Section 164.222 - Provision of Services(A)Admission: At the time of admission, the licensee shall determine that 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) absence of withdrawal symptoms;(3) ability to engage and remain in treatment; and(4) availability of community support for recovery. This determination shall be made during the first visit.
(B)Assessment: The licensee shall ensure that the assessment required by 105 CMR 164.072 is completed during the first visit.(C)Treatment: The licensee shall provide individual, group, couple and family therapies. The licensee shall provide individual and group therapies directly, and shall provide couple and family therapies directly or through qualified service organization agreements.(D)Staffing Pattern : The licensee shall establish a staffing pattern in sufficient numbers and positions necessary for the level of care provided. Staffing pattern shall include the following positions: (1) A full-time equivalent Senior Clinician among direct service staff who shall be responsible for the clinical/educational operation of the substance abuse service;(2) Licensed psychiatrist or licensed psychologist on staff or available through a Qualified Service Organization Agreement;(3) Additional direct service clinical staff, as needed, to ensure service is provided through a multidisciplinary team as required by 105 CMR 164.048(B);(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 licensee providers Driver Alcohol Education Services.