Section 164.202 - Provision of Services(A)Admission. At the time of admission, the Licensed or Approved Provider shall determine whether outpatient counseling services are appropriate based on: (1) the existence of a substance use disorder or a mental or behavioral disorder due to psychoactive substance use;(2) ability to engage and remain in treatment; and(3) availability of community support for recovery.(B)Assessment. Pursuant to 105 CMR 164.072(B), the Licensed or Approved Provider may initiate patient treatment prior to completion of the assessment required by 105 CMR 164.072 upon obtaining sufficient information to initiate treatment for the acute problem at the time of presentation and that the assessment is subsequently completed in a reasonable timeframe, provided that a Qualified Healthcare Professional must see such a patient prior to initiating an FDA-approved medication for treatment of addiction.(C)Treatment. The Licensed or Approved Provider shall provide individual, group, couple and family therapies. The Licensed or Approved Provider shall provide individual and group therapies directly, and shall provide couple and family therapies directly or through QSOAs.(D)Staffing Pattern. The Licensed or Approved Provider shall establish a staffing pattern in sufficient numbers and positions necessary for the service type provided. Staffing pattern shall include the following positions: (1) A full-time equivalent Senior Clinician among other clinical and direct service staff who shall be responsible for the clinical/educational operation of the substance use disorder service;(2) Licensed psychiatrist or licensed psychologist, licensed mental health counselor, or licensed social worker on staff or available through a QSOA;(3) Additional direct service clinical staff, as needed, to ensure service is provided through a multidisciplinary team as required by 105 CMR 164.048(A)(2);(4) Staffing in sufficient numbers to provide coverage on all shifts; and(5) A Senior Clinician or Clinician to provide group education sessions where the Licensed or Approved Provider provide Driver Alcohol or Controlled Substance Education Services.Adopted by Mass Register Issue 1482, eff. 11/11/2022.