reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 3 - Peer Recovery Support Specialists Certification Application › Section 450:53-3-5 - Fitness of applicants

Current through Vol. 41, No. 20, July 1, 2024
(a) The purpose of
				this section is to establish the fitness of the applicant as one of the
				criteria for approval of certification as a Certified Peer Recovery Support
				Specialists and to set forth the criteria by which the Commissioner or designee
				shall determine the fitness of the applicants.
(b) The substantiation of any of the
				following items related to the applicant shall be, as the Commissioner or
				designee determines, the basis for the denial of or delay of certification of
				the applicant:
(1) Lack of necessary skills
				and abilities to provide adequate services;
(2) Misrepresentation on the application or
				other materials submitted to the Department;
(3) Any action that would otherwise be
				considered a violation of the rules of professional conduct set forth in this
				Chapter; or
(4) Certain felony
				conviction(s), as determined by the Department.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 5 - Peer Recovery Support Specialists Certification, Training, Exam and Ceu's › Section 450:53-5-1 - Peer Recovery Support Specialists minimum education requirements

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this section is to delineate the training
				  requirements for the Certified Peer Recovery Support Specialists.
(1) The Department shall have the authority
				and responsibility for providing Peer Recovery Support Specialists training
				classes a minimum of three times during the year.
(2) Request for attending the certification
				training must be made to the Department fourteen (14) days prior to the
				beginning of scheduled classes.
(3)
				In order to fulfill the certification training requirements, an applicant must
				attend and complete a forty (40) hour PRSS training block covering various
				aspects of recovery, ethics and/or boundaries, mental health and substance
				abuse as specified by the Department.
(4) Applicants must attend the entire forty
				(40) hour training block. Absences are excused only for emergencies. An absence
				lasting over one day shall cause the trainee to be subject to retaking the
				entire forty (40) hour training block at the next scheduled training
				course.
(5) Applicants are
				responsible for completing homework during the forty (40) hour training
				block.
(6) Applicants must be able
				to demonstrate their ability to verbally share their recovery journey with
				others in a safe, concise, and trauma-informed manner.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 5 - Peer Recovery Support Specialists Certification, Training, Exam and Ceu's › Section 450:53-5-2 - Peer Recovery Support Specialists certification examination

Current through Vol. 41, No. 20, July 1, 2024
Examinations shall be held at such times, at such places and
				  in such manner as the Commissioner or designee directs. The examination shall
				  cover such technical, professional and practical subjects as relate to the
				  practice of a Certified Peer Recovery Support Specialist.
(1) Certification exams consist of a written
				exam covering all aspects of the training block.
(2) An applicant must score at least a
				seventy-five percent (75%) to pass the exam and be certified. A score of
				seventy-four percent (74%) or less will result in an applicant being required
				to test again at the next scheduled test date, or at a time and manner approved
				by the Commissioner or designee .
(3) Applicants who fail to complete and pass
				the certification exam within six (6) months of application must reapply.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 5 - Peer Recovery Support Specialists Certification, Training, Exam and Ceu's › Section 450:53-5-3 - Continuing education requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Certified Peer Recovery Support Specialists must complete twelve (12) hours of
				continuing education per year and submit documentation of attendance for the
				continuing education to the Department annually.
(b) The Department will use the following
				criteria to determine approval of acceptable CEU courses:
(1) Provides information to enhance delivery
				of Peer Support Services and has been approved by Commissioner or designee ; or
(2) Is a required undergraduate or
				graduate course in a behavioral health related field and pertains to direct
				interaction with consumers (three (3) hours of course work is equal to twelve
				(12) hours of CEUs); and
(3) At
				least three (3) of the continuing education hours must be in ethics.
(4) Continuing education accrual from
				teaching continuing education or sharing recovery stories may also be accrued
				when the C-PRSS teaches in programs such as seminars, workshops and
				conferences, or shares lived experience in settings such as community events,
				public forums, and news articles, when the content conforms to Peer Support and
				is not a required part of the C-PRSS regular employment. No more than three (3)
				hours of continuing education may be accrued per year through teaching and
				sharing activities.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-1 - Responsibility

Current through Vol. 41, No. 20, July 1, 2024
It shall be the responsibility of Certified Peer Recovery
				  Support Specialists, in their commitment to assist consumers in regaining
				  control of their lives and recovery processes, to value objectivity and
				  integrity, and in providing services, to strive to maintain the highest
				  standards of their profession. Certified Peer Recovery Support Specialists
				  shall accept responsibility for the consequences of their work and make every
				  effort to ensure that their services are used appropriately. Certified Peer
				  Recovery Support Specialists shall not participate in, condone, or be
				  associated with dishonestly, fraud, deceit or misrepresentation. Certified Peer
				  Recovery Support Specialists shall not exploit their relationships with
				  consumers for personal advantage, profit, satisfaction, or
				  interests.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-2 - Competence and scope of practice

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer
				Recovery Support services are an EBP model of care which consists of a
				qualified peer recovery support provider (PRSS) who assists individuals with
				their recovery from mental illness and/or substance use disorders .
(b) A C-PRSS must possess knowledge about
				various mental health settings and ancillary services (i.e., Social Security,
				housing services, and advocacy organizations). Certified Peer Recovery Support
				Specialist (C-PRSS) provides peer support services; serves as an advocate;
				provides information and peer support. The C-PRSS performs a wide range of
				tasks to assist consumers in regaining control of their lives and recovery
				processes. The C-PRSS will possess the skills to maintain a high level of
				professionalism and ethics in all professional interactions. Examples of a
				PRSS' scope of practice would including the following:
(1) Utilizing their knowledge, skills and
				abilities the PRSS will:
(A) Teach and mentor
				the value of every individual's recovery experience;
(B) Model effective coping techniques and
				self-help strategies;
(C)
				Prioritize self-care and role model that recovery is possible for all people.
(D) Assist service recipients in
				articulating personal goals for recovery;
(E) Assist service recipients in determining
				the objectives needed to reach his/her recovery goals;
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-3 - Proficiency

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Support: C-PRSS shall practice only
				within the boundaries of their competence, based on their education, training,
				supervised experience, state credentials, and appropriate professional and
				personal experience.
(b) Specialty:
				C-PRSS shall not represent themselves as specialists in any aspect unless so
				designated.
(c) Impairment: C-PRSS
				shall not offer or render professional services when such services may be
				impaired by a personal physical, mental or emotional condition(s). C-PRSS
				should seek assistance for any such personal problem(s) with their physical,
				mental or emotional condition, and, if necessary, limit, suspend, or terminate
				their professional activities. If any C-PRSS possesses a bias, disposition,
				attitude, moral persuasion or other similar condition that limits their ability
				to provide peer recovery support services in that event the they shall not
				undertake to provide services and will terminate the relationship in accordance
				with these rules.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-4 - Wellbeing of the people served

Current through Vol. 41, No. 20, July 1, 2024
(a)
Discrimination.
C-PRSS shall not, in the rendering of their
				professional services, participate in, condone, or promote discrimination on
				the basis of race, color, age, sexual orientation, gender, religion, diagnosis,
				behavioral health condition or national origin.
(b)
Confidentiality.
C-PRSS
				shall maintain the confidentiality of any information received from any person
				or source about a consumer , unless authorized in writing by the consumer or
				otherwise authorized or required by law or court order. C-PRSS shall be
				responsible for complying with the applicable state and federal regulations in
				regard to the security, safety and confidentiality of any counseling record
				they create, maintain, transfer, or destroy whether the record is written,
				taped, computerized, or stored in any other medium.
(c)
Dual relationships.
C-PRSS
				shall not knowingly enter into a dual relationship(s) and shall take any
				necessary precautions to prevent a dual relationship from occurring. When the
				C-PRSS reasonably suspects that he or she has inadvertently entered into a dual
				relationship the C-PRSS shall record that fact in the records of the affected
				person(s) and take reasonable steps to eliminate the source or agent creating
				or causing the dual relationship. If the dual relationship cannot be prevented
				or eliminated and the C-PRSS cannot readily refer the person to another C-PRSS,
				the C-PRSS shall complete the following measures as necessary to prevent the
				exploitation of the person and/or the impairment of the C-PRSS's professional
				judgment:
(1) Consult with the C-PRSS
				supervisor to understand the potential impairment to the C-PRSS's professional
				judgment and the risk of harm to the person of continuing the dual
				relationship.
(2) Fully disclose
				the circumstances of the dual relationship to the consumer and secure the
				consumer's written consent to continue providing services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-5 - Professional standards

Current through Vol. 41, No. 20, July 1, 2024
(a) It shall be the
				responsibility of Certified Peer Recovery Support Specialists (C-PRSS), in
				their commitment to peer support, to value self-determination, and in providing
				peer services, and to strive to maintain the highest standards of their
				profession.
(b) C-PRSS shall accept
				responsibility for the consequences of their work and make every effort to
				ensure that their services are used appropriately.
(c) It shall be unprofessional conduct for a
				C-PRSS to violate a state or federal statute, if the violation directly relates
				to the duties and responsibilities of the C-PRSS or if the violation involves
				moral turpitude.
(d) C-PRSS shall
				not render peer recovery support services while under the influence of alcohol
				or illegal drugs or misused substances or disruptive symptoms .
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-6 - Reimbursement for services rendered

Current through Vol. 41, No. 20, July 1, 2024
Certified Peer Recovery Support Specialists shall be
				  reimbursed for Recovery Support Services only if employed by the State, by
				  behavioral health services providers or an advocacy agency contracting with the
				  state to provide behavioral health services. Reimbursement for services
				  rendered will not be collected outside of the agency's system of service
				  reimbursement.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-7 - Failure to comply

Current through Vol. 41, No. 20, July 1, 2024
A Certified Peer Recovery Support Specialists who does not
				  comply with the Rules of Professional Conduct shall be guilty of unprofessional
				  conduct and subject to disciplinary action.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-8 - Personal Problems and Conflicts

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Certified Peer Recovery Support Specialists shall refrain from initiating an
				activity when they know or should know that there is a substantial likelihood
				that their personal problems will prevent them from performing their
				work-related activities in a competent manner.
(b) When Certified Peer Recovery Support
				Specialists become aware of personal problems that may interfere with their
				performing work-related duties adequately, they should take appropriate
				measures, such as obtaining professional consultation or assistance, and
				determine whether they should limit, suspend, or terminate their work-related
				duties.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 7 - Rules of Professional Conduct › Section 450:53-7-9 - C-PRSS Supervision

Current through Vol. 41, No. 20, July 1, 2024
All C-PRSS shall report to a supervisor that has successfully
				  completed an ODMHSAS approved Supervising PRSS Training.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 9 - Enforcement › Section 450:53-9-1 - Enforcement

Current through Vol. 41, No. 20, July 1, 2024
(a) ODMHSAS may deny the certification of any
				person to be a Certified Peer Recovery Support Specialists who fails to qualify
				for, or comply with, the provisions of this Chapter.
(b) ODMHSAS may reprimand, suspend, revoke or
				deny renewal of the certification of a person who fails to qualify for or
				comply with the provisions of this Chapter.
(c) In the event ODMHSAS determines action
				should be taken against any person certified under this Chapter, the proceeding
				shall be initiated pursuant to the rules of ODMHSAS as set forth in Oklahoma
				Administrative Code, Title 450, Chapter 1, Subchapter 5 and the Administrative
				Procedures Act.
Added at 28 Ok Reg 912,
				  eff 7-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 9 - Enforcement › Section 450:53-9-2 - Reasons to deny, revoke or suspend certification

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department may deny, revoke, suspend
				or place on probation any certification issued pursuant to the provisions of
				43A O.S. § 3-326 to a Peer Recovery Support Specialist, if the person has:
(1) Engaged in fraud or deceit in connection
				with services rendered or in establishing needed qualifications to the
				provisions of the law;
(2) Engaged
				in unprofessional conduct as defined by the rules established by
				ODMHSAS;
(3) Engaging in negligence
				or wrongful actions in the performance of his/her duties; or
(4) Misrepresented any information required
				in obtaining a certification.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 53 - Standards and Criteria for Certified Peer Recovery Support Specialists › Subchapter 11 - Grandfathering › Section 450:53-11-1 - Grandfathering

Current through Vol. 41, No. 20, July 1, 2024
(a) Upon request, individuals Credentialed as
				Peer Recovery Support Specialists by the Oklahoma Department of Mental Health
				and Substance Abuse Services as of June 1, 2009 through the effective date of
				this Chapter shall be issued Certification as a Certified Peer Recovery Support
				Specialist as provided in this Chapter.
(b) Upon request, individuals Credentialed as
				Peer Recovery Support Specialists by the Oklahoma Department of Mental Health
				and Substance Abuse Services from December 1, 2004 through May 31, 2009 that
				have demonstrated providing peer support in their employment, volunteerism or
				advocacy to others as peers shall be issued Certification as a Certified Peer
				Recovery Support Specialist as provided in this Chapter.
Added at 28 Ok Reg 912,
				  eff 7-1-11
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 1 - General Provisions › Section 450:55-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This Chapter implements 43A O.S. §
				3-319, which authorizes the Board of Mental Health and Substance Abuse
				Services, or the Commissioner upon delegation by the Board, to certify programs
				of assertive community treatment. Section 3-319 requires the Board to
				promulgate rules and standards for certification of facilities or organizations
				that desire to be certified.
(b)
				The rules regarding the certification procedures including applications, 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 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 1 - General Provisions › Section 450:55-1-3 - 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 PACT programs as stated in each
				  subchapter.
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 3 - Program Description And Pact Services › Section 450:55-3-1 - General program description and target population

Current through Vol. 41, No. 20, July 1, 2024
A PACT must be a self-contained clinical program that assures
				  the fixed point of responsibility for providing treatment, rehabilitation and
				  support services to consumers with serious mental illnesses. The PACT team
				  shall use an integrated service approach to merge clinical and rehabilitation
				  staff expertise, such as psychiatric, substance abuse, employment, within one
				  service delivery team, supervised by a qualified program director. Accordingly,
				  there shall be a minimal referral of consumers to other program entities for
				  treatment, rehabilitation, and support services. The PACT staff is responsible
				  to ensure services are continuously available in natural settings for the
				  consumer in a manner that is courteous, helpful and
				  respectful.
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 3 - Program Description And Pact Services › Section 450:55-3-2 - Admission criteria

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT
				program shall maintain written admission policies and procedures that, at a
				minimum include the following:
(1) First
				priority shall be given to people designated by the ODMHSAS as needing PACT
				services. The remaining priority shall be given to people with a primary
				diagnosis of schizophrenia or other psychotic disorders, such as
				schizoaffective disorder or bipolar disorder with psychotic features as defined
				by the current DSM. Individuals without a psychotic disorder shall be evaluated
				and admitted based on the consumer's need. Admission determination and
				admission shall occur within five (5) days of receipt of the referral unless
				the individual is admitted or engaged in Health Home High services with the
				agency, in which case the admission determination and admission shall occur no
				later than fifteen days of receipt of the referral.
(2) At least four psychiatric
				hospitalizations in the past 24 months or cumulative lengths of stays totaling
				over 30 days in the past 24 months which can include admissions to
				Community-Based Structured Crisis Care; or frequent psychiatric ER, Urgent
				Recovery Clinic (URC) and/or CBSCC encounters, or incarcerated and receiving
				mental health care, or are under an Assisted Outpatient Treatment order for
				PACT services and with at least three (3) of the following:
(A) Persistent or recurrent severe affective,
				psychotic or suicidal symptoms;
(B)
				Coexisting substance abuse disorder greater than six (6) months;
(C) High risk of or criminal justice
				involvement in the past 12 months which may include frequent contact with law
				enforcement personnel, incarcerations, parole or probation;
(D) Homeless, imminent risk of being homeless
				or residing in substandard or unsafe housing;
(E) Residing in supported housing but
				clinically assessed to be able to live in a more independent living situation
				if intensive services are provided; or requiring supported housing if more
				intensive services are not available;
(F) Inability to participate in traditional
				office-based services or evidence that they require a more assertive and
				frequent non-office based services to meet their clinical needs;
(G) Inability to consistently perform the
				range of practical daily living tasks required for basic adult functioning in
				the community.
(3)
				Individuals with a sole primary diagnosis of substance abuse, brain injury, or
				Axis II disorders are not appropriate for PACT.
(4) Individuals with a history of violent
				behaviors may or may not be considered for admission.
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 3 - Program Description And Pact Services › Section 450:55-3-3 - Total case load and admission rate

Current through Vol. 41, No. 20, July 1, 2024
(a)
				The PACT program shall maintain written policies and procedures that at a
				minimum assure compliance with the following:
(1) A staff-to-consumer ratio of no more than
				ten (10) consumers for each staff person. The psychiatrist and program
				assistant are not included in determining the staff-to-consumer ratio;
				and
(2) A limit of no more than 120
				consumers on a PACT team case load at one time.
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 3 - Program Description And Pact Services › Section 450:55-3-4 - Discharge criteria

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT shall
				maintain written discharge policies and procedures that at a minimum include
				the following discharge criteria:
(1) The
				consumer and program staff mutually agree to the termination of services after
				all attempts to engage the consumer in the program fail; or
(2) The consumer moves outside the geographic
				area covered by the team. In such cases, the PACT team shall arrange for
				transfer of mental health service responsibility to a provider where the
				consumer is moving. The PACT team shall maintain contact with the consumer
				until the service transfer is arranged; or
(3) The consumer demonstrates an ability to
				function in all major role areas, i.e., work, social, self-care, without
				requiring assistance from the program. Such a determination shall be made by
				both the consumer and the PACT team; or
(4) The consumer becomes physically unable to
				benefit from the services.
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 3 - Program Description And Pact Services › Section 450:55-3-5 - Hours of operation and staff coverage

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT program shall assure adequate
				coverage to meet consumers' needs including but not limited to:
(1) The PACT team shall be available to
				provide treatment, rehabilitative and support services seven days per week,
				including holidays and evenings, according to the following:
(A) For weekdays, Monday through Friday, the
				PACT team hours of operation for a team size greater than 8 FTEs, excluding the
				psychiatrist, the APN and program assistant, shall be two overlapping
				eight-hour-shifts for a total of 10 hours of coverage per day and for a team
				size of 8 FTE or less , excluding the psychiatrist, the APN and program
				assistant, shall be a single eight-hour shift; with consumer needs as specified
				in the treatment plans driving any extended hours of operation.
(B) For weekends and holidays, regardless of
				the number of FTE's, for all teams, there shall be eight (8) hours of coverage
				per day with a minimum of one (1) clinical staff. Staff will be available on
				weekends and holidays as needed OR staff who are regularly scheduled to provide
				the necessary services on a client-by-client basis on weekends and holidays and
				evenings.
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 3 - Program Description And Pact Services › Section 450:55-3-6 - Service intensity

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT team
				is the primary provider of services and has the responsibility to meet the
				consumer's multiple treatment, rehabilitation and supportive needs with minimal
				referrals to external agencies or programs within the governing agency for
				services.
(b) The PACT team shall
				have the capacity to provide multiple contacts per week to consumers
				experiencing severe symptoms or significant problems in daily living.
(c) The PACT team shall minimally
				provide an average of three contacts per week for consumers.
(d) Each team shall provide at least 75
				percent of service contacts in the community, in non-office or non-facility
				based settings.
(e) For consumers
				whose service needs fall below an average of three contacts per week, a review
				to determine the need for transition out of PACT and continue in the Health
				Home or other outpatient services should be conducted no less than every six
				(6) months.
(f) The PACT team shall
				provide ongoing contact when permitted by consumers who are hospitalized for
				drug and alcohol, physical, or psychiatric reasons. To ensure continuity of
				care the PACT team shall:
(1) Assist in the
				admission process if at all possible;
(2) Have contact with the consumer and
				inpatient treatment providers within 48 hours of knowing of the inpatient
				admission to provide information, assessment, assist with the consumer's needs
				and begin discharge planning;
(3)
				Maintain a minimum of weekly face-to-face contact with the consumer and
				treatment team staff. If face-to-face contact is not possible, telephone
				contact is acceptable;
(4)
				Transition the consumer from the inpatient setting into the community;
				and
(5) Maintain at least three (3)
				face-to-face contacts per week for two weeks, or as often as clinically
				indicated, for consumers who are discharged from an inpatient facility. The
				team shall document any failed attempts.
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 3 - Program Description And Pact Services › Section 450:55-3-8 - Staff communication and planning

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT team shall have daily
				organizational staff meetings at regularly scheduled times as prescribed by the
				team leader. Daily organizational staff meetings shall be conducted in
				accordance with the following procedures:
(1)
				A review of the daily log, to update staff on the treatment contacts which
				occurred the day before and to provide a systematic means for the team to
				assess the day-to-day progress and status of all consumers;
(2) A review by the shift manager of all the
				work to be done that day as recorded on the daily staff assignment schedule.
				During the meeting, the shift manager shall assign and supervise staff to carry
				out the treatment and service activities scheduled to occur that day, and the
				shift manager shall be responsible for assuring that all tasks are completed;
				and
(3) Revise treatment plans as
				needed, plan for emergency and crisis situations, and add service contacts to
				the daily staff assignment schedule per the revised treatment plans.
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 3 - Program Description And Pact Services › Section 450:55-3-9 - Clinical supervision

Current through Vol. 41, No. 20, July 1, 2024
(a) Each PACT team
				shall have a written policy for clinical supervision of all staff providing
				treatment, rehabilitation, and support services. A component of the supervision
				shall include assisting all staff to have basic core competency in working with
				clients who have co-occurring substance abuse disorders. The team leader or a
				clinical staff designee shall assume responsibility for supervising and
				directing all PACT team staff activities. This supervision and direction shall
				minimally consist of:
(1) Periodic
				observation, in which the supervisor accompanies an individual staff member to
				meet with consumers in regularly scheduled or crisis meetings to assess the
				staff member's performance, give feedback, and model alternative treatment
				approaches; and
(2) Participation
				with team members in daily organizational staff meetings and regularly
				scheduled treatment planning meetings to review and assess staff performance
				and provide staff direction regarding individual cases.
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 3 - Program Description And Pact Services › Section 450:55-3-10 - Required services

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT
				program shall minimally provide the following comprehensive treatment,
				rehabilitation, and support services as a self-contained service unit on a
				continuous basis. The PACT program shall provide or make arrangements for
				treatment services, which shall minimally include:
(1)
Crisis intervention.
Crisis
				intervention shall be provided to individuals who are in crisis as a result of
				a mental health and/or substance abuse related problem.
(A) Crisis intervention services shall be
				provided in the least restrictive setting possible, and be accessible to
				individuals within the community in which they reside.
(B) Crisis assessment and intervention shall
				be provided 24 hours per day, seven days per week by the PACT team. These
				services will include telephone and face-to-face contact and will include
				mechanisms by which the PACT crisis services can be coordinated with the local
				mental health system's emergency services program as appropriate.
(C) Crisis intervention services shall
				include, but not be limited to, the following service components and each shall
				have written policy and procedures:
(i)
				Psychiatric crisis intervention; and
(ii) Drug and alcohol crisis
				intervention.
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 450:55-5-1 - Clinical record keeping system

Current through Vol. 41, No. 20, July 1, 2024
(a) Each
				PACT shall maintain an organized clinical record keeping system to collect and
				document information appropriate to the treatment processes. This system shall
				be organized with easily retrievable, usable clinical records stored under
				confidential conditions and with planned retention and disposition. For each
				consumer, the PACT team shall maintain a treatment record that is confidential,
				complete, accurate, and contains up-to-date information relevant to the
				consumer's care and treatment.
(b)
				The team leader and the program assistant shall be responsible for the
				maintenance and security of the consumer clinical records.
(c) The consumer's clinical records shall be
				located at the PACT team's main office and, for confidentiality and security,
				are to be kept in a locked file.
(d) Compliance with 450:55-5-1 shall be
				determined by on-site observation, a review of PACT policy, procedures or
				operational methods, clinical records and other PACT provided
				documentation.
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 5 - PACT Clinical Documentation › Section 450:55-5-2 - Basic requirements [REVOKED]

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 5 - PACT Clinical Documentation › Section 450:55-5-3 - Documentation of individual treatment team members

Current through Vol. 41, No. 20, July 1, 2024
(a) The clinical record shall document the
				team leader has assigned the consumer a psychiatrist or APN, primary case
				manager, and individual treatment team (ITT) members within one (1) week of
				admission.
(b) Compliance with
				450:55-5-3 shall be determined by on-site observation and a review of the
				following: clinical records and the PACT policy and procedures.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; 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 5 - PACT Clinical Documentation › Section 450:55-5-4 - Initial assessment and treatment plan

Current through Vol. 41, No. 20, July 1, 2024
(a) The initial assessment data shall be
				collected and evaluated by PACT team leader or appropriate staff designated by
				the team leader. Such assessments shall be based upon all available
				information, including self-reports, reports of family members and other
				significant parties, and written summaries from other agencies, including
				police, courts, and outpatient and inpatient facilities, where applicable,
				culminating in a comprehensive initial assessment. Consumer assessment
				information for admitted consumers shall be completed on the day of admission
				to the PACT.
(b) The initial
				treatment plan is completed on the day of admission and guides team services
				until the comprehensive assessment and comprehensive treatment plan is
				completed. Interventions from the initial treatment plan should be reported on
				the consumer weekly schedule card. The initial treatment plan shall include
				individualized goals and objectives and actively involve the consumer.
(c) Compliance with 450:55-5-4
				shall be determined by a review of the following: intake assessment instruments
				and other intake documents of the PACT program, clinical records and other
				agency documentation of admission materials or requirements.
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 5 - PACT Clinical Documentation › Section 450:55-5-5 - Comprehensive assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) The consumer's
				psychiatrist or APN, primary PACT case manager, and individual treatment team
				members shall prepare the written comprehensive assessment(s) within six (6)
				weeks of admission.
(b) The
				comprehensive assessment shall be based on information gathered and obtained
				from the ASI and CAR and include a written narrative report on the ODMHSAS
				approved comprehensive assessment form. The comprehensive assessment must also
				include a historical timeline by all team members under the supervision of the
				team leader.
(c) The historical
				timeline shall contain, but not be limited to psychiatric inpatient/outpatient
				services history:
(1) Timeline
				dates;
(2) Admission/Discharge
				dates;
(3)
				Institution/provider;
(4)
				Presenting problem/legal status;
(5) Diagnosis, symptoms, and significant
				events;
(6) Medications
(7) Services received; and
(8) Reasons for discharge.
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 450:55-5-6 - Treatment team meeting

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT team
				shall conduct treatment planning meetings under the supervision of the team
				leader, or designee. These treatment planning meetings shall minimally:
(1) Convene at regularly scheduled times per
				a written schedule maintained by the team leader; and
(2) Occur with sufficient frequency and
				duration to develop written individual consumer treatment plans and to review
				the individual treatment plan to discuss the consumer's progress and make any
				recommended changes or updates every six months and rewrite the treatment plans
				every 12 months.
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 450:55-5-7 - Treatment planning

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT team
				shall evaluate each consumer and develop an individualized comprehensive
				treatment plan within eight (8) weeks of admission, which shall identify
				individual needs and problems and specific measurable goals along with the
				specific services and activities necessary for the consumer to meet those goals
				and improve his or her capacity to function in the community. The treatment
				plan shall be developed in collaboration with the consumer or guardian when
				feasible. The consumer's participation in the development of the treatment plan
				shall be documented.
(b) Individual
				treatment team members shall ensure the consumer is actively involved in the
				development of treatment and service goals.
(c) The treatment plan shall clearly specify
				the services and activities necessary to meet the consumer's needs and who will
				be providing those services and activities.
(d) The following key areas shall be
				addressed in every consumer's treatment plan: symptom management, physical
				health issues, substance abuse, education and employment, social development
				and functioning, activities of daily living, and family structure and
				relationships.
(e) The primary case
				manager and the individual treatment team shall be responsible for reviewing
				and revising the treatment goals and plan whenever there are major decision
				points in the consumer's course of treatment, e.g., significant change in
				consumer's condition, etc., at least every twelve (12) months a new
				comprehensive treatment plan will be developed. The revised treatment plan
				shall be based on the results of a treatment planning meeting. The plan and
				review will be signed by the consumer, the primary case manager, individual
				treatment team members, the team leader, the psychiatrist, and all other PACT
				team members.
(f) The PACT team
				shall maintain written assessment and treatment planning policies and
				procedures to assure that appropriate, comprehensive, and on-going assessment
				and treatment planning occur.
(g)
				Compliance with 450:55-5-7 shall be determined by review of the 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 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 5 - PACT Clinical Documentation › Section 450:55-5-8 - Discharge

Current through Vol. 41, No. 20, July 1, 2024
(a) Documentation of consumer discharge shall
				be completed within 15 days of discharge and shall include all of the following
				elements:
(1) The reasons for
				discharge;
(2) The consumer's
				status and condition at discharge;
(3) A written final evaluation summary of the
				consumer's progress toward each of the treatment plan goals;
(4) If applicable, a plan developed in
				conjunction with the consumer for step-down/transition services within the
				facility's Health Home or referral to a different Health Home after
				discharge;
(5) Referral and
				transfer, preferably to another PACT team if available or to other mental
				health services; and
(6) The
				signature of the PACT consumer, if available or an explanation regarding the
				absence of the consumer's signature, and the team leader.
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 450:55-5-9 - PACT progress note

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT
				shall have a policy and procedure mandating the chronological documentation of
				progress notes. Every service that relates to the consumer's treatment shall be
				documented.
(b) 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.
(c) Progress notes must include
				the consumer's name, be signed by the service provider, and include the service
				provider's credentials.
(d)
				Compliance with 450:55-5-9 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; 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 5 - PACT Clinical Documentation › Section 450:55-5-10 - Medication record

Current through Vol. 41, No. 20, July 1, 2024
(a) The PACT shall
				maintain a medication record on all consumers who receive medications or
				prescriptions in order to provide a concise and accurate record of the
				medications the consumer is receiving or having prescribed.
(b) The consumer record shall contain a
				medication record with information on all medications ordered or prescribed by
				physician staff which shall include, but not be limited to:
(1) Name of medication;
(2) Dosage;
(3) Frequency of administration or prescribed
				change;
(4) Route of
				administration;
(5) Staff member
				who administered or dispensed each dose, or prescribing physician;
				and
(6) A record of pertinent
				information regarding adverse reactions to drugs, drug allergies, or
				sensitivities shall be updated when required by virtue of new information, and
				kept in a highly visible location in and on the outside of the chart.