Oklahoma Administrative Code › Title 340 - Department of Human Services › Chapter 75 - Licensing Services › Subchapter 8 - Therapeutic Foster Care and Developmental Disabilities Services › Part 1 - THERAPEUTIC FOSTER CARE › Section 340:75-8-7 - Contracted therapeutic foster care services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Contractor rules.
Therapeutic foster care (TFC) contractors meet Oklahoma Health Care Authority
				  (OHCA) rules as described in Parts 1, 3, and 5 of the Oklahoma Administrative
				  Code (OAC) 317:30-3 and Part 83 of OAC 317:30-5.
(b)
TFC services.
Contracted TFC
				  services are based on the child's assessed needs and are provided consistent
				  with the goals and objectives of the child's treatment plan (TP) per OAC
				  317:30-5-241.2 and
				  317:30-5-742.2
				  and include:
(1) individual
				  therapy;
(2) family therapy. The
				  TFC contractor:
(A) works with the parent or
				  parents or placement provider to whom a child in TFC will be
				  discharged;
(B) seeks to support
				  and enhance the child's relationship with family members, including
				  siblings;
(C) arranges for and
				  encourages regular contact and visitation between the child and parent or
				  parents and other family members; and
(D) engages the child's parent or parents and
				  siblings in visitation and family therapy with the child, when the case plan is
				  reunification. The TFC contractor provides consultation, support, and technical
				  assistance to the TFC parent in the implementation of the child's TP;
(3) group rehabilitative
				  treatment. Group rehabilitative treatment services may be part of the child's
				  TP to provide needed services, such as basic living skills, social skills
				  redevelopment, independent living or services for successful adulthood,
				  self-care, lifestyle change, recovery principles, and other similar services.
				  Thirty minutes of individual therapy, family therapy, or both, may be provided
				  in lieu of one hour of group rehabilitative treatment when group treatment
				  services are part of the child's treatment plan but are temporarily
				  unavailable;
(4) substance use or
				  abuse or chemical dependency therapy, as needed, by a child with behavioral or
				  emotional problems directly related to substance use or abuse. A minimum of two
				  hours of education and prevention therapy per 90-calendar day period is
				  recommended, based on individual needs, for a child who does not have
				  behavioral or emotional problems directly related to substance use or
				  abuse;
(5) basic living skills
				  redevelopment provided by the TFC parent;
(6) social skills redevelopment provided by
				  the TFC parent;
(7) crisis behavior
				  management and redirection services to ensure therapeutic contract staff are
				  available for response 24 hours a day, seven days a week. Response includes
				  providing face-to-face or phone intervention during a crisis to stabilize the
				  child's behavior and prevent placement disruption. Face-to-face intervention
				  must be utilized prior to a child's placement in a higher level of care, unless
				  there is an imminent safety risk. Crisis behavior management and redirection
				  services are consistent with the goals and objectives of the child's
				  TP;
(8) collaboration with Child
				  Welfare Services (CWS) specialists in the completion of the youth's basic life
				  skills assessment and the development of the youth's successful adulthood plan;
				  and
(9) successful adulthood plan
				  services in compliance with the Oklahoma Successful Adulthood program
				  administered by the Oklahoma Department of Human Services, per OAC
				  340:75-6-110.