N.J. Admin. Code § 8:111-10.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:111-10.1 - Provision of substance abuse counseling

(a) Every residential substance use disorder facility shall provide substance abuse counseling on-site, and shall assign every client to a substance abuse counselor at admission.

(b) A facility shall maintain a ratio of substance-abuse-counselors-to-clients on the basis of each facility's daily census, with substance abuse counseling required as follows:

1. For hospital-based (medical) detoxification, non-hospital-based (medical) detoxification facilities, substance abuse counselors shall be provided at the same ratio as that required for non-detoxification beds. Clients shall participate in required treatment services as soon as medically able, as ordered by the medical director/physician or the detoxification facility's supervisor in the client's medical record;

2. For short-term residential facilities, one substance abuse counselor for every eight clients, with each client receiving at least 12 hours of counseling per week, on at least six separate occasions and shall include a minimum of one hour of individual client counseling and 10 hours of group counseling;

3. For long-term residential facilities, one substance abuse counselor for every 12 clients, with each client receiving at least eight hours of counseling per week on at least five separate occasions and shall include a minimum of one hour of individual client counseling and seven hours of group counseling;

4. For extended care facilities, one substance abuse counselor for every 15 clients, with each client receiving six hours of counseling per week, on at least three separate occasions per client, with at least one hour of individual client counseling and five hours of group counseling;

5. For halfway houses, one substance abuse counselor for every 20 clients, with each client receiving at least three hours of counseling per week, with at least one hour of individual client counseling and two hours of group counseling; and

6. Group counseling sessions, which shall not apply to educational or family counseling sessions, shall be as follows:

i. Short-term residential facilities shall have, at a minimum, one counselor for eight or fewer clients;

ii. Long-term residential facilities and extended care facilities shall have at a minimum one counselor for 12 or fewer clients; and

iii. Halfway houses shall have at a minimum, one counselor for 15 or fewer clients.

(c) The facility shall provide each client education with respect to the client's drug, alcohol and tobacco use, risk of exposure to AIDS and Hepatitis, other health consequences of substance abuse and dependence, relapse prevention, needs of clients with co-occurring disorders and gender-specific issues such as domestic violence, parenting and sexual abuse, for at least the number of hours per week, specified as follows:

1. For hospital-based (medical) detoxification and non-hospital-based (medical) detoxification facilities, clients shall participate in required educational sessions as soon as they are medically able to do so;

2. For short-term residential facilities, at least eight hours per week;

3. For long-term residential facilities and extended care facilities, at least three hours per week; and

4. For halfway houses, at least two hours per week.

(d) Each facility shall provide family counseling as clinically indicated.

(e) Each facility shall provide clients and their family members information regarding the desirability of participating in self-help and support groups, shall make literature and representatives of such groups available to clients and their families, and enable clients and their families to attend support group meetings either onsite or by client transportation to offsite meetings.

(f) Each facility shall design programs to ensure that clients spend at least seven hours each day in structured activities to include individual and/or group counseling, psychoeducation, life skills training, vocational training/activity, education, recreation and self help meetings.

N.J. Admin. Code § 8:111-10.1

Recodified from 10:161A-10.1 53 N.J.R. 2208(a), effective 12/20/2021