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 1 - General Provisions › Section 450:17-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This chapter sets forth the Standards and
				Criteria used in the certification of Community Mental Health Centers and
				implements 43A O.S. § 3-306.1, which authorizes the Board of Mental Health
				and Substance Abuse Services, or the Commissioner upon delegation by the Board,
				to certify Community Mental Health Centers.
(b) The rules regarding the certification
				process including but not necessarily limited to application, fees and
				administrative sanctions are found in the Oklahoma Administrative Code, Title
				450 Chapter 1, Subchapters 5 and 9.
(c) Rules outlining general certification
				qualifications applicable to facilities and organizations certified under this
				Chapter are found in OAC
				450:1-9-5
				through OAC 450:1-9-5.6.
Added at 13 Ok Reg 2741,
				  eff 7-1-96; Amended at 14 Ok Reg 1919, eff 5-27-97; Amended at 17 Ok Reg 2126,
				  eff 7-1-00; 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 1 - General Provisions › Section 450:17-1-3 - Meaning of verbs in rules

Current through Vol. 41, No. 20, July 1, 2024
The attention of the facility is drawn to the distinction
				  between the use of the words "shall," "should," and "may" in this
				  chapter:
(1)
"Shall"
is
				the term used to indicate a mandatory statement, the only acceptable method
				under the present standards.
(2)
"Should"
is the term used to reflect the most preferable
				procedure, yet allowing for the use of effective alternatives.
(3)
"May"
is the term used to
				reflect an acceptable method that is recognized but not necessarily
				preferred.
Added at 13 Ok Reg 2741,
				  eff 7-1-96
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 1 - General Provisions › Section 450:17-1-4 - Annual review of standards and criteria [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg 2741,
				  eff 7-1-96; 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 1 - General Provisions › Section 450:17-1-5 - New standards and criteria [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 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 1 - General Provisions › Section 450:17-1-6 - Services and service areas

Current through Vol. 41, No. 20, July 1, 2024
(a) All facilities
				providing services shall have a group of services herein designated as required
				core services in accordance with
				450:17-3-2. Each site certified
				as a CMHC shall offer all required core services through in-person and/or
				virtual means. CMHCs may have specific additional services some of which are
				designated as optional services in accordance with
				450:17-5-1. All required core
				services and all optional services must be co-occurring disorder
				capable.
(b) Service areas are
				established by ODMHSAS to ensure the most efficient statewide availability of
				treatment services. Only one certified CMHC is allowed per service area. Each
				CMHC entity may only operate CMHC sites within its designated service
				area.
(c) If operated by a CMHC
				entity, Community-Based Structured Crisis Center (CBSCC) sites must be within
				the CMHC's designated service area unless special approval by ODMHSAS is
				obtained.
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 527,
				  eff 10-13-00 (emergency); 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 24 Ok
				  Reg 2563, eff 7-12-07; Amended at 26 Ok Reg 2675, eff
				  7-25-09
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 1 - General Provisions › Section 450:17-1-7 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The standards and criteria for services as subsequently set
				  forth in this chapter are applicable to CMHCs as stated in each
				  subchapter.
Added at 13 Ok Reg 2741,
				  eff 7-1-96
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 1 - REQUIRED SERVICES › Section 450:17-3-1 - Required core services

Current through Vol. 41, No. 20, July 1, 2024
The services in this subchapter are core services, are
					 required of each CMHC, and are required to be provided in a co-occurring
					 capable manner.
Added at 13 Ok Reg
					 2741, eff 7-1-96; 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 3 - Required Services › Part 1 - REQUIRED SERVICES › Section 450:17-3-2 - Required core community mental health services

Current through Vol. 41, No. 20, July 1, 2024
(a) Each CMHC shall provide the following
				  services:
(1) Screening, assessment and
				  referral services;
(2) Emergency
				  services;
(3) Outpatient
				  therapy;
(4) Case management
				  services;
(5) Psychiatric
				  rehabilitation services;
(6)
				  Medication clinic services;
(7)
				  Service to homeless individuals;
(8) Peer Support Services, and
(9) Wellness Activities and
				  Support.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 1 - REQUIRED SERVICES › Section 450:17-3-3 - Availability of services

Current through Vol. 41, No. 20, July 1, 2024
(a) The core
				  services shall be available to individuals regardless of their work or school
				  schedule.
(1) All services provided on an
				  outpatient basis shall be routinely available at least forty (40) hours per
				  week, and will include evenings or weekends.
(2) CMHC policy shall provide for hours in
				  addition to 8:00 AM - 5:00 PM. This applies to the main CMHC location and full
				  time satellite offices with two (2) or more full time employed clinical
				  staff.
(3) For CMHCs not providing
				  24 hour on-site services, hours of operation shall be conspicuously
				  posted.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 3 - SCREENING, ASSESSMENT AND REFERRAL › Section 450:17-3-21 - Integrated screening and assessment services

Current through Vol. 41, No. 20, July 1, 2024
(a) CMHC policy and procedure shall require
				  that a screening of each consumer's service needs is completed.
(b) Upon determination of appropriate
				  admission, a consumer assessment shall be completed by a LBHP or licensure
				  candidate and shall include, but not be limited to, the following information:
(1) Behavioral, including mental health and
				  addictive disorders;
(2) Emotional,
				  including issues related to past or current trauma and domestic
				  violence;
(3)
				  Physical/medical;
(4) Social and
				  recreational; and
(5)
				  Vocational;
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 3 - SCREENING, ASSESSMENT AND REFERRAL › Section 450:17-3-22 - Screening and assessment services, access or referral to needed services

Current through Vol. 41, No. 20, July 1, 2024
(a) Written policy and procedures governing
				  the screening and assessment services shall specify the following:
(1) The information to be obtained on all
				  applicants or referrals for admission;
(2) The procedures for accepting referrals
				  from outside agencies or organizations;
(3) The procedure to be followed when an
				  applicant or referral is found to be ineligible for admission;
(4) Methods of collection of information from
				  family members, significant others or other social service agencies;
(5) Methods for obtaining a physical
				  examination or continued medical care where indicated;
(6) Referral to other resources when the
				  consumer has treatment or other service needs the facility cannot meet; and
(7) No barriers to entry based
				  solely on the presence of current or recent substance 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 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:17-3-41 - Emergency services

Current through Vol. 41, No. 20, July 1, 2024
(a) CMHCs shall
				  provide, on a twenty-four (24) hour basis, accessible co-occurring disorder
				  capable services for substance use disorder and/or psychiatric emergencies.
(b) This service shall include the
				  following:
(1) 24-hour assessment and
				  evaluation, including emergency examinations;
(2) Availability of 24-hour inpatient/crisis
				  center referral and crisis diversion/intervention;
(A) CMHC staff shall be actively involved in
				  the emergency services and referral process to state-operated psychiatric
				  inpatient units, crisis centers and urgent recovery clinics.
(B) Referral to state-operated psychiatric
				  inpatient units by the CMHC shall occur only after all other community
				  resources, including crisis centers and urgent recovery clinics, are explored
				  with the individual and family if family is available.
(C) Prior notification to and approval from
				  the state-operated psychiatric inpatient unit of all referrals from CMHCs is
				  required.
(3)
				  Availability of assessment and evaluation in external settings unless immediate
				  safety is a concern. This shall include but not be limited to schools, jails,
				  and hospitals;
(4) Referral
				  services, which shall include actively working with local sheriffs and courts
				  regarding the appropriate referral process and appropriate court orders (43A
				  O.S. §§ 5-201 through 5-407);
(5) CMHCs serving multiple counties shall
				  provide or arrange for face-to-face assessment of persons taken into protective
				  custody [43A O.S. § 5-206 et seq.] in each county;
(6) The CMHC's emergency telephone response
				  time shall be less than fifteen (15) minutes from initial contact, unless there
				  are extenuating circumstances;
(7)
				  Face-to-face strength based assessment, unless there are extenuating
				  circumstances, addressing both mental health and substance use disorder issues
				  which, if practicable, include a description of the client's strengths in
				  managing mental health and/or substance use issues and disorders during a
				  recent period of stability prior to the crisis;
(8) Intervention and resolution; and
(9) Access to an evaluation. No
				  barriers to access of an evaluation based on active substance use or designated
				  substance levels shall be implemented unless the facility provides written
				  justification approved by ODMHSAS Provider Certification.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:17-3-42 - Emergency examinations

Current through Vol. 41, No. 20, July 1, 2024
(a) The CMHC shall
				  provide or otherwise ensure the capacity for performing emergency examinations.
				  This capacity must be available 24 hours per day, seven days a week.
(b) Compliance with 450:17-3-42 shall be
				  determined by a review of the following: policy and procedures; emergency
				  contact records; clinical records; PI documentation; and staff on-call
				  schedules.
(c) Failure to comply
				  with 450:17-3-42 will result in the initiation of procedures to deny, suspend
				  and/or revoke certification.
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 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:17-3-43 - Emergency examinations, staffing

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Staff providing emergency examinations shall be an LMHP as defined in 43A O.S.
				  § 1-103 and meet the CMHC's privileging requirements for the provision of
				  emergency services, which shall include core competency in emergency evaluation
				  of co-occurring disorders.
(b)
				  Compliance with 450:17-3-43 shall be determined by a review of clinical
				  privileging records and personnel 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; 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 3 - Required Services › Part 7 - OUTPATIENT THERAPY SERVICES › Section 450:17-3-61 - Outpatient therapy services

Current through Vol. 41, No. 20, July 1, 2024
(a) Outpatient
				  services shall include a range of co-occurring disorder capable services to
				  consumers based on their needs regarding emotional, social and behavioral
				  problems. These outpatient therapy services shall be provided or arranged for,
				  and shall include, but not be limited to the following:
(1) Individual therapy;
(2) Group therapy;
(3) Family therapy;
(4) Psychological/psychometric evaluations or
				  testing; and
(5) Psychiatric
				  assessments.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 7 - OUTPATIENT THERAPY SERVICES › Section 450:17-3-62 - Outpatient therapy services, substance use disorder, co-occurring

Current through Vol. 41, No. 20, July 1, 2024
(a) Facilities shall provide co-occurring
				  disorder capable outpatient substance use disorder therapy services.
(b) These services shall include the
				  provision of or referral for Human Immunodeficiency Virus (HIV), Sexually
				  Transmitted Diseases (STD), and Acquired Immunodeficiency Syndrome (AIDS)
				  education, training, and counseling services for drug dependent persons (43A
				  O.S. §3-425.1), and every facility shall:
(1) Provide or refer for educational sessions
				  regarding HIV/STD/AIDS to consumers and the significant other(s) of the
				  consumer; and
(2) Provide or refer
				  all drug dependent persons, and their identified significant other (s), for
				  HIV/STD/AIDS testing and counseling;
(3) Provide documentation of services
				  described in (1) and (2) above, including refusal of these services;
				  and
(4) Maintain all test results
				  in the confidential manner prescribed by applicable state or federal statutes
				  or regulations.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 9 - MEDICATION CLINIC SERVICES › Section 450:17-3-81 - Medication clinic services

Current through Vol. 41, No. 20, July 1, 2024
(a) Medication
				  clinic services shall include an assessment of each individual's condition and
				  needs; and an assessment of the effectiveness of those services.
(b) Medication clinic services shall be
				  co-occurring capable and shall utilize accepted practice guidelines for
				  psychopharmacologic management of co-occurring disorders.
(c) CMHCs shall offer comprehensive
				  medication clinic services to consumers in need of this service, including, but
				  not limited to:
(1) Prescribing or
				  administering medication, including evaluation and assessment of the
				  medications provided.
(2)
				  Medication orders:
(A) Licensed allopathic
				  physicians, osteopathic physicians, medical residents or consultant physicians
				  shall write medication orders and prescriptions. Physician's assistants and
				  nurse practitioners may write medication orders, or prescriptions consistent
				  with state and federal law.
(B) A
				  list of those allopathic physicians and osteopathicphysicians authorized to
				  prescribe medications shall be maintained and regularly updated.
(C) Telephone numbers of the state poison
				  centers shall be immediately available in all locations where medications are
				  prescribed.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 9 - MEDICATION CLINIC SERVICES › Section 450:17-3-82 - Medication clinic, medication monitoring

Current through Vol. 41, No. 20, July 1, 2024
(a) Medication administration, storage and
				  control, and consumer reactions shall be regularly monitored at all facilities
				  where medications are stored, dispensed, or administered.
(b) Facilities shall assure proper storage
				  and control of medications, immediate response if incorrect or overdoses occur,
				  and have appropriate emergency supplies available if needed.
(1) Written procedures for medication
				  administration shall be available and accessible in all medication storage
				  areas, and available to all staff authorized to administer medications.
(2) All medications shall be kept
				  in locked, non-consumer accessible areas. Conditions which shall be considered
				  in medication storage are light, moisture, sanitation, temperature,
				  ventilation, and the segregation and safe storage of poisons, external
				  medications, and internal medications.
(3) Telephone numbers of the state poison
				  centers shall be immediately available in all locations where medications are
				  prescribed, or administered, or stored.
(4) A qualified allopathic physician or
				  osteopathic physician shall supervise the preparation and stock of an emergency
				  kit which is readily available, but accessible only to physician, nursing and
				  pharmacy staff. Documentation by the qualified allopathic physician or
				  osteopathic physician shall clearly indicate that the supervision has been
				  performed.
(5) Only authorized
				  licensed staff shall administer medications
(6) A list of licensed staff members
				  authorized to administer medications shall be maintained and regularly updated.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 9 - MEDICATION CLINIC SERVICES › Section 450:17-3-83 - Medication clinic, error rates

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  facility's performance improvement program shall specifically, objectively, and
				  systematically monitor medications administration or dispensing or medication
				  orders and prescriptions to evaluate and improve the quality of consumer
				  care.
(b) Compliance with
				  450:17-3-83 shall be determined by a review of the following: facility
				  policies; PI logs; data; and reports.
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; 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 3 - Required Services › Part 9 - MEDICATION CLINIC SERVICES › Section 450:17-3-84 - Availability of medications in a CMHC's community living setting

Current through Vol. 41, No. 20, July 1, 2024
(a) This standard applies to a CMHC's
				  residential program(s) not having on-site medical staff.
(b) The CMHC shall have policy and procedures
				  governing consumer access to medications and shall include, at least, the
				  following items:
(1) Non-medical staff and
				  volunteers shall not dispense or administer medication; and
(2) Medication shall be not withheld from
				  consumers for whom it is prescribed, for non-medical reasons. There shall be
				  policies governing the provision of medication to clients who are actively
				  using substances at the time of their dosage, which document how to determine
				  which medications should continue to be provided, and which medications should
				  be withheld or postponed.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 9 - MEDICATION CLINIC SERVICES › Section 450:17-3-85 - Pharmacy Services

Current through Vol. 41, No. 20, July 1, 2024
(a) The CMHC shall
				  provide specific arrangements for pharmacy services to meet consumers'
				  psychiatric needs. Provision of services may be made through agreement with
				  another program, through a pharmacy in the community, or through the CMHC's own
				  Oklahoma licensed pharmacy.
(b)
				  Compliance with 450:17-3-85 shall be determined by a review of the following:
				  clinical records; written agreements for pharmacy services; on-site observation
				  of in-house pharmacy; and State of Oklahoma pharmacy license.
(c) Failure to comply with 450:17-3-85 will
				  result in the initiation of procedures to deny, suspend and/or revoke
				  certification.
Amended and renumbered
					 from 450:17-3-181 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 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-101 - Case management services

Current through Vol. 41, No. 20, July 1, 2024
(a) Case
				  management efforts shall empower consumers to access and use needed services
				  and meet self-determined goals. These services include resource skills
				  development and consumer advocacy provided in various settings based on
				  consumer need.
(b) Case management
				  services shall be offered to all adults who have a Serious Mental Illness and,
				  to each Child (or their parent/guardian) with Serious Emotional
				  Disturbance.
(c) Case management
				  shall be co-occurring disorder capable.
(d) Case management services shall be planned
				  referral, linkage, monitoring and support, and advocacy assistance provided in
				  partnership with a client to support that client in self sufficiency and
				  community tenure. Activities include:
(1)
				  Completion of strengths based assessment for the purpose of assisting in the
				  development of an individual plan of care;
(2) Development of case management care plan,
				  which can be integrated into the existing individual plan of care;
(3) Referral, linkage and advocacy to assist
				  with gaining access to appropriate community resources;
(4) Contacts with other individuals and
				  organizations that influence the recipient's relationship with the community,
				  i.e., family members, law enforcement personnel, landlords, etc;
(5) Monitoring and support related to the
				  individual plan of care to reassess goals and objectives and assess progress
				  and or barriers to progress;
(6)
				  Follow-up contact with the consumer if they miss any scheduled appointments
				  (including physician/medication, therapy, rehabilitation, or other supportive
				  service appointments as delineated on the service plan); and
(7) Crisis diversion (unanticipated,
				  unscheduled situation requiring supportive assistance, face-to-face or
				  telephone, to resolve immediate problems before they become overwhelming and
				  severely impair the individual's ability to function or maintain in the
				  community) to assist consumer(s) from progression to a higher level 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 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-101.1 - Case management services, child, adolescent and family [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; 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 23 Ok Reg 1421, eff 7-1-06; Revoked at 26 Ok Reg
					 2675, eff 7-25-09
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-102 - Case management services, locale and frequency

Current through Vol. 41, No. 20, July 1, 2024
(a) Case management services shall be
				  provided within community settings; the residence of the consumer; or any other
				  appropriate settings, based on the individual needs of the consumer. Contact
				  with consumers shall be made on at least a monthly basis unless otherwise
				  specified in the service plan.
(b)
				  Compliance with 450:17-3-102 shall be determined by a review of the following:
				  Case managers shall contact each consumer at least once a month, unless
				  otherwise specified in the service plan to monitor progress or provide case
				  management services. Inability to make face to face contact shall be
				  documented. Contact was made with consumers as specified in the service
				  plan.
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 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 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-103 - Case management services for consumers admitted to higher levels of care

Current through Vol. 41, No. 20, July 1, 2024
(a) Case managers
				  shall maintain contact with existing CMHC consumers, and establish contact with
				  newly referred persons who are receiving services in inpatient psychiatric
				  settings, Community Based Structured Crisis Centers, (CBSCC), or 24-hour
				  settings providing substance use disorder treatment.
(b) Each CMHC shall assign at least one (1)
				  staff member who is responsible for linkage between psychiatric inpatient
				  units, CBSCCs, and/or the substance use disorder treatment facility and the
				  CMHC. Linkage shall include, but not limited to, the following activities,
				  pursuant to appropriately signed releases and adherence to applicable privacy
				  provisions:
(1) Regular visits or
				  communication with the psychiatric inpatient unit, CBSCC, and/or substance use
				  disorder treatment facility to monitor progress of those consumers hospitalized
				  and/or in facility-based substance use disorder treatment from the CMHC's
				  service area.
(2) Provide knowledge
				  and communication to other CMHC staff regarding psychiatric inpatient unit
				  admission, CBSCC and/or substance use disorder treatment facility and discharge
				  procedures.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-104 - Case management services, client 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 17 Ok Reg
					 2126, eff 7-1-00; 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 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-105 - Case management services, client outcome [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 2741, eff 7-1-96; 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 3 - Required Services › Part 11 - CASE MANAGEMENT › Section 450:17-3-106 - Case management services, staff credentials

Current through Vol. 41, No. 20, July 1, 2024
(a) Individuals providing case management
				  services shall be a LBHP, licensure candidate, CADC or certified as a
				  behavioral health case manager pursuant to Oklahoma Administrative Code, Title
				  450, Chapter 50.
(b) Facility
				  supervisors must be a certified behavioral health case manager pursuant to
				  Oklahoma Administrative Code, Title 450, Chapter 50 if they directly supervise
				  the equivalent of two (2) or more FTE certified behavioral health case managers
				  who provide case management services as part of their regular duties. A
				  facility supervisor certified as a behavioral health case manager prior to
				  becoming a facility supervisor shall meet this requirement if acceptable
				  documentation of certification is provided to the Department.
(c) Compliance with 450:17-3-106 shall be
				  determined by a review of the facility personnel records and credentialing
				  files.
Added 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 662, eff 2-27-03 (emergency); 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 3 - Required Services › Part 13 - ODMHSAS OPERATED PSYCHIATRIC HOSPITALS › Section 450:17-3-121 - Admissions to ODMHSAS operated psychiatric hospitals [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; 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 3 - Required Services › Part 13 - ODMHSAS OPERATED PSYCHIATRIC HOSPITALS › Section 450:17-3-122 - Persons presenting at a state-operated inpatient psychiatric unit for purpose of admission, pre-screening of [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 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-141 - Psychiatric rehabilitation services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  This section governs psychiatric rehabilitation services for Adults with
				  Serious Mental Illness, and Children with Serious Emotional Disturbance. These
				  standards reflect two recovery focused programs for adults: General psychiatric
				  rehabilitation program (PSR) and ICCD Clubhouse; along with individual and
				  group rehabilitation services for both adults and children.
(b) The CMHC shall provide one or more of the
				  following for adults: a PSR program, or ICCD Clubhouse program, or individual
				  and group rehabilitation services. In addition, the CMHC shall provide
				  individual and group rehabilitation services for children.
(c) CMHC policy and procedures shall reflect
				  that psychiatric rehabilitation services shall be co-occurring disorder capable
				  and facilitate processes for dual recovery for these individuals.
(d) Compliance with 450:17-3-141 shall be
				  determined by on-site observation; interviews with participants; interviews
				  with staff; a review of policy and procedures; and a review of clinical
				  records; or proof of compliance with
				  450:17-3-146.
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 21 Ok Reg
					 1067, eff 7-1-04; 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-142 - Day programs - day treatment [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 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-143 - Therapeutic day programs - day treatment, CMHC evaluation of [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; 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-144 - General psychosocial rehabilitation (PSR) program

Current through Vol. 41, No. 20, July 1, 2024
(a) Proof of completion of orientation in the
				  PSR model shall be kept on file for all program staff members. The CMHC
				  policies and procedures shall document a plan by which employees who are staff
				  members in the PSR program are to be oriented to the PSR model.
(b) The program shall incorporate the
				  following functions:
(1)
Recovery
				  Orientation.
The service elements include a Recovery oriented treatment
				  plan, member goal setting, employment and educational support services, and a
				  staff philosophy of recovery that permeates all service elements and
				  activities.
(2)
Empowerment
				  Orientation.
The service elements include peer support, leadership skill
				  development, member participation on agency boards, and participation in
				  consumer advocacy groups. All PSR programs shall establish an advisory
				  committee consisting of members and a staff person, which will address issues
				  such as program development and planning, and program problem solving.
(3)
Competency
				  Orientation.
The service elements include curriculum based life skills
				  training (covering self-management of illness, independent living skills,
				  social skills, and work related skills), a multi-dynamic learning approach, an
				  explicit focus on generalization to contexts beyond the immediate learning task
				  and transfer of skills to real life situations and a community based supports
				  component that provides on-going in home or community based support services,
				  based on consumer need and choice, in the areas of housing, employment,
				  education and the development of natural supports (i.e., family, cultural and
				  social). Curricula shall include attention to building decision making capacity
				  and life skills to implement decisions regarding substance use, including
				  nicotine and caffeine, to promote health choices. Decision making should not be
				  mandated abstinence but should be client-centered within the overall context of
				  recovery goals. Service elements also include a work unit component that
				  adheres to the following standards:
(A)
				  Members and staff work side-by-side.
(B) The work completed is work generated by
				  the PSR program. No work for outside individuals or agencies is acceptable.
(C) All work in the PSR program is
				  designed to help members regain self-worth, purpose and confidence; it is not
				  intended to be job specific training.
(D) The program is organized into one or more
				  work units, each of which has sufficient staff, members and meaningful work.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-144.1 - Exception day program, psychosocial rehabilitation program scoring [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; Amended at 19 Ok Reg
					 2333, eff 7-1-02; Amended at 20 Ok Reg 1303, eff 7-1-03; 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-145 - Therapeutic day programs - psychosocial services, evaluation of [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; 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-146 - ICCD Clubhouse program

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  Clubhouse program shall be certified as a Clubhouse through the International
				  Center for Clubhouse Development (ICCD).
(b) Compliance with 450:17-3-146 shall be
				  determined by receipt of the identified documentation needed to support that a
				  Clubhouse program is ICCD certified.
Added at 21 Ok Reg
					 1067, eff 7-1-04; 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 3 - Required Services › Part 15 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:17-3-147 - Individual and Group Rehabilitation Services

Current through Vol. 41, No. 20, July 1, 2024
(a) CMHC policy and procedures shall reflect
				  that individual and group rehabilitation services are available to both adults
				  and children.
(b) Facility policy
				  and procedures shall outline the way these services are provided, including but
				  not limited to the populations served, staff qualifications for providing the
				  service, and general design(s) by which these services are provided.
(c) Compliance with
				  450:17-3-146
				  shall be determined by a review of CMHC policy and procedures and personnel
				  files.
Added 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 3 - Required Services › Part 17 - SERVICES TO HOMELESS INDIVIDUALS › Section 450:17-3-161 - Services to homeless individuals

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  CMHCs shall provide the following services to individuals within their service
				  area who are homeless, including those individuals experiencing chronic
				  homelessness and who have a serious mental illness, including co-occurring
				  substance use disorders:
(1) Linkage and
				  contacts with local emergency services, shelters, state-operated psychiatric
				  inpatient unit, Community Based Structured Crisis Centers, Urgent Recovery
				  Clinics and any other organizations which may be in contact with homeless
				  persons;
(2) Linkage and contacts
				  with local housing authorities;
(3)
				  Contact, and work with those who are homeless and who have a serious mental
				  illness, to assist with accessing CMHC services, income benefit programs, and
				  housing programs, among other services; and
(4) These services shall be addressed in CMHC
				  policy and procedures.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 19 - PHARMACY SERVICES › Section 450:17-3-181 - Pharmacy services [AMENDED AND RENUMBERED TO 450:17-3-85]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 2741, eff 7-1-96; Amended and renumbered to 450:17-3-85 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 3 - Required Services › Part 21 - PEER RECOVERY SUPPORT SERVICES › Section 450:17-3-191 - Peer Recovery support services

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer recovery support services are
				  provided as a program integrated within the overall structure of Community
				  Mental Health Center services and must be offered to children ages 16 and 17
				  with SED, and adults age 18 and older with (SMI), including co-occurring
				  disorders.
(b) Peer recovery
				  support services may be offered to other consumers of the community mental
				  health center and their families.
(c) These services shall have written
				  policies specific to these services.
(d) Each CMHC shall have in place provisions
				  for direct supervision and other supports for staff providing this service.
(e) Compliance with 450:17-3-191
				  shall be determined by a review of the following: documentation of linkage
				  activities and agreements; clinical records; PICIS reporting data; and, CMHC
				  policy and procedures.
Added at 26 Ok Reg 2675, eff 7-25-09 ; Amended at 27 Ok
						Reg 2216, eff 7-11-10 ; Amended at 30 Ok Reg 1419, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 21 - PEER RECOVERY SUPPORT SERVICES › Section 450:17-3-192 - Peer Recovery Support Specialists staff requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Recovery Support Services shall be
				  provided only by staff who are certified as a Peer Recovery Support Specialist
				  pursuant to Oklahoma Administrative Code, Title 450, Chapter 53.
(b) Each CMHC shall maintain records to
				  verify certificationfor each provider of this service.
(c) Compliance for 450:17-3-192 shall be
				  determined by a review of the facility personnel records and ODMHSAS
				  files.
Added at 26 Ok Reg 2675, eff 7-25-09 ; Amended at 27 Ok
						Reg 2216, eff 7-11-10 ; Amended at 30 Ok Reg 1413, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 21 - PEER RECOVERY SUPPORT SERVICES › Section 450:17-3-193 - Peer Recovery Support services: Locale and frequency

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Recovery Support services can be
				  provided in any location. The majority of contacts should be face-to-face,
				  however, services may be provided over the telephone as necessary to help the
				  consumer achieve his/her goals.
(b)
				  Compliance for 450:17-3-193 shall be determined by a review of the agency
				  policy and procedures, PICIS consumer records, consumer interviews, and
				  observation.
Added at 26 Ok Reg 2675, eff 7-25-09 ; Amended at 30 Ok
						Reg 1420, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 3 - Required Services › Part 23 - WELL NESS SERVICES AND RELATED ACTIVITIES › Section 450:17-3-201 - Wellness Services and Related Activities

Current through Vol. 41, No. 20, July 1, 2024
(a) Wellness Services and Related Activities
				  are consumer-driven services and supports that promote healthy lifestyles and
				  behaviors which may include and not be limited to smoking cessation activities,
				  exercise, stress management, and education on nutrition.
(b) These services shall:
(1) Be based on an individualized,
				  recovery-focused service philosophy that allows individuals the opportunity to
				  learn to manage their own wellness;
(2) Be provided by staff credentialed by
				  ODMHSAS as Wellness Coaches; and
(3) Have written policies specific to this
				  services.
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 1 - APPLICABILITY › Section 450:17-5-1 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The services in this subchapter are optional services.
					 However, if the services in this subchapter are provided, either on the
					 initiative of the CMHC, or as an ODMHSAS contractual requirement of the CMHC,
					 all rules and requirements of this subchapter shall apply to the affected
					 CMHC's certification.
Added at 13 Ok Reg
					 2741, eff 7-1-96