reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 3 - Organization Structure and Administrative Operations › Part 7 - SPECIAL POPULATIONS › Section 450:27-3-62

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 1 - OPERATIONS TO SUPPORT CONTINUOUS PROGRAM MANAGEMENT › Section 450:27-5-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 1 - OPERATIONS TO SUPPORT CONTINUOUS PROGRAM MANAGEMENT › Section 450:27-5-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 3 - OPERATIONS FOR SERVICE DOCUMENTATION [REVOKED] › Section 450:27-5-21 - Clinical record keeping system [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 3 - OPERATIONS FOR SERVICE DOCUMENTATION [REVOKED] › Section 450:27-5-22 - Clinical record system; basic requirements [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 3 - OPERATIONS FOR SERVICE DOCUMENTATION [REVOKED] › Section 450:27-5-23 - Record access for clinical staff [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 5 - OPERATIONS FOR PROTECTION OF CONSUMER RIGHTS › Section 450:27-5-41

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 5 - OPERATIONS FOR PROTECTION OF CONSUMER RIGHTS › Section 450:27-5-42 - Consent for release of information

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility consent for releases of
				  information must comply with federal and state law, guidelines, and standards,
				  and with OAC
				  450:15-3-20.2.
				  Validity of written consent and releases of information.
(b) Compliance with 450:27-5-42 shall be
				  determined by a review of facility policies, clinical record forms, on-site
				  observation, and by review of clinical documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 5 - OPERATIONS FOR PROTECTION OF CONSUMER RIGHTS › Section 450:27-5-43 - Consumer Rights

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility
				  policies, procedures, and practices related to consumer rights must comply with
				  federal and state law, guidelines,
				  450:15-3-3.
				  Notification of the Bill of Rights, and
				  450:15-3-27.Synopsis
				  of the bill of rights, and other related provisions within OAC
				  450:15
.
(b) Compliance
				  with 450:27-5-43 shall be determined by a review of facility policies, clinical
				  record forms, on-site observation, and review of clinical
				  documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 5 - OPERATIONS FOR PROTECTION OF CONSUMER RIGHTS › Section 450:27-5-44 - Right to name a treatment advocate

Current through Vol. 41, No. 20, July 1, 2024
(a) As
				  applicable and provided for within state and federal law, policies, procedures,
				  and practices the facility shall establish provisions by which consumers shall
				  be informed of and be provided the right to name a treatment advocate as
				  stipulated in
				  450:15-3-28.
				  Right to name a Treatment Advocate.
(b) Compliance with 450:27-5-44 shall be
				  determined by a review of facility policies, clinical record forms, on-site
				  observation, and review of clinical documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 5 - Quality Management of Operations › Part 5 - OPERATIONS FOR PROTECTION OF CONSUMER RIGHTS › Section 450:27-5-45 - Consumer's grievance policy

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  facility shall have a written grievance policy and provisions to inform
				  consumers of their rights to file a grievance in accordance with
				  450:15-3-45.
(b) Compliance with 450:27-5-45 shall be
				  determined by a review of facility policies, clinical record forms, on-site
				  observation, and review of clinical documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-1 - Core behavioral health services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-2 - Screening services

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility policy
				  and procedure shall require that a screening of each potential consumer's
				  service needs be completed in a timely manner and specify timeframes within
				  which screenings will be initiated and completed.
(b) Policy should ensure the availability of
				  a basic screening for those who present regardless of funding source.
(c) Policy should describe
				  practices to be followed to ensure screenings are culturally appropriate,
				  include screening of whether the consumer is a risk to self or others,
				  including suicide risk factors, as well as maximize recognition of the
				  prevalence of co-occurring mental health and substance use disorders.
(d) Policies should also indicate
				  how referrals and linkages are facilitated on behalf of those determined
				  ineligible for facility services as identified in the screening process in
				  accordance with OAC
				  450:27-7-4.
(e) Procedures should reference how crises
				  are managed as those emerge in the screening process.
(f) Facility policy should specify the
				  minimal information to be collected and methods by which that is obtained for
				  clinically appropriate and responsive screenings.
(g) The consumer, family as appropriate, and
				  others as appropriate and approved by the consumer shall be an active
				  participant(s) in the screening process.
(h) Compliance with 450:27-7-2 shall be
				  determined by a review of clinical records, and policy and procedures.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-3 - Assessment services

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility
				  policies shall describe, upon determination of appropriate admission to the
				  facility service(s), the procedures by which assessment and admission occur.
(b) The consumer assessment shall
				  be completed by an LBHP or licensure candidate and shall include, but not be
				  limited to, the following information:
(1)
				  Behavioral, including mental health and addictive disorders;
(2) Emotional, including issues related to
				  past or current trauma and domestic violence;
(3) Physical/medical;
(4) Social and recreational; and;
(5) Vocational.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-4 - Screening and assessment services, access or referral to needed services

Current through Vol. 41, No. 20, July 1, 2024
(a) Facility policies and procedures
				  governing the screening and assessment services shall specify the following:
(1) The information to be obtained on all
				  applicants for referrals, in lieu of admissions;
(2) The procedure to be followed when an
				  applicant or referral is found to be ineligible for admission;
(3) The procedures for accepting referrals
				  from outside agencies or organizations;
(4) Methods of collection of information from
				  family members, significant others or other social service agencies;
(5) Methods for obtaining a physical
				  examination or continued medical care where indicated; and,
(6) Referral to other resources when the
				  consumer has treatment or other service needs the facility cannot
				  meet.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-5 - Ongoing assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility's
				  policies and procedures shall delineate the process, protocols, and timeframes
				  by which on-going clinical assessments occur.
(b) Compliance with 450:27-7-5 shall be
				  determined by a review of the clinical records and agency policies and
				  procedures.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-6 - Outpatient therapy services

Current through Vol. 41, No. 20, July 1, 2024
(a) Outpatient
				  services shall be provided and shall include a range of services to consumers
				  based on their needs regarding emotional, social and behavioral
				  problems.
(b) Outpatient therapy
				  services shall include one or more of the following:
(1) Individual therapy;
(2) Group therapy;
(3) Family therapy;
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 1 - REQUIRED SERVICES › Section 450:27-7-7 - Emergency services

Current through Vol. 41, No. 20, July 1, 2024
The facility shall provide accessible co-occurring
					 disorder capable response services for psychiatric and/or substance abuse
					 emergencies. Facility policies and procedures shall include no arbitrary
					 barriers to access emergency services based on active substance use or
					 designated substance levels.
(1)
				  Assessment and response to psychiatric and/or substance abuse emergencies shall
				  be available and provided directly by qualified facility staffbetween the hours
				  of 8:00am to 5:00pm, Monday through Friday or during the facility's hours of
				  operations, whichever is greater .
(2) Methods by which consumers and others can
				  access emergency services outside of the facility's scheduled hours/days of
				  operation shall be posted and visible to the public. This does not include
				  messages solely instructing clients to dial 9-1-1.
(3) Best practice diversion and crisis
				  intervention procedures should be utilized and stipulated in facility treatment
				  protocols.
(4) The facility shall
				  also provide arrangements for emergency services beyond the facility's
				  scheduled hours/days of operation for consumers admitted to their program. This
				  does not include solely instructing clients to dial 9-1-1.
(5) This service shall also include
				  availability of 24-hour referral to higher levels of care than those offered by
				  the facility, including but not limited to inpatient treatment. This does not
				  include solely instructing clients to dial 9-1-1.
(6) Referral services for additional
				  emergency services shall include actively working with local sheriffs and
				  courts regarding the appropriate referral process and appropriate court orders
				  (43A O.S. §§ 5-201 through 5-407).
(7) Compliance with 450:27-7-7 shall be
				  determined by a review of policy and procedures, referral agreements, emergency
				  contract records, staff schedules, and clinical records.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-21 - Additional treatment services

Current through Vol. 41, No. 20, July 1, 2024
(a) If the
				  facility provides the following additional services those shall be provided in
				  accordance with related standards described within OAC 450:27 and other
				  portions of OAC:450, as applicable.
(1) Case
				  Management Services;
(2) Medication
				  Services;
(3) Pharmacy
				  Services;
(4) Wellness Activities
				  and Supports;
(5) Behavioral Health
				  Rehabilitation Services;
(6) Day
				  treatment services for children and adolescents; and
(7) Peer Recovery Support
				  Services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-22 - Case management services

Current through Vol. 41, No. 20, July 1, 2024
(a) If
				  provided, case management services 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. These services include referral, linkage, monitoring and
				  support, and advocacy assistance provided in partnership with a client to
				  support that client in self sufficiency and community tenure. Needs should be
				  determined, at least in part, by completion of a strengths based assessment in
				  partnership with the consumer and family members, as applicable, and utilized
				  in the development of a a case management plan. The case management plan can be
				  incorporated in the overall services plan.
(b) If case management services are provided,
				  policies and procedures should articulate that a strengths based assessment for
				  the purpose of assisting in the development of an individual plan of care must
				  be completed.
(c) Compliance with
				  450:27-7-22 shall be determined by a review of policy and procedures and
				  clinical documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-23 - Case management services, staff credentials

Current through Vol. 41, No. 20, July 1, 2024
(a) If provided, case management services
				  will be delivered by qualified staff that are certified as a behavioral health
				  case manager pursuant to Oklahoma Administrative Code, Title 450, Chapter 50,
				  as permitted by OAC and state statute.
(b) Compliance with 450:27-7-23 shall be
				  determined by a review of the facility personnel records and credentialing
				  files.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-24 - Medication clinic services

Current through Vol. 41, No. 20, July 1, 2024
(a) If
				  provided, medication clinic services shall include an assessment of each
				  individual's condition and needs; and an assessment of the effectiveness of
				  those services.
(b) Medication
				  clinic services shall be co-occurring capable and shall utilize accepted
				  practice guidelines for psychophar-macologic management of co-occurring
				  disorders.
(c) The facility may
				  offer comprehensive medication clinic services to consumers in need of this
				  service, including, but not limited to:
(1)
				  Prescribing or administering medication, including evaluation and assessment of
				  the medication services provided.
(2) Medication orders and administration:
(A) Licensed physicians, medical residents or
				  consultant physicians shall write medication orders and prescriptions.
				  Physician's assistants and nurse practitioners may write medication orders, or
				  prescriptions consistent with state and federal law.
(B) A list of those physicians authorized to
				  prescribe medications shall be maintained and regularly updated.
(C) Only authorized licensed staff shall
				  administer medications.
(D) A list
				  of licensed staff members authorized to administer medications shall be
				  maintained and regularly updated.
(E) If physician's assistants and/or nurse
				  practitioners write medication orders, or prescriptions those functions are
				  performed consistent with state and federal law.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-25

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-26

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-27 - Peer recovery support services

Current through Vol. 41, No. 20, July 1, 2024
(a) 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.
(c) These services 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 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-28 - Peer Recovery Support Specialists, staff credentials

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Recovery Support Services shall be
				  provided only by staff certified as a Peer Recovery Support Specialist (PRSS)
				  in accordance with OAC 450:53.
(b)
				  The facility shall retain records to verify compliance with training and
				  certification requirements of each provider of this service.
(c) Compliance for 450:27-7-28 shall be
				  determined by a review of the facility personnel records.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-29 - Wellness services and supports

Current through Vol. 41, No. 20, July 1, 2024
(a) If
				  provided, the facility shall have written policies specific to wellness
				  services and supports.
(b) Wellness
				  services and supports shall be consumer-driven services to promote healthy
				  lifestyles and behaviors which may include and not be limited to smoking
				  cessation activities, exercise, stress management, and education on
				  nutrition.
(c) These services shall
				  be based on an individualized, recovery-focused service philosophy that allows
				  individuals the opportunity to learn to manage their own wellness.
(d) These services shall be provided by staff
				  credentialed by ODMHSAS as Wellness Coaches.
(e) Compliance for 450:27-7-29 shall be
				  determined by a review of the following: documentation of activities and
				  agreements; clinical records and policy and procedures.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-30 - Behavioral health rehabilitation services; general requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) Behavioral health rehabilitation
				  services, if provided, shall be organized as a separate programmatic unit
				  operated by the facility with extended hours offered two or more times per week
				  and/or as specifically arranged sessions on behalf of consumers in need of this
				  service.
(b) Facility policies and
				  procedures shall stipulate how rehabilitation services are organized and
				  provided.
(1) The facility shall describe the
				  behavioral health rehabilitation service components that optimize participants'
				  potential for occupational and/or educational achievement, goal setting, skill
				  development, and increased quality of life, therefore maximizing the
				  individual's independence and increased reliance on community and peer
				  support.
(2) The facility shall
				  design rehabilitation services specific the age and cultural needs of
				  participants, which can be children and/or adults.
(3) The facility shall establish in policy
				  and procedure and program descriptions, minimum staff ratios to assure
				  participants have choices in activities and staff with whom they
				  work.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-31 - Behavioral health rehabilitation services; rehabilitation unit programs

Current through Vol. 41, No. 20, July 1, 2024
(a) Behavioral health rehabilitation services
				  offered as separate programmatic unit shall provide sessions three or more
				  hours in length two or more times per week.
(b) The rehabilitation program(s) with
				  extended hours shall be designed to provide an array of services that focus on
				  long term recovery and maximize self-sufficiency, role functioning, and
				  independence as distinguished from the symptom stabilization function of acute
				  or other levels of care.
(c)
				  Individualized goals and personal preferences for consumers receiving this
				  service shall be specifically addressed on service plans.
(d) The service shall incorporate the
				  following functions and characteristics:
(1)
				  Recovery Orientation. The service elements include a recovery oriented service
				  plan, participant goal setting, employment and educational support services,
				  and a staff philosophy of recovery reinforced in service elements and
				  activities.
(2) Empowerment
				  Orientation. The service elements include peer support and, leadership skill
				  development.
(3) Competency
				  Orientation. The service elements include curriculum based life skills training
				  (covering self-management of illness, independent living skills, social skills,
				  and work related skills), a multi-dynamic learning approach, an explicit focus
				  on generalization to contexts beyond the immediate learning task and transfer
				  of skills to real life situations and a community based supports component that
				  provides on-going in home or community based support services, based on
				  consumer need and choice, in the areas of housing, employment, education and
				  the development of natural supports (i.e., family, cultural and
				  social).
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-32 - Behavioral health rehabilitation services; Individual and Group Services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility may offer behavioral health
				  rehabilitation services in individual or group settings, other than or in
				  addition to those defined
				  450:27-7-31.
(b) Facility policy and procedures shall
				  outline the way these services are provided, including but not limited to the
				  populations served, staff qualifications for providing the service, and general
				  design(s) by which these services are provided.
(c) Individualized goals and personal
				  preferences for consumers receiving this service shall be specifically
				  addressed on service plans.
(d)
				  Compliance with 450:27-7-32 shall be determined by on-site observation;
				  interviews with participants; interviews with staff; a review of policy and
				  procedures; and a review of clinical records.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-33 - Behavioral health rehabilitation services, staff credentials

Current through Vol. 41, No. 20, July 1, 2024
(a) Staff providing this service shall be a
				  LBHP, Licensure Candidate, CADC or certified by ODMHSAS as a Behavioral Health
				  Case Manager (CM) II pursuant to OAC 450:50.
(b) Compliance with 450:27-7-33 will be
				  determined by a review of facility personal files, individual staff records,
				  and verification with organizations providing required training.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 3 - ADDITIONAL OR OPTIONAL SERVICES › Section 450:27-7-34 - Day treatment services for children and adolescents

Current through Vol. 41, No. 20, July 1, 2024
(a) Day treatment services are designed for
				  non-residential consumers who spend only a part of a twenty-four (24) hour
				  period in the program.
(1) Hours of operation
				  shall be held during periods which make it possible for consumers to receive a
				  minimum of three (3) hours of treatment and services each day for five (5) days
				  each week in the program, excluding time spent in fulfillment of academic
				  educational activities as required by law; and,
(2) Services provided shall be co-occurring
				  disorders capable and include, at a minimum, the following:
(A) Weekly individual therapy, group, and
				  family therapy;
(B) Social skills
				  development through activities which encourage interaction and the development
				  of communications and interpersonal skills;
(C) Integrated attention to decision making
				  and healthy skill building regarding substance use, including nicotine and
				  caffeine;
(D) Recreation and
				  leisure activities;
(E) Emergency
				  services;
(F) Habilitation
				  services;
(G) Referral to other
				  resources when indicated by treatment goals and objectives; and,
(H) Provide, or arrange for, academic
				  education as required by state or federal law.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-41 - Clinical record content, screening, intake and assessment, documentation

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility shall complete a face-to
				  face screening with each individual to determine appropriateness of admission
				  in accordance with
				  450:27-7-2.
				  Screening services.
(b) The
				  facility shall document the face-to-face screening conducted how the consumer
				  was assisted to identify goals, how the consumer received integrated screening
				  to identify both immediate and ongoing needs and how the consumer was assisted
				  to determine appropriateness of admission, and/or to access other appropriate
				  services.
(c) Each consumer
				  admitted for treatment for co-occurring services shall be assessed by a
				  qualified professional to determine a clinically appropriate placement in the
				  least restrictive level of care. Facilities must ensure that a consumer's
				  refusal of a particular service does not preclude the consumer from accessing
				  other needed co-occurring treatment services. Should the service provider
				  determine the consumer's needs cannot be met within the facility, clinical
				  assessments and referrals for the consumer shall be documented.
(d) Upon determination of appropriate
				  admission, consumer demographic information shall be collected, as defined by
				  facility policies and procedures.
(e) For persons admitted to service, the
				  facility shall complete a psychosocial assessment which gathers sufficient
				  information to assist the consumer develop an individualized service plan.
(f) An intake assessment update,
				  to include date, identifying information, source of information, present needs,
				  present life situation, current level of functioning, and what consumer wants
				  in terms of service, is acceptable as meeting requirements of 450:27-7-41 only
				  on re-admissions within one (1) year of previous admission at the facility.
(g) Compliance with
				  450:450:27-7-41 shall be determined by a review of the following: psychosocial
				  assessment instruments; consumer records; case management assessments;
				  interviews with staff and consumers; policies and procedures and other facility
				  documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-42 - Behavioral health service plan; documentation

Current through Vol. 41, No. 20, July 1, 2024
(a) The service plan is developed and
				  finalized with the active participation of the consumer and a support person or
				  advocate if requested by the consumer. In the case of children under the age of
				  eighteen (18), it is performed with the participation of the parent or guardian
				  and the child as age and developmentally appropriate. 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.
(b) The service plan shall completed by a
				  LBHP or licensure candidate and be based on information obtained in the mental
				  health assessment, other information provided on behalf of the consumer, and
				  includes the evaluation of the assessment information by the clinician and the
				  consumer.
(c) For adults, the
				  service plan must be focused on recovery. For children the plan should address
				  school and education concerns and assisting the family in caring for the child
				  in the least restrictive level of care.
(d) Service plans must be completed within
				  six (6) treatment sessions and adhere to the format and content requirements
				  described in the facility policy and procedures.
(e) Service plans updates should occur at a
				  minimum of every 6 months during which services are provided and adhere to the
				  format and content requirements described in the facility policy and
				  procedures.
(f) 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 18 or otherwise
				  applicable), and the primary service practitioner. Signatures must be obtained
				  after the service plan is completed.
(g) Compliance with 450:27-7-42 shall be
				  determined by a review of the clinical records, policies and procedures, and
				  interviews with staff and consumers, and other agency documentation.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-43 - Clinical record content, on-going assessment; documentation

Current through Vol. 41, No. 20, July 1, 2024
(a) On-going reassessments shall be
				  documented in the clinical record in accordance with
				  450:27-7-5 and
				  within the timeframes stipulated by facility policy.
(b) Information gained in the on-going
				  assessment process should be reflected in updated service plans.
(c) Compliance with 450:27-7-43 shall be
				  determined by a review of the clinical records and agency policies and
				  procedures.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-44 - Progress notes

Current through Vol. 41, No. 20, July 1, 2024
(a) Progress notes
				  shall chronologically describe the services provided by date and, for timed
				  treatment sessions, time of service, and the consumer's progress in treatment.
(b) Progress notes must include
				  the consumer's name, be signed by the service provider, and include the service
				  provider's credentials.
(c)
				  Compliance with 450:27-7-44 shall be determined by a review of clinical records
				  and policies and procedures.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-45 - Other records content

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  consumer record shall contain copies of all consultation reports concerning the
				  consumer.
(b) When psychometric or
				  psychological testing is done, the consumer record shall contain a copy of a
				  written report describing the test results and implications or recommendations
				  for treatment.
(c) The consumer
				  record shall contain any additional information relating to the consumer, which
				  has been secured from sources outside the program.
(d) Compliance with 450:27-7-45 shall be
				  determined by a review of clinical records.
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-46

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 7 - Clinical Services › Part 5 - CLINICAL DOCUMENTATION › Section 450:27-7-47

Current through Vol. 41, No. 20, July 1, 2024
Added at 29 Ok Reg
					 663, eff 7-1-12
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 1 - General Provisions [REVOKED] › Section 450:30-1-1 - Purpose [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
				  3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-1 - Applicability [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-2 - Intra-departmental transfers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-3 - Interagency transfers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-4 - Patients eligible for care in federal institutions [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-5 - Interstate transfer; Interstate Compact on Mental Health [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-6 - Transfer of female patients [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-7 - Inmates of the Oklahoma Department of Corrections [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 1 - PATIENT TRANSFERS [REVOKED] › Section 450:30-3-8 - Intra-facility transfer of patients to more restrictive settings [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 3 - CONVALESCENT LEAVE [REVOKED] › Section 450:30-3-18 - Applicability [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 3 - CONVALESCENT LEAVE [REVOKED] › Section 450:30-3-19 - Granting of convalescent leave [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 3 - CONVALESCENT LEAVE [REVOKED] › Section 450:30-3-20 - Policy; court committed patients on convalescent leave [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 3 - CONVALESCENT LEAVE [REVOKED] › Section 450:30-3-21 - Discharge procedures [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 4 - PATIENT RECORDS [REVOKED] › Section 450:30-3-22 - Medical records for transferred patients (non-medical emergency); review [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 10 Ok Reg
					 117, eff 10-7-92 (emergency); Added at 10 Ok Reg 1853, eff 5-14-93; Revoked at
					 11 Ok Reg 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 4 - PATIENT RECORDS [REVOKED] › Section 450:30-3-23 - Medical emergency transfers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 10 Ok Reg
					 117, eff 10-7-92 (emergency); Added at 10 Ok Reg 1853, eff 5-14-93; Revoked at
					 11 Ok Reg 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 5 - PATIENTS ABSENT WITHOUT LEAVE (AWOL) AND REPORTING [REVOKED] › Section 450:30-3-31 - Definition [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 5 - PATIENTS ABSENT WITHOUT LEAVE (AWOL) AND REPORTING [REVOKED] › Section 450:30-3-32 - Applicability [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 5 - PATIENTS ABSENT WITHOUT LEAVE (AWOL) AND REPORTING [REVOKED] › Section 450:30-3-33 - Responsibilities; plan development which addresses AWOL questions [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 5 - PATIENTS ABSENT WITHOUT LEAVE (AWOL) AND REPORTING [REVOKED] › Section 450:30-3-34 - Reporting AWOL incidents [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 5 - PATIENTS ABSENT WITHOUT LEAVE (AWOL) AND REPORTING [REVOKED] › Section 450:30-3-35 - Prevention of AWOL incidents [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 7 - REFERRALS [REVOKED] › Section 450:30-3-45 - Applicability [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 30 - Standards and Criteria For State-Operated Inpatient Services › Subchapter 3 - Patient/Client Relocation [REVOKED] › Part 7 - REFERRALS [REVOKED] › Section 450:30-3-46 - Referral policy and procedures [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 11 Ok Reg
					 3885, eff 7-11-94