reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-179 - Primary care screening and monitoring

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility is responsible for
				  outpatient clinic primary care screening and monitoring of key health
				  indicators and health risk. Facility shall have policies and procedures to
				  ensure that these services are received in a timely fashion, whether provided
				  directly by the facility or through a DCO.
(b) Required primary care screening and
				  monitoring of key health indicators and health risk provided by the facility
				  shall include but not be limited to the following:
(1) For all consumers, as applicable based on
				  age as specified in the CCBHC Manual:
(A)
				  Adult Body Mass Index (BMI) screening and follow-up for adults or weight
				  assessment and counseling for nutrition and physical activity for
				  children/adolescents (WCC);
(B)
				  Blood pressure;
(C) Screening for
				  clinical depression and follow-up plan;
(D) Tobacco use: Screening and cessation
				  intervention; and
(E) Unhealthy
				  alcohol use.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-180 - Initial assessment and initial care plan

Current through Vol. 41, No. 20, July 1, 2024
(a) The initial assessment and the initial
				  care plan must be completed within ten (10) business days after the first
				  contact. The initial care plan must include, at a minimum, the following:
(1) Preliminary diagnoses;
(2) Source of referral;
(3) Reason for seeking care, as stated by the
				  client or other individuals who are significantly involved;
(4) Identification of the client's immediate
				  clinical care needs related to the diagnosis for mental and substance use
				  disorders;
(5) A list of current
				  prescriptions and over-the-counter medications, as well as other substances the
				  client may be taking;
(6) An
				  assessment of whether the client is a risk to self or to others, including
				  suicide risk factors;
(7) An
				  assessment of whether the client has other concerns for their safety;
				  assessment of need for medical care (with referral and follow-up as required);
(8) A determination of whether the
				  person presently is or ever has been a member of the U.S. Armed Services; and
(9) At least one (1) immediate
				  treatment goal.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-181 - Comprehensive care plan, content

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  CCBHC team must develop a consumer directed, comprehensive care plan for each
				  enrolled consumer that reflects input of the interdisciplinary team, and others
				  the consumer chooses to involve.
(b) The comprehensive care plan shall clearly
				  address physical and behavioral health goals, consumer preferences, and the
				  overall health and wellness needs of the consumer. The plan shall address the
				  services necessary to assist the client in meeting his or her mental health and
				  physical health goals, and include the following:
(1) Consumer diagnoses, relative to
				  behavioral and physical health conditions assessed by and addressed in terms of
				  direct services provided and/or conditions for which the individual is referred
				  and linked elsewhere for treatment;
(2) Consumer integrated care service needs,
				  relative to behavioral and physical health conditions assessed by and addressed
				  in terms of direct services provided and/or conditions for which the individual
				  is referred and linked elsewhere for treatment;
(3) One to three treatment goals for the
				  upcoming six (6) months, including preventive, primary care, and wellness
				  services;
(4) Interventions,
				  including identification of and follow up with necessary medical providers, and
				  identification of any specific care pathways for chronic conditions; and
(5) The interdisciplinary
				  treatment team's documentation of the consumer's or representative's and/or
				  primary caregiver's (if any) understanding, involvement, and agreement with the
				  integrated care plan.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-182 - Comprehensive care plan, timeframes

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  The comprehensive care plan must be documented and completed within sixty (60)
				  calendar days after the first contact.
(b) The comprehensive care plan must be
				  updated as needed but no less than every six (6) months thereafter. The update
				  shall include an addendum to the plan showing progress toward goals specified
				  in the plan, goals and objectives that have been achieved, and any new goals or
				  objectives.
(c) Additionally, a
				  review of the comprehensive care plan shall be completed every three (3)
				  months. A review shall consist of a review of the consumer's needs and progress
				  as compared to the content of the comprehensive care plan to determine if an
				  update to the comprehensive care plan is needed more frequently than required
				  in (b) above.
(d) Compliance with
				  this Section will be determined by on-site review of clinical records and
				  supported documentation. The ODMHSAS or its contractor may utilize site
				  observation, staff surveys and/or interviews to assist Provider Certification
				  with determining compliance.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-183 - Care coordination

Current through Vol. 41, No. 20, July 1, 2024
(a) Based on a
				  person and family-centered care plan and as appropriate, the facility will
				  coordinate care for the consumer across the spectrum of health services,
				  including access to physical health (both acute and chronic) and behavioral
				  health care, as well as social services, housing, educational systems, and
				  employment opportunities as necessary to facilitate wellness and recovery of
				  the whole person. This care coordination shall include not only referral but
				  follow up after referral to ensure that services were obtained, to gather the
				  outcome of those services, and to identify next steps needed.
(b) The facility must have procedures and
				  agreements in place to facilitate referral for services needed beyond the scope
				  of the facility. At a minimum, the facility will have agreements establishing
				  care coordination expectations with Federally Qualified Health Centers (FQHCs)
				  and, as applicable, Rural Health Centers (RHCs) to provide healthcare services
				  for consumers who are not already served by a primary healthcare
				  provider.
(c) The facility must
				  have procedures and agreements in place establishing care coordination
				  expectations with community or regional services, supports and providers
				  including but not limited to:
(1)
				  Schools;
(2) OKDHS child
				  welfare;
(3) Juvenile and criminal
				  justice agencies;
(4) Department of
				  Veterans Affairs' medical center, independent clinic, drop-in center, or other
				  facility of the Department; and
(5)
				  Indian Health Service regional treatment centers.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-184 - Crisis services

Current through Vol. 41, No. 20, July 1, 2024
(a) The CCBHC will
				  make available, either directly or through a qualified DCO, the following
				  co-occurring capable crisis services:
(1)
				  Mobile crisis teams that are available for community response twenty-four (24)
				  hours a day, seven (7) days a week, with response times of no more than one (1)
				  hour in urban areas and two (2) hours in rural areas (as designated by the most
				  recent data from the U.S. Census Bureau). Response time is the time from
				  referral to the mobile crisis team to on-site, community-based
				  response;
(2) Emergency crisis
				  intervention servicesavailable in-person at the facility twenty-four (24) hours
				  a day, seven (7) days a week; and
(3) Specialized crisis stabilization
				  services, such as a PACT team or dedicated outreach staff/team, that are
				  accessible to all consumers in the catchment area with serious mental
				  illness/serious emotional disturbance that meet criteria as determined by the
				  CCBHC or as designated by ODMHSAS.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-185 - Outpatient therapy services

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  facility will directly provide outpatient mental health and substance use
				  disorder services in accordance with 450:17-3 Part 7. In the event specialized
				  services outside the expertise of the facility are required to meet the needs
				  of the consumer, the facility will make them available through referral or
				  other formal arrangement with other providers or, where necessary and
				  appropriate, through the use of telemedicine services.
(b) Evidence-based or best practices shall
				  include, but not be limited to, medication assisted treatment and those
				  referenced in the CCBHC Manual.
(c)
				  Compliance with this Section shall be determined by facility policies and
				  clinical records.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-186 - Case management services

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  facility is responsible for high quality targeted case management (TCM)
				  services that will assist individuals in sustaining recovery, and gaining
				  access to needed medical, social, legal, educational, and other services and
				  supports. TCM should include supports for persons deemed at high risk of
				  suicide, particularly during times of transitions such as from an emergency
				  department or psychiatric hospitalization, as outlined in the provider's
				  suicide care pathway.
(b) The
				  provision of TCM shall meet the requirements set forth in OAC 450:17-3 Part 11
				  and will be made available to all consumers as appropriate and identified in
				  the individual service plan.
(c)
				  Compliance with this Section shall be determined by a review of facility policy
				  and clinical records.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-187 - Behavioral health rehabilitation services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility is responsible for providing
				  evidence-based and other psychiatric rehabilitation services. Services to be
				  considered include:
(1) Medication
				  education;
(2) Self-management
				  education;
(3) Community
				  integration services;
(4) Recovery
				  support services including Illness Management & Recovery;
(5) Financial management education;
(6) Dietary and wellness
				  education; and
(7) Other services
				  referenced in the CCBHC Manual.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-188 - Peer support services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				  is responsible for the availability of peer recovery support and
				  family/caregiver support services.
(b) The provision of Peer Recovery Support
				  services shall meet the requirements set forth in OAC 450:17-3 Part 21 and will
				  be made available to all consumers, as appropriate and identified in the
				  individual service plan.
(c) Family
				  support and training shall be made available to all child consumers and their
				  families/caretakers, as appropriate and identified in the individual service
				  plan.
(d) Compliance with this
				  Section shall be determined by a review of facility policy and clinical
				  records.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-189 - Community-based mental health care for members of the Armed Forces and Veterans

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility is responsible for screening
				  all individuals inquiring about services for current or past service in the US
				  Armed Forces.
(b) The facility is
				  responsible for intensive, community-based behavioral health care for certain
				  members of the US Armed Forces and veterans, particularly those Armed Forces
				  members located 50 miles or more from a Military Treatment Facility (MTF) and
				  veterans living 40 miles or more from a Veterans Affairs (VA) medical facility.
(c) All members of the Armed
				  Forces and veterans will be afforded the complete array of services and
				  supports available through the CCBHC, regardless of pay source or diagnosis.
				  Need will be determined through a thorough assessment that includes any
				  necessary communications with and records from any part of the military or
				  veterans systems.
(d) The CCBHC
				  will maintain Memoranda of Agreement and letters of collaboration necessary to
				  easily receive referrals from the military or a VA medical facility, and to
				  obtain all needed information from them, for successful treatment of all
				  persons currently serving in the military or veterans.
(e) Compliance with this Section shall be
				  determined by a review of facility policies and clinical records. In addition,
				  the ODMHSAS may conduct surveys and/or interviews, or utilize a contracted
				  agent to conduct them.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-189.1 - Individual Placement and Support services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility is responsible for the
				  provision of Individual Placement and Support (IPS) services, which will be
				  made available to all consumers as appropriate and identified in the individual
				  service plan.
(b) IPS services
				  shall be provided by appropriately trained staff who have credentials as an IPS
				  service provider.
(c) Compliance
				  with this Section shall be determined by a review of facility policy and
				  clinical records.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-189.3 - Intensive services for consumers with serious mental illness/ serious emotional disturbance

Current through Vol. 41, No. 20, July 1, 2024
(a) Intensive
				  services and care coordination shall be delivered with a single point of
				  accountability for providing treatment, rehabilitation and support services to
				  consumers with serious mental illness/serious emotional disturbance that meet
				  criteria as determined by the CCBHC or as designated by ODMHSAS; and/or who are
				  categorized as Special Population 1 or Special Population 2.
(b) The CCBHC shall use an intensive
				  team-based model that is separate and distinct from other outpatient care
				  teams, such as Programs of Assertive Community Treatment, to merge clinical and
				  rehabilitation staff expertise within one service delivery team for such
				  consumers. This model shall include services with a focus on community tenure,
				  stable housing, and opportunities for employment.
(c) Program policies shall define the
				  intensive team-based approach and criteria as identified in (a) and (b) above
				  and stipulate that these policies must be followed by staff to develop care
				  coordination plans for consumers with serious mental illness/serious emotional
				  disturbance.
(d) Clinical records
				  shall document the implementation of services identified in (a) and (b) above.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-190 - Electronic health records and data sharing

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility shall utilize a functioning
				  electronic health record (EHR) system that meets Meaningful Use standards, as
				  defined in the Medicare and Medicaid Incentive Programs, or have a facility
				  approved written plan with timeframes to obtain one.
(b) The facility shall document a plan to
				  work with health information organizations to share referrals, continuity of
				  care documents, lab results, and other health information and develop
				  partnerships that maximize the use of Health Information Technology (HIT)
				  across all treating providers.
(c)
				  It is the facility's responsibility to arrange for access to any consumer data
				  from a participating DCO as legally permissible upon creation of the
				  relationship with the DCO and to ensure adequate consent as appropriate and
				  that releases of information are obtained for each affected consumer.
(d) Compliance with (a) will be determined by
				  review of documentation that certifies the electronic health record meets
				  Meaningful Use standards or documentation of a plan to obtain one with
				  implementation timeline.
(e)
				  Compliance with (b) will be determined by on-site observation, review of
				  policy, MOUs, clinical records, information available through an approved
				  information system documenting that facility's consumers' records have been
				  accessed and shared through a Health Information Exchange (HIE), and
				  consultation with the ODMHSAS Decision Support Services and ODMHSAS Information
				  Services Division.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-191 - Consumer (Patient Care) Registries and Population Health Management

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility must implement clinical
				  decision support mechanisms following nationally published evidence-based
				  guidelines for:
(1) A mental health or
				  substance use disorder;
(2) A
				  chronic medical condition;
(3) An
				  acute condition;
(4) A condition
				  related to unhealthy behaviors; and
(5) Well child or adult care.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 5 - Optional Services › Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS › Section 450:17-5-192 - Data reporting, performance measurement and quality improvement

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility shall annually submit a cost
				  report containing data elements as specified by ODMHSAS with supporting data
				  within six months after the end of each calendar year.
(b) There shall be an ongoing performance
				  improvement program designed to objectively and systematically monitor,
				  evaluate and improve the quality of consumer care related to facility
				  operations.
(c) The performance
				  improvement activities must:
(1) Focus on high
				  risk, high volume, or problem-prone areas.
(2) Consider incidence, prevalence, and
				  severity of problems.
(3) Give
				  priority to improvements that affect behavioral outcomes, client safety, and
				  person-centered quality of care.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-1 - Clinical record keeping system [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-2 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The requirements of this subchapter are applicable to a
				  CMHC's clinical services, core and optional.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 17 Ok Reg 2126, eff 7-1-00; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 27 Ok Reg 2216,
				  eff 7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-4 - Record access for clinical staff [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 20 Ok Reg 1303, eff
				  7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-5 - Clinical record content, screening and assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) All facilities shall complete a face-to
				face screening with each individual to determine appropriateness of
				admission.
(b) The CMHC shall
				document the face-to-face screening between the potential consumer and the CMHC
				including how the consumer was assisted to identify goals, how the consumer
				received integrated screening to identify both immediate and ongoing needs and
				how the consumer was assisted to determine appropriateness of admission, and/or
				to access other appropriate services.
(c) Upon determination of appropriate
				admission, consumer demographic information shall be collected.
(d) All programs shall complete a
				psychosocial assessment which gathers sufficient information to assist the
				consumer in developing an individualized service plan.
(e) The CMHC shall have policy and procedures
				that stipulate content required for items (c) and (d).
(f) An assessment update, to include date,
				identifying information, source of information, present needs, present life
				situation, current level of functioning, and what consumer wants in terms of
				service, is acceptable only on re-admissions within one (1) year of previous
				admission.
(g) Compliance with
				450:450:17-7-5 shall be determined by a review of the following: psychosocial
				assessment instruments; consumer records; case management assessments;
				interviews with staff and consumers; policies and procedures and other facility
				documentation.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 20 Ok Reg 1303, eff 7-1-03; Amended at 22 Ok Reg 960,
				  eff 7-1-05; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 24 Ok Reg 2563,
				  eff 7-12-07; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-5.1 - Clinical record content, on-going assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) The CMHC shall have procedures and
				policies which delineate the process, protocols, and timeframes by which
				on-going clinical assessments occur.
(b) Compliance with 450:17-7-5.1 shall be
				determined by a review of the clinical records and agency policies and
				procedures.
Added at 23 Ok Reg 1421,
				  eff 7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-6 - Health and drug history [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 20 Ok Reg 1303, eff 7-1-03; Revoked at 22 Ok Reg 960,
				  eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-7 - Psychosocial evaluation [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Revoked at 22 Ok Reg 960, eff
				  7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-8 - Behavioral Health Service plan

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				service plan shall be completed by a LBHP or licensure candidate and is
				performed with the active participation of the consumer and a support person or
				advocate if requested by the consumer. In the case of children under the age of
				eighteen (18), it is performed with the participation of the parent or guardian
				and the child as age and developmentally appropriate. The service plan shall
				provide the formation of measurable service objectives and reflect ongoing
				changes in goals and objectives based upon consumer's progress or preference or
				the identification of new needs, challenges and problems.
(b) The service plan is developed after and
				based on information obtained in the assessment and includes the evaluation of
				the assessment information by the clinician and the consumer.
(c) The service plan must have an overall
				general focus on recovery which, for adults, may include goals like employment,
				independent living, volunteer work, or training, and for children, may include
				areas like school and educational concerns and assisting the family in caring
				for the child in the least restrictive level of care.
(d) Comprehensive service plans must be
				completed within six (6) treatment sessions and adhere to the format and
				content requirements described in the facility policy and procedures.
(e) Service plan updates should
				occur at a minimum of every 6 months during which services are provided and
				adhere to the format and content requirements described in the facility policy
				and procedures.
(f) Service plans,
				both comprehensive and update, must include dated signatures of the consumer
				(if over age 14), the parent/guardian (if the consumer is under age eighteen
				(18) or otherwise applicable), and the primary service practitioner. Signatures
				must be obtained after the service plan is completed.
(g) Compliance with 450:17-7-8 shall be
				determined by a review of the clinical records, policies and procedures, and
				interviews with staff and consumers, and other agency documentation.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 21 Ok Reg 1067, eff 7-1-04; Amended at 22 Ok Reg 960,
				  eff 7-1-05; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 24 Ok Reg 2563,
				  eff 7-12-07; Amended at 26 Ok Reg 2675, eff 7-25-09; Amended at 27 Ok Reg 2216,
				  eff 7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-9 - Medication record

Current through Vol. 41, No. 20, July 1, 2024
(a) A medication
				record shall be maintained on all consumers who receive medications or
				prescriptions through the outpatient clinic services and shall be a concise and
				accurate record of the medications the consumer is receiving or
				prescribed.
(b) The consumer record
				shall contain a medication record with the following information on all
				medications ordered or prescribed by physician staff:
(1) Name of medication,
(2) Dosage,
(3) Frequency of administration or prescribed
				change, and
(4) Staff member who
				administered or dispensed each dose, and prescribing physician;
				and
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-10 - 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
				and shall adhere to the format and content requirements described in the
				facility policy and procedures.
(b)
				Progress notes must include the consumer's name, be signed by the service
				provider, and include the service provider's credentials.
(c) Compliance with 450:17-7-10 shall be
				determined by a review of clinical records and policies and
				procedures.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 24 Ok Reg 2563,
				  eff 7-12-07; Amended at 25 Ok Reg 2526, eff 7-11-08; Amended at 27 Ok Reg 2216,
				  eff 7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-11 - 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 or recommendations
				for treatment.
(c) The consumer
				record shall contain any additional information relating to the consumer, which
				has been secured from sources outside the program.
(d) Compliance with 450:17-7-11 shall be
				determined by a review of clinical records.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 7 - Facility Clinical Records › Section 450:17-7-12

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 9 - Consumer Records and Confidentiality › Section 450:17-9-1 - Confidentiality, mental health consumer information and records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Revoked at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 9 - Consumer Records and Confidentiality › Section 450:17-9-1.1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 668,
				  eff 2-27-03 (emergency); Added at 20 Ok Reg 1303, eff 7-1-03; Amended at 25 Ok
				  Reg 2526, eff 7-11-08; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 9 - Consumer Records and Confidentiality › Section 450:17-9-2 - Confidentiality, substance abuse consumer information and records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 17 Ok Reg 2126, eff 7-1-00; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Revoked at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 11 - Consumer Rights › Section 450:17-11-1 - Consumer rights, inpatient and residential

Current through Vol. 41, No. 20, July 1, 2024
The CMHC shall comply with applicable rules in Title 450,
				  Chapter 15. Consumer Rights.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 21 Ok Reg 1067, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 11 - Consumer Rights › Section 450:17-11-2 - Consumer rights, outpatient services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 19 Ok Reg 2333, eff 7-1-02; Revoked at 21 Ok Reg 1067,
				  eff 7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 11 - Consumer Rights › Section 450:17-11-3 - Consumer's grievance policy

Current through Vol. 41, No. 20, July 1, 2024
The CMHC shall comply with applicable rules in Title 450,
				  Chapter 15. Consumer Rights.
Added at 16 Ok Reg 1494,
				  eff 7-1-99; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 21 Ok Reg 1067, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 11 - Consumer Rights › Section 450:17-11-4 - ODMHSAS consumer advocacy division

Current through Vol. 41, No. 20, July 1, 2024
The ODMHSAS Office of Consumer Advocacy, in any investigation
				  or monitoring regarding consumer rights shall have access to consumers,
				  facility records and facility staff as set forth in OAC
				  450:15-7-3(b).
Added at 16 Ok Reg 1494,
				  eff 7-1-99; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 13 - Organizational and Facility Management › Section 450:17-13-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 24 Ok Reg 2563,
				  eff 7-12-07; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 13 - Organizational and Facility Management › Section 450:17-13-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 24 Ok Reg 2563, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-1 - Quality assurance [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 16 Ok Reg 1494, eff
				  7-1-99
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-1.1

Current through Vol. 41, No. 20, July 1, 2024
Added at 16 Ok Reg 1494,
				  eff 7-1-99; Amended at 17 Ok Reg 2126, eff 7-1-00; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 24 Ok Reg 2563, eff 7-12-07; Amended at 27 Ok Reg 2216,
				  eff 7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-2 - Written plan [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 17 Ok Reg 2126,
				  eff 7-1-00; Amended at 18 Ok Reg 2658, eff 7-1-01; Revoked at 19 Ok Reg 2333,
				  eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-3 - Quality assurance activities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 16 Ok Reg 1494, eff
				  7-1-99
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-3.1 - Quality Improvement activities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 16 Ok Reg 1494,
				  eff 7-1-99; Amended at 18 Ok Reg 2658, eff 7-1-01; Revoked at 19 Ok Reg 2333,
				  eff 7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-4 - Monitoring and evaluation process [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 19 Ok Reg 2333, eff
				  7-1-02
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 15 - Performance Improvement and Quality Management › Section 450:17-15-5 - Critical incident reporting

Current through Vol. 41, No. 20, July 1, 2024
In addition to the requirements set forth in OAC
				  450:1-9-5.6(f), sentinel events shall have a root cause analysis completed no
				  later than 30 days after the event occurred with a copy of the completed report
				  sent to ODMHSAS.
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 21 Ok Reg 1067,
				  eff 7-1-04; Amended at 22 Ok Reg 960, eff 7-1-05; Amended at 24 Ok Reg 2563,
				  eff 7-12-07; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 17 - Utilization Review [REVOKED] › Section 450:17-17-1 - Utilization review [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 18 Ok Reg 2658, eff
				  7-1-01
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 17 - Utilization Review [REVOKED] › Section 450:17-17-2 - Written plan [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 18 Ok Reg 2658, eff
				  7-1-01
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 17 - Utilization Review [REVOKED] › Section 450:17-17-3 - Methods for identifying problems [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Revoked at 18 Ok Reg 2658, eff
				  7-1-01
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 19 - Human Resources › Section 450:17-19-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 22 Ok Reg 960, eff
				  7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 19 - Human Resources › Section 450:17-19-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 18 Ok Reg 2658, eff 7-1-01; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 23 Ok Reg 1421, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 19 - Human Resources › Section 450:17-19-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 17 Ok Reg 2126, eff 7-1-00; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 21 Ok Reg 1067, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 21 - Staff Development and Training › Section 450:17-21-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 27 Ok Reg 2216, eff
				  7-11-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 21 - Staff Development and Training › Section 450:17-21-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 23 Ok Reg 1421, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 21 - Staff Development and Training › Section 450:17-21-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 19 Ok Reg 2333,
				  eff 7-1-02; Amended at 20 Ok Reg 1303, eff 7-1-03; Amended at 22 Ok Reg 960,
				  eff 7-1-05; Amended at 23 Ok Reg 1421, eff 7-1-06; Amended at 25 Ok Reg 2526,
				  eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 21 - Staff Development and Training › Section 450:17-21-4

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 24 Ok Reg 2563, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 21 - Staff Development and Training › Section 450:17-21-5 - CAPE training [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 1303,
				  eff 7-1-03; Revoked at 25 Ok Reg 2526, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 23 - Facility Environment › Section 450:17-23-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 14 Ok Reg 1919,
				  eff 5-27-97; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg 2658,
				  eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg 1303,
				  eff 7-1-03; Amended at 21 Ok Reg 1067, eff 7-1-04; Amended at 22 Ok Reg 960,
				  eff 7-1-05