reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3800 - SUBSTANCE ABUSE SERVICES FOR DWI OFFENDERS › Section 27G .3816 - SERVICES FOR NON-ENGLISH SPEAKING OFFENDERS/CLIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Providers offering services to special populations/language groups shall inform
				  DMHDDSAS in writing and include these services in facility monitoring
				  activities.
(b) When a facility
				  represents to the DMHDDSAS and to the public that it provides assessment and
				  treatment services to DWI offenders of a certain language group, those services
				  must be provided in compliance with applicable rules by staff who not only are
				  qualified to provide the service, but are also fluent in the language of the
				  target group. When such services are available in the county, facilities not
				  able to provide them shall refer persons needing such services to facilities
				  prepared to serve them.
(c) When
				  services described in Paragraph (b) of this Rule are not available in the
				  County:
(1) A facility may provide DWI
				  assessments with the help of a competent interpreter. The facility must first
				  attempt to locate a Certified Interpreter. If that is not possible, the
				  facility may use an individual whose competence as an interpreter is recognized
				  in the community and who can provide references from persons who are in a
				  position to know, such as a leader in the language/cultural group represented.
				  In no case shall a person of the offender's family or immediate social group be
				  used to interpret.
(2) It is not
				  acceptable to conduct group and individual treatments services via
				  interpreter.
(3) When an offender
				  presents for services and speaks only a language in which no Substance Abuse
				  Services are available in the area, the facility must assist the offender in
				  locating acceptable services. If the services of a competent interpreter are
				  available, a Special Plan may be developed which will provide the offender
				  basic information to proceed in resolving the DWI offense. Such special plans
				  must be documented in detail.
(4)
				  Clients who meet this criteria are clients whose primary/native language is not
				  English and who can not communicate English fluently to complete an assessment
				  or treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3800 - SUBSTANCE ABUSE SERVICES FOR DWI OFFENDERS › Section 27G .3817 - MINIMAL PROGRAM CONTENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All levels of
				  Substance Abuse Services for DWI offenders shall include education for all
				  clients on:
(1) all items specified in the
				  "clinical interview", as defined in Rule .3805 of this Section;
(2) North Carolina DWI laws, penalties and
				  requirements for driver license reinstatement;
(3) the effects of alcohol and other
				  psychoactive substances on the body, brain, judgment and emotions of
				  individuals, with special attention to the systems and abilities used in the
				  operation of a motor vehicle;
(4)
				  the measurement of alcohol in the system, Alcohol Concentration; and
(5) the effects of fatigue, hunger, anger,
				  depression and prolonged inattention on driving behavior, by themselves and in
				  conjunction with mood altering drugs in the body.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3900 - DRUG EDUCATION SCHOOLS (DES) › Section 27G .3901 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
A drug education school (DES) is a prevention and
					 intervention service which provides an educational program for drug offenders
					 as provided in the North Carolina Controlled Substances Act and
					 Regulations.
Authority
					 G.S.
					 90-96;
					 90-96.01;
					 90-113.14;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3900 - DRUG EDUCATION SCHOOLS (DES) › Section 27G .3902 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each class shall have a designated
				  instructor who is certified by the DMH/DD/SAS. An individual seeking initial
				  certification as an instructor shall:
(1) be a
				  college graduate or its equivalent;
(2) have a working knowledge of alcohol and
				  other drug issues;
(3) complete and
				  submit the original and one copy of the application to the DWI/Criminal Justice
				  Branch of DMH/DD/SAS;
(4) complete
				  an initial in-service training program provided by DMH/DD/SAS; and
(5) demonstrate skills by teaching all
				  classes.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3900 - DRUG EDUCATION SCHOOLS (DES) › Section 27G .3903 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Population
				  Served:
(1) Each school shall be designed
				  primarily to serve individuals who are using drugs at the experimental,
				  social-recreational or abusive levels, but who are not drug dependent or
				  engaged in drug dealing.
(2) First
				  offenders referred by the court in accordance with
				  G.S.
				  90-96 and
				  G.S.
				  90-113.14 (Conditional Discharges and
				  Expunction of Records for First Offense) shall be served.
(3) Each school shall establish a written
				  policy regarding participation of persons referred from other sources. These
				  persons may be enrolled on a space-available basis.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4000 - TREATMENT ALTERNATIVES TO STREET CRIMES (TASC) › Section 27G .4001 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Treatment Alternatives to Street Crimes
				  (TASC) is a service designed to offer a supervised community-based alternative
				  to incarceration or potential incarceration primarily to individuals who are
				  alcohol or other drug abusers, but also to individuals who are mentally ill or
				  developmentally disabled and who are involved in crimes of a non-violent
				  nature.
(b) This service provides a
				  liaison between the criminal justice system and alcohol and other drug
				  treatment and educational services. It provides screening, identification,
				  evaluation, referral and monitoring of alcohol or other drug abusers for the
				  criminal justice system.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4000 - TREATMENT ALTERNATIVES TO STREET CRIMES (TASC) › Section 27G .4002 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each TASC staff member shall have a
				  baccalaureate degree in either criminal justice or human service related fields
				  or an associate of arts degree with four years experience in criminal justice
				  or human service related fields.
(b) TASC personnel shall receive continuing
				  education in the following areas:
(1) the
				  physiological, sociological and psychological correlates of substance
				  abuse;
(2) substance abuse
				  treatment;
(3) judicial and
				  political issues related to substance abuse; and
(4) substance abuse treatment and
				  rehabilitation resources.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4000 - TREATMENT ALTERNATIVES TO STREET CRIMES (TASC) › Section 27G .4003 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Population
				  Served. Each TASC program shall be designed to serve individuals who have a
				  documented substance abuse problem and who are involved with the criminal
				  justice system.
(b) Screening and
				  Identification. Each TASC program shall:
(1)
				  provide to potential referral sources a process by which identification,
				  screening and referrals may be accomplished. The process shall include:
(A) procedures which delineate the method for
				  identifying TASC-eligible clients;
(B) documented evidence that the program is
				  seeking to have clients referred to it through the justice system. This
				  evidence shall be in the form of a written agreement that shall be signed by
				  the appropriate local judicial official;
(C) eligibility criteria for TASC client
				  participation; and
(D) written
				  evidence that cooperating justice system component and treatment agencies are
				  aware of, and have a clear understanding of, who is eligible to receive TASC
				  services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4100 - RESIDENTIAL RECOVERY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND THEIR CHILDREN › Section 27G .4101 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A 24-hour residential recovery program is
				  a professionally supervised residential facility which provides trained staff
				  who work intensively with individuals with substance abuse disorders who
				  provide or have the potential to provide primary care for their
				  children.
(b) These programs shall
				  include, for each parent in the program, assessment/referral, individual and
				  group therapy, therapeutic parenting skills, basic independent living skills,
				  educational groups, child supervision, aftercare, follow-up and access to
				  preventive and primary health care.
(c) Goals for parent-child interaction shall
				  be established and progress towards meeting these goals shall be documented in
				  the parent's service record.
(d)
				  The facility may utilize services from another facility providing treatment,
				  support or medical services.
(e)
				  Services shall be designed to provide a safe and healthy environment for
				  clients and their children.
(f)
				  Each facility shall assist the individual with the development of independent
				  living skills in preparation for community based living.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Temporary Amendment Eff. February 15, 2002;
Amended Eff. April 1, 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4100 - RESIDENTIAL RECOVERY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND THEIR CHILDREN › Section 27G .4102 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each individual and child admitted to a
				  facility shall receive services as appropriate to his or her needs from a
				  qualified professional who has responsibility for the client's treatment
				  program. Each individual and child shall receive age-appropriate, therapeutic
				  professional services.
(b) A
				  minimum of one staff member shall be present in the facility with an individual
				  at all times unless the designated qualified professional has documented in the
				  individual client plan certain clearly delineated instances in which the client
				  may be without supervision. In the case of multi-unit facilities which are
				  licensed under the same license, a staff person shall be on the facility
				  premises at all times when an individual is on the premises unless the
				  designated qualified professional has assessed and documented in the individual
				  client plan certain clearly delineated instances in which the client may be
				  without supervision.
(c) A minimum
				  of one staff member shall be present when one or more children are in the
				  facility. In the case of multi-unit facilities which are licensed under the
				  same license, a staff person shall be on the facility premises at all times
				  when one or more children are in the facility. In circumstances when the
				  child's parent is not present, the staff member must be in the unit with the
				  child or children.
(d) Each
				  individual identified as a residential staff member shall receive pre-service
				  training in the following areas:
(1)
				  confidentiality;
(2) client
				  rights;
(3) crisis
				  management;
(4) developmentally
				  appropriate child behavior management;
(5) medication education and
				  administration;
(6) symptoms of
				  secondary complications to substance abuse or drug addiction;
(7) signs and symptoms of pre-term labor;
				  and
(8) signs and symptoms of
				  post-partum complications.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4100 - RESIDENTIAL RECOVERY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND THEIR CHILDREN › Section 27G .4103 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Admissions:
(1) Admission to the facility shall be a
				  joint decision of the designated qualified professional, the provider of
				  residential care, and the individual.
(2) The individual shall have the opportunity
				  for at least one pre-admission visit to the facility except for an emergency
				  admission.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4100 - RESIDENTIAL RECOVERY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND THEIR CHILDREN › Section 27G .4104 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall have the capacity to serve a minimum of three individuals.
(b) Client bedrooms shall have at least 80
				  square feet for a single occupancy and the following additional square feet for
				  clients' children:
(1) 40 square feet for each
				  infant and toddler;
(2) 60 square
				  feet for each pre-school age child; and
(3) 80 square feet for each child above age
				  six.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4200 - SUBSTANCE ABUSE PRIMARY PREVENTION SERVICES › Section 27G .4201 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
Substance abuse primary prevention programs focus on the
					 prevention of alcohol, tobacco and other drug (ATOD) abuse and aim to educate
					 and counsel individuals on such abuse, and provide for activities to reduce the
					 risk of such abuse. They are directed towards the general population or towards
					 individuals in targeted high risk groups who are not in need of treatment in
					 order to reduce the incidence of health related problems and promote positive
					 behaviors and well-being.
Authority
					 G.S.
					 143B-147;
					 42 C.F.R.
					 96.124;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4200 - SUBSTANCE ABUSE PRIMARY PREVENTION SERVICES › Section 27G .4202 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
Each facility that provides primary prevention programs
					 shall designate a director for the primary prevention program who shall be a
					 Qualified Substance Abuse Prevention Professional (QSAPP).
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Amended Eff. October 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4200 - SUBSTANCE ABUSE PRIMARY PREVENTION SERVICES › Section 27G .4203 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
A comprehensive primary prevention program shall include
					 activities and services in each of the following six primary prevention
					 strategies:
(1) Information
				  Dissemination;
(2) Prevention
				  Education;
(3) Alternative
				  Activities;
(4) Problem
				  Identification and Referral;
(5)
				  Community-Based Process; and
(6)
				  Environmental Approaches;
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4301 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A Therapeutic Community is a highly
				  structured, supervised, 24-hour residential facility designed to treat the
				  behavioral and emotional issues of individuals to promote self-sufficiency and
				  a crime and drug-free lifestyle.
(b) The Therapeutic Community shall emphasize
				  self-help, abstinence from drugs and alcohol, personal growth, peer support,
				  and may serve as an alternative to incarceration.
(c) Services shall be designed to create the
				  environment of an extended family in which individuals develop self-esteem,
				  construct a productive lifestyle through peer support and actual experience,
				  leading to a successful re-entry into the larger community.
(d) The facility shall provide or ensure
				  access to a variety of intensive therapy and program milieu approaches designed
				  to confront and modify the client's anti-social and dysfunctional
				  behavior.
(e) The goal shall be to
				  assist the client in learning socially acceptable skills for coping with
				  responsibilities and relationships, and to maintain a lifestyle which is
				  substance abuse free.
(f)
				  Consideration shall be given to meeting client needs in social, medical,
				  psychological, vocational and educational areas.
(g) If children are residing in a Therapeutic
				  Community, the facility shall also meet the rules for Therapeutic Homes for
				  Individuals with Substance Abuse Disorders and Their Children set forth in
				  Section .4100 of this Subchapter except for
				  10 NCAC
				  27G .4102(c),
				  27G .4102(e), .4103(2), and
				  .4104(b).
Authority
					 G.S.
					 143B-147;
Eff. August 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4302 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the terms defined in
					 G.S.
					 122C-3 and Rule .0103 of this Subchapter, the
					 following terms shall apply:
(1)
				  "ADD/ADHD" means the same as described in DSM-IV Diagnoses and Codes.
(2) "Qualified therapeutic community
				  professional" means:
(a) a person who has
				  five years of supervised experience in a therapeutic community and has
				  gradu­ated from either a licensed therapeutic community or a therapeutic
				  community accredited by Therapeutic Communities of America, Washington, D.C.,
				  or
(b) has a bachelor's degree and
				  two years of experience in a licensed 24-Hour residential facility or service
				  for substance abuse, or
(c) is a
				  certified substance abuse counselor with two years experience in a licensed
				  24-Hour residential facility or service for substance abuse, or
(d) has ten years of supervised experience in
				  licensed 24-Hour residential facility or service for substance abuse.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4303 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A minimum of one staff member shall be
				  present at all times when an adult or child is on the premises, except when an
				  adult client has been deemed capable of remaining in the facility without
				  supervision for a specified time by a qualified therapeutic community
				  professional.
(b) Staff-client
				  ratios in the facilities shall be 1:30 and a minimum of one qualified
				  therapeutic community professional shall be available for each 100 clients in a
				  facility.
(c) Each direct care
				  staff member shall receive training in the following areas within 90 days of
				  employment:
(1) the history, philosophy and
				  operations of the therapeutic community;
(2) manipulative, anti-social and
				  self-defeating behaviors;
(3)
				  behavior modification techniques; and
(4) in programs which serve as alternatives
				  to incarceration, training shall be received on:
(A) personality traits of offenders and
				  criminogenic behavior; and
(B) the
				  criminal justice system.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4304 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Admission to a
				  Therapeutic Community facility shall be a joint decision of the qualified
				  therapeutic community professional, direct care staff and the
				  individual.
(b) Each facility shall
				  operate in partnership with the staff and the self-government structure of the
				  program.
(c) The services of a
				  qualified therapeutic community professional shall be available on an as-needed
				  basis.
(d) Each individual admitted
				  to a facility shall receive services appropriate to his or her needs and
				  age.
(e) The purpose of this
				  program shall be to provide clients with on-the-job work skills, training and
				  work ethic development, and to provide revenue to support the
				  program.
(f) A component of
				  therapeutic communities may be business training schools, licensed when
				  appropriate, which may include moving and storage, landscaping, construction,
				  telemarketing, secretarial and clerical, retail sales, and temporary job
				  placement. Revenue produced through the operation of business training schools
				  shall be placed in the general operating fund.
(g) Residents shall not receive any
				  income.
(h) Programs may accept
				  clients at no charge and shall provide an opportunity for clients to pay for
				  their own treatment.
(i) Each
				  facility shall provide or have access to the following services:
(1) a structured environment which emphasizes
				  behavior change and cognitive skills;
(2) assessment of the appropriateness for
				  participation in a therapeutic community or referral elsewhere;
(3) recovery skills;
(4) relationship skills;
(5) communication skills;
(6) coordination of support
				  services;
(7) interactive training
				  for employment;
(8) recreational
				  and enrichment skills;
(9) life
				  skills which promote self-sufficiency;
(10) parenting skills;
(11) drug and crime free education;
				  and
(12) after care and
				  transitional living services skills.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4305 - CLIENT RIGHTS

Current through Register Vol. 39, No. 2, July 15, 2024
Therapeutic community facilities shall operate in
					 accordance with Rule .0504 of this Subchapter and G.S. 122C-Article 3,
					 except:
(1) since the facility can
				  operate as an alternative to incarceration, random searches shall be conducted
				  of an individual's belongings and bedroom in compliance with
				  G.S.
				  122C-62; and
(2) privileges of the resident shall be
				  determined as responsibility levels increase.
Authority
					 G.S.
					 143B-147;
Eff. August 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4300 - THERAPEUTIC COMMUNITY › Section 27G .4306 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A therapeutic
				  community facility shall allow:
(1) dormitory
				  occupancy with the number of individuals sharing a bedroom to be determined by
				  the programmatic needs of the clients but in no case shall be more than 25
				  individuals per room;
(2) mothers
				  and children admitted to the facility to share a bedroom to assist in bonding
				  between the two, and emphasizing the responsibility of the mother in the
				  development of her child; and
(3)
				  two mothers may share the same bedroom with their children to promote
				  interactive education and peer support between residents; and
(4) in no circumstance shall a male child age
				  10 or above occupy a room with two or more mothers.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4400 - SUBSTANCE ABUSE INTENSIVE OUTPATIENT PROGRAM › Section 27G .4401 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A substance abuse intensive outpatient
				  program (SAIOP) is one that provides structured individual and group addiction
				  treatment and services that are provided in an outpatient setting designed to
				  assist adults or adolescents with a primary substance-related diagnosis to
				  begin recovery and learn skills for recovery maintenance.
(b) Treatment support activities may be
				  adapted or specifically designed for persons with physical disabilities,
				  co-occurring disorders including mental illness or developmental disabilities,
				  pregnant women, chronic relapse and other homogenous groups.
(c) Each SAIOP shall have a structured
				  program, which includes the following services:
(1) individual counseling;
(2) group counseling;
(3) family counseling;
(4) strategies for relapse prevention, which
				  incorporate community and social supports;
(5) life skills;
(6) crisis contingency planning;
(7) disease management;
(8) service coordination activities;
				  and
(9) biochemical assays to
				  identify recent drug use (e.g. urine drug screens).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4400 - SUBSTANCE ABUSE INTENSIVE OUTPATIENT PROGRAM › Section 27G .4402 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each SAIOP shall be under the direction
				  of a Licensed Clinical Addictions Specialist or a Certified Clinical Supervisor
				  who is on site a minimum of 50% of the hours the program is in
				  operation.
(b) When a SAIOP serves
				  adult clients there shall be at least one direct care staff who meets the
				  requirements of a Qualified Professional as set forth in
				  10A NCAC
				  27G .0104 (18) for every 12 or fewer adult
				  clients.
(c) When a SAIOP serves
				  adolescent clients there shall be at least one direct care staff who meets the
				  requirements of a Qualified Professional as set forth in
				  10A NCAC
				  27G .0104 (18) for every 6 or fewer
				  adolescent clients.
(d) Each SAIOP
				  shall have at least one direct care staff present in the program who is trained
				  in the following areas:
(1) alcohol and other
				  drug withdrawal symptoms; and
(2)
				  symptoms of secondary complications due to alcoholism and drug
				  addiction.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4400 - SUBSTANCE ABUSE INTENSIVE OUTPATIENT PROGRAM › Section 27G .4403 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A SAIOP shall
				  operate in a setting separate from the client's residence.
(b) Each SAIOP shall operate at least three
				  hours per day, at least three days per week with a maximum of two days between
				  offered services.
(c) A SAIOP shall
				  provide services a maximum of 19 hours for each client.
(d) Each SAIOP shall provide services a
				  minimum of nine hours per week for each client.
(e) Group counseling shall be provided each
				  day program services are offered.
(f) Each SAIOP shall develop and implement
				  written policies to carry out crisis response for their clients on a face to
				  face and telephonic basis 24 hours a day, seven days a week, which shall
				  include at a minimum the capacity for face to face emergency response within
				  two hours.
(g) Before discharge,
				  the program shall complete a discharge plan and refer each client who has
				  completed services to the level of treatment or rehabilitation as specified in
				  the treatment plan.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4500 - SUBSTANCE ABUSE COMPREHENSIVE OUTPATIENT TREATMENT PROGRAM › Section 27G .4501 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A substance abuse comprehensive
				  outpatient treatment program (SACOT)is one that provides a multi-faceted
				  approach to treatment in an outpatient setting for adults with a primary
				  substance-related diagnosis who require structure and support to achieve and
				  sustain recovery.
(b) Treatment
				  support activities may be adapted or specifically designed for persons with
				  physical disabilities, co-occurring disorders including mental illness or
				  developmental disabilities, pregnant women, chronic relapse, and other
				  homogenous groups.
(c) SACOT shall
				  have a structured program, which includes the following services:
(1) individual counseling;
(2) group counseling;
(3) family counseling;
(4) strategies for relapse prevention to
				  include community and social support systems in treatment;
(5) life skills;
(6) crisis contingency planning;
(7) disease management;
(8) service coordination activities;
				  and
(9) biochemical assays to
				  identify recent drug use (e.g. urine drug screens).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4500 - SUBSTANCE ABUSE COMPREHENSIVE OUTPATIENT TREATMENT PROGRAM › Section 27G .4502 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The SACOT shall be under the direction of
				  a Licensed Clinical Addictions Specialist or a Certified Clinical Supervisor
				  who is on site a minimum of 90% of the hours the program is in
				  operation.
(b) For each SACOT there
				  shall be at least one direct care staff who meets the requirements of a
				  Qualified Professional as set forth in
				  10A NCAC
				  27G .0104 (18) for every 10 or fewer
				  clients.
(c) Each SACOT shall have
				  at least one direct care staff present in the program who is trained in the
				  following areas:
(1) alcohol and other drug
				  withdrawal symptoms; and
(2)
				  symptoms of secondary complications due to alcoholism and drug
				  addiction.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4500 - SUBSTANCE ABUSE COMPREHENSIVE OUTPATIENT TREATMENT PROGRAM › Section 27G .4503 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A SACOT shall
				  operate in a setting separate from the client's residence.
(b) Each SACOT shall provide services a
				  minimum of 20 hours per week.
(c)
				  Each SACOT shall operate at least four hours per day, at least five days per
				  week with a maximum of two days between offered services.
(d) Each SACOT shall provide a structured
				  program of services in the amounts, frequencies and intensities specified in
				  each client's treatment plan.
(e)
				  Group counseling shall be provided each day program services are
				  offered.
(f) Each SACOT shall
				  develop and implement written policies to carry out crisis response for their
				  clients on a face to face and telephonic basis 24 hours a day, seven days a
				  week, which shall include at a minimum the capacity for face to face emergency
				  response within two hours.
(g)
				  Psychiatric consultation shall be available as needed.
(h) Before discharge, the program shall
				  complete a discharge plan and refer each client who has completed services to
				  the level of treatment or rehabilitation as specified in the treatment
				  plan.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4600 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4700 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4800 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .4900 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5000 - FACILITY BASED CRISIS SERVICE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5001 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A facility-based crisis service for
				  individuals who have a mental illness, developmental disability or substance
				  abuse disorder is a 24-hour residential facility which provides
				  disability-specific care and treatment in a nonhospital setting for individuals
				  in crisis who need short-term intensive evaluation, or treatment intervention
				  or behavioral management to stabilize acute or crisis situations.
(b) This facility is designed as a
				  time-limited alternative to hospitalization for an individual in
				  crisis.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5000 - FACILITY BASED CRISIS SERVICE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5002 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall maintain staff to
				  client ratios that ensure the health and safety of clients served in the
				  facility.
(b) Staff with training
				  and experience in the provision of care to the needs of clients shall be
				  present at all times when clients are in the facility.
(c) The facility shall have the capacity to
				  bring additional staff on site to provide more intensive supervision,
				  treatment, or management in response to the needs of individual
				  clients.
(d) The treatment of each
				  client shall be under the supervision of a physician, and a physician shall be
				  on call on a 24-hour per day basis.
(e) Each direct care staff member shall have
				  access at all times to qualified professionals who are qualified in the
				  disability area(s) of the clients with whom the staff is working.
(f) Each direct care staff member shall be
				  trained and have basic knowledge about mental illnesses and psychotropic
				  medications and their side effects; mental retardation and other developmental
				  disabilities and accompanying behaviors; the nature of addiction and recovery
				  and the withdrawal syndrome; and treatment methodologies for adults and
				  children in crisis.
(g) Staff
				  supervision shall be provided by a qualified professional as appropriate to the
				  client's needs.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5000 - FACILITY BASED CRISIS SERVICE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5003 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall have protocols and procedures for assessment, treatment, monitoring, and
				  discharge planning for adults and for children of each disability group served
				  in the facility. Protocols and procedures shall be approved by the area
				  program's medical director or the medical director's designee, as well as the
				  director of the appropriate disability unit of the area program.
(b) Discharge Planning and Referral to
				  Treatment/Rehabilitation Facility. Each facility shall complete a discharge
				  plan for each client that summarizes the reason for admission, intervention
				  provided, recommendations for follow-up, and referral to an outpatient or day
				  program or residential treatment/rehabilitation facility.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5100 - COMMUNITY RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5101 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Community respite is a service which
				  provides periodic relief for a family or family substitute on a temporary
				  basis. While overnight care is available, community respite services may be
				  provided for periods of less than 24 hours on a day or evening basis. Respite
				  care may be provided by the following models:
(1) Center-based respite - the individual is
				  served at a designated facility. While an overnight capacity is generally a
				  part of this service, a respite center may provide respite services to
				  individuals for periods of less than 24 hours on a day or evening
				  basis.
(2) Private home respite -
				  the individual is served in the provider's home on an hourly or overnight
				  basis.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5100 - COMMUNITY RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5102 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Program Director shall be either:
(1) a graduate of a college or university
				  with a four-year degree in human service-related field; or
(2) a high school graduate or equivalent with
				  at least three years of experience in human service programming.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5100 - COMMUNITY RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5103 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The governing
				  body shall maintain an application for each provider of private home respite
				  which includes the following:
(1) identifying
				  information;
(2) preference of time
				  when respite care can be provided;
(3) age and gender preference of respite
				  clients.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5100 - COMMUNITY RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5104 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
In private home respite services:
(1) A minimum of one ionized smoke detector
				  wired into the house current shall be installed and centrally located.
				  Additional smoke detectors that are not wired into the house current shall be
				  checked at least monthly by the provider.
(2) A dry powder or CO(2) type fire
				  extinguisher shall be located in the kitchen and shall be checked at least
				  annually by the local fire department. Each provider of respite care shall
				  receive instruction in its use prior to the initiation of service.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5200 - RESIDENTIAL THERAPEUTIC (HABILITATIVE) CAMPS FOR CHILDREN AND ADOLESCENTS OF ALL DISABILITY GROUPS › Section 27G .5201 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential therapeutic (habilitative)
				  camp is a residential treatment facility provided in a camping environment
				  which is designed to help individuals develop behavior control, coping skills,
				  self-esteem and interpersonal skills.
(b) Services may include supervised peer
				  interaction, provision of healthy adult role models, and supervised
				  recreational, educational and therapeutic experiences.
(c) Each facility shall be designed to serve
				  children and adolescents six through 17 years of age who have mental illness,
				  developmental disability or substance abuse disorders.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.