Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 1 - General Provisions › Section 450:65-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this chapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise:
"Admission"
means the acceptance of a consumer
				  by a treatment program.
"Admission criteria"
means those criteria which
				  shall be met for admission of a consumer to gambling treatment.
"Assessment"
means those procedures by which a
				  gambling treatment program provides an on-going evaluation process with the
				  consumer to collect his or her historical information, and identify strengths,
				  needs, abilities, and preferences in order to determine a plan for recovery.
"Case management"
means actions such as planned
				  linkage, advocacy and referral assistance provided in partnership with a
				  consumer to support that consumer in self sufficiency and community tenure and
				  may occur in the consumer's home, in the community, or in the facility.
"Certified Gambling Addiction Treatment"
or
"CGAT"
means programs certified by ODMHSAS to provide treatment to
				  individuals diagnosed with a problem gambling disorder.
"Consumer"
means an individual, adult or
				  adolescent, who is receiving evaluation or treatment services from a facility
				  operated or certified by ODMHSAS or with which ODMHSAS contracts and includes
				  all persons referred to in OAC Title 450 Chapters 16, 17, 18, 19, 23, and 65 as
				  client(s) or patient(s) or resident(s) or a combination thereof.
"Consumer record"
means the collection of
				  written information about a consumer's evaluation or treatment that includes
				  the admission data, evaluation, treatment or service plan, description of
				  treatment or services provided, continuing care plan, and discharge information
				  on an individual consumer.
"Continuing care"
means providing a specific
				  period of structured therapeutic involvement designed to enhance, facilitate
				  and promote transition from primary treatment services to ongoing recovery.
"Contact"
means any encounter with a consumer
				  who is inquiring about or seeking services.
"Contract"
means a document adopted by the
				  governing authority of an approved treatment facility and any other
				  organization, facility, or individual, which specifies services, personnel, or
				  space to be provided by the program as well as the monies to be expended in
				  exchange.
"Cultural competency"
means the ability to
				  recognize, respect, and address the unique needs, worth, thoughts,
				  communication, actions, customs, beliefs and values that reflect an
				  individual's racial, ethnic, religious, sexual orientation, and/or social
				  group.
"Department"
or
"ODMHSAS"
means the
				  Oklahoma Department of Mental Health and Substance Abuse Services.
"Diagnosis"
means the determination of a
				  disorder as defined by current DSM criteria.
"Discharge criteria"
means general guidelines to
				  inform the judgment of the gambling treatment professional which shall be
				  considered in order for the consumer to be appropriately discharged from a
				  treatment program.
"Discharge planning"
means the process, begun at
				  admission, of determining a consumer's continued need for treatment services
				  and of developing a plan to address ongoing consumer post-treatment and
				  recovery needs.
"Discharge summary"
means a clinical document in
				  the gambling treatment record summarizing the consumer's progress during
				  treatment, with goals reached, continuing needs, and other pertinent
				  information including documentation of linkage to community services.
"Documentation"
means the provision of written,
				  dated, and authenticated evidence to substantiate compliance with CGAT
				  standards, e.g., minutes of meetings, memoranda, schedules, notices, logs,
				  treatment records, policies, procedures, and announcements.
"DSM"
means the most current edition of the
				  Diagnostic and Statistical Manual of Mental Disorders published by the American
				  Psychiatric Association.
"Education"
means the dissemination of relevant
				  information specifically focused on increasing the awareness of the community
				  and the receptivity and sensitivity of the community concerning gambling issues
				  and services. A systematic presentation of selected information to impart
				  knowledge or instructions, to increase understanding of specific issues or
				  programs, and to examine attitudes or behaviors which may stimulate social
				  action or community support of the program and the consumers.
"Educational group"
means groups in which
				  information focuses on topics that impact a consumer's recovery from problem
				  and pathological gambling. Topics should be gender and age specific and should
				  include, but not be limited to, information regarding their diagnosis or
				  identified problems on their treatment plan. This service may involve teaching
				  skills in communication, relapse prevention, self-care, and social skills to
				  promote recovery. Paraprofessionals and/or professionals in fields related to
				  the education topic may facilitate educational groups.
"Family"
means the parents, brothers, sisters,
				  other relatives, foster parents, guardians, and others who perform the roles
				  and functions of family members in the lives of consumers.
"Follow-up"
means the organized method of
				  systematically determining the status of consumers after they have been
				  discharged to determine post-treatment outcomes and utilization of
				  post-treatment referrals.
"Gambling treatment services"
means treatment
				  activities for consumers by a gambling treatment professional that include, but
				  are not limited to, the following:
(A) Assessment and diagnostic impression, ongoing;
(B) Treatment planning and revision, as necessary;
(C) Individual, group and family therapy;
(D) Case management;
(E) Discharge planning.
"Gambling treatment professional"
means an
				  individual who meets the qualifications and is certified pursuant to OAC 450:75
				  to offer problem gambling treatment services.
"Gambling related disorders/problems"
means
				  gambling related issues or problems which impact the normal functioning of an
				  individual.
"Goals"
means broad general statements of
				  purpose or intent that indicate the general effect the facility or service is
				  intended to have.
"Group counseling"
means a method of using
				  various commonly accepted treatment approaches provided face-to-face by a
				  treatment professional with two (2) or more consumers that does not consist of
				  solely related individuals, to promote positive emotional or behavioral change.
				  Services rendered in this setting should be guided by the consumer's treatment
				  goals and objectives, and does not include social or daily skill development as
				  described in educational group counseling.
"Individual therapy"
means a method of using
				  various evidence based/commonly accepted treatment approaches provided
				  face-to-face by a gambling treatment professional with one consumer to promote
				  positive emotional or behavioral change.
"Intervention"
means a process or technique
				  intended to facilitate behavior change.
"Licensed Alcohol/Drug Abuse Counselor"
or
"LADC"
means an individual licensed to provide substance abuse
				  counseling pursuant to Title 59 O.S., Chapter 43B, Licensed Alcohol and Drug
				  Counselors Act.
"Licensed mental health professional"
or
"LMHP"
as defined in Title 43A § 1-1-3(11).
"Linkage"
refers to the communication and
				  coordination with consumers and other service providers to assure timely and
				  appropriate referrals between the CGAT program and other providers.
"Mental health services"
means a wide range of
				  diagnostic, therapeutic, and rehabilitative services used in the treatment of
				  problem and pathological gambling, and other mental disorders including
				  substance abuse.
"NCGC"
means Nationally Certified Gambling
				  Counselor, offered at levels I or II through the National Council on Problem
				  Gambling.
"Objectives"
means a specific statement of
				  planned accomplishments or results that are specific, measurable, attainable,
				  realistic, and time-limited.
"ODMHSAS"
means the Oklahoma Department of
				  Mental Health and Substance Abuse Services.
"Oklahoma Administrative Code"
or
"OAC"
means the publication authorized by 75 O.S. § 256 known
				  as The Oklahoma Administrative Code, or, prior to its publication, the
				  compilation of codified rules authorized by 75 O.S. § 256(A) (1) (a) and
				  maintained in the Office of Administrative Rules.
"OSDH"
means the Oklahoma State Department of
				  Health.
"Outpatient services"
means an organized,
				  nonresidential treatment service in regularly scheduled sessions intended for
				  individuals not requiring a more intensive level of care or those who require
				  continuing services following more intensive treatment regimens.
"Paraprofessional"
means a person who does not
				  have an academic degree related to the scope of treatment or support services
				  being provided but performs prescribed functions under the general supervision
				  of that discipline.
"Pathological gambling diagnosis"
means a
				  persistent and recurrent maladaptive gambling behavior that disrupts personal,
				  family, or vocational pursuits, as defined by the most recent edition of the
				  DSM.
"Peer Recovery Support Specialist"
or
"PRSS"
means an individual who meets the qualifications and is
				  certified as a PRSS pursuant to OAC 450:53.
"Personnel record"
means a chart or file
				  containing the employment history and actions relevant to individual employee
				  activities within an organization and may contain application, evaluation,
				  salary data, job description, citations, credentials and training information.
"Policy"
means statements of facility intent,
				  strategy, principle, or rules in the provision of services; a course of action
				  leading to the effective and ethical provision of gambling treatment services.
"Procedures"
means the methods by which policies
				  are implemented.
"Problem Gambling"
means a persistent and
				  recurrent maladaptive gambling behavior that disrupts personal, family, or
				  vocational pursuits as defined by the most recent edition of the DSM.
"Program"
means a structured set of treatment
				  activities designed to achieve specific objectives relative to the needs of
				  consumers served by the facility.
"Progress notes"
means a complete chronological
				  written description of services provided to a consumer and includes the
				  consumer's response and is written by the individual or clinical team
				  delivering the gambling treatment services.
"Recovery"
means an ongoing process of discovery
				  and/or rediscovery that must be self-defined, individualized and may contain
				  some, if not all, of the fundamental components of recovery as outlined by the
				  Substance Abuse and Mental Health Services Administration (SAMHSA).
"Screening"
means the process to determine
				  whether the person seeking assistance needs further assessment for problem or
				  pathological gambling.
"Tobacco"
means any nicotine delivery product or
				  device that is not approved by the U.S. Food and Drug Administration (FDA) for
				  the purpose of nicotine dependence treatment, including, but not limited to
				  cigarettes, cigars, snuff, chewing tobacco, electronic cigarettes and vaping
				  devices.
"Treatment planning"
means the process by which
				  a gambling treatment professional and the consumer together and jointly
				  identify and rank problems, establish agreed-upon immediate short-term and
				  long-term goals, and decide on the treatment process and resources to be
				  utilized.
"Treatment session-outpatient"
means each
				  face-to-face contact with a consumer in a therapeutic setting whether
				  individually or in a group.
"Update"
means a dated and signed review of a
				  report, plan or document with or without revision.
"Volunteer"
means any person providing direct
				  consumer rehabilitative services and who is not on the facility payroll, but
				  fulfills a defined role within the approved treatment facility. This includes,
				  but is not limited to, court ordered community services, practicum students,
				  interns, and ministers; it excludes professionals and entities with which the
				  facility has a written affiliation.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08