reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 1 - FACILITY-BASED CRISIS STABILIZATION › Section 450:23-3-7 - Linkage Services to higher or lower levels of care, or longer term placement

Current through Vol. 41, No. 20, July 1, 2024
(a) Persons needing
				  mental health services shall be treated with the least restrictive clinically
				  appropriate methods.
(b) In cases
				  where consumers are not able to stabilize in or are not appropriate for the
				  CBSCC unit, linkage services shall be provided, including the following steps:
(1) Qualified CBSCC staff shall perform the
				  crisis intervention and referral process to the appropriate treatment
				  facility.
(2) The referral process
				  shall require referral to the least restrictive service to meet the needs of
				  the consumer. The referral shall be discussed with the consumer, the consumer's
				  legal guardian, or both the consumer and legal guardian as applicable, and
				  shall include a discussion of why a less restrictive community resource was not
				  utilized if applicable. This discussion shall be documented in the consumer's
				  record. If an adult consumer wishes to include family members in the decision
				  making process, appropriate releases should be obtained.
(3) Staff shall make referral to an
				  appropriate treatment facility to include demographic and clinical information
				  and documentation. Appropriate releases should be obtained as
				  indicated.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 1 - FACILITY-BASED CRISIS STABILIZATION › Section 450:23-3-9 - Pharmacy services

Current through Vol. 41, No. 20, July 1, 2024
(a) The CBSCC shall
				  provide specific arrangements for pharmacy services to meet consumers' needs.
				  Provision of services may be made through agreement with another program,
				  through a pharmacy in the community, or through the CBSCC's own Oklahoma
				  licensed pharmacy.
(b) Compliance
				  with 450:23-3-9 shall be determined by a review of the following: clinical
				  records; written agreements for pharmacy services; and State of Oklahoma
				  pharmacy license.
(c) Failure to
				  comply with 450:23-3-9 will result in immediate denial, suspension and/or
				  revocation of certification.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-20 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The services in this Part are optional services. However,
					 if the services in this Part are provided, either on the initiative of the
					 facility, or as an ODMHSAS contractual requirement of the facility, all rules
					 and requirements of this Part shall apply to the facility's certification.
					 Urgent Recovery Clinics can operate in conjunction with a facility-based crisis
					 stabilization unit or as a stand-alone facility.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-21 - Urgent Recovery Clinic services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Urgent Recovery Clinics (URC) offer services aimed at the assessment and
				  immediate stabilization of acute symptoms of mental illness, alcohol and other
				  drug abuse, and emotional distress. Each facility must be specifically
				  accessible to individuals who present with co-occurring disorders.
(b) URC services shall include, but not be
				  limited to, the following service components and each shall have written policy
				  and procedures and each shall be co-occurring disorder capable and trauma
				  informed, with policies and procedures that support this capability:
(1) Triage crisis response;
(2) Crisis intervention;
(3) Crisis assessment;
(4) Crisis intervention plan development; and
(5) Linkage and referral to other
				  services as applicable.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-22 - Urgent Recovery crisis response

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  URC services shall include twenty-four (24) hour crisis response services and
				  emergency examination.
(b)
				  Qualified staff providing crisis response services shall be:
(1) Clinically privileged pursuant to the
				  facility's privileging requirements for crisis stabilization services;
				  and
(2) Knowledgeable about
				  applicable laws, ODMHSAS rules, facility policy and procedures, and referral
				  sources.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-23 - URC Crisis intervention services

Current through Vol. 41, No. 20, July 1, 2024
(a) URCs shall
				  provide evaluation, crisis stabilization, and social services intervention and
				  must be available seven (7) days per week for consumers experiencing substance
				  abuse related crisis; consumers in need of assistance for emotional or mental
				  distress; or those with co-occurring disorders.
(b) Licensed behavioral health professionals
				  and other support staff shall be adequate in number to provide care needed by
				  consumers twenty-four (24) hours a day seven (7) days per week.
(c) A minimum of one (1) Licensed Practical
				  Nurse or Registered Nurse shall be at the URC in-person twenty-four (24) hours
				  a day seven (7) days per week.
(d)
				  The URC shall provide or otherwise ensure the capacity for a practitioner with
				  prescriptive authority at all times for consumers in need of emergency
				  medication services.
(e) Crisis
				  intervention services shall be provided by a co-occurring disorder capable team
				  of social services, clinical, administrative, and other staff adequate to meet
				  the clinical needs of the individuals served and make appropriate clinical
				  decisions to:
(1) Determine an appropriate
				  course of action;
(2) Stabilize the
				  situation as quickly as possible; and
(3) Guide access to inpatient services or
				  less restrictive alternatives, as necessary.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-24 - Linkage Services to higher or lower levels of care, or longer term placement and services to homeless individuals

Current through Vol. 41, No. 20, July 1, 2024
(a) URCs services shall provide Linkage as
				  set forth in 450:23-3-7.
(b) URCs
				  shall provide services to homeless individuals as set forth in
				  450:23-3-8.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 3 - CBSCC Services › Part 2 - URGENT RECOVERY CLINIC SERVICES › Section 450:23-3-25 - Pharmacy services

Current through Vol. 41, No. 20, July 1, 2024
(a) The URC shall
				  provide specific arrangements for pharmacy services to meet consumers' needs.
				  Provision of services may be made through an agreement with another program,
				  through a pharmacy in the community, or through the CBSCC's own Oklahoma
				  licensed pharmacy.
(b) Compliance
				  with 450:23-3-25 shall be determined
				  by a review of the following: clinical records; written agreements for pharmacy
				  services; and/or State of Oklahoma pharmacy license.
(c) Failure to comply with
				  450:23-3-25 will result in
				  immediate denial, suspension and/or revocation of certification.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-3 - Record access for clinical staff [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-4 - Intake and assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) The CBSCC shall
				assess each individual to determine appropriateness of admission. For minors
				admitted on a voluntary or involuntary basis, an LMHP must complete an initial
				assessment prior to admission.
(b)
				Consumer intake information shall contain, but not be limited to the following
				identification data:
(1) Consumer name;
(2) Name and identifying
				information of the legal guardian(s)
(3) Home address;
(4) Telephone number;
(5) Referral source;
(6) Reason for referral;
(7) Significant other to be notified in case
				of emergency;
(8) Presenting
				problem and disposition;
(9) A
				record of pertinent information regarding adverse reactions to drugs, drug
				allergies, or sensitivities shall be obtained during intake and kept in a
				highly visible location in or on the record; and
(10) Screening for co-occurring disorders,
				trauma, and homelessness, medical and legal issues.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-5 - Health, mental health, substance abuse, and drug history

Current through Vol. 41, No. 20, July 1, 2024
(a) A health and drug history shall be
				completed for each consumer at the time of admission in facility-based crisis
				stabilization and as soon as practical in the URC. The medical history shall
				include obtainable information regarding:
(1)
				Name of medication;
(2) Strength
				and dosage of current medication;
(3) Length of time patient was on the
				medication if known;
(4) Benefit(s)
				of medication;
(5) Side
				effects;
(6) The prescribing
				medical professional if known; and
(7) Relevant drug history of family members.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-6 - Progress notes

Current through Vol. 41, No. 20, July 1, 2024
(a) Progress notes
				shall chronologically describe the services provided by date and, for timed
				treatment sessions, time of service, and the consumer's progress in treatment
				for consumers admitted to facility-based crisis stabilization.
(b) Progress notes must include the
				consumer's name, be signed by the service provider, and include the service
				provider's credentials.
(c)
				Progress notes shall be documented according to the following time frames:
(1) Intervention team shall document progress
				notes daily; and
(2) Nursing
				service shall document progress notes on each shift.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-7 - Medication record

Current through Vol. 41, No. 20, July 1, 2024
(a) The CBSCC shall
				maintain a medication record on all consumers who receive medications or
				prescriptions in order to provide a concise and accurate record of the
				medications the consumer is receiving or has been prescribed for the
				consumer.
(b) The consumer record
				shall contain a medication record with information on all medications ordered
				or prescribed by physician staff which shall include, but not be limited to:
(1) The record of medication administered,
				dispensed or prescribed shall include all of the following:
(A) Name of medication,
(B) Dosage,
(C) Frequency of administration or prescribed
				change,
(D) Route of
				administration, and
(E) Staff
				member who administered or dispensed each dose, or prescribing physician;
				and
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-7.1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 1324,
				  eff 7-1-03; Amended at 23 Ok Reg 1436, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-8 - Aftercare and discharge planning, facility-based crisis stabilization

Current through Vol. 41, No. 20, July 1, 2024
(a) CBSCCs offering facility-based crisis
				stabilization services shall initiate aftercare and discharge planning for the
				consumer at the earliest possible point in the crisis stabilization service
				delivery process. Discharge planning must be matched to the consumer's needs
				and address the presenting problem and any identified co-occurring disorders or
				issues.
(b) An aftercare plan shall
				be entered into each consumer's record upon discharge from the CBSCC. A copy of
				the plan shall be given to the consumer, the consumer's legal guardian, or both
				the consumer and legal guardian as applicable, as well as to any facility
				designated to provide follow-up with a valid written authorization by the
				consumer, the consumer's legal guardian, or both the consumer and legal
				guardian as applicable.
(c) An
				aftercare plan shall include a summary of progress made toward meeting the
				goals and objectives of the intervention plan, as well as an overview of
				psychosocial considerations at discharge, and recommendations for continued
				follow-up after release from the CBSCC.
(d) The aftercare plan shall minimally
				include:
(1) Presenting problem at
				intake;
(2) Any co-occurring
				disorders or issues, and recommended interventions for each;
(3) Physical status and ongoing physical
				problems;
(4) Medications
				prescribed at discharge;
(5)
				Medication and lab summary, when applicable;
(6) Names of family and significant other
				contacts;
(7) Any other
				considerations pertinent to the consumer's successful functioning in the
				community;
(8) The Consumer's, the
				consumer's legal guardian, or as indicated both the consumer's and legal
				guardian's comments on participation in his or her crisis resolution efforts;
				and
(9) The signature of the staff
				member completing the aftercare plan and the date of completion.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 5 - CBSCC Clinical Records › Section 450:23-5-9 - Other records content

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				consumer record shall contain copies of all consultation reports concerning the
				consumer.
(b) When psychometric or
				psychological testing is done, the consumer record shall contain a copy of a
				written report describing the test results and implications and recommendations
				for treatment.
(c) The consumer
				record shall contain any additional information relating to the consumer, which
				has been secured from sources outside the CBSCC.
(d) Compliance with 450:23-5-9 shall be
				determined by a review of clinical records.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 7 - Confidentiality › Section 450:23-7-1 - Confidentiality, mental health consumer information and records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Revoked at 20 Ok Reg 675, eff 2-27-03 (emergency);
				  Revoked at 20 Ok Reg 1324, eff 7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 7 - Confidentiality › Section 450:23-7-1.1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 675,
				  eff 2-27-03 (emergency); Added at 20 Ok Reg 1324, eff 7-1-03; Amended at 25 Ok
				  Reg 1404, eff 7-1-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 7 - Confidentiality › Section 450:23-7-2 - Confidentiality, substance abuse consumer information and records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Revoked at 20 Ok Reg 675, eff 2-27-03 (emergency);
				  Revoked at 20 Ok Reg 1324, eff 7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 9 - Consumer Rights › Section 450:23-9-1 - Consumer rights, Community-based Structured Crisis Center

Current through Vol. 41, No. 20, July 1, 2024
Each CBSCC either operated by, certified by, or under
				  contract with ODMHSAS providing CBSCC services shall comply with applicable
				  rules in Title 450, Chapter 15. Consumer Rights.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 21 Ok
				  Reg 1082, eff 7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 9 - Consumer Rights › Section 450:23-9-2 - Consumers' grievance policy

Current through Vol. 41, No. 20, July 1, 2024
Each CBSCC shall comply with applicable rules in Title 450,
				  Chapter 15. Consumer Rights.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 21 Ok
				  Reg 1082, eff 7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 9 - Consumer Rights › Section 450:23-9-3 - ODMHSAS advocate general

Current through Vol. 41, No. 20, July 1, 2024
The ODMHSAS Office of Consumer Advocacy, in any investigation
				  or program monitoring regarding consumer rights shall have access to clients,
				  CBSCC records and CBSCC staff as set forth in OAC Title 450, subchapter
				  15.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 9 - Consumer Rights › Section 450:23-9-4 - Mechanical restraints for adult consumers only

Current through Vol. 41, No. 20, July 1, 2024
(a) Mechanical restraints shall not be used
				on a non-consenting individual unless a licensed CBSCC physician personally
				examines the individual and determines their use to be required for the safety
				and protection of the consumer or other persons. This shall not prohibit the
				emergency use of restraint pending notification of the physician.
(b) The CBSCC shall have a written protocol
				for the use of mechanical restraints which includes, but is not limited to:
(1) Criteria to be met prior to authorizing
				the use of mechanical restraints;
(2) Signature of the licensed physician
				authorizing use is required;
(3)
				Time limit of said authorizations;
(4) Circumstances which automatically
				terminate an authorization;
(5)
				Setting a time period, not to exceed every fifteen (15) minutes, an individual
				in mechanical restraints shall be observed and checked by a designated staff
				under the on-site supervision of a registered nurse;
(6) Requiring in every use of mechanical
				restraints documentation the specific reason for such use, the actual start and
				stop times of use, authorizing licensed CBSCC physician signature, and record
				of times the consumer was observed and checked and by whom;
(7) A chronological log including the name of
				every consumer placed in mechanical restraints, and the occurrence date. In
				accordance with 43 A O.S. § 4-106, the CBSCC director, or designee shall
				be responsible for insuring compliance with record keeping mandates;
(8) A process of peer review to evaluate use
				of mechanical restraints; and
(9)
				The items listed in (1) through (6) of this rule shall be made a part of the
				consumer record.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 9 - Consumer Rights › Section 450:23-9-5 - Mechanical restraints will not be used for minors in treatment

Current through Vol. 41, No. 20, July 1, 2024
(a) Mechanical restraints will not be used on
				minors
(b) Seclusion and restraint
				policy and procedures for minors should at the minimum meet federal, state, and
				accrediting guidelines and standards
(c) Failure to comply with 450:23-3-6.1 will
				result in the initiation of procedures to deny, suspend and/or revoke
				certification.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 11 - Organizational Management › Section 450:23-11-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 23 Ok
				  Reg 1436, eff 7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 11 - Organizational Management › Section 450:23-11-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 13 - Performance Improvement and Quality Management › Section 450:23-13-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 13 - Performance Improvement and Quality Management › Section 450:23-13-2 - Written plan [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 13 - Performance Improvement and Quality Management › Section 450:23-13-3 - Performance improvement activities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 13 - Performance Improvement and Quality Management › Section 450:23-13-4 - Monitoring and evaluation process [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 13 - Performance Improvement and Quality Management › Section 450:23-13-5

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 22 Ok
				  Reg 972, eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 15 - Utilization Review [REVOKED] › Section 450:23-15-1 - Utilization review [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 15 - Utilization Review [REVOKED] › Section 450:23-15-2 - Written plan [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 15 - Utilization Review [REVOKED] › Section 450:23-15-3 - Methods for identifying problems [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Revoked at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 17 - Personnel › Section 450:23-17-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 17 - Personnel › Section 450:23-17-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 23 Ok Reg 1436, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 19 - Staff Development and Training › Section 450:23-19-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 19 - Staff Development and Training › Section 450:23-19-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 23 Ok
				  Reg 1436, eff 7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 19 - Staff Development and Training › Section 450:23-19-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 23 Ok
				  Reg 1436, eff 7-1-06; Amended at 25 Ok Reg 1404, eff
				  7-1-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 21 - Facility Environment › Section 450:23-21-1 - Facility environment

Current through Vol. 41, No. 20, July 1, 2024
In addition to the requirements set forth in OAC
				  450:9-1-5.5(a), the CBSCC shall:
(1)
				Have a written Infection Control Program and staff shall be knowledgeable of
				Center for Disease Control (CDC) Guidelines for Tuberculosis and of the Blood
				Borne Pathogens Standard, location of spill kits, masks, and other personal
				protective equipment; and
(2) Have
				a written Hazardous Communication Program and staff shall be knowledgeable of
				chemicals in the workplace, location of Material Safety Data Sheets, personal
				protective equipment; and toxic or flammable substances shall be stored in
				approved locked storage cabinets.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 21 Ok Reg 1082, eff 7-1-04; Amended at 22 Ok
				  Reg 972, eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 21 - Facility Environment › Section 450:23-21-2 - Medication clinic, medication monitoring

Current through Vol. 41, No. 20, July 1, 2024
(a) Medication administration; storage and
				control; and consumer reactions shall be continuously monitored.
(b) CBSCCs shall assure proper storage and
				control of medications, immediate response if incorrect or overdoses occur, and
				have appropriate emergency supplies available if needed.
(1) Written procedures for medication
				administration shall be available and accessible in all medication storage
				areas, and available to all staff authorized to administer
				medications.
(2) All medications
				shall be kept in locked, non-consumer accessible areas. Factors which shall be
				considered in medication storage are light, moisture, sanitation, temperature,
				ventilation, and the segregation and safe storage of poisons, external
				medications, and internal medications.
(3) Telephone numbers of the state poison
				centers shall be immediately available in all locations where medications are
				prescribed, or administered, or stored.
(4) A CBSCC physician shall supervise the
				preparation and stock of an emergency kit which shall be readily available, but
				accessible only to CBSCC staff.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 21 - Facility Environment › Section 450:23-21-3 - Medication, error rates

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall have an ongoing performance improvement program that specifically,
				objectively, and systematically monitors medications administration or
				dispensing or medication orders and prescriptions to evaluate and improve the
				quality of consumer care.
(b)
				Compliance with 450:23-21-3 shall be determined by a review of the facility
				policies, PI logs, data and reports.
Added at 21 Ok Reg 1082,
				  eff 7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 23 - Governing Authority › Section 450:23-23-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 25 - Special Populations › Section 450:23-25-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 25 - Special Populations › Section 450:23-25-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 1 - General Provisions › Section 450:24-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This chapter sets forth the Standards and
				Criteria used in the certification of Comprehensive Community Addiction
				Recovery Centers (CCARC) and implements 43A O.S. § 3-415. A.1., which
				authorizes the Board of Mental Health and Substance Abuse Services to certify
				private facilities and organizations which provide treatment, counseling and
				rehabilitation services directed toward alcohol and drug dependent persons. A
				CCARC is considered distinct and separate from facilities that may be certified
				under OAC 450:18 in that 450:24 requires the provision of all services
				stipulated in Subchapter 450: 24-3 et seq.
(b) The rules regarding the certification
				process including but not necessarily limited to application, fees and
				administrative sanctions are found in the Oklahoma Administrative Code, Title
				450 Chapter 1, Subchapters 5 and 9.
(c) Rules outlining general certification
				qualifications applicable to facilities and organizations certified under this
				Chapter are found in OAC
				450:1-9-5
				through OAC 450:1-9-5.6.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 1 - General Provisions › Section 450:24-1-3 - Meaning of verbs in rules

Current through Vol. 41, No. 20, July 1, 2024
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.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 1 - General Provisions › Section 450:24-1-4 - Services

Current through Vol. 41, No. 20, July 1, 2024
All facilities providing services shall have a group of
				  services herein designated as required core services in accordance with
				  450:24-3 et seq. CCARC's may have specific additional services some of which
				  are designated as optional services in accordance with 450:24-5 et
				  seq.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 1 - General Provisions › Section 450:24-1-5 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The standards and criteria for services as subsequently set
				  forth in this chapter are applicable to CCARC's as stated in each
				  subchapter.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 1 - CCARC REQUIRED CORE SERVICES › Section 450:24-3-1 - Required core services

Current through Vol. 41, No. 20, July 1, 2024
The services in this subchapter are core services, are
					 required of each CCARC, and are required to be provided in a co-occurring
					 capable manner.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 1 - CCARC REQUIRED CORE SERVICES › Section 450:24-3-2 - Core community addiction recovery services

Current through Vol. 41, No. 20, July 1, 2024
(a) All services required pursuant to the
				  rule in OAC 450:24 shall provide in accordance with criteria established by the
				  most current edition of the ASAM criteria as applicable to that specific
				  service.
(b) Each CCARC shall
				  provide the following services:
(1) Screening
				  and referral services;
(2)
				  Emergency services;
(3) Outpatient
				  services based on ASAM criteria;
(4) Intensive Outpatient services based on
				  the ASAM criteria
(5) Case
				  management services;
(6)
				  Rehabilitation services;
(7)
				  Medication clinic services;
(8)
				  Facilitation to medical withdrawal management services based on the ASAM
				  criteria;
(9) Facilitation to
				  residential substance use disorder treatment based on the ASAM
				  criteria;
(10) Service to homeless
				  individuals;
(11) Peer Recovery
				  Support Services, and
(12) Wellness
				  Activities and Support.
(13)
				  Ambulatory withdrawal management (Adults only) based on ASAM criteria.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 1 - CCARC REQUIRED CORE SERVICES › Section 450:24-3-3 - Availability of services

Current through Vol. 41, No. 20, July 1, 2024
(a) The core
				  services shall be available to individuals regardless of their work or school
				  schedule.
(1) All services provided on an
				  outpatient basis shall be routinely available at least forty (40) hours per
				  week, and will include evenings or weekends.
(2) CCARC policy shall provide for hours in
				  addition to 8:00 AM - 5:00 PM. This applies to the main CCARC location and full
				  time satellite offices with two (2) or more full time employed clinical
				  staff.
(3) For CCARC's not
				  providing 24 hour on-site services, hours of operation shall be conspicuously
				  posted.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 1 - CCARC REQUIRED CORE SERVICES › Section 450:24-3-5 - HIV/STD/AIDS education, testing and counseling services

Current through Vol. 41, No. 20, July 1, 2024
(a) Every facility shall provide or refer for
				  Human Immunodeficiency Virus (HIV), Sexually Transmitted Diseases (STD), and
				  Acquired Immunodeficiency Syndrome (AIDS) education, testing, and counseling
				  services for drug dependent persons in accordance with 43A O.S. §3-425.1.
				  Every facility shall:
(1) Provide or refer
				  for educational sessions regarding HIV/STD/AIDS to consumers and the
				  significant other(s) of the consumer;
(2) Provide or refer all drug dependent
				  persons, and their identified significant others for HIV/STD/AIDS testing and
				  counseling;
(3) Provide
				  documentation of services described in (1) and (2) above, including refusal of
				  these services; and
(4) Maintain
				  all test results in the confidential manner prescribed by applicable state or
				  federal statutes or regulations.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 3 - SCREENING, ASSESSMENT AND REFERRAL › Section 450:24-3-21 - Integrated screening and assessment services

Current through Vol. 41, No. 20, July 1, 2024
(a) CCARC policy and procedure shall require
				  that a screening of each consumer's service needs is completed in a timely
				  manner. An integrated screening should be welcoming, trauma-informed, and
				  culturally appropriate, include screening of whether the consumer is a risk to
				  self or others, including suicide risk factors, as well as maximize recognition
				  of the prevalence of co-occurring disorders among those who present for
				  services at a Community Comprehensive Addiction Recovery Center.
(b) Upon determination of appropriate
				  admission, a biospychsocial assessment must be completed using standardized
				  tools such as the Addiction Severity Index (ASI) for adults or the Teen
				  Addiction Severity Index (T-ASI) for adolescents, which gathers sufficient
				  information to assist the consumer in developing an individualized service
				  plan. The assessment must also list the client's past and current psychiatric
				  medications. The assessment must be completed by a Licensed Behavioral Health
				  Professional (LBHP) or Licensure Candidate. Licensure candidate signatures must
				  be co-signed by a fully-licensed LBHP in good standing.
(c) The consumer and family as appropriate
				  shall be an active participant(s) in the screening and assessment
				  process.
(d) The CCARC shall have
				  policy and procedures specific to each program service which dictate timeframes
				  by when assessments must be completed and documented. In the event the consumer
				  is not admitted and as a result the assessment is not included in the clinical
				  record, the policy shall specify how screening and assessment information is
				  maintained and stored.
(e)
				  Compliance with 450:24-3-21 shall be determined by a review of clinical
				  records, and policy and procedures.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 3 - SCREENING, ASSESSMENT AND REFERRAL › Section 450:24-3-22 - Screening and assessment services, access or referral to needed services

Current through Vol. 41, No. 20, July 1, 2024
(a) Written policy and procedures governing
				  the screening and assessment services shall specify the following:
(1) The information to be obtained on all
				  applicants or referrals for admission;
(2) The procedures for accepting referrals
				  from outside agencies or organizations;
(3) The procedure to be followed when an
				  applicant or referral is found to be ineligible for admission;
(4) Methods of collection of information from
				  family members, significant others or other social service agencies;
(5) Methods for obtaining a physical
				  examination or continued medical care where indicated;
(6) Referral to other resources when the
				  consumer has treatment or other service needs the facility cannot meet; and
(7) No barriers to entry based
				  solely on the presence of historic, current or recent mental health symptoms.