Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 25 - Bureau of Alcohol and Drug Abuse Prevention › Rule 007.25.97-001 - Policies and Procedures Manual for the Bureau of Alcohol and Drug Abuse Prevention - Provides regulations and operational procedures for programs funded by the Bureau of Alcohol and Drug Abuse Prevention, as well as applicants seeking funding

Current through Register Vol. 49, No. 6, June, 2024
INTRODUCTION
The Arkansas Department of Health, Bureau of Alcohol and Drug
				Abuse Prevention (ADH/ADAP or ADAP), is the single state agency responsible for
				developing and promulgating standards, rules and regulations for alcohol and
				other drug abuse prevention and treatment functions within the State, and
				operation of a comprehensive management evaluation and community research
				process for the allocation of resources. It is the primary point of contact in
				the state for the award of federal funds to be used in alcohol and other drug
				abuse prevention and treatment programs in the state.
It is determined that, in order to combat the abuse and misuse
				of alcohol, tobacco and other potentially harmful drugs, a comprehensive
				prevention and treatment strategy must be developed in Arkansas. Tins strategy
				shall include the development and administration of a wide range of activities
				and campaigns deemed effective and tailored to the needs of Arkansas
				citizens.
As a response to the rapid increase of youth violence, the
				Arkansas General Assembly in 1995, created the Common Ground Youth Violence
				Prevention Program. The administration of the program is located in the
				ADH/ADAP
MISSION
To help Arkansas Citizens live productive lives free
				fi-om the abuse of alcohol, tobacco and other drugs.
GOALS
1.
			 To act as a strong advocate for comprehensive alcohol, tobacco and other drug
			 abuse, education, intervention, prevention and treatment services in Arkansas
			 and to assure that these programs are identified and presented to lawmakers and
			 to key decision makers.
2. To
			 assure the provision of comprehensive treatment and prevention services to
			 citizens of Arkansas who have an alcohol, tobacco and/or other drug abuse
			 problem or potential problem.
3. To
			 assure that comprehensive services are tailored to the specific needs of
			 individuals within each county and region of the State.
4. To assure that all services provided for
			 the alcohol and drug abuser meet minimum standards required for quality
			 care.
5. To distribute available
			 resources in the most cost efficient and cost effective process
			 available.
6. To coordinate with
			 other State agencies and voluntary agencies to assure maximum utilization of
			 available resources and services.
7. To provide comprehensive educational and
			 training resources that are responsive to the changing and diverse needs of
			 alcohol, tobacco and drug abuse clients in Arkansas.
8. To provide a focus for the enhancing of
			 criminal justice linkages with the substance abuse treatment system.
9. To coordinate, facilitate, and implement a
			 youth violence prevention program for the State of Arkansas.
ADAP PHILOSOPHY
The philosophies of ADAP recognize that:
1. Even though there are generally accepted
			 solutions to the problems of alcohol, tobacco, other drug abuse, youth violence
			 and youth crime, local communities' problems and needs must be considered when
			 determining successful preventive approaches.
2. Effective alcohol, tobacco, other drug
			 abuse, youth violence and youth crime prevention and treatment activities must
			 have local citizen input, community support, and community
			 involvement,
3. An effective
			 prevention plan must provide opportunities for persons to become functional and
			 productive citizens, either through treatment, information, education, or
			 alternative activities. All activities are important in effective
			 prevention.
4. Effective
			 prevention, intervention and treatment programs cannot rely on a single source
			 of support but must utilize local resources such as existing sources of
			 supportive services, community programs, neighborhood organizations and social
			 services.
5. In order to assist
			 local communities in the development of alcohol, tobacco, other drug abuse,
			 youth violence and youth crime prevention activities, ADAP must first assist
			 the community by generating community awareness of alcohol, tobacco and other
			 drug abuse problems. This includes an understanding of the nature and extent of
			 the alcohol, tobacco and other drug abuse problem, the deeper issues underlying
			 the problem, and the need for efforts to deal with the problem.
6 Alcohol, tobacco, other drug abuse, youth
			 violence and youth crime may reflect or contribute to underlying individual
			 and/or community problems; the most successful prevention measures are those
			 that deal with helping a person in the development of his inner resources
			 (feelings, attitudes, values clarification, communication skills, etc.) so that
			 he can deal more effectively with his role in life.
7 Alcohol, tobacco, other drug abuse, youth
			 violence and youth crime are problems found in rural areas as well as
			 metropolitan areas. Programs should be available to rural and small
			 communities.
8 Information on
			 alcohol and other drugs, youth violence and youth crime should be presented in
			 a clear, unbiased and factual method. ADAP believes "scare tactics" are an
			 inappropriate mechanism for conveying information to the general
			 public.
9 Prevention is based on
			 the knowledge that alcohol and other drug abuse is a multifaceted,
complex problem, and that alcoholism and other drug addiction
				is a primary, progressive but treatable disease.
10. Prevention of youth violence and youth
			 crime is a multifaceted, complex problem but can be prevented by teaching youth
			 to deal with the underlying problems and"alternative ways to dealing with
			 conflict and resolving problems.
PREVENTION PHILOSOPHY
1. Prevention is the use of planned
			 activities to reduce the risk that individuals will experience youth-related
			 violence and/or crime, alcohol or drug-related problems in their lives. It is a
			 positive, proactive approach that attempts to influence individuals before die
			 earliest onset of such problems.
2.
			 Prevention begins within communities - helping individuals to learn that they
			 can have an impact in solving their local problems and setting local norms.
			 Prevention emphasizes collaboration and cooperation, both to conserve limited
			 resources and to build on existing relationships within the community.
			 Community groups are routinely used to explore new, creative ways to use
			 existing resources.
3. Prevention
			 is part of a broader health promotion effort, based on the knowledge that
			 addiction is a primary, progressive, chronic, and fatal disease. As such, it
			 focuses on helping people develop new, more positive views of themselves. It is
			 aimed at both users and non-users, with a goal to helping community members to
			 achieve healthier lifestyles.
4.
			 Community activities sometimes incorporate problem identification and referral
			 activities, which attempt to assist individuals who have already developed
			 inappropriate means of dealing with anger, or who have begun inappropriate use
			 of alcohol or other drugs. Intervention may include referral to a diagnostic or
			 treatment center.
5. Comprehensive
			 prevention efforts target many agencies and systems, and use many strategies in
			 order to have the broadest possible impact. Therefore, evaluation is crucial in
			 order for communities to identify their successful efforts and to modify or
			 abandon their unproductive efforts.
6. The overall goal for prevention is the
			 development of healthy, responsible, productive citizens who will be unlikely
			 to experience youth-related violence and/or crime, alcohol or drug-related
			 problems in their lives.
7.
			 Building coordinated prevention efforts that offer multiple strategies, provide
			 multiple points of access and coordinate and expand citizen participation in
			 community activity is a most promising approach to preventing alcohol and other
			 drug problems and youth-related violence and/or crime,.
8. ADAP supports a holistic approach to youdi
			 violence, drugr alcohol, and other education including
			 healdi education, self-appreciation and personal development for grades
			 kindergarten through 12.
9. ADAP
			 supports the development of alcohol and other drug abuse education, conflict
			 resolution and crime prevention in schools. It is the philosophy of ADAP that
			 effective education is dependent upon quality teacher training.
ADAP PROGRAM
				POLICY
1. Any
			 activity or program funded by ADAP must be consistent with the goals
			 established by ADAP; however, funding requirements must be flexible to allow a
			 responsiveness to individual community needs.
2. State level responsibilities to, alcohol,
			 tobacco, other drug abuse and youth violence prevention and treatment
			 activities in Arkansas shall be in management, coordination and technical
			 assistance areas. Delivery of direct treatment services shall be through the
			 administration of the Supervised Treatment and Education Program (S.T.E.P.),
			 providing assessment and drug treatment diversion to first time non-violent
			 offenders.
3. State level
			 responsibilities to all funded community-based treatment and prevention
			 programs in management, coordination and technical assistance areas shall
			 include financial monitoring, evaluation, training, statewide data retrieval
			 and analysis, licensure and technical assistance.
4. ADAP shall develop a Request for Proposal
			 (RFP), Request for Application (RFA) and Progress Report and Program Proposal
			 (PRPP) system to be used in the awarding of funds.
5. ADAP shall assure that all availability of
			 funding announcements, press releases, RFPs, etc. will include a statement
			 indicating the percentage of federal funds involved in the program.
6. All procurement transactions shall be
			 conducted in a manner to provide, to the maximum extent practicable, open and
			 free competition.
7. ADAP shall
			 afford an opportunity to an applicant to appear before the Alcohol and Drug
			 Abuse Coordinating Council or the Common Ground Program Committee, whichever is
			 applicable, in matters of the award of funds, review of an application, or
			 adjustment to an existing contract or grant.
8. ADAP shall not enforce or develop a policy
			 or guideline for the awarding of contracts or grants, or to continue to
			 disburse funds, which it knowingly tinds to be in conflict with any state or
			 federal rule or regulation.
9. ADAP
			 shall not approve for funding any application which does not comply with ADAP
			 policies and procedures.
10. ADAP
			 shall present the
Policies and Procedures Manual
affecting all contracts and grants to the Alcohol and Drug Abuse Coordinating
			 Council for review and advice prior to its implementation.
The
			 Policies and Procedures Manual
will be reviewed and updated at
			 least annually.
11. ADAP shall
			 present applications/proposals for service delivery which are awarded by ADAP
			 to the Alcohol and Drug Abuse Coordinating Council for review and advice, with
			 the exception of applications/proposals dealing with the Common Ground Program
			 which are presented to the Common Ground Program Committee. This procedure does
			 not apply to administrative contracts such as equipment purchases, newspaper
			 contracts, training contracts, planning contracts or pilot projects.
12. ADAP shall encourage development of
			 standards for alcohol and drug'abiise professionals in the state.
13. ADAP shall develop a management
			 information system for all programs, whereby ADAP can conduct program planning
			 activities.
14. ADAP shall allocate
			 funds in each area of the state based on federal or state mandates, special
			 projects and a needs based funding formula.
15. ADAP shall allocate regional funding
			 according to the following program categories; Treatment, Prevention and
			 Education.
16. ADAP shall initiate,
			 if funds are available, the development of pilot projects in treatment,
			 prevention and education which shall be evaluated for future development of
			 model programs and activities.
17.
			 ADAP shall assist local communities in securing all available financial
			 assistance for provision of treatment and prevention activities.
18. ADAP may coordinate with any public or
			 private agency or organization which can assist in collecting data on incidence
			 and prevalence of alcohol and other drug abuse, youth violence and
			 youth-related crime.
POLICIES AFFECTTNG PREVENTION
1. Prevention programs approved for funding
			 must identify a target population; must develop a program in response to the
			 identified risk factors in the target population; must assure adequate measures
			 to involve the target group; must have short and long term objectives; and must
			 have an adequate evaluation methodology to reflect accomplishment of short and
			 long term objectives.
2. ADAP shall
			 encourage all primary prevention programs to become self-sustaining after
			 initial funding.
3. Prevention
			 programs shall emphasize zero tolerance of youth violence and youth-related
			 crime, illicit drug use by all persons and the use of alcohol and tobacco by
			 youth.
POT JOES AFFECTTNG TREATMENT
1. ADAP shall develop a plan for each area of
			 the State which shall include the present funding, utilization and
			 need.
2. ADAP shall determine a
			 plan for allocations of funding, (e.g., Federal mandates, special projects and
			 a statewide funding formula, etc.).
3. ADAP will purchase outpatient and
			 residential alcohol and other drug abuse treatment services within a reasonable
			 ceiling rate.
4. ADAP supports the
			 concept that non-medical as well as medical treatment models are viable and
			 effective approaches in providing quality care.
5. Successful treatment and rehabilitation
			 must utilize the total range of services which the individual can appropriately
			 and productively use in the recovery process.
6. While client work may be an important part
			 of the recovery process, the program should develop policies which safeguard
			 the client from inappropriate work, ensure the voluntary nature of work
			 assignments, and meet Department of Labor guidelines.
7. ADAP shall not initiate, encourage, or
			 approve the development nor funding of programs seeking to provide treatment by
			 modifying behavior through the use of psychosurgery, aversion therapy, or
			 chemotherapy as a primary treatment method.
8. ADAP shall serve as the State
			 Methadone/LAAM (Levo-Alpha-Acetyl-Methadol) Authority and shall develop
			 standards, provide coordination and oversight of all methadone/LAAM program
			 applications, exemptions, waivers, monitoring and closings in coordination and
			 cooperation with the various federal agencies having regulatory oversight for
			 methadone/LAAM programs.
9. ADAP
			 shall require that each funded treatment program coordinate services with
			 criminal justice systems within their service area.
10. ADAP shall require that funded treatment
			 programs provide priority admission in the following order:
(1) Court ordered clients,
(2) Clients with the greatest clinical
			 need,
(3) If all clients awaiting
			 admission have relatively the same clinical need, Injection Drug Users (IDU),
			 and Pregnant clients are given priority,
(4) Clients who are currently receiving or
			 who have received Supplemental Security Income (SSI) or Social Security
			 Disability Income (SSDI) and are under 65 years of age,
(5) Clients from the catchment area specified
			 by ADAP,
(6) Clients from the State
			 of Arkansas, and
(7) Clients from
			 other states.