Okla. Admin. Code § 450:18-13-101
Current through Vol. 42, No. 8, January 2, 2025
Section 450:18-13-101 - Residential treatment for adults(a) Substance use disorder treatment in a residential setting shall provide a planned regimen of twenty-four (24) hours a day, seven (7) days a week of professionally directed evaluation, care, and treatment in a permanent program location. The facility shall provide beds, food service, and a safe, welcoming, and culturally/age appropriate environment.(b) The facility shall maintain written programmatic descriptions and operational methods addressing the following: (1) Support system: (A) A licensed physician shall be available, at least by telephone, twenty-four (24) hours per day, seven (7) days per week;(B) The facility shall maintain written policy and procedures for handling medical emergencies which are approved by the licensed physician; and an emergency medical number shall be conspicuously posted for staff use; and(C) The facility shall maintain written policies and procedures for the handling of clinical issues during times in which clinical staff are not at the facility.(2) Staff: (A) The facility shall maintain documentation that service providers are knowledgeable regarding the biopsychosocial dimensions of substance use disorders, evidenced-based practices, culture, age, and gender related issues, and co-occurring disorder issues.(B) The facility shall document in personnel records all education, training, and experience stated above prior to the provision of direct care services.(C) The facility shall have staff members on site twenty-four (24) hours per day, seven (7) days per week.(3) Treatment services. Daily (twenty-four [24] hours a day, seven [7] days a week) substance use disorder treatment services shall be provided to assess and address individual needs of each consumer. Services shall include, but are not limited to: (A)Therapy. Therapy, including individual, family, and group therapy, must be provided by a Licensed Behavioral Health Professional (LBHP) or Licensure Candidate who must use and document a generally accepted clinical approach to treatment such as cognitive behavioral treatment, narrative therapy, solution focused brief therapy or another widely accepted theoretical framework for treatment. The therapy must be goal directed utilizing techniques appropriate to the individual consumer's service plan and the consumer's developmental and cognitive abilities. This service does not include social skill development or daily living skill activities.(B)Rehabilitation services. Rehabilitation services must be provided by a LBHP, Licensure Candidate, or Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II). These services include educational and supportive services regarding independent living, self-care, social skills regarding development, lifestyle changes and recovery principles and practices (including relapse prevention). Services provided typically take the form of curriculum based education and skills practice, and should be goal specific in accordance with an individualized service plan.(C)Peer Recovery Support Services. Peer recovery support services must be provided by Peer Recovery Support Specialists. Services shall be provided in accordance with OAC 450:18-13-221.(D)Care Management. Care management must be provided by a LBHP, Licensure Candidate, CADC, CM II or CM I as clinically indicated. Care management is case management provided in residential settings that includes assessment, development of a care plan, and referral and linkage to community supports and community-based or lower level of care services to promote continued recovery after the individual discharges from the treatment facility.(E)Crisis Intervention. Crisis intervention services must be provided by a LBHP or Licensure Candidate. Crisis intervention services are provided as needed for the purpose of responding to acute behavioral or emotional dysfunction as evidenced by psychotic, suicidal, homicidal severe psychiatric distress, and/or imminent danger of substance relapse. The crisis situation including the symptoms exhibited and the resulting intervention or recommendations must be clearly documented in the consumer's record.(F) Documentation shall reflect each consumer received and/or was offered, at minimum, individual, group, and/or family therapy, rehabilitation services, care management services and, if appropriate, peer recovery support services and crisis intervention services.(4) The program provides documentation of the following community living components: (A) A written daily schedule of activities.(B) Quarterly meetings between consumers and the program personnel.(C) Recreational activities to be utilized on personal time.(D) Personal space for privacy.(E) Security of consumer's property. (F) A clean, inviting, and comfortable setting.(G) Evidence of individual possessions and decorations.(H) Daily access to nutritious meals and snacks.(I) Policy addressing separate sleeping areas for the consumers based on: (c) Compliance with 450:18-13-101 may be determined by review and/or observation of facility documentation and operations, including but not limited to the following: (2) Policies and procedures;(4) Personnel record, documentation of professional licensure or certification, documentation of professional work experience, and ongoing in-service trainings;(5) Treatment records; and(6) Interviews with staff and consumers. Okla. Admin. Code § 450:18-13-101
Amended and renumbered from 450:18-3-101 at 23 Ok Reg 1953, eff 7-1-06; Amended at 24 Ok Reg 2580, eff 7-12-07; Amended at 27 Ok Reg 2237, eff 7-11-10Amended by Oklahoma Register, Volume 31, Issue 24, September 2, 2014, eff. 10/1/2014Amended by Oklahoma Register, Volume 32, Issue 24, September 1, 2015, eff. 9/15/2015Amended by Oklahoma Register, Volume 35, Issue 24, September 4, 2018, eff. 10/1/2018Amended by Oklahoma Register, Volume 38, Issue 23, August 16, 2021, eff. 9/15/2021Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022