D.C. Mun. Regs. tit. 22, r. 22-A6352

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-A6352 - SPECIALTY SERVICE: MOTIVATIONAL ENHANCEMENT THERAPY AND COGNITIVE BEHAVIORAL THERAPY

6352.1

MET/CBT is a short-term intervention designed for children/youth with cannabis use disorders to increase their motivation to change a substance use behavior and the underlying thoughts or feelings that may trigger maladaptive substance use behaviors. MET/CBT is compatible with a multi-method approach and can be successfully combined with other treatment models.

6352.2

Children/youth eligible to receive MET/CBT must:

(a) Be no older than twenty-three (23);

(b) Have a diagnosis of cannabis use disorder;

(c) Be eligible for ASAM Level 1 or 2.1 Intensive Outpatient Program;

(d) Have a need for MET/CBT pursuant to a Diagnostic Assessment and authorized in the client's Plan of Care; and

(e) Not have a severe mental illness, or serious emotional disturbance, that is severe enough to prevent full participation in treatment.

6352.3

MET/CBT shall include individual Motivational Enhancement Therapy (MET) sessions of at least sixty (60) minutes per session and group-based Cognitive Behavioral Therapy (CBT) sessions of at least seventy-five (75) minutes per session.

6352.4

The MET sessions are intended to enhance a child/youth's motivation to address their cannabis use and to prepare them for group sessions, and focus on the following:

(a) Building rapport between the client and clinician;

(b) Exploring the client's experiences with using cannabis or other substances;

(c) Discussing substance use and associated health and wellness problems including mental health symptoms;

(d) Exploring the client's attitudes about change, including ambivalent attitudes, and identifying reasons to change;

(e) Reflecting on and identifying benefits and costs of stopping or reducing cannabis use and other substance use;

(f) Developing a change plan and raising self-awareness of the client's values;

(g) Providing the client with clear set of strategies for making important life decisions; and

(h) Specifying how a supporter can help the client achieve and maintain change.

6352.5

The CBT sessions shall assist clients in developing skills useful for stopping or reducing cannabis use and focus on the following:

(a) Increasing awareness of triggers and related factors that increase the likelihood of engaging in substance use and other maladaptive behaviors;

(b) Learning assertive communication skills for refusing offers of cannabis and effectively communicating needs and boundaries;

(c) Developing a plan for healthy, drug-free replacement activities;

(d) Establishing a social network that will support recovery;

(e) Developing coping strategies with high-risk situations and triggers;

(f) Practicing specific skills for addressing cravings; and

(g) Recovering from a recurrence to use, should one occur.

6352.6

Providers may deliver MET/CBT services in schools, treatment programs, community settings and residential settings.

6352.7

Providers may deliver MET/CBT without prior authorization.

6352.8

Qualified Practitioners of MET/CBT are:

(a) Psychiatrists;

(b) Psychologists;

(c) Licensed Graduate Professional Counselors;

(d) Licensed Graduate Social Workers;

(e) Licensed Independent Clinical Social Workers;

(f) Licensed Marriage and Family Therapists; and

(g) Licensed Professional Counselors.

6352.9

Qualified practitioners shall have at least one (1) year of experience working with children/youth with SUD or co-occurring mental health symptoms.

6352.10

Clinical supervisors of qualified practitioners delivering MET/CBT shall be independently licensed behavioral health qualified practitioners with at least two (2) years of experience working with children/youth with SUD and/or co-occurring mental health symptoms.

6352.11

Qualified practitioners and clinical supervisors shall complete Department- approved, population-specific MET/CBT training.

D.C. Mun. Regs. tit. 22, r. 22-A6352

Final Rulemaking published at 62 DCR 12056 (9/4/2015); repealed by Final Rulemaking published at 67 DCR 11585 ( 10/9/2020); Final Rulemaking published at 71 DCR 14542 (11/29/2024)