reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:24-3-41 - Emergency services

Current through Vol. 41, No. 20, July 1, 2024
(a) CCARCs shall
				  provide, on a twenty-four (24) hour basis, accessible co-occurring disorder
				  capable services for substance use disorder related emergencies.
(b) This service shall include the following:
(1) 24-hour assessment and evaluation,
				  including crisis intervention, characterized by welcoming engagement of all
				  individuals and families;
(2)
				  Availability of referral to 24-hour medical withdrawal management, residential
				  treatment, and half-way house services;
(3) Availability of assessment and evaluation
				  in external settings unless immediate safety is a concern. This shall include
				  but not be limited to schools, jails, and hospitals;
(4) Referral services, which 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);
(5) CCARC's serving
				  multiple counties shall provide or arrange for on-site assessment of persons
				  taken into protective custody [43A O.S. § 5-206 et seq.] for substance use
				  disorder related emergencies in each county;
(6) The CCARC's emergency telephone response
				  time shall be less than fifteen (15) minutes from initial contact, unless there
				  are extenuating circumstances;
(7)
				  Face-to-face strength based assessment, unless there are extenuating
				  circumstances, addressing substance use disorder and/or co-occurring issues
				  which include a description of the client's strengths in managing substance use
				  disorder issues and disorders during a recent period of stability prior to the
				  crisis;
(8) Intervention and
				  resolution; and
(9) No arbitrary
				  barriers to access an evaluation based on active mental health symptoms or
				  designated substance levels.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:24-3-42 - Emergency Crisis Intervention

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  CCARC shall provide or otherwise ensure the capacity for performing emergency
				  assessment of substance use disorder related crisis. This capacity must be
				  available 24 hours per day, seven days a week.
(b) Compliance with 450:24-3-42 shall be
				  determined by a review of the following: policy and procedures; emergency
				  contact records; clinical records; PI documentation; and staff on-call
				  schedules.
(c) Failure to comply
				  with 450:24-3-42 will result in the initiation of procedures to deny, suspend
				  and/or revoke certification.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 5 - EMERGENCY SERVICES › Section 450:24-3-43 - Crisis Intervention, staffing

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Staff providing crisis intervention shall be an LBHP or Licensure Candidate
				  which shall include core competency in emergency evaluation of co-occurring
				  disorders and meet the CCARC's privileging requirements for the provision of
				  emergency services, with the availability of an LMHP as defined in 43A O.S.
				  § 1-103 for emergency examinations when warranted.
(b) Compliance with 450:24-3-43 shall be
				  determined by a review of clinical privileging records and personnel
				  records.
(c) Failure to comply with
				  450:24-3-43 will result in the initiation of procedures to deny, suspend and/or
				  revoke certification.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 7 - AMBULATORY WITHDRAWAL MANAGEMENT SERVICES › Section 450:24-3-61 - Ambulatory withdrawal management services without extended on-site monitoring services

Current through Vol. 41, No. 20, July 1, 2024
Ambulatory withdrawal management shall be provided outside
					 a medical facility in an outpatient setting, but under the direction of a
					 licensed physician for consumers who are withdrawing or are intoxicated from
					 alcohol or other drugs.
(1) Presenting
				  consumers shall be assessed as currently experiencing no apparent medical or
				  neurological symptoms as a result of their substance use that would require a
				  higher level of care using the ASAM criteria.
(2) Treatment services: Services shall occur
				  daily (seven [7] days a week during hours of operation). Substance use disorder
				  ambulatory withdrawal management treatment services shall be provided which
				  shall include, but are not limited to, taking of vital signs (temperature,
				  pulse, respiration rate, blood pressure), documentation of fluid and food
				  intake a minimum of one (1) time per visit or more often as indicated by the
				  consumer's condition.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 7 - AMBULATORY WITHDRAWAL MANAGEMENT SERVICES › Section 450:24-3-62 - Ambulatory withdrawal management services without extended on-site monitoring staffing

Current through Vol. 41, No. 20, July 1, 2024
(a) A licensed
				  physician providing supervision of withdrawal management shall be on site or on
				  call during hours of operation;
(b)
				  Staff members shall be knowledgeable about the physical signs of withdrawal,
				  the taking of vital signs, the implication of those vital signs, and emergency
				  procedures.
(c) Oklahoma licensed
				  nurses (RN's and LPN's as appropriate) shall provide on-site monitoring, and
				  statutorily approved personnel shall administer medications in accordance with
				  physician's orders;
(d) Staff shall
				  be knowledgeable regarding facility-required education, evidenced based
				  practices, training and policies; and
(e) The facility shall document in personnel
				  records all education, training and experience stated in (b), (c) and (d) above
				  prior to staff providing direct care services.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 7 - AMBULATORY WITHDRAWAL MANAGEMENT SERVICES › Section 450:24-3-63 - Ambulatory withdrawal management services without extended on-site monitoring assessment/placement

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				  medical assessment for appropriateness of placement shall be completed and
				  documented by a licensed physician during the admission process to the
				  program.
(b) An individualized case
				  management plan shall be developed for each consumer prior to
				  discharge;
(c) Compliance with
				  450:24-6-0 may be determined by a review of the following:
(1) Licenses;
(2) Policy and procedures;
(3) Treatment protocols;
(4) Personnel records, documentation of
				  professional licensure, certification or licensure as an alcohol and drug
				  counselor, documentation of professional work experience, ongoing in-service
				  training(s);
(5) Treatment
				  records;
(6) Interviews with staff;
				  and
(7) Other supporting facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 7 - AMBULATORY WITHDRAWAL MANAGEMENT SERVICES › Section 450:24-3-64 - Ambulatory withdrawal management without extended on-site monitoring environment

Current through Vol. 41, No. 20, July 1, 2024
(a) Facilities shall
				  provide co-occurring disorder capable intensive ambulatory withdrawal
				  management without extended on-site monitoring treatment services.
(b) The facility shall provide for
				  monitoring/documenting vital signs, food, and liquids.
(c) The facility shall maintain a written
				  plan for emergency medical procedures, which shall be approved by a licensed
				  physician; and
(d) The facility
				  shall have supplies, as designated in the written emergency procedures, which
				  shall be accessible to the staff.
(e) The facility shall maintain written
				  programmatic descriptions and operational methods for (a), (c) and (d).
(f) Compliance with
				  450:24-6-0 may be determined by a
				  review of the following:
(1) Policy and
				  procedures;
(2) Treatment
				  protocols;
(3) Treatment
				  records;
(4) Interviews with staff;
				  and
(5) Other supporting facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 7 - AMBULATORY WITHDRAWAL MANAGEMENT SERVICES › Section 450:24-3-65

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 9 - OUTPATIENT TREATMENT SERVICES, ASAM LEVEL 1 › Section 450:24-3-81 - Outpatient treatment services

Current through Vol. 41, No. 20, July 1, 2024
(a) Facilities
				  shall provide co-occurring disorder capable outpatient substance use disorder
				  treatment services. Outpatient services shall be determined as necessary using
				  the ASAM criteria and shall include a range of services to consumers based on
				  their needs regarding emotional, social and behavioral problems. These
				  outpatient services shall be provided or arranged for, and shall include, but
				  not be limited to the following:
(1)
				  Individual therapy;
(2) Group
				  therapy;
(3) Family
				  therapy;
(4) Rehabilitation
				  services;
(5) Case management
				  services;
(6) Peer recovery support
				  services; and
(7) Wellness services
				  and related activities.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 9 - OUTPATIENT TREATMENT SERVICES, ASAM LEVEL 1 › Section 450:24-3-82

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 11 - INTENSIVE OUTPATIENT SERVICES, ASAM LEVEL 2.1 › Section 450:24-3-101 - Intensive outpatient treatment services

Current through Vol. 41, No. 20, July 1, 2024
(a) Facilities
				  shall provide co-occurring disorder capable intensive outpatient substance use
				  disorder treatment services. Intensive outpatient services shall be determined
				  as necessary using the ASAM criteria and shall include a range of nine (9) to
				  fifteen (15) treatment services per week for adults or six (6) to twelve (12)
				  treatment hours per week for children based on their needs regarding emotional,
				  social and behavioral problems. These intensive outpatient services shall be
				  provided or arranged for, and should include, but not be limited to the
				  following:
(1) Individual therapy;
(2) Group therapy;
(3) Family therapy;
(4) Rehabilitation services;
(5) Case management services;
(6) Peer recovery support services;
				  and
(7) Wellness services and
				  related activities.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 11 - INTENSIVE OUTPATIENT SERVICES, ASAM LEVEL 2.1 › Section 450:24-3-102

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 13 - MEDICATION CLINIC SERVICES › Section 450:24-3-121 - Medication clinic services

Current through Vol. 41, No. 20, July 1, 2024
(a) CCARCs shall
				  offer comprehensive medication clinic services to consumers in need of this
				  service.
(b) Medication clinic
				  services shall include an assessment of each individual's condition and needs;
				  and an assessment of the effectiveness of those services.
(c) Medication clinic services shall be
				  co-occurring capable and shall utilize accepted practice guidelines for
				  psychopharmacologic management of co-occurring and/or substance use
				  disorders.
(d) Medication clinic
				  services shall include but not be limited to:
(1) Prescribing or administering medication,
				  including evaluation and assessment of the medications provided.
(2) Medication orders:
(A) Licensed allopathic physicians,
				  osteopathic 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) Telephone
				  numbers of the state poison centers shall be immediately available in all
				  locations where medications are prescribed.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 13 - MEDICATION CLINIC SERVICES › Section 450:24-3-122 - Medication clinic, medication monitoring

Current through Vol. 41, No. 20, July 1, 2024
(a) Medication administration, storage and
				  control, and consumer reactions shall be regularly monitored at all facilities
				  where medications are stored, dispensed, or administered.
(b) Facilities shall assure proper storage
				  and control of medications, immediate response if incorrect or overdoses occur,
				  and have appropriate emergency supplies available if needed.
(1) Written procedures for medication
				  administration shall be available and accessible in all medication storage
				  areas, and available to all staff authorized to administer
				  medications.
(2) All medications
				  shall be kept in locked, non-consumer accessible areas. Conditions which shall
				  be considered in medication storage are light, moisture, sanitation,
				  temperature, ventilation, and the segregation and safe storage of poisons,
				  external medications, and internal medications.
(3) Telephone numbers of the state poison
				  centers shall be immediately available in all locations where medications are
				  prescribed, or administered, or stored.
(4) A qualified physician shall supervise the
				  preparation and stock of an emergency kit which is readily available, but
				  accessible only to physician, nursing and pharmacy staff. Documentation by the
				  qualified physician shall clearly indicate that the supervision has been
				  performed.
(5) Only authorized
				  licensed staff shall administer medications.
(6) A list of licensed staff members
				  authorized to administer medications shall be maintained and regularly
				  updated.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 13 - MEDICATION CLINIC SERVICES › Section 450:24-3-123 - Medication clinic, error rates

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  facility's performance improvement program shall specifically, objectively, and
				  systematically monitor medications administration or dispensing or medication
				  orders and prescriptions to evaluate and improve the quality of consumer
				  care.
(b) Compliance with
				  450:24-3-123 shall be determined by a review of the following: facility
				  policies; PI logs; data; and reports.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 15 - CASE MANAGEMENT › Section 450:24-3-141 - Case management services

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) Case management
				  services shall be offered to all adults who are receiving services and, to each
				  child (or their parent/guardian).
(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 client to support that
				  client 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;
(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 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 15 - CASE MANAGEMENT › Section 450:24-3-142 - Case management services, locale and frequency

Current through Vol. 41, No. 20, July 1, 2024
(a) Case management services shall be
				  provided within community settings; the residence of the consumer; or any other
				  appropriate settings, based on the individualneeds of the consumer. Contact
				  with consumers shall be made on at least a monthly basis unless otherwise
				  specified in the service plan.
(b)
				  Compliance with 450:24-3-142 shall be determined by a review of the following:
				  Case managers shall contact each consumer at least once a month, unless
				  otherwise specified in the service plan to monitor progress or provide case
				  management services. Inability to make face to face contact shall be
				  documented. Contact was made with consumers as specified in the service
				  plan.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 15 - CASE MANAGEMENT › Section 450:24-3-143 - Case management services for consumers admitted to higher levels of care

Current through Vol. 41, No. 20, July 1, 2024
(a) Case managers
				  shall maintain contact with existing CCARC consumers, and establish contact
				  with newly referred persons who are receiving services in residential treatment
				  settings, Community Based Structured Crisis Centers (CBSCC), or 24-hour
				  settings providing substance use disorder withdrawal management treatment.
(b) Each CCARC shall assign at
				  least one (1) staff member who is responsible for linkage between CBSCCs,
				  withdrawal management center and/or the residential substance use disorder
				  treatment facility and the CCARC. Linkage shall include, but not limited to,
				  the following activities, pursuant to appropriately signed releases and
				  applicable privacy provisions:
(1) Regular
				  visits or communication with the CBSCC, withdrawal management setting, and/or
				  residential substance use disorder treatment facility to monitor progress of
				  those consumers in a CBSCC, withdrawal management setting and/or in
				  facility-based substance use disorder treatment from the CCARC's service area.
(2) Provide knowledge and
				  communication to other CCARC staff regarding CBCSC, withdrawal management
				  setting, and/or residential substance use disorder treatment facility and
				  discharge procedures.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 15 - CASE MANAGEMENT › Section 450:24-3-144 - Case management services, staff credentials

Current through Vol. 41, No. 20, July 1, 2024
(a) Individuals providing case management
				  services shall be an LBHP, Licensure Candidate, CADC, or certified as a
				  behavioral health case manager pursuant to Oklahoma Administrative Code, Title
				  450, Chapter 50.
(b) Facility
				  supervisors must be a certified behavioral health case manager pursuant to
				  Oklahoma Administrative Code, Title 450, Chapter 50 if they directly supervise
				  the equivalent of two (2) or more FTE certified behavioral health case managers
				  who provide case management services as part of their regular duties.
(c) Compliance with 450:24-3-144 shall be
				  determined by a review of the facility personnel records and credentialing
				  files.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 17 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:24-3-161 - Rehabilitation services

Current through Vol. 41, No. 20, July 1, 2024
(a) This section
				  governs individual and group rehabilitation services for both adults and
				  children.
(b) Policy and procedures
				  shall reflect that all rehabilitation programs and services incorporate the
				  following core principles:
(1) Recovery is the
				  ultimate goal of rehabilitation. Interventions must facilitate the process of
				  recovery and wellness.
(2)
				  Addiction rehabilitation practices help people re-establish normal roles in the
				  community and their integration into community life.
(3) Rehabilitation practices facilitate the
				  development of personal support networks.
(4) Rehabilitation practices facilitate an
				  enhanced quality of life for each person receiving services.
(5) People have the capacity to learn and
				  grow.
(6) People receiving services
				  have the right to direct their own affairs, including those that are related to
				  their behavioral health.
(7) People
				  are to be treated with respect and dignity.
(8) Rehabilitation practitioners make
				  conscious and consistent efforts to eliminate labeling and discrimination,
				  particularly discrimination based upon a disabling condition.
(9) Culture and ethnicity play an important
				  role in recovery. They are sources of strength and enrichment for the person
				  and the services.
(10)
				  Rehabilitation interventions build on the strength of each person.
(11) Rehabilitation services are to be
				  coordinated, accessible, and available as long as needed.
(12) Services are to be designed to address
				  the unique needs of each individual, consistent with the individual's cultural
				  values and norms.
(13)
				  Rehabilitation practices actively encourage and support the involvement of
				  persons in normal community activities, such as school and work, throughout the
				  rehabilitation process.
(14) The
				  involvement and partnership of persons receiving services and family members is
				  an essential ingredient of the process of rehabilitation and
				  recovery.
(15) Rehabilitation
				  practitioners should constantly strive to improve the services they
				  provide.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 17 - BEHAVIORAL HEALTH REHABILITATION SERVICES › Section 450:24-3-162 - Individual and Group Rehabilitation Services

Current through Vol. 41, No. 20, July 1, 2024
(a) CCARC policy and procedures shall reflect
				  that individual and group rehabilitation services are available to both adults
				  and children.
(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) Compliance with 450:24-3-146 shall be
				  determined by a review of CCARC policy and procedures and personnel
				  files.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 19 - SERVICES TO HOMELESS INDIVIDUALS › Section 450:24-3-181 - Services to homeless individuals

Current through Vol. 41, No. 20, July 1, 2024
(a) CCARCs shall
				  provide the following services to individuals within their service area who are
				  homeless, including those individuals experiencing chronic homelessness and who
				  have a serious addictive disorder, including co-occurring disorders:
(1) Linkage and contacts with local emergency
				  services, shelters, state-operated psychiatric inpatient unit, Community Based
				  Structured Crisis Centers, Urgent Recovery Clinics and any other organizations
				  which may be in contact with homeless persons;
(2) Linkage and contacts with local housing
				  authorities;
(3) Contact, and work
				  with those who are homeless and who have a serious addiction disorders, to
				  assist with accessing CCARC services, income benefit programs, and housing
				  programs, among other services; and
(4) These services shall be addressed in
				  CCARC policy and procedures.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 21 - PEER SUPPORT SERVICES › Section 450:24-3-201 - Peer recovery support services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Peer recovery support services are provided as a program integrated within the
				  overall structure of Comprehensive Community Addiction Center services and must
				  be offered to children ages 16 and 17, and adults age 18 and older with
				  addiction disorders, including co-occurring disorders.
(b) Peer recovery support services may be
				  offered to other consumers of the CCARC and their families.
(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 residential treatment or other
				  institutional settings;
(4) Have
				  written policies specific to these services; and,
(5) Be provided by certified Peer Recovery
				  Support Specialist(s) as defined by
				  450:24-3-202.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 21 - PEER SUPPORT SERVICES › Section 450:24-3-202 - Peer Recovery Support Specialists staff requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Recovery Support Services shall be
				  provided only by Peer Recovery Support Specialists meeting the requirements and
				  certified pursuant to OAC 450:53.
(b) Each CCARC shall document and maintain
				  records to verify compliance with training and testing requirements of each
				  provider of this service.
(c)
				  Compliance for 450:24-3-202 shall be determined by a review of the facility
				  personnel records and ODMHSAS files.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 21 - PEER SUPPORT SERVICES › Section 450:24-3-203 - Peer Recovery Support services: Locale and frequency

Current through Vol. 41, No. 20, July 1, 2024
(a) Peer Recovery Support services can be
				  provided in any location. The majority of contacts should be face-to-face;
				  however, services may be provided over the telephone as necessary to help the
				  consumer achieve his/her goals.
(b)
				  Compliance for 450:24-3-203 shall be determined by a review of the agency
				  policy and procedures, data reporting system, consumer records, consumer
				  interviews, and observation.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 3 - Required Services › Part 23 - WELLNESS SERVICES AND RELATED ACTIVITIES › Section 450:24-3-221 - Wellness Services and Related Activities

Current through Vol. 41, No. 20, July 1, 2024
(a) Wellness Services and Related Activities
				  are consumer-driven services and supports that promote healthy lifestyles and
				  behaviors which may include and not be limited to smoking cessation activities,
				  exercise, stress management, spirituality, and education on nutrition and
				  healthy eating.
(b) These services
				  shall:
(1) Be based on an individualized,
				  recovery-focused service philosophy that allows individuals the opportunity to
				  learn to manage their own wellness; and
(2) Be provided by staff credentialed by
				  ODMHSAS as Wellness Coaches; and
(3) Have written policies specific to this
				  services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 1 - APPLICABILITY › Section 450:24-5-1 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The services in this subchapter are optional services.
					 However, if the services in this subchapter are provided, either on the
					 initiative of the CCARC, or as an ODMHSAS contractual requirement of the CCARC,
					 all rules and requirements of this subchapter shall apply, as applicable, to
					 the affected CCARC's certification.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 2 - MEDICALLY-SUPERVISED WITHDRAWAL MANAGEMENT, ASAM LEVEL 3.7 › Section 450:24-5-11 - Medically-supervised withdrawal management

Current through Vol. 41, No. 20, July 1, 2024
If provided, Medically-supervised withdrawal management
					 shall be provided pursuant to 450:18-5-5.1 and
					 450:18-13-61
					 through 18-13-63.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 2 - MEDICALLY-SUPERVISED WITHDRAWAL MANAGEMENT, ASAM LEVEL 3.7 › Section 450:24-5-13

Current through Vol. 41, No. 20, July 1, 2024
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 3 - RESIDENTIAL TREATMENT, ASAM LEVEL 3.5 › Section 450:24-5-21 - Residential treatment for adults

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing substance use disorder treatment
					 services for adults in the residential setting must meet the requirements found
					 in 450:18-5-5.1, 450:18-5-14 and
					 450:18-13-101
					 through 18-13-103.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 5 - RESIDENTIAL TREATMENT FOR PERSONS WITH DEPENDENT CHILDREN AND PREGNANT WOMEN, ASAM LEVEL 3.5 › Section 450:24-5-41 - Residential treatment for persons with dependent children and pregnant women

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing substance use disorder treatment
					 services for persons with dependent children or pregnant women in the
					 residential setting must meet the requirements found in 450:18-5-5.1,
					 450:18-5-14 and
					 450:18-13-121
					 through 18-13-124.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 7 - RESIDENTIAL TREATMENT FOR ADULTS WITH CO-OCCURRING DISORDERS, ASAM LEVEL 3.3 › Section 450:24-5-61 - Adult residential treatment for consumers with co-occurring disorders

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing treatment services for adults with
					 co-occurring disorders in the residential setting must meet the requirements
					 found in 450:18-5-5.1, 450:18-5-14 and
					 450:18-13-141
					 through 18-13-143.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 9 - RESIDENTIAL TREATMENT FOR ADOLESCENTS, ASAM LEVEL 3.5 › Section 450:24-5-81 - Residential treatment for adolescents

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing substance use disorder treatment
					 services for adolescents in the residential setting must meet the requirements
					 found in 450:18-5-5.1, 450:18-5-14 and
					 450:18-13-161
					 through 18-13-163.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 11 - HALFWAY HOUSE SERVICES, ASAM LEVEL 3.1 › Section 450:24-5-101 - Halfway house services

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing halfway house services must meet the
					 requirements found in 450:18-5-5.1 and
					 450:18-13-181
					 through 18-13-183.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 13 - ADOLESCENT HALFWAY HOUSE SERVICES, ASAM LEVEL 3.1 › Section 450:24-5-121 - Adolescent halfway house services

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing adolescent halfway house services
					 must meet the requirements found in 450:18-5-5.1 and
					 450:18-13-190
					 through 18-13-192.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 15 - HALFWAY HOUSE SERVICES FOR PERSONS WITH DEPENDENT CHILDREN AND PREGNANT WOMEN, ASAM LEVEL 3.1 › Section 450:24-5-141 - Halfway house services for persons with dependent children and pregnant women

Current through Vol. 41, No. 20, July 1, 2024
Facilities providing halfway house services for persons
					 with dependent children and pregnant women must meet the requirements found in
					 450:18-5-5.1 and
					 450:18-13-201
					 through 18-13-203.
Added at 28 Ok Reg
					 2025, eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 5 - Optional Services › Part 17 - VOCATIONAL EMPLOYMENT SERVICES › Section 450:24-5-161 - Vocational employment services

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  vocational employment services program is an identified program within the
				  CCARC that assists in the rehabilitation and support of persons with addiction
				  disorders, which may include but is not limited to the following:
(1) Vocational assessment services;
(2) Vocational preparation
				  services;
(3) Vocational placement
				  services; and
(4) Other on and
				  off-site employment support services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-1

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-2 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The requirements of this subchapter are applicable to a
				  CCARC's clinical services, core and optional.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-4

Current through Vol. 41, No. 20, July 1, 2024
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-5 - Clinical record content, screening and assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) All facilities shall complete a face-to
				face screening with each individual to determine appropriateness of admission.
(b) The CCARC shall document the
				face-to-face screening between the potential consumer and the CCARC including
				how the consumer was welcomed and engaged, how the consumer was assisted to
				identify goals and experience hope, 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) All
				facilities shall assess each consumer for appropriateness of admission to the
				treatment program. Facilities must ensure that a consumer's refusal of a
				particular service does not preclude the consumer from accessing other needed
				mental health or substance-related or addictive disorder 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) Any consumer
				seeking admission to inpatient or residential services, including
				medically-supervised withdrawal management and non-medical withdrawal
				management while under the influence or undergoing withdrawal of alcohol or
				drugs, shall be assessed prior to admission for medical needs. The written
				criteria to be used for medical needs assessment of persons under the influence
				or undergoing withdrawal of alcohol or drugs, and the protocols for determining
				when physician review of the assessment is needed, shall be approved by the
				facility's consulting physician.
(e) Compliance with
				450:18-7-21
				may be determined by a review of the following:
(1) Policies and procedures;
(2) Intake protocols;
(3) assessment instruments;
(4) Treatment 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 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-6 - Clinical record content, on-going assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) The CCARC shall have procedures and
				policies which delineate the process, protocols, and timeframes by which
				on-going clinical assessments occur.
(b) Compliance with 450:24-7-6 shall be
				determined by a review of the clinical records and agency policies and
				procedures.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-8 - Medication record

Current through Vol. 41, No. 20, July 1, 2024
(a) A medication
				record shall be maintained on all consumers who receive medications or
				prescriptions through facility services and shall be a concise and accurate
				record of the medications the consumer is receiving or prescribed.
(b) The consumer record shall contain a
				medication record with the following information on all medications ordered or
				prescribed by licensed medical staff:
(1)
				Name of medication,
(2)
				Dosage,
(3) Frequency of
				administration or prescribed change, and
(4) Staff member who administered or
				dispensed each dose, and prescribing physician; and
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-9 - 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)
				Outpatient staff must document each visit or transaction, except for assessment
				completion or service plan development, including missed appointments.
(d) Compliance with 450:24-7-9
				shall be determined by a review of clinical records and policies and
				procedures.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-10 - 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 450:24-7-10 shall be
				determined by a review of clinical records.
Added at 28 Ok Reg 2025,
				  eff 10-1-11
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers › Subchapter 7 - Facility Clinical Records › Section 450:24-7-11 - Discharge assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) All facilities
				shall assess each consumer for appropriateness of discharge from a substance
				use disorder treatment program.
(b)
				Compliance with 450:24-7-11 may be determined by a review of the following:
(1) Policies 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.