New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-A - Former Office of Alcohol and Drug Abuse Prevention
Chapter He-A 900 - PHASE II PROGRAMS
Part He-A 907 - MINIMUM PROGRAM REQUIREMENTS
Section He-A 907.16 - Second Opinion Evaluation and Assessment

Universal Citation: NH Admin Rules He-A 907.16

Current through Register No. 40, October 3, 2024

(a) If the client disagrees with the positive finding or the further counseling requirements, as determined by the client's exit evaluation and assessment interview, the client may request a second opinion evaluation and assessment.

(b) A second opinion evaluation and assessment shall be completed by a different LADC than the one who conducted the client's exit evaluation and assessment interview or by another provider that has met the requirements of He-A 907.14(a) (4) -(5) .

(c) The client shall pay all costs associated with obtaining a second opinion evaluation.

(d) The client who requests a second opinion shall sign Form IDIP-020, consent for the release of treatment information, to allow the phase II provider to forward all clinical data to the LADC, or other provider that has met the requirements of He-A 907.14(a) (4) -(5) , conducting the second opinion evaluation.

(e) The phase II provider shall forward clinical data to the LADC, or other provider that has met the requirements of He-A 907.14(a) (4) -(5) , conducting the second opinion evaluation within 5 days of receiving Form IDIP-020.

(f) The LADC, or other provider that has met the requirements of He-A 907.14(a) (4) -(5) , rendering the second opinion shall:

(1) Review all the clinical data including testing done by the phase II provider regarding the client prior to conducting the evaluation;

(2) Meet with the client for no fewer than 3 and no more than 5 clinical hours; and

(3) Complete a written report of the second opinion evaluation and assessment, including, but not limited to:
a. An acknowledgment of the receipt and review of the phase II program clinical data;

b. The dates and duration of all client contact occurring in the course of the evaluation;

c. A biopsychosocial history of the client;

d. A substance abuse history of the client;

e. A legal history of the client;

f. A medical history of the client;

g. A family substance abuse history;

h. The relevant psychiatric history of the client;

i. The relevant medication history of the client

j. The client's current substance use/abuse dependency status;

k. The client's history of self-help attendance or involvement, if applicable;

l. The client's history of any prior treatment for alcohol or substance abuse;

m. A summary of the client's level of participation and motivation;

n. An identification and results summary of all diagnostic instruments utilized in the course of conducting the evaluation;

o. An assessment of client's current risk level to recidivate; and

p. Further counseling and treatment recommendations for the client, if applicable; and

(4) Forward the report in (3) to the phase II provider program director.

(g) Upon receipt of the second opinion evaluation report from the LADC, or other provider that has met the requirements of He-A 907.14(a) (4) -(5) , the program director and the LADC exit evaluator shall review the findings of both the original exit evaluation and assessment interview and the second opinion evaluation.

(h) If there is information missing from the second opinion evaluation report, the program director shall obtain the missing information from the provider who rendered the second opinion evaluation.

(i) If the results of the second opinion evaluation agree with the positive finding and the further counseling requirement of the original exit evaluation and assessment interview, the program director shall inform the client of his or her need to comply with the original further counseling requirement or act upon his or her right to a hearing before the department of safety, pursuant to RSA 265-A:42 and Saf-C 204.20.

(j) If the results of the second opinion evaluation do not agree with the positive finding of the original exit evaluation and assessment interview, the program director and the LADC exit evaluator shall:

(1) Accept the second opinion evaluation as is and change the original further counseling requirements to coincide with the second opinion if new information is presented or previously existing information is clarified to indicate a different clinical finding;

(2) Communicate with the LADC, or other provider that has met the requirements of He-A 907.14(a) (4) -(5) , that rendered the second opinion in order to address any new information or clarification of existing information and modify the original further counseling requirements accordingly; or

(3) Reject the second opinion evaluation if no new information or clarification of existing information has been received and maintain the client's need to comply with the original further counseling requirements.

(k) If, after reviewing the second opinion evaluation report, the program director finds that the client needs to comply with the original or modified further counseling requirements, the program director shall so inform the client.

(l) If, after reviewing the second opinion evaluation report, the program director finds that the client does not need further counseling, the program director shall so inform the client and shall send Form IDIP-021, program completion report, to the department of safety within 5 days of receiving the second opinion evaluation.

#7058, eff 7-21-99; ss by #8902, INTERIM, eff 7-13-07, EXPIRED: 1-9-08

New. #9082, eff 1-30-08 (from He-A 907.15)

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