Current through Reg. 50, No. 187; September 24, 2024
In addition to rule
65D-30.004, F.A.C., the
following standards apply to intervention.
(1) General Intervention. General
Intervention includes a single session or multiple sessions of motivational
discussion focused on increasing insight and awareness regarding substance use
and motivation toward behavioral change. Intervention activities and strategies
are used to prevent or impede the development or progression of substance use
disorders. Intervention can be tailored for variance in population or setting
and can be used as a stand-alone service for those at risk or individuals who
meet Intervention Level of care, utilizing a validated tool used for service
determination, as a vehicle for engaging those in need of more extensive level
of care. Interventions include Treatment Alternatives for Safer Communities
(TASC) and Employee Assistance Programs. The following information shall apply
to services as described in subsections
65D-30.012(1)
and 65D-30.012(2),
F.A.C.:
(a) Target Group, Outcomes, and
Strategies. Providers shall have current information which:
1. Describes target groups or individuals to
be served, including eligibility requirements;
2. Identifies specific clinical outcomes to
be achieved; and
3. Describes
strategies for these groups or individuals to access needed
services.
(b) Services.
1. Supportive Counseling. In instances where
supportive counseling is provided, the number of sessions or contacts shall be
determined through the intervention plan. In instances where an intervention
plan is not completed, all contacts with the individual shall be recorded in
the clinical record.
2.
Intervention Plan. For individuals involved in intervention services on a
continuing basis, the plan shall be completed in accordance with rule
65D-30.0044, F.A.C. In instances
where an intervention plan is not completed, all contacts with the individual
shall be recorded in the clinical record. For Treatment Alternatives for Safer
Communities programs, the plan shall include requirements the individual is
expected to fulfill and consequences should the individual fail to adhere to
the prescribed plan, including provisions for reporting information regarding
the individual to the criminal or juvenile justice system or other referral
source. Employee Assistance Programs are exempt from the requirement to develop
intervention plans.
3. Referral. If
during the course of treatment the individual is assessed and determined to
need additional services, the provider must have the capability of referring
individuals to those services within 48 hours, or immediately in the case of an
emergency.
4. Referral. TASC
providers shall refer individuals to health care providers or self-help
organizations within the court's or criminal justice authority's area of
jurisdiction.
(2) Requirements for Treatment Alternatives
for Safer Communities (TASC). In addition to the requirements in subsection
65D-30.012(1),
F.A.C., the following requirements apply to Treatment Alternatives for Safer
Communities.
(a) Eligibility. TASC providers
shall establish eligibility standards requiring that individuals considered for
intake shall be at-risk for criminal involvement, substance use, or have been
arrested or convicted of a crime, or referred by the criminal or juvenile
justice system.
(b) Services.
1. Court Liaison. Providers shall establish
liaison activities with the court that shall specify procedures for the release
of prospective individuals from custody by the criminal or juvenile justice
system for referral to a provider. Special care shall be taken to ensure that
the provider has flexible operating hours in order to meet the needs of the
criminal and juvenile justice systems. This may require operating nights and
weekends and in a mobile or an in-home environment.
2. Monitoring. Providers shall monitor and
report the progress of each individual according to the consent agreement with
the individual. Reports of individual progress shall be provided to the
criminal or juvenile justice system or other referral source as required, and
in accordance with sections
397.501(1)-(10),
F.S.
3. Intervention Plan. The
intervention plan shall include additional information regarding individuals
involved in a TASC program. The plan shall be signed and dated by both
parties.
4. Referral. Providers
shall refer individuals to publicly funded providers within the court's or
criminal justice authority's area of jurisdiction, and shall establish written
referral agreements with other providers.
5. Discharge/Transfer or Termination
Notification. Providers shall report any pending discharge/transfer or
termination of an individual to the criminal justice or juvenile justice
authority, child welfare authority, or other referral
source.
(3)
Requirements for Employee Assistance Programs. In addition to the requirements
in subsection 65D-30.012(1),
F.A.C., the following requirements apply to Employee Assistance Programs.
(a) Consultation and Technical Assistance.
Consultation and technical assistance shall be provided by Employee Assistance
Programs which includes the following:
1.
Policy and procedure formulation and implementation,
2. Training and orientation programs for
management, labor union representatives, employees, and families of employees;
and,
3. Linkage to community
services.
(b) Employee
Services. Employee Assistance Programs shall provide services which include
linking the individual to a provider, motivating the individual to accept
assistance, and assessing the service needs of the individual. The principal
services include:
1. Supportive counseling to
motivate individuals toward recovery; and,
2. Monitoring.
(c) Resource Directory. Providers shall
maintain or have access to a current directory of substance-related, mental
health, and ancillary services. This shall include information on Alcoholics
Anonymous, Narcotics Anonymous, recovery support programs, public assistance
services, and health care services.
(4) Requirements for Case Management. In
addition to the requirements in subsection
65D-30.012(1),
F.A.C., the following requirements apply to case management in instances where
case management is provided as a licensable sub-component of intervention
services.
(a) Case Managers. Providers shall
identify an individual or individuals responsible for carrying out case
management services.
(b) Priority
Individuals. Individuals with a need for service priority shall include persons
who have multiple problems and needs, and require multiple services or
resources to meet those needs.
(c)
Case Management Requirements. Case management shall include the following:
1. On-going assessment and monitoring of the
individual's condition and progress;
2. Linkage to services as dictated by
individual needs;
3. Follow-up on
all referrals for other services; and
4. Advocacy on behalf of individuals
served.
(d) Contacts.
Each case manager shall meet face-to-face with each individual at least monthly
unless otherwise justified in the clinical
record.
Rulemaking Authority
397.321(5) FS.
Law Implemented 397.311(26),
397.321,
397.4014,
397.410
FS.
New 5-25-00, Amended 4-3-03,
8-29-19.