reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 1 - General Provisions › Section 450:65-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This chapter sets forth the standards and
				criteria to be used in the certification of Gambling Treatment Programs, and
				implements 43A O.S. § 3-222 which authorizes the Board of Mental Health
				and Substance Abuse Services, or the Commissioner upon delegation by the Board,
				to certify Gambling Treatment Programs.
(b) The rules regarding the certification
				process, including but not necessarily limited to, application process, fees
				and administrative sanctions are found in the Oklahoma Administrative Code,
				Title 450, Chapter 1.
(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 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 1 - General Provisions › Section 450:65-1-3 - 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 24 Ok Reg 2623,
				  eff 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 1 - General Provisions › Section 450:65-1-4 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
This chapter is applicable to all CGAT programs which are
				  statutorily required to be certified by the ODMHSAS.
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 1 - General Provisions › Section 450:65-1-5 - Annual review of standards and criteria [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Revoked at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-1 - Gambling treatment professional requirements and privileging

Current through Vol. 41, No. 20, July 1, 2024
(a) Each CGAT provider shall use clinical
				privileging to identify gambling treatment professionals.
(b) Each CGAT provider shall have written
				policies and procedures to evaluate the professional qualifications of
				treatment professionals providing gambling treatment services.
(c) All gambling treatment services must be
				provided by gambling treatment professionals as defined in this
				chapter.
(d) Failure to comply with
				450:65-3-1 will result in the initiation of procedures to deny, suspend and/or
				revoke certification.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-2 - Treatment Services

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing gambling treatment services shall have a
				  group of services herein designated as core services. CGAT programs may have
				  specific additional services herein designated as optional services. Required
				  services include, but are not necessarily limited to:
(1) Screening;
(2) Assessment and diagnostic impression,
				ongoing;
(3) Treatment planning and
				revision, as necessary;
(4) Group,
				individual and family therapy;
(5)
				Case management;
(6) Education
				regarding gambling addiction, pathological gambling and related problems;
				and
(7) Discharge
				planning.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-3 - Assessment and diagnostic services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				CGAT providers' policies and procedures shall require that an assessment of
				each consumer's service needs is completed within four (4) sessions of
				initiation of services.
(b) CGAT
				policy and procedure shall require that a screening of each consumer's service
				needs is completed in a timely manner. An integrated screening shall include a
				screening of whether the consumer is a risk to self or others, including
				suicide risk factors,
(c) The
				following information shall be collected by the CGAT provider and recorded in
				each consumer's assessment, to be completed prior to implementation of the
				treatment plan. This shall include, but not be limited to, an assessment of the
				following areas and needs:
(1) Behavioral,
				including substance use, abuse and dependence as well as other addictive
				disorders;
(2) Emotional, including
				issues related to past or current trauma;
(3) Physical;
(4) Social and recreational; and
(5) Vocational.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-4 - Service planning

Current through Vol. 41, No. 20, July 1, 2024
(a) A service plan
				shall be completed for each consumer. The service plan is performed with the
				active participation of the consumer and a support person or advocate, if
				requested by the consumer. The service plan shall provide the formation of
				measurable service objectives and reflect ongoing changes in goals and
				objectives based upon consumer's progress or preference or the identification
				of new needs, challenges, and problems. The service plan shall be completed by
				a LBHP or Licensure Candidate.
(b)
				The service plan is developed after and based on information obtained in the
				assessment and includes the evaluation of the assessment information by the
				clinician and the consumer.
(c) The
				service plan must have an overall general focus on recovery which, for adults,
				may include goals like employment, independent living, volunteer work, or
				training, and for children, may include areas like school and educational
				concerns and assisting the family in caring for the child in the least
				restrictive level of care.
(d)
				Service plan updates should occur at a minimum of every six (6) months during
				which outpatient services are provided.
(e) Service plans, both comprehensive and
				update, must include dated signatures of the consumer (if over age 14), the
				parent/guardian (if the consumer is under age sixteen (16) and allowed by law),
				and the LBHP or Licensure Candidate. Signatures must be obtained after the
				service plan is completed.
(f)
				Compliance with 450:65-3-4 shall be determined by a review of the clinical
				records, interviews with staff and consumers, and other facility documentation.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-4.1 - 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 be signed
				by the service provider and include the service provider's credentials.
(c) Outpatient staff must document
				each visit or transaction, except for assessment completion or service plan
				development, including missed appointments.
(d) Compliance with 450:65-3-4.1 may be
				determined by a review of the following:
(1)
				Policies and procedures;
(2)
				Consumer records;
(3) Progress
				notes;
(4) Interviews with staff;
				and
(5) Other facility
				documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-5 - Individual, group and family therapy services

Current through Vol. 41, No. 20, July 1, 2024
(a) CGAT programs shall offer a range of
				services to consumers based on their needs regarding emotional, social and
				behavioral problems. Outpatien therapy services shall be provided and shall
				include, but not be limited to, the following:
(1) Individual therapy shall consist of a
				goal-oriented process in which the consumer is counseled by and in the presence
				of a gambling treatment professional, in accordance with the treatment plan, to
				relieve symptoms and resolve problems related to gambling disorders or
				problems.
(2) Group therapy shall
				consist of activities, directly related to the attainment of objectives as
				defined in the written treatment plan that the gambling treatment professional
				provides to a minimum of two consumers, non-related.
(3) Family therapy shall consist of sessions
				in which the identified gambler and a minimum of one other person in a
				committed relationship with the identified gambler, is counseled by a gambling
				treatment professional in accordance with the identified consumer's treatment
				plan.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-6 - Case management

Current through Vol. 41, No. 20, July 1, 2024
(a) Case management
				efforts shall empower consumers to access and use needed services and meet
				self-determined goals. These services include resource skills development and
				consumer advocacy provided in various settings based on consumer need.
(b) As allowed per Title 43A O.S.
				Section
				3-318,
				case management services shall be offered to all adults and children who have
				substance-related disorders, and to their family members, if applicable, to
				ensure access to needed services.
(c) Case management shall be co-occurring
				disorder capable.
(d) Case
				management services shall be planned referral, linkage, monitoring and support,
				and advocacy assistance provided in partnership with a consumer to support that
				consumer in self sufficiency and community tenure. Activities include:
(1) Completion of strengths based assessment
				for the purpose of individual plan of care development;
(2) Development of case management care plan
				which can be reflected as a part of the comprehensive service plan;
(3) Referral, linkage and advocacy to assist
				with gaining access to appropriate community resources;
(4) Contacts with other individuals and
				organizations that influence the recipient's relationship with the community,
				i.e., family members, law enforcement personnel, landlords, etc.;
(5) Monitoring and support related to the
				individual plan of care to reassess goals and objectives and assess progress
				and or barriers to progress;
(6)
				Follow-up contact with the consumer if they miss any scheduled appointments
				(including physician/medication, therapy, rehabilitation, or other supportive
				service appointments as delineated on the service plan); and
(7) Crisis diversion (unanticipated,
				unscheduled situation requiring supportive assistance, face-to-face or
				telephone, to resolve immediate problems before they become overwhelming and
				severely impair the individual's ability to function or maintain in the
				community) to assist consumer(s) from progression to a higher level of care.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-7

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-8 - Continuing care plan

Current through Vol. 41, No. 20, July 1, 2024
(a) In discharge
				planning, the facility shall assist the consumer to obtain services that are
				needed but not available within the facility and/or in transitioning from one
				program to another. Continuing care plans shall be developed with the knowledge
				and cooperation of the consumer.
(b) A written plan of recommendations and
				specific referrals for implementation of continuing care services shall be
				prepared for each consumer.
(c)
				Compliance with 450:65-3-8 may be determined by a review of the following:
(1) Policy and procedures;
(2) Continuing care plans;
(3) Discharge assessments;
(4) Discharge summaries;
(5) Progress notes;
(6) Consumer records;
(7) Interviews with staff and consumers; and
(8) Other facility documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-9 - Unplanned discharges

Current through Vol. 41, No. 20, July 1, 2024
Unplanned discharges may occur within the CGAT program for a
				  variety of reasons. Upon an unplanned discharge, a staff member shall be
				  identified to be responsible for follow-up and the facility should attempt to
				  ensure the following:
(1) Linkage to
				appropriate care;
(2) Referral for
				other needed services, when possible; and
(3) Follow-up should be documented in the
				consumer's record.
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-10 - Consumer records, basic requirement [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-11

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-12

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 3 - Gambling Treatment Services and Documentation › Section 450:65-3-13 - Peer recovery support services

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer recovery support services are an
				optional service within certified Gambling Treatment Programs. If provided, the
				facility shall have written policies specific to peer recovery support
				services.
(b) Peer recovery support
				services shall be provided in accordance with OAC 450: 53 and other provisions
				stipulated in OAC 450 and state statute and shall:
(1) Be based on an individualized,
				recovery-focused service philosophy that allows individuals the opportunity to
				learn to manage their own recovery and advocacy process;
(2) Recognize the unique value of services
				being provided by persons with lived experience who are able to demonstrate
				their own hopefulness and recovery;
(3) Enhance the development of natural
				supports, coping skills, and other skills necessary to function as
				independently as possible in the community, including, but not limited to
				assisting re-entry into the community after a hospitalization or other
				institutional settings.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-1 - Level of Care

Current through Vol. 41, No. 20, July 1, 2024
CGAT programs shall document the provision of gambling
				  treatment services at the outpatient level of care, and have written policies
				  and procedures. Written policies shall define the procedures for the
				  implementation of the mandates in Subchapter 3 of this
				  Chapter.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-2 - Gambling treatment services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Gambling treatment services shall be organized non-residential services with
				scheduled treatment sessions that accommodate employed and parenting consumers'
				schedules, offer treatment services during the day, evening, and
				weekends.
(b) The program shall be
				publicly accessible and accommodate office space, individual and group
				counseling space, secure records storage, protect consumer confidentiality and
				provide a safe environment. The gambling treatment program shall maintain
				written programmatic descriptions and policies and procedure that address these
				provisions.
(c) Hours of operation
				shall be during regularly scheduled times in which services are accessible to
				consumers and the general public, including those employed between the hours of
				8:00 a.m. and 5:00 p.m., Monday through Friday.
(d) For facilities that do not provide
				twenty-four (24) hour services, the facility's hours of operation shall be
				conspicuously displayed on the outside of the building. For facilities in
				multi-office buildings, the hours shall be posted either on the building
				directory or the facility's office door.
(e) The facility shall maintain written
				policy and procedures for handling medical emergencies and an emergency medical
				number shall be posted for use by staff.
(f) The facility shall have available
				specialized professional consultation or professional supervision.
(g) The facility shall maintain documentation
				that gambling treatment professionals are knowledgeable regarding problem and
				pathological gambling,, evidenced based practices, and counseling theory and
				techniques.
(h) The facility shall
				maintain documentation that gambling treatment professionals have received
				training in cultural-specific, age and gender-specific issues, and related
				counseling techniques.
(i) Staff
				shall be, at least, eighteen (18) years of age.
(j) The facility shall document in personnel
				records all education, training and experience stated above prior to providing
				direct care services.
(k)
				Compliance with 450:65-5-2 may be determined by a review of the following:
(1) Policy and procedures;
(2) Licenses;
(3) Treatment records;
(4) Interviews with staff and consumers;
				and
(5) Other supporting facility
				records.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-3 - Admission criteria

Current through Vol. 41, No. 20, July 1, 2024
(a) Admission to a
				CGAT program shall be determined by the gambling treatment professional in
				partnership with the consumer based on the problem gambling issues of the
				consumer.
(b) Compliance with
				450:65-5-3 may be determined by a review of the following:
(1) Policy and procedures;
(2) Admission protocols;
(3) Admission assessment
				instruments;
(4) Consumer
				records;
(5) Interviews with staff
				and consumers; and
(6) Other
				facility documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-4 - Discharge criteria

Current through Vol. 41, No. 20, July 1, 2024
(a) Discharge from
				a CGAT program shall be determined by the following:
(1) Discharge assessment to determine
				achievement of consumer's treatment goals and consumer's continued need for
				treatment services;
(2) Reduction
				in problem gambling behaviors for at least 30 days prior to discharge;
				and
(3) Completion of a Continuing
				Care Plan with linkage to community gambling support groups, or other community
				services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-5 - Consumer rights

Current through Vol. 41, No. 20, July 1, 2024
All CGAT programs shall comply with applicable rules in Title
				  450, Chapter 15, Consumer Rights.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-6 - Consumer grievance policy

Current through Vol. 41, No. 20, July 1, 2024
Each treatment facility shall comply with applicable rules in
				  Title 450, Chapter 15. Consumer Rights.
Added at 24 Ok Reg 2623,
				  eff 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 5 - Certified Gambling Treatment Programs › Section 450:65-5-7 - ODMHSAS advocate general

Current through Vol. 41, No. 20, July 1, 2024
The ODMHSAS Advocate General, in any investigation regarding
				  consumer rights shall have access to consumers, facility records and facility
				  staff as set forth in Title 450, Chapter 15.
Added at 24 Ok Reg 2623,
				  eff 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this subchapter is to set forth rules
				  regulating environmental, organizational, and managerial requirements for a
				  certified gambling addiction treatment program.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff
				  7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-3 - Standards for food service

Current through Vol. 41, No. 20, July 1, 2024
The following shall be applicable to CGAT which provide an
				  on-premise meal service:
(1) Storage,
				preparation and serving of food shall be in compliance with the requirements of
				the Oklahoma State Department of Health, regulations governing public feeding
				establishments.
(2) Dishwashing may
				be accomplished by either mechanical dishwashers or by approved manual methods.
				If mechanical dishwashers are used, the final rinse shall be in clear water of
				180 degrees Fahrenheit, or in compliance with the Oklahoma State Department of
				Health regulations. Manual procedures, if used, shall follow a written
				procedure which outlines the steps followed, temperature of cleaning and
				rinsing solutions, detergents and chemicals used, etc., and shall be
				specifically approved by the local or Oklahoma State Department of
				Health.
(3) Equipment used in the
				preparation and handling of food shall bear the seal of or document compliance
				with the National Sanitation Foundation (NSF) or equivalent, or with Oklahoma
				Department of Health standards or other appropriate regulatory body.
(4) Ice used in contact with food or drink
				shall come from a source approved by the Oklahoma State Department of Health.
				Transportation, storage, handling, and dispensing shall be in a sanitary manner
				approved by the Oklahoma State Department.
Added at 23 Ok Reg 1628,
				  eff 4-25-06 (emergency); Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok
				  Reg 2551, eff 7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-4

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-5

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-6

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-7

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-8

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 65 - Standards and Criteria for Gambling Treatment Programs › Subchapter 7 - Organizational and Facility Management › Section 450:65-7-9 - Community information, consultation, outreach and street outreach [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2623,
				  eff 7-12-07; Amended at 25 Ok Reg 2551, eff
				  7-11-08
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 1 - General Provisions › Section 450:70-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This chapter sets forth rules regulating program
				  requirements, activities, and services standards and criteria used in the
				  certification of facilities and organizations providing medication assisted
				  opioid treatment programs. The rules regarding the certification process,
				  including, but not limited to, the application process, fees, and
				  administrative sanctions are found in OAC 450:1, Subchapters 5 and 9. 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 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
					 Reg 1425, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 1 - General Provisions › Section 450:70-1-3 - 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 24 Ok Reg 2634, eff
					 7-12-07
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 1 - General Provisions › Section 450:70-1-4 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
(a) This chapter is applicable to all
				certified substance use disorder treatment facilities and organizations
				providing medication assisted opioid treatment programs, including opioid
				withdrawal or opioid maintenance using methadone and buprenorphine, short term
				withdrawal management, long term withdrawal management or interim maintenance
				services which are statutorily required to be certified and approved by the
				ODMHSAS, the Alcohol and Drug Abuse Prevention, Training and Rehabilitation
				Authority [43A O.S. § 3-601,(c)].
(b) Any conviction for a violation of any
				rule in this Part which has been promulgated pursuant to the provisions of 43A
				O.S. § 3-601 shall be a felony [43A O.S. § 3-601(B)].
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
					 Reg 1429, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 1 - General Provisions › Section 450:70-1-5 - Compliance review of standards and criteria [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Revoked at 30 Ok
					 Reg 1429, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 2 › Section 450:70-2-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
					 Reg 1430, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 2 › Section 450:70-2-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
					 Reg 1430, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 1 - RECORD SYSTEM › Section 450:70-3-1 - Purpose [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Revoked at 30 Ok
						Reg 1430, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 1 - RECORD SYSTEM › Section 450:70-3-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
						Reg 1430, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 1 - RECORD SYSTEM › Section 450:70-3-3 - Patient records, basic requirement [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
						Reg 1431, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 1 - RECORD SYSTEM › Section 450:70-3-3.1 - Transfer of persons served

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  refer persons served to other resources when the individual has treatment or
				  service needs the facility does not provide.
(1) The OTP shall maintain a directory of
				  currently available local resources.
(2) The transferring program must supply
				  clinical records necessary in response to a written request and a valid consent
				  form within fifteen (15) days of receipt and in compliance with all applicable
				  state and federal law.
(A) The program shall
				  furnish copies of clinical records requested, or a summary or narrative of the
				  records, including records received from a physician or other health care
				  provider involved in the care or treatment of the person served, pursuant to a
				  written consent for release of the information, except if the physician
				  determines that access to the information would be harmful to the physical,
				  mental, or emotional health of the person served, and the program may delete
				  confidential information about another person served or family member of the
				  person served who has not consented to the release.
(B) The information shall be furnished by the
				  program within fifteen (15) days after the date of receipt of the
				  request.
(C) If the program denies
				  the request, in whole or in part, the program shall furnish the person served a
				  written statement, signed and dated, stating the reason for the denial. A copy
				  of the statement denying the request shall be placed in the record of the
				  person served.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 1 - RECORD SYSTEM › Section 450:70-3-4

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 25 Ok
						Reg 2560, eff 7-11-08 ; Amended at 30 Ok Reg 1432, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5 - Assessment and record content - Medical

Current through Vol. 41, No. 20, July 1, 2024
(a) All OTPs shall assess each individual for
				  appropriateness for admission, ensuring the individual is placed in the least
				  restrictive level of care.
(b) Each
				  OTP shall ensure that persons served are admitted to treatment by a program
				  physician, who determines that such treatment is appropriate for the specific
				  person served by applying current and established DSM diagnostic and ASAM
				  criteria.
(c) The OTP shall have
				  written policy and procedure stating the program shall require each person
				  served to undergo a complete, fully documented history and physical examination
				  by the medical director, a program physician or physician with a valid Oklahoma
				  license before admission to the medication assisted opioid treatment program.
				  For the purposes of this chapter, a Physician Assistant or Nurse Practitioner,
				  with appropriate Oklahoma license/certification and working under the direction
				  and supervision of the OTP medical director may perform services allowed by
				  Oklahoma certification or licensure such as those listed here, unless otherwise
				  specified. A full medical examination, including the results of serology and
				  other tests, must be completed within fourteen (14) days following
				  admission.
(d) Compliance with
				  450:70-3-5 may be determined by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.1 - Assessment and record content - History

Current through Vol. 41, No. 20, July 1, 2024
(a) Persons served who have had a complete
				  history and physical including laboratory tests within the past three months
				  may be admitted to the OTP without a new medical examination and laboratory
				  tests, unless the program physician requests it. The admitting program shall
				  obtain copies of these results within fifteen (15) days of admission. If
				  records are not obtained within fifteen (15) days, the program shall conduct a
				  complete history and physical.
(b)
				  The OTP shall have written policy and procedure stating any FDA-approved
				  medications for use in treating a significant opioid use disorder when used by
				  an OTP for persons with a history of physiologic dependence, shall only be used
				  in treating persons with a history of symptoms of opioid use disorder as stated
				  in Title 43A, Section
				  3-601 A. 1. and as verified by
				  the medical director or a program physician through medical examination; or
				  persons with a history of dependence as stated in Title 43A, Section
				  3-601 A. 1. and written
				  documentation from an agency at which another type of substance use disorder
				  treatment was attempted or accomplished. Such documentation shall be received
				  prior to admission to the program and/or induction of any drug uses as a part
				  of an opioid treatment regimen. When buprenorphine is used to provide
				  medication assisted treatment in this setting, a one year history of opioid use
				  disorder or dependence shall be required.
(c) The OTP shall have written policy and
				  procedure stating that if clinically appropriate, the program physician may
				  waive the requirement as stated in Title 43A, Section
				  3-601 A.
1. for:
(1)
				  A person served within six (6) months of release from a correctional
				  institution;
(2) A person served
				  with a pregnancy verified by the program physician; or
(3) A person served having previously
				  received medication-assisted recovery services for an opioid use disorder and
				  within two (2) years of discharge from an OTP.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.2 - Assessment and record content - Symptoms

Current through Vol. 41, No. 20, July 1, 2024
(a) Any person served seeking admission while
				  under the influence, or undergoing withdrawal of alcohol or drugs other than
				  opioids shall be assessed prior to admission for medical needs. The written
				  criteria to be used for medical needs assessment shall be approved by the OTP
				  medical director and meet state and federal requirements regarding standards of
				  care.
(b) Using a standardized and
				  accepted instrument (such as the COWS Scale) no person served shall be admitted
				  to medication assisted opioid recovery services unless symptoms of opioid
				  dependency listed below are present with at least two symptoms coming from
				  numbers one (1) through seven (7);
(1)
				  Elevated resting pulse rate;
(2)
				  Increased sweating;
(3)
				  Tremors;
(4) Variation in pupil
				  size;
(5) Increased
				  yawning;
(6) Runny nose and/or
				  tearing;
(7) Presence of
				  "gooseflesh";
(8) Increased
				  restlessness;
(9) Bone and/or joint
				  pain;
(10) Increased anxiety or
				  irritability; or
(11)
				  Gastrointestinal distress.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.3 - Assessment and record content - Dispensed and prescribed pharmaceuticals

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure stating the clinical record shall contain
				  adequate documentation of any prescription medication, including methadone or
				  buprenorphine, that a person served may be taking, including the name of the
				  medication, the prescription number, the dose, the reason for prescribing, the
				  name of the prescribing doctor, the pharmacy's name and telephone number, the
				  date it was prescribed, and the length of time the person served is to be
				  taking the medication. A release of information to the prescribing physician
				  either by mail, facsimile or other acceptable electronic means allowing the
				  medical director to coordinate treatment and discuss medications.
(b) Compliance with
				  450:70-3-5.3 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.4 - Assessment and record content - Level of care

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure stating that persons served with two (2) or more unsuccessful managed
				  withdrawal episodes within a twelve (12) month period must be assessed by the
				  medical director or a program physician for identification of need for other
				  forms of treatment. An OTP shall not admit a person served for more than two
				  (2) withdrawal management episodes in one (1) year.
(b) Compliance with these standards and
				  criteria may be determined by a review of the following:
(1) Policy and Procedures,
(2) Review of all facility records,
				  and
(3) Investigations, site
				  visits, treatment protocols, clinical records, clinical service manuals and
				  certification reviews.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.5 - Assessment and record content - Care of minors

Current through Vol. 41, No. 20, July 1, 2024
(a) Written approval from a parent or
				  guardian for a person served under the age of eighteen (18) admitted to
				  maintenance treatment shall be obtained if required by law. If a minor is
				  eligible to self-consent to treatment pursuant to state law, written approval
				  from a parent or guardian is not required.
(b) Compliance with
				  450:70-3-5.5 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.6 - Assessment and record content - Central registry

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure outlining the requirement for the reporting of persons receiving
				  medication assisted opioid treatment to the ODMHSAS. This report to the Central
				  Registry shall be made electronically as requested by the Department and within
				  twenty-four (24) hours of admission, change of medical status or discharge of
				  any person served.
(b) Compliance
				  with 450:70-3-5.6 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.7 - Assessment and record content -Consent and admission information

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure stating the admission requirements for opioid
				  treatment programs.
(b) All
				  applicants for medication assisted opioid treatment shall sign a written
				  consent for opioid treatment in the primary language of the
				  applicant.
(c) The admission
				  information shall contain, but not be limited to, the following:
(1) Date of initial contact requesting
				  services;
(2) Identification
				  information, including the name, home address, and telephone number of the
				  person served;
(3) Referral
				  source;
(4) Mental status
				  examination and findings;
(5)
				  History and physical information;
(6) Family to be notified in case of
				  emergency; and