Oklahoma Regulations re: Halfway Houses (a start)
Oklahoma Regulations re: Halfway Houses (a start).
[NOTE: At some point this may, or may not, benefit from a new thread specifically on the topic of Oklahoma halfway houses.]
A start re: Oklahoma regulations re: halfway houses.
Oklahoma Department of Mental Health and Substance Abuse Services - ODMHSAS Administrative Rules
http://ok.gov/odmhsas/Additional_In...ation/ODMHSAS_Administrative_Rules/index.html
Permanent Rules
http://ok.gov/odmhsas/Additional_In...SAS_Administrative_Rules/Permanent_Rules.html
Chapter 18. Standards and Criteria for Alcohol and Drug Treatment Programs
http://ok.gov/odmhsas/documents/Chapter 18 Final eff 07-11-10 (2).pdf
450:18-1-2. Definitions
The following words or terms, when used in this chapter, shall have the following meaning, unless the context clearly indicates otherwise:
[snip]
"Halfway house" means low intensity substance abuse treatment in a supportive living environment to facilitate the individual's reintegration into the community, most often following completion of primary treatment. Corresponding ASAM PPC Treatment Level: Level III.1, Clinically managed Low Intensity Residential Services
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450:18-13-1. Levels of Care
Facilities shall document the provision of one or more of the following levels of care in policies and procedures. All facilities shall include the requirements found in Subchapter 7, Facility Clinical Records.
(1) Outpatient services;
(2) Medically supervised detoxification;
(3) Non-medical detoxification;
(4) Residential treatment for adults;
(5) Residential treatment for persons with dependent children;
(6) Residential treatment for adults with co-occurring disorders;
(7) Residential treatment for adolescents;
(8) Halfway house services;
(9) Halfway house services for persons with dependent children; and
(10) Halfway house services for adolescents.
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450:18-13-181. Halfway house services
(a)
Halfway house services shall provide low intensity treatment in a supportive living environment to facilitate reintegration into the community. Major emphasis shall be on continuing substance abuse care and follow-up, and community ancillary services in an environment supporting continued abstinence. Consumers shall participate in a minimum of six (6) hours of structured substance abuse treatment per week.
(b) Each facility shall maintain written programmatic descriptions and operational methods addressing the following:
(1) Environment: The facility shall be a freestanding facility or portion of a related healthcare facility having at least one (1) each of toilet, lavatory, and bathing facilities for each eight (8) residents. The facility shall provide a safe, welcoming, and culturally/age appropriate environment.
(2) Support system:
(A) A licensed physician shall be available, by telephone twenty-four (24) hours a day, seven (7) days a week;
(B) The facility shall have a written plan for emergency procedures, approved by a licensed physician;
(C) The facility shall have supplies, as designated by the written emergency procedures plan, which shall be accessible to staff at all times; and
(D) Specialized professional consultation or professional supervision shall be available.
(3) Staff:
(A) Service providers shall be knowledgeable regarding biopsychsocial dimensions of substance abuse, evidenced based practices, co-occurring disorder issues gender, cultural, and age-specific issues;
(B) Staff shall be knowledgeable regarding facility-required education, training, Unofficial Copy: OAC Title 450:18 67 Effective 07/11/2010 and policies;
(C) Staff shall be knowledgeable about emergency procedures as specified in the emergency procedures plan;
(D) The facility shall have staff members on site twenty-four (24) hours per day, seven (7) days per week;
(E) Staff shall be at least eighteen (18) years of age; and
(F) The facility shall document in personnel records all education, training, and experience stated above prior to the provision of direct care services.
(4) Treatment services. The facility shall have scheduled rehabilitation services to assess and address the individual needs of each consumer. Such services shall include, but not limited to, crisis intervention, therapy, vocational services, case management services, and educational groups.
(5) Treatment documentation:
(A) Consumer records shall contain progress notes which outline any issues related to treatment and services provided. Progress notes shall document
treatment services in a weekly summary to include the following:
(i) Date;
(ii) Specific problem(s), goals, and objectives addressed;
(iii) Summary of progress made toward goals and objectives, or lack of;
(iv) Consumer response to overall treatment services;
(v) Total number of treatment hours and types of services attended for the week;
(vi) Any new problems, goals, or objectives identified during the week;
(vii) List of all service provider providing treatment hours;
(viii) Signature and credentials of the service provider completing the documentation; and
(ix) Consumer's name.
(B) Documentation shall reflect that the consumer works or attempts to find work while receiving halfway house services.
(c) Compliance with 450:18-13-181 may be determined by a review of the following:
(1) Licenses;
(2) Policies and procedures;
(3) Treatment protocols;
(4) Personnel records, documentation of professional licensure, certification or licensure as an alcohol and drug counselor, documentation of professional work experience, ongoing in-service trainings;
(5) Treatment records;
(6) Interviews with staff and consumers; and
(7) Other facility records.
450:18-13-182. Halfway house services, admission criteria
(a) Admission to halfway house services shall be determined according to 450:18-7-21. These criteria shall be a part of the program's written policies and procedures.
(b) Compliance with 450:18-13-182 may be determined by a review of the following:
(1) Policies and procedures;Unofficial Copy: OAC Title 450:18 68 Effective 07/11/2010
(2) Admission protocols;
(3) Consumer records;
(4) Posted public information;
(5) Interviews with staff and consumers; and
(6) Other facility information.
450:18-13-183. Halfway house services, discharge criteria
(a) Programmatic discharge from halfway house services shall be determined according to 450:18-7-121. These criteria shall be a part of the program's written policy and procedures.
(b) Compliance with 450:18-13-183 may be determined by a review of the following:
(1) Policies and procedures;
(2) Discharge assessment instruments;
(3) Discharge summaries;
(4) Continuing care plans;
(5) Consumer records;
(6) Progress notes;
(7) Interviews with staff and consumers; and
(8) Other facility documentation.