New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES
Subchapter 10 - SUBSTANCE ABUSE COUNSELING AND SUPPORTIVE SERVICES
Section 10:161B-10.1 - Provision of substance abuse counseling

Universal Citation: NJ Admin Code 10:161B-10.1

Current through Register Vol. 56, No. 18, September 16, 2024

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

(b) Programs shall maintain an average ratio of substance abuse counselors to clients on the basis of each program's daily census, as follows:

1.Outpatient:1:35;
2.Intensive outpatient:1:24;
3.Partial care:1:12;
4.Outpatient
detoxification:1:24;
5.Opioid treatment
Phase(s) I through III:1:50, with no
single counselor's
caseload exceeding
1:35; and
6.Opioid treatment
Phase(s) IV through VI:1:50.

(c) The program shall provide each client education with respect to the disease of addiction; the client's diagnosis; alcohol, tobacco and other drug use; risk of exposure to AIDS and hepatitis; other health consequences of substance abuse; family issues related to substance abuse; and relapse prevention. Psycho-education shall also address the needs of clients with co-occurring disorders and issues such as, but not limited to, domestic violence, parenting and sexual abuse.

(d) Programs providing partial care services shall provide weekly family counseling sessions, and intensive outpatient and outpatient programs shall provide monthly family counseling sessions, unless clinically contraindicated or the client and/or their family members refuse to participate. Opioid treatment programs shall provide family counseling sessions based upon the clinical determination of the multidisciplinary team.

(e) The program shall provide clients, and their family members, with information regarding the desirability of participating in self-help support groups and recovery support services, and shall provide literature about these resources to clients, and their families, including meeting schedules and locations.

(f) Group counseling sessions shall not exceed an average of 12 clients and shall not exceed 14 clients in any one session. This provision shall not apply to psycho-educational or family counseling sessions.

(g) Programs providing partial care services and intensive outpatient services shall provide clients with at least weekly individual counseling sessions; outpatient programs shall provide at least monthly individual counseling sessions, based upon determination of the multidisciplinary team. Opioid treatment programs shall provide individual sessions based upon, at a minimum, client phase of treatment per 10:161B-11.8. In addition to the minimum requirements listed in this subsection, providers should be prepared to increase frequency of individual sessions based upon clinical need.

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