reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 5 - PACT Clinical Documentation › Section 450:55-5-11 - 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 and recommendations
				for treatment.
(c) The consumer
				record shall contain any additional information relating to the consumer that
				has been secured from sources outside the PACT program.
(d) Before any person can be admitted for
				treatment on a voluntary basis, a signed consent for treatment shall be
				obtained.
(e) In the case where a
				PACT consumer is re-admitted back into the same PACT program, the PACT team
				will adhere to all PACT standards for admission except comprehensive
				assessments shall only be updated for the time-frame the consumer did not
				participate in PACT.
(f) In the
				case where a consumer transfers from one PACT program to another, the receiving
				PACT program shall adhere to all PACT standards for admission except
				comprehensive assessments shall only be updated for the time-frame the consumer
				did not participate in PACT unless the receiving PACT program is not able to
				access prior PACT records. Prior PACT records may be accessed with the consent
				of the consumer.
(g) Compliance
				with 450:55-5-11 shall be determined by a review of clinical records.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 7 - Confidentiality › Section 450:55-7-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 25 Ok
				  Reg 2546, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 9 - Consumer Rights › Section 450:55-9-1 - Consumer rights

Current through Vol. 41, No. 20, July 1, 2024
The PACT Program shall comply with applicable rules in Title
				  450, Chapter 15. Consumer Rights.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 9 - Consumer Rights › Section 450:55-9-2 - Consumers' grievance policy

Current through Vol. 41, No. 20, July 1, 2024
The PACT Program shall comply with applicable rules in Title
				  450, Chapter 15. Consumer Rights.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 9 - Consumer Rights › Section 450:55-9-3 - ODMHSAS Office of Consumer Advocacy

Current through Vol. 41, No. 20, July 1, 2024
The ODMHSAS Office of Consumer Advocacy, in any investigation
				  regarding consumer rights shall have access to consumers, PACT Program records
				  and PACT staff as set forth in Oklahoma Administrative Code Title 450, Chapter
				  15.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 11 - Organizational Management › Section 450:55-11-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05; Amended at 23 Ok Reg 1445, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 11 - Organizational Management › Section 450:55-11-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05; Amended at 23 Ok Reg 1445, eff 7-1-06; Amended at 24 Ok
				  Reg 1422, eff 7-1-07; Amended at 27 Ok Reg 1015, eff
				  7-1-10
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 11 - Organizational Management › Section 450:55-11-3 - Information analysis and planning

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				PACT or parent organization shall have a plan for conducting an organizational
				needs assessment related to PACT which specifies the methods and data to be
				collected, including but not limited to information from:
(1) Consumers;
(2) Governing Authority;
(3) Staff;
(4) Stakeholders;
(5) Outcomes management processes;
				and
(6) Quality record
				review.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 13 - Performance Improvement and Quality Management › Section 450:55-13-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 13 - Performance Improvement and Quality Management › Section 450:55-13-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 15 - Personnel › Section 450:55-15-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 15 - Personnel › Section 450:55-15-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 23 Ok
				  Reg 1445, eff 7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 17 - Staff Development and Training › Section 450:55-17-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 17 - Staff Development and Training › Section 450:55-17-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05; Amended at 23 Ok Reg 1445, eff
				  7-1-06
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 17 - Staff Development and Training › Section 450:55-17-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 23 Ok
				  Reg 1445, eff 7-1-06; Amended at 25 Ok Reg 2546, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 19 - Facility Environment › Section 450:55-19-1 - Facility environment

Current through Vol. 41, No. 20, July 1, 2024
In addition to the requirements set forth in OAC
				  450:1-9-5.5(a), the PACT program shall:
(1) Have a written Infection Control Program
				and staff shall be knowledgeable of Center for Disease Control (CDC) Guidelines
				for Tuberculosis and of the Blood Borne Pathogens Standard, location of spill
				kits, masks, and other personal protective equipment; and
(2) Have a written Hazardous Communication
				Program and staff shall be knowledgeable of chemicals in the workplace,
				location of Material Safety Data Sheets, personal protective equipment; and
				toxic or flammable substances shall be stored in approved locked storage
				cabinets.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
				  Reg 974, eff 7-1-05
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 19 - Facility Environment › Section 450:55-19-2 - Medication storage

Current through Vol. 41, No. 20, July 1, 2024
(a) Medication
				administration, storage and control, and consumer reactions shall be
				continually monitored.
(b) PACT
				Programs shall have written policy and procedures to address the following:
(1) proper storage and control of
				medications;
(2) facility response
				to medication administration emergency;
(3) facility response to medical emergency;
				and
(4) emergency supply's for
				medication administration as directed by PACT physician.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 21 - Governing Authority › Section 450:55-21-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 23 - Special Populations › Section 450:55-23-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 23 - Special Populations › Section 450:55-23-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff
				  7-1-04
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 1 - General Provisions › Section 450:60-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This chapter sets forth standards for
				certification of eating disorders treatment programs and implements 43A O.S.
				§ 3-320, which authorizes the Board of Mental Health and Substance Abuse
				Services, or the Commissioner upon delegation by the Board, to certify eating
				disorder treatment programs.
(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 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 1 - General Provisions › Section 450:60-1-3 - 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 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 1 - General Provisions › Section 450:60-1-4 - Annual review of standards and criteria [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff 7-1-07; Amended at 25 Ok
				  Reg 2550, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 1 - General Provisions › Section 450:60-1-5 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The standards for services as subsequently set forth in this
				  chapter are applicable to Certified Eating Disorder Treatment programs as
				  stated in each subchapter.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-1 - Required core services

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				services in this subchapter are core services, and are required of each
				CEDT.
(b) Each CEDT shall provide
				the following services:
(1) Screening, intake,
				and assessment services;
(2)
				Referral services;
(3) Emergency
				psychiatric services;
(4) Emergency
				and routine medical services;
(5)
				Physician services;
(6) Nursing
				services;
(7) Psychotherapy
				services; and
(8) Dietary
				services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-2 - Availability of services

Current through Vol. 41, No. 20, July 1, 2024
The core services shall be available to individuals on a
				  daily basis, either as part of routine or emergency care.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-3 - Screening, intake, and assessment services

Current through Vol. 41, No. 20, July 1, 2024
(a) CEDT policy and procedure shall require a
				comprehensive assessment of each consumer's service needs be completed in a
				timely manner.
(b) Screening and
				intake services shall include a complete assessment of each consumer to
				determine clinical needs. The assessment shall be completed by a LBHP or
				licensure candidate and shall include but not be limited to an assessment of
				the following areas and needs:
(1)
				Behavioral, including mental health and addictive disorders;
(2) Emotional, including issues related to
				past or current trauma and domestic violence;
(3) Physical, including food and nutrition
				status;
(4) Social and
				recreational; and
(5)
				Vocational.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-4 - Referral services

Current through Vol. 41, No. 20, July 1, 2024
Written policy and procedures governing the referral process
				  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 providers of clinical care or
				social services;
(5) Methods for
				providing or obtaining a physical examination or continued medical care where
				indicated; and
(6) Referral to
				other resources when the consumer has treatment or other service needs the
				facility cannot meet.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-5 - Emergency services

Current through Vol. 41, No. 20, July 1, 2024
(a) CEDT's shall
				provide, on a twenty-four (24) hour basis, for psychiatric
				emergencies.
(b) This service shall
				include the following:
(1) Assessment and
				evaluation, including emergency examinations;
(2) Availability of and arrangement of
				transportation to acute-care psychiatric referral;
(3) Face-to-face assessment; and
(4) Intervention and resolution.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-6 - Emergency examinations

Current through Vol. 41, No. 20, July 1, 2024
The CEDT shall provide psychiatric emergency examinations 24
				  hours per day, seven days a week.
(1)
				Referral to an acute-care hospital by the CEDT shall occur only after all other
				less restrictive options have been discussed with the resident and resident's
				family (when possible) and upon written authorization from the
				resident.
(2) The CEDT shall notify
				referral hospital(s) prior to referring non-emergent residents.
(3) If the CEDT is referring the consumer to
				a state-operated inpatient facility, the resident must meet the criteria in OAC
				450:30-9-3
				and the CEDT must comply with OAC
				450:30-9-4.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-7 - Emergency examinations, staffing

Current through Vol. 41, No. 20, July 1, 2024
Staff providing emergency examinations shall be an LMHP as
				  defined in 43A O.S. § 1-103 and meet the CEDT's privileging requirements
				  for the provision of emergency services.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-8 - Emergency medical services

Current through Vol. 41, No. 20, July 1, 2024
(a) CEDT's
				shall provide, on a twenty-four (24) hour basis, for medical
				emergencies.
(b) This service shall
				include the following:
(1) Arrangements for
				availability of transportation appropriate to the resident's medical condition
				to a licensed hospital's emergency room;
(2) Arrangements for availability of
				evaluation and treatment by a licensed physician at a licensed hospital's
				emergency room.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-9 - Routine medical services

Current through Vol. 41, No. 20, July 1, 2024
The CEDT shall arrange to make available to consumers at a
				  minimum the following general and specialty care services:
(1) General/internal medicine;
(2) Cardiology;
(3) Gastroenterology;
(4) Laboratory services.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-10 - Physician services

Current through Vol. 41, No. 20, July 1, 2024
(a) Because of the
				medical and psychiatric complexity and fragility of eating-disorder consumers,
				CEDT's shall provide routine, ongoing physician services.
(b) A physician will be assigned to each
				consumer's care and be responsible as the attending physician.
(c) At a minimum, the physician will conduct
				rounds on each resident once per week. Rounds will include:
(1) Evaluation of the resident's medical and
				psychiatric condition;
(2) Review
				of response to medications and other interventions;
(3) Prescription or discontinuation of
				medication;
(4) Ordering of any
				other needed medical or psychiatric care.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-11 - Physician requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) Physicians
				shall be licensed to practice medicine in the State of Oklahoma.
(b) Physicians shall be privileged by the
				CEDT to perform as attending physician.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-12 - Nurse practitioners

Current through Vol. 41, No. 20, July 1, 2024
Nurses licensed as nurse practitioners with prescriptive
				  authority and who practice under the supervision of a licensed physician may
				  perform the duties of the physician as allowed by State Law and CEDT
				  policy.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-13 - Nursing services

Current through Vol. 41, No. 20, July 1, 2024
(a) CEDT's shall
				provide 24-hour on-site nursing supervision and care of consumers.
(b) At a minimum, one (1) licensed registered
				nurse shall be present at all times per 15 occupied beds. For 16 to 30 occupied
				beds, a licensed practical nurse shall be on-site, working under the
				supervision of the licensed registered nurse.
(c) In addition to the requirements above,
				CEDT shall provide nursing staff, including mental health technicians or
				nursing aides, sufficient to meet the needs of residents in a safe, consistent,
				quality manner.
(d) Nursing staff
				shall, consistent with the scope of their licenses and CEDT policy, provide:
(1) Supervision of residents.
(2) Administration of medication according to
				the physician's orders.
(3) Medical
				treatments according to the resident's immediate needs and/or the physician's
				orders.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-14 - Psychotherapist credentialing

Current through Vol. 41, No. 20, July 1, 2024
All psychotherapists shall be LBHPs or Licensure Candidates
				  and be credentialed to provide psychotherapy according to the CEDT's
				  policies.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-15 - Psychotherapy service provision

Current through Vol. 41, No. 20, July 1, 2024
At a minimum, psychotherapy services shall be provided as
				  follows:
(1) Individual psychotherapy
				- 1 hour per week.
(2) Process
				group psychotherapy - 5 hours per week.
(3) Other psychotherapy groups (examples
				include body image, cognitive-behavioral strategies, anger management, gender
				issues, family dynamics, grief issues, sexuality, spirituality, etc.) - 12
				hours per week.
(4) Family
				contact/therapy - depending on the resident's clinical needs and family
				availability, at least 2 hours of family therapy/contact should be provided on
				a monthly basis, either face-to-face or by phone.
(5) Therapeutic meal (eating with the
				consumers and processing issues as they arise) - 5 meals per week.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 3 - Required Services › Section 450:60-3-16 - Dietitian credentialing and service provision

Current through Vol. 41, No. 20, July 1, 2024
A dietitian must be credentialed as a Registered
				  Dietitian/Licensed Dietitian, and shall provide, at a minimum:
(1) Individual meetings with each resident -
				30 minutes per week per resident, with additional time for consultation as
				needed.
(2) Food and nutrition
				educational groups - 2 hours per week.
(3) Direct observation of therapeutic meals -
				3 meals per week.
(4) Development
				of individualized meal plans (including snacks and nutritional supplements) for
				each resident.
(5) Ensuring the
				accurate execution of meal plans by either 1) direct supervision of the dietary
				staff or 2) consultation with the dietary staff supervisor.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 5 - Optional Services › Section 450:60-5-1 - 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, all rules and
				  requirements of this subchapter shall apply to the affected CEDT's
				  certification.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 5 - Optional Services › Section 450:60-5-2 - Independent living services

Current through Vol. 41, No. 20, July 1, 2024
(a) Programs
				that elect to provide independent living services for consumers clinically
				ready for outpatient care shall provide housing for such persons.
(b) At a minimum, the facility shall provide
				or arrange at least monthly contact for each consumer with a physician,
				psychotherapist, and dietitian.
(c)
				The facility shall provide at least one therapeutic meal per week that is
				supervised by a psychotherapist.
(d) A community living program shall have
				written policies and procedures specifying how, and by whom, the following
				services shall be performed:
(1) Medical
				treatment for residents on both emergency and routine bases;
(2) Mental health and substance abuse
				services on both emergency and routine bases;
(3) Daily living, social and occupational
				evaluation and progress planning;
(4) Daily living and social skills
				training;
(5) Occupational and
				vocational training;
(6) Assistance
				to residents in locating appropriate alternative living arrangements as
				clinically indicated or requested by resident or as part of program completion
				or graduation;
(7) A mechanism for
				orientation and education of new residents, which shall include, at least:
(A) Emergency procedures including fire,
				health and safety procedures;
(B)
				Resident rights and responsibilities; and
(C) Program expectations and rules.
(8) Assistance to residents in
				accessing community resources.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 5 - Optional Services › Section 450:60-5-3 - Outpatient services

Current through Vol. 41, No. 20, July 1, 2024
(a) Programs that
				provide outpatient services shall offer a range of services to consumers based
				on their needs regarding emotional, social and behavioral problems. These
				outpatient services shall be provided or arranged for, and shall include, but
				not be limited to the following:
(1)
				Individual psychotherapy;
(2) Group
				psychotherapy/support groups;
(3)
				Marital or family therapy;
(4)
				Psychological/psychometric evaluations or testing;
(5) Psychiatric assessments;
(6) Food and nutrition
				consultation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-1 - Clinical record keeping system [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-2 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The requirements of this subchapter are applicable to a
				  CEDT's clinical services, core and optional.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-3 - Basic requirements [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-4 - Record access for clinical staff [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-5 - Clinical record content, intake assessment [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-6 - Service Plan

Current through Vol. 41, No. 20, July 1, 2024
(a) The service plan
				shall provide evaluation, formation of measurable service objectives and
				reflect ongoing changes in goals and objectives based upon consumer's progress
				or identification of needs, challenges and new problems.
(b) An initial treatment plan shall be
				completed after completion of intake assessment or after the first treatment
				session on all consumers.
(c) The
				CEDT shall have policy and procedures that dictate timeframes by when
				comprehensive service plans must be completed for each program service to which
				a consumer is admitted.
(d)
				Consumers shall be actively involved in the development of the service plan.
(e) Service plans shall be dated
				and signed by all members of the treatment team who participate in the planning
				or in providing the services.
(f)
				The CEDT shall have policy and procedures that dictate timeframes by when
				service plan updates must be completed for each program service to which a
				consumer is admitted.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-7 - 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) The record of medication administered and
				prescribed shall include all of the following:
(A) Name of medication,
(B) Dosage,
(C) Frequency of administration or prescribed
				change,
(D) Route of
				administration, and
(E) Staff
				member who administered each dose, or prescribing physician; and
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-8 - 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.
(b) Progress notes must include
				the consumer's name, be signed by the service provider, and include the service
				provider's credentials.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-9 - 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.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 7 - Facility Clinical Records › Section 450:60-7-10

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 9 - Consumer Records and Confidentiality › Section 450:60-9-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff 7-1-07; Amended at 25 Ok
				  Reg 2550, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 11 - Consumer Rights › Section 450:60-11-1 - Consumer rights

Current through Vol. 41, No. 20, July 1, 2024
The CEDT shall comply with applicable rules in Title 450,
				  Chapter 15. Consumer Rights.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 11 - Consumer Rights › Section 450:60-11-2 - Consumer's grievance policy

Current through Vol. 41, No. 20, July 1, 2024
The CEDT shall comply with applicable rules in Title 450,
				  Chapter 15. Consumer Rights.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 11 - Consumer Rights › Section 450:60-11-3 - 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.
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 13 - Organizational Management › Section 450:60-13-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 13 - Organizational Management › Section 450:60-13-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 15 - Performance Improvement and Quality Management › Section 450:60-15-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 15 - Performance Improvement and Quality Management › Section 450:60-15-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 17 - Human Resources › Section 450:60-17-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 17 - Human Resources › Section 450:60-17-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 17 - Human Resources › Section 450:60-17-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 19 - Staff Development and Training › Section 450:60-19-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 19 - Staff Development and Training › Section 450:60-19-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 19 - Staff Development and Training › Section 450:60-19-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 19 - Staff Development and Training › Section 450:60-19-4

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 21 - Governing Authority › Section 450:60-21-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 23 - Facility Environment › Section 450:60-23-1 - Facility environment

Current through Vol. 41, No. 20, July 1, 2024
(a) The CEDT shall
				obtain an annual fire and safety inspection from the State Fire Marshall or
				local authorities which documents approval for continued occupancy.
(b) CEDT staff shall know the exact location,
				contents and use of first aid supply kits and fire fighting equipment. First
				aid supplies and fire fighting equipment shall be maintained in appropriately
				designated areas within the facility.
(c) There shall be posted written plans and
				diagrams noting emergency evacuation routes in case of fire, and shelter
				locations in case of severe weather.
(d) Facility grounds shall be maintained in a
				manner to provide a safe environment for consumers, personnel, and
				visitors.
(e) The director of the
				CEDT or designee shall appoint a safety officer.
(f) The facility shall have an emergency
				preparedness program designed to provide for the effective utilization of
				available resources so that consumer care can be continued during a disaster.
				The emergency preparedness program is evaluated annually and is updated as
				needed.
(g) Policies for the use
				and control of personal electrical equipment shall be developed and
				implemented.
(h) There shall be an
				emergency power system to provide lighting throughout the facility.
(i) The CEDT director shall ensure there is a
				written plan to cope with internal and external disasters. External disasters
				include, but are not limited to, tornados, explosions, and chemical
				spills.
(j) The environment of the
				residential setting shall be planned, developed, and maintained to respond to
				the range of needs of consumers served. The environmental quality and type, and
				the rationales for the development of environment shall be defined by written
				policy and procedures. Attention to the needs of special populations shall be
				reflected in these written policy and procedures.
(1) The plan for environment shall include
				the following, as indicated by the clinical status of consumers served:
(A) Use of outdoor areas,
(B) Safety, security, and sanitation
				needs,
(C) Areas to accommodate a
				range of social activities,
(D)
				Areas offering privacy to the individual to be alone or talk with staff,
				family, or others, and
(E)
				Facilities shall be appropriately furnished and supplied with materials and
				equipment suited to the age and physical status of consumers served.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 25 - Special Populations › Section 450:60-25-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 60 - Standards and Criteria for Certified Eating Disorder Treatment Programs › Subchapter 25 - Special Populations › Section 450:60-25-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1617,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff
				  7-1-07