Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 18 - Standards and Criteria for Substance Related and Addictive Disorder Treatment Services › Subchapter 13 - Substance Use Disorder Treatment Services › Part 21 - HALFWAY HOUSE SERVICES FOR PERSONS WITH DEPENDENT CHILDREN AND PREGNANT WOMEN, ASAM LEVEL 3.1 › Section 450:18-13-201 - Halfway house services for persons with dependent children and pregnant women

Current through Vol. 41, No. 20, July 1, 2024
(a) Halfway house
				  services for persons with dependent children and pregnant women shall provide
				  substance use disorder treatment services in a residential setting and shall
				  include a planned regimen of twenty-four (24) hour, seven (7) days a week,
				  supervised living arrangements, to include professionally directed evaluation,
				  care, and treatment, under a defined set of policy and procedures, in a
				  permanent setting.
(b) Each
				  facility shall maintain written programmatic descriptions and operational
				  methods addressing the following:
(1)
				  Environment: The facility shall be a freestanding facility providing
				  family-style living arrangements, indoor recreational space for children and
				  families, and safe, protected outdoor recreational space. The facility shall
				  provide materials and space appropriate for ages of children receiving
				  services. The facility shall provide a safe, welcoming, and culturally/age
				  appropriate environment.
(2)
				  Support system:
(A) A licensed physician
				  shall be available by telephone twenty-four (24) hours per day, seven (7) days
				  a week;
(B) The facility shall
				  ensure children's access to the fullest possible range of medical services
				  available, such as health screening, well-child health care, screening in
				  speech, language, hearing, and vision, and verification of immunization
				  records;
(C) The facility shall
				  have access to emergency health care provided as necessary. The facility shall
				  maintain written policy and procedures for handling medical emergencies which
				  are approved by the licensed physician, and an emergency medical number shall
				  be conspicuously posted for staff use;
(D) The facility shall have access to public
				  schools for school age children, and facilitation of the child's receiving the
				  benefits of Public Laws 99-142; and
(E) The facility staff shall document a
				  liaison with the local Oklahoma Department of Human Service (OKDHS) offices to:
(i) Promote preservation of families;
(ii) In cases of investigation of
				  abuse, provide instruction in positive parenting behavior, if requested by the
				  Oklahoma Department of Human Services (OKDHS) and with parental consent,
				  provide daily observations of parent-child interaction;
(iii) Expedite investigations in a timely
				  manner; and
(iv) Ensure prompt
				  facility response to situations which require immediate intervention.
(3) Staff:
(A) Service providers shall be knowledgeable
				  regarding Biopsychsocial dimensions of substance use disorder, evidenced-based
				  practices, culture, age, and gender related issues, co-occurring disorder
				  issues, and services for infants, toddlers, preschool, and school-age children.
(B) Service providers are
				  minimally trained in:
(i) Trauma issues,
				  identification of domestic violence, spousal or partner abuse, and child abuse
				  and neglect, with special emphasis on failure to thrive and sexual abuse of
				  children.
(ii) Child development
				  and age appropriate behaviors.
(iii) Parenting skills appropriate to
				  infants, toddlers, pre-school, and school age children.
(iv) The impact of substances and substance
				  use disorders on parenting and family units.
(C) Service providers working with children
				  shall be knowledgeable and demonstrate job appropriate functional comprehension
				  of:
(i) The impact of prenatal drug and
				  alcohol exposure on child development.
(ii) The effect of substance use disorders on
				  parenting, children, and families.
(iii) Parenting skills appropriate to
				  infants, toddlers, pre-school, and school age children.
(iv) Common child behavioral and
				  developmental problems.
(v)
				  Appropriate play activities according to developmental stage.
(vi) Recognition of sexual acting out
				  behavior.
(vii) The substance use
				  disorder recovery process, especially as related to family units.
(D) The facility shall have staff
				  members on site and awake twenty-four (24)hours per day, seven (7) days per
				  week;
(E) Staff shall be
				  knowledgeable regarding facility-required education and training requirements
				  and policies; and
(F) The facility
				  shall document in personnel records all education, training, and experience
				  stated above prior to the provision of direct care services.
(4) Treatment services:
(A) Daily (twenty-four [24] hours a day,
				  seven [7] days a week) substance use disorder services shall be provided to
				  assess and address individual needs of each consumer. Services shall include,
				  but are not limited to, those specified at
				  450:18-13-101(b)(3).
				  Documentation shall reflect each consumer received and/or was offered, at
				  minimum, individual, group, and/or family therapy, rehabilitation services,
				  care management services and, if appropriate, peer recovery support services
				  and crisis intervention services.
(B) Services may be provided to dependent
				  children by providers certified under this Chapter when provided to address the
				  impacts related to the parent's addiction; however, compliance with separate
				  provider qualifications may be required for treatment services provided to
				  dependent children, in accordance with OAC 450 and Title 43A of the Oklahoma
				  Statutes. Services for children shall be provided in accordance with the
				  child's service plan consisting of, but not limited to, assessment and therapy,
				  according to the development of the child. Documentation of all needs
				  identified for each child shall be identified on that child's case management
				  service plan and/or service plan.
(C) Children's services, excluding infants,
				  shall be provided which address the significant issues and needs documented in
				  either or both the child's and the parent's assessment and shall utilize both
				  structured and unstructured therapeutic activity. Services shall address the
				  significant issues and needs documented in the parent's or child's assessment
				  and create and enhance positive self image and feelings of self-worth, promote
				  family unity, teach personal body safety and positive school interactions, and
				  to prevent alcohol, tobacco, and other drug use;
(D) Infant services, ages birth to three (3)
				  years of age, shall be provided and shall consist, at a minimum, of
				  developmentally appropriate parent-child bonding (interactive) activities and
				  play therapy as determined by mother's service plan; and
(E) Case management services for each adult
				  and each child shall be provided, which include the assessment of and planning
				  and arranging for recovery needs.