New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.5 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
As used in this Part, unless otherwise indicated, the
				  following terms shall be applicable all programs providing outpatient
				  services:
(a) "Accrediting Body" means
				an entity approved by the federal Substance Abuse Mental Health Services
				Administration (SAMHSA) to accredit all programs pursuant to 42 CFR Part 8.1
				through 8.6 using opioid full agonist treatment medications.
(b) "Active treatment" is the period from
				pre-admission through discharge.
(c) "Admission assessment" is a service
				between a prospective patient and clinical staff for the purpose of determining
				a preliminary diagnosis, appropriateness for service, person-centered initial
				plan of treatment, including type(s) of services and frequency of
				services.
(d) "Ancillary
				withdrawal" is a service whereby patients in mild to moderate or persistent
				withdrawal receive symptom relief and/or addiction medications after an
				assessment of the level of withdrawal determined using a standardized
				assessment instrument. Providers must receive Office approved designation to
				provide this service.
(e) "Approved
				medications" means any medication approved by state or federal authorities for
				the treatment of substance use disorder.
(f) "Brief intervention" is a service between
				a prospective patient and clinical staff when screening results indicate at
				risk behavior. The brief intervention educates patients about their substance
				use, alerts them to possible consequences, and is intended to encourage
				healthier choices.
(g) "Brief
				treatment" is a service between an active patient and clinical staff and must
				include a target behavior or health need and an evidence-based or clinical
				practice upon which the treatment is based. Brief treatment may be used
				throughout the course of treatment to meet specific goals, motivate patients or
				support medicated supported recovery.
(h) "Central registry system" means the
				central registry established and maintained by the Office pursuant to section 19.16  of the Mental Hygiene Law.
(i)
				"Collateral person" is a member of a patient's family or household, significant
				others, or persons who are directly affected by regular interaction with the
				patient, or who have the capability to affect both the patient's substance use
				disorder and recovery.
(j)
				"Collateral visit" is a service between a clinical staff member and a
				collateral person for the purpose of providing an intervention in the service
				of the primary patient's progress in treatment.
(k) "Complex care coordination" is an
				ancillary service provided to a patient when a critical event occurs, or the
				individual's condition requires significant coordination with other service
				providers. Complex care coordination is distinguished from routine case
				coordination activities.
(l)
				"Continuing care treatment" is a treatment protocol that offers clinical
				support for the ongoing substance use management needs of patients. Patients
				have either completed the goals of active treatment and are discharged with
				referral to continuing care or opt for continuing care any time after
				discharge.
(m) "Group counseling"
				is a service between one or more clinical staff and multiple patients at the
				same time, to be delivered consistent with patient treatment/recovery plans,
				their development or emergent issues. Group counseling sessions must be
				structured in size and duration to maximize therapeutic benefit for each
				participant. Program policies must include a process for determining group
				size, group purpose, monitoring patient experience, and assessing group
				efficacy.
(n) "Individual
				counseling" is a service between a clinical staff member and a patient focused
				on the needs and goals of the patient to be delivered consistent with the
				treatment/recovery plan, its development or emergent issues.
(o) "Initial services or pre-admission
				services" are services prior to admission as the first step in developing a
				treatment/recovery plan, focusing on issues that need to be addressed to ensure
				successful engagement and admission into treatment and any other urgent or
				emergent issues. Initial/pre-admission services address priority goals based on
				presenting problem(s) identified during the patient's assessment and provide
				focus for the critical period of treatment engagement. Services which may be
				delivered preadmission will be identified by the Office.
(p) "Intensive outpatient services" (IOS) is
				an outpatient treatment service provided by a team of clinical staff for
				patients who require a time-limited, multi-faceted array of services,
				structure, and support to achieve and sustain recovery. Programs that offer
				intensive outpatient treatment must make available individual and group
				counseling, family counseling when appropriate, skills to mitigate
				reoccurrence, and coping skills training, including as appropriate, Dialectical
				and Behavioral Therapy (DBT), Motivational Enhancement Therapy (MET), Cognitive
				Behavioral Therapy (CBT) and increased connections to recovery supports and
				other evidence based practices as proven effective in meeting patient
				needs.
(q) "Medication
				administration and observation" is face-to-face administration or dispensing of
				a medication by medical staff, to be delivered in conjunction with observation
				of the patient prior to the administration and after, as appropriate to the
				medication and patient's condition.
(r) "Medication for addiction treatment"
				(MAT) means treatment of substance use disorder i.e., substance use disorder
				and concomitant conditions with medications requiring a prescription or order
				from an authorized prescribing professional with counseling and behavioral
				therapies, as clinically appropriate.
(s) "Medication management" is a service with
				a prescribing professional for one of the following purposes:
(1) evaluation, monitoring, observation or
				dosage change to a patient's medication;
(2) a comprehensive medication review of a
				new patient or any patient who requires a more extensive review; or
(3) the induction of a patient to a new
				medication requiring a period of patient observation.