Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Licensure of Private Freestanding Facilities for the Care or the Treatment of Substance Abusive or Dependent Persons › Section 19a-495-570 - Licensure of private freestanding facilities for the care or the treatment of substance abusive or dependent persons

Current through July 10, 2024
(a)
Definitions.
For the purposes of these regulations:
(1) "Administering" means an act in which a
				single dose of a prescribed drug or biological is given to a client by an
				authorized person in accordance with Federal and State laws and regulations
				governing such act. The complete act of administration entails removing an
				individual dose from a previously dispensed, properly labeled container
				(including a unit dose container), verifying it with the physician's order,
				giving the individual dose to the proper client, and recording the time and
				dose given;
(2) "Ambulatory
				Chemical Detoxification" means a non-residential service to which a person may
				be admitted for a systematic reduction of physical dependence upon a substance.
				This service utilizes prescribed chemicals and provides an assessment of needs
				and motivation of the client toward continuing participation in the treatment
				process;
(3) "Applicant" means any
				individual, firm, partnership, corporation, association or other entity
				applying for a license or renewal of a license under these
				regulations;
(4) "Auricular
				Acupuncture" means the insertion of needles at a specified combination of
				points, on the surface of the outer ear, for the purpose of facilitating the
				detoxification treatment and rehabilitation of substance abusers;
(5) "Biologicals" means products such as
				antitoxins, antiuenins, blood, blood derivatives, immune serums, immunologic
				diagnostic aids, toxoids, vaccines and related articles that are produced under
				license in accordance with the terms of the Federal Public Health Service Act
				(58 Stat. 682) approved 7/1/44, as amended;
(6) "Care and Rehabilitation" means a
				residential service to which a person may be admitted for a structured and
				supervised group living experience;
(7) "Certificate of Need" means approval of
				capital expenditures or functions or services from the Commission on Hospitals
				and Health Care in accordance with the Connecticut General Statutes;
(8) "Chemical Maintenance Treatment" means a
				service to which a person may be admitted for continued medical supervision of
				the planned use of a prescribed substance;
(9) "Client" means an individual receiving
				services from a substance abuse care or treatment facility;
(10) "Community Pharmacy" means a pharmacy
				licensed pursuant to Section 20-168 of the Connecticut General
				Statutes;
(11) "Controlled
				Substance" means a drug, substance, or immediate precursor in Schedule I to V,
				inclusive, of Section
				21a-242 of the
				Connecticut General Statutes or in regulations promulgated by the Department of
				Consumer Protection;
(12)
				"Compounding" means the act of selecting, mixing, combining, measuring,
				counting or otherwise preparing a drug or medicine;
(13) "Day or Evening Treatment" means a
				non-residential service to which a person may be admitted for the provision of
				counseling and other supervised activities, whose daily unit of service to each
				person is a minimum of four hours, which are designed and developed to arrest,
				reverse or ameliorate the disorder or problem;
(14) "Department" means the Connecticut
				Department of Public Health;
(15)
				"Dispense" means that act of processing a drug for delivery to a client
				pursuant to the order of a practitioner consisting of: The checking of the
				directions on the label with the directions on the prescription or order to
				determine accuracy; the selection of the drug from stock to fill the order; the
				counting, measuring, compounding or preparing of the drug; the placing of the
				drug in the proper container; the affixing of the label to the container; and
				the addition to a written prescription of any required notations;
(16) "Facility" or "Private Freestanding
				Facility for the Care or Treatment of Substance Abusive or Dependent Persons"
				means an ambulatory chemical detoxification treatment, care and rehabilitation,
				chemical maintenance treatment, day or evening treatment, intensive treatment,
				intermediate and long term treatment, medical triage, outpatient treatment, and
				residential detoxification and evaluation, center;
(17) "Governing Authority" means the
				individual or individuals with the ultimate authority and responsibility for
				the overall operation of a facility's program;
(18) "Institutional Pharmacy" means that area
				within a care-giving institution, commonly known as the pharmacy, which is
				under the direct charge of a full-time pharmacist and wherein drugs are stored
				and regularly compounded or dispensed and the records of such compounding or
				dispensing maintained, by such pharmacist, including the stock room from which
				such pharmacist obtains supplies but not including other rooms or areas in such
				institutions wherein drugs may be stored for the convenience of nursing units,
				surgical units, laboratories and the like notwithstanding that a pharmacist may
				control the stocks thereof and may compound or dispense drugs therein. Such
				full-time pharmacist shall be actively engaged in the practice of pharmacy at
				such institution no less that thirty-five hours per week;
(19) "Intensive Treatment" means a
				residential service to which a person may be admitted for twenty-four hour a
				day supervision and services which are designed to arrest, reverse, or
				ameliorate the disorder or problem and motivate the person toward recognizing
				dependence, needs, and to obtain help and make changes;
(20) "Intermediate and Long Term Treatment
				and Rehabilitation" means a residential service to which a person may be
				admitted for a structured and supervised group living experience, the aim of
				which is to arrest, reverse, or ameliorate the problem or disorder and
				providing ongoing evaluation and activities supportive of integration into
				educational, vocational, familial or social structures independent of the
				service;
(21) "Legend Drug" means
				any article, substance, preparation or device which bears the legend: Caution:
				Federal Law Prohibits Dispensing Without a Prescription;
(22) "License" means the form of permission
				issued by the Department that authorizes the applicant to operate a
				facility;
(23) "Licensee" means the
				person, firm, corporation, organization or other legal entity licensed to
				conduct a facility as defined in these regulations;
(24) "Licensed Nurse" means a registered
				nurse or practical nurse licensed in Connecticut;
(25) "Medical Triage" means a service to
				which a person may be received for the provision of immediate assessment of
				symptoms of substance abuse, the immediate care and treatment of these symptoms
				as necessary, a determination of need for treatment, and assistance in
				attaining appropriate continued treatment;
(26) "Objectives" means specific statements
				which are related to the attainment of goals and which shall be quantitative,
				qualitative and time limited;
(27)
				"Outpatient Treatment" means a non-residential service to which a person may be
				admitted for a variety of counseling and other structured activities which are
				designed to arrest, reverse, ameliorate the disorder or problem;
(28) "Pharmaceutical Services" means the
				functions and activities encompassing the procurement, dispensing,
				distribution, storage and control of all pharmaceuticals used within the
				facility and the monitoring of client drug therapy;
(29) "Pharmacist" means a person duly
				licensed by the Connecticut Commission of Pharmacy to engage in the practice of
				pharmacy pursuant to Section
				20-170 of
				the Connecticut General Statutes;
(30) "Pharmacist's Drug Room" means a room
				within a care-giving institution or a correctional or juvenile training
				institution, containing drugs in bulk and from which drugs are regularly
				dispensed for clients of such institution when such institution does not have
				an institutional pharmacy but employs a pharmacist on a part-time
				basis;
(31) "Practitioner" means a
				physician, dentist, or other person authorized to prescribe drugs in the course
				of professional practice in the State of Connecticut;
(32) "Physician" means an individual licensed
				pursuant to Section
				20-10
				of the Connecticut General Statutes;
(33) "Private" means not a unit of or part of
				a unit of a public or government entity;
(34) "Residential Detoxification and
				Evaluation" means a residential service to which a person may be admitted for
				the management of detoxification from a substance or substances of abuse, for
				an assessment of needs and motivation toward continuing participation in an
				ongoing treatment process or for a combination of both detoxification and
				assessment;
(35) "Serious
				Condition" means an event which significantly jeopardizes or impairs a person's
				physical or mental well being.
(36)
				"Substance Abuse" means the illegal use of a controlled substance; or the
				compulsive use of alcohol or a drug, apart from or outside of licensed medical
				care, which usage results in impaired function;
(37) "Substance Dependence" means the
				physical or psychological reliance upon alcohol or a drug, which reliance
				results (1) from substance abuse, or (2) from the lawful use of any alcohol or
				drug for the sole purpose of alleviating such a physical or psychological
				reliance, or (3) from repeated use of prescribed alcohol or drug within or as
				part of licensed medical care;
(38)
				"Substance-Dependent Persons" means individuals who are physically or
				psychologically reliant upon alcohol or a drug (1) as a result of substance
				abuse or (2) as a result of the lawful use of alcohol or a drug for the sole
				purpose of alleviating such a physical or psychological reliance, or (3) as the
				result of repeated use of prescribed alcohol or drug within or as part of
				licensed medical care;
(39)
				"Substance" means any alcohol or drug or controlled substance;
(40) "Treatment" means the engaging of
				persons in a particular plan of action, the aim of which is to arrest, reverse,
				ameliorate substance abuse;
(41)
				"Treatment Services" means those activities which are designed and developed to
				arrest, reverse or ameliorate the client's disorder or problem.