
(a) Would
				not have active suicidal or homicidal ideation or present a danger to self or
				others;
(b) Are able to demonstrate
				motivation to work toward independence;
(c) Are able to demonstrate a willingness to
				live in supportive community housing;
(d) Are able to demonstrate commitment to
				comply with rules established by the provider;
(e) Are not in need of detoxification or
				residential treatment; and,
(f)
				Typically need ancillary services such as transportation, assistance with
				shopping, or assistance with medical referrals and may need to attend and
				participate in certain social and recovery oriented activities in addition to
				other required clinical services.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.009 - Standards for Day or Night Treatment

Current through Reg. 50, No. 138; July 16, 2024
In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to day or night treatment.
(1) Services. Each individual shall receive
				services each week. Clinical staff shall provide those services. Each provider
				shall be capable of providing or arranging for the services listed below. With
				the exception of counseling, it is not intended that all services listed be
				provided. For individuals participating under subsection
				 65D-30.0037(6) 
				and rule  65D-30.0048, F.A.C., services
				shall be provided according to the conditions of the Department of Corrections'
				contract with the provider. Otherwise, services shall be provided in accordance
				with the needs of the individual as identified in the assessment and treatment
				plan, as follows:
(a) Individual
				counseling;
(b) Group
				counseling;
(c) Counseling with
				families or support system;
(d)
				Substance-related and recovery-focused education, such as strategies for
				avoiding substance use or relapse, information regarding health problems
				related to substance use, motivational enhancement and strategies for achieving
				a substance-free lifestyle;
(e)
				Life skills training in areas such as anger management, communication,
				employability, problem solving, relapse prevention, decision-making,
				relationship skills, and symptom management to promote recovery;
(f) Expressive therapies, such as recreation
				therapy, art therapy, music therapy, or dance (movement) therapy to provide the
				individual with alternative means of self-expression and problem
				resolution;
(g) Training or
				provision of information regarding health and medical issues;
(h) Employment or educational support
				services to assist individuals in becoming financially independent;
				and
(i) Mental health services for
				the purpose of:
1. Managing individuals with
				disorders who are stabilized;
2.
				Evaluating individuals' needs for in-depth mental health assessment;
3. Training individuals to manage symptoms;
				and
4. If the provider is not
				staffed to address primary mental health problems that may arise during
				treatment, the provider shall initiate a timely referral to an appropriate
				provider for mental health crises or the emergence of a primary mental health
				disorder in accordance with the provider's policies and
				procedures.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0091 - Standards for Intensive Outpatient Treatment

Current through Reg. 50, No. 138; July 16, 2024
In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to intensive outpatient treatment.
(1) Intensive outpatient services are
				non-residential, structured treatment providing counseling and education
				focusing mainly on addiction-related and mental health issues. This
				community-based treatment allows the individual to apply skills in real world
				environments. Each provider shall be capable of providing or arranging for the
				services listed below. With the exception of counseling, it is not intended
				that all services listed be provided. For individuals participating under
				subsection  65D-30.0037(6) 
				and rule  65D-30.0048, F.A.C., services
				shall be provided according to the conditions of the Department of Corrections'
				contract with the provider. Otherwise, services shall be provided in accordance
				with the needs of the individual as identified in the assessment and treatment
				plan, as follows:
(a) Individual
				counseling;
(b) Group
				counseling;
(c) Counseling with
				families or support system;
(d)
				Substance-related and recovery-focused education, such as strategies for
				avoiding substance use or relapse, information regarding health problems
				related to substance use, motivational enhancement, and strategies for
				achieving a substance-free lifestyle;
(e) Life skills training such as anger
				management, communication skills, employability skills, problem solving,
				relapse prevention, recovery management, decision-making, relationship skills,
				and symptom management;
(f)
				Training or provision of information regarding health and medical
				issues;
(g) Employment or
				educational support services to assist individuals in becoming financially
				independent; and
(h) Mental health
				services for the purpose of:
1. Managing
				individuals with disorders who are stabilized;
2. Evaluating individuals' needs for in-depth
				mental health assessment;
3.
				Training individuals to manage symptoms; and
4. If the provider is not staffed to address
				primary mental health problems that may arise during treatment, the provider
				should initiate a timely referral to an appropriate provider for mental health
				crises or the emergence of a primary mental health disorder in accordance with
				the provider's policies and procedures.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.010 - Standards for Outpatient Treatment

Current through Reg. 50, No. 138; July 16, 2024
In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to outpatient treatment.
(1) Outpatient treatment is provided on a
				nonresidential basis and is intended for individuals who meet the placement
				criteria for this component.
(2)
				Services. Outpatient services provide a therapeutic environment, which is
				designed to improve the functioning or prevent further deterioration of persons
				with substance use problems. These services are typically provided on a
				regularly scheduled basis by appointment, with special arrangements for
				emergency or crisis situations. Outpatient services may be provided
				individually or in a group setting. Each individual shall receive services each
				week. Clinical staff shall provide those services. Each provider shall be
				capable of providing or arranging for the services listed below. With the
				exception of counseling, it is not intended that all services listed be
				provided. For individuals participating under the Department of Corrections,
				the Department of Juvenile Justice, or the Department of Management Services
				programs, services shall be provided according to the conditions of the
				contract with the provider and the respective department. Otherwise, services
				shall be provided in accordance with the needs of the individual as identified
				in the assessment and treatment plan, as follows:
(a) Individual counseling;
(b) Group counseling;
(c) Counseling with families or support
				system;
(d) Substance-related and
				recovery-focused education, such as strategies for avoiding substance use or
				relapse, health problems related to substance use, motivational enhancement and
				strategies for achieving a substance-free lifestyle; and
(e) Crisis intervention.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.012 - Standards for Intervention

Current through Reg. 50, No. 138; July 16, 2024
In addition to rule
				   65D-30.004, F.A.C., the
				  following standards apply to intervention.
(1) General Intervention. General
				Intervention includes a single session or multiple sessions of motivational
				discussion focused on increasing insight and awareness regarding substance use
				and motivation toward behavioral change. Intervention activities and strategies
				are used to prevent or impede the development or progression of substance use
				disorders. Intervention can be tailored for variance in population or setting
				and can be used as a stand-alone service for those at risk or individuals who
				meet Intervention Level of care, utilizing a validated tool used for service
				determination, as a vehicle for engaging those in need of more extensive level
				of care. Interventions include Treatment Alternatives for Safer Communities
				(TASC) and Employee Assistance Programs. The following information shall apply
				to services as described in subsections
				 65D-30.012(1) 
				and  65D-30.012(2),
				F.A.C.:
(a) Target Group, Outcomes, and
				Strategies. Providers shall have current information which:
1. Describes target groups or individuals to
				be served, including eligibility requirements;
2. Identifies specific clinical outcomes to
				be achieved; and
3. Describes
				strategies for these groups or individuals to access needed
				services.
Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.013 - Standards for Prevention

Current through Reg. 50, No. 138; July 16, 2024
Prevention includes activities and strategies that are used
				  to preclude the development of substance use problems. In addition to Rule
				   65D-30.004, F.A.C., the
				  following standards apply to prevention.
(1) Categories of Prevention. For the purpose
				of these rules, prevention services are categorized as indicated, selective, or
				universal direct. While the Department covers universal indirect as a
				prevention service under Rule
				 65E-14.021, F.A.C., this service
				is not regulated under this rule.
(a)
				Indicated prevention services are provided to at-risk individuals who are
				identified as having minimal but detectable signs or symptoms foreshadowing
				mental health or substance use disorders. Target recipients of indicated
				prevention services are at-risk individuals who do not meet clinical criteria
				for mental health or substance use disorders. Indicated prevention services are
				designed to preclude, forestall, or impede the development of mental health or
				substance use abuse disorders.
(b)
				Selective prevention services are provided to a population subgroup whose risk
				of developing mental health or substance use disorders is higher than average.
				Target recipients of selective prevention services do not meet clinical
				criteria for mental health or substance use disorders. Selective prevention
				services are designed to preclude, forestall, or impede the development of
				mental health or substance use disorders.
(c) Universal direct prevention services are
				provided to the general public or a whole population that has not been
				identified on the basis of individual risk. These services are designed to
				preclude, forestall, or impede the development of mental health or substance
				use disorders. Universal direct services directly serve an identifiable group
				of participants who have not been identified on the basis of individual risk.
				These services include interventions involving interpersonal and ongoing or
				repeated contacts such as curricula, programs, and classes.