Ohio Administrative Code
Title 5122 - Department of Mental Health and Addiction Services
Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies
Section 5122-29-03 - General services
Universal Citation: OH Admin Code 5122-29-03
Current through all regulations passed and filed through September 16, 2024
(A) "General services" are the assessment activities, medical activities, and counseling and therapy activities as defined in this rule.
(B) The general services shall be provided by the professional credentials listed in appendix A of this rule within the scope of practice of those credentialed professionals.
(C) Assessment activities:
(1)
An
assessment:
(a)
Is a clinical evaluation of a person which is:
(i)
Individualized;
and,
(ii)
Age, gender, and culturally
appropriate.
(b)
Determines diagnosis, treatment needs, and establishes
a treatment plan to address the person's mental illness or substance use
disorder.
(2)
When the assessment is to be provided to a client it
should started prior to the initiation of other services, except for emergency
situations.
(3)
An initial assessment must, at a minimum, include an
evaluation of:
(a)
The presenting problem;
(b)
The risk of harm
to self and others;
(c)
The use of alcohol or drugs;
(d)
The treatment
history for mental illness or substance use/abuse; and,
(e)
A medical history
and examination (mental status or physical).
(4)
A comprehensive
assessment shall expand on the initial assessment and obtain additional
information that is required to establish and implement a comprehensive
treatment plan, and must be completed within thirty days of the initial
assessment encounter.
(5)
A person is not required to have an initial assessment
prior to receiving a comprehensive assessment.
(6)
Initial and
comprehensive assessments shall be completed according to prevailing standards
of care as defined by:
(a)
"The Joint Commission";
(b)
"The Commission
on Accreditation of Rehabilitation Facilities";
(c)
"The Council on
Accreditation"; or,
(d)
Other entities as designated by the
director.
(7)
Providers may accept initial or comprehensive
assessments from other providers as long as they have been completed within the
preceding twelve months. Prior assessments shall be reviewed and
updated.
(D) Counseling and therapy
(1)
Counseling and
therapy is an interaction with a person or persons where the focus is on
achieving treatment objectives related to alcohol and other substances; or the
person's mental illness or emotional disturbance.
(2)
Counseling and
therapy involves a face-to-face encounter between a client, group of clients,
client and family members, or family members and a behavioral health
professional.
(3)
Group counseling and therapy encounters may not exceed
a one-to-twelve behavioral health professional to patient
ratio.
(E) Medical activities.
(1)
"Medical
activities" are those activities that are performed within professional scope
of practice by staff that are licensed or certified by the state medical board
of Ohio. the state of Ohio board of nursing, or a pharmacist licensed by the
state of Ohio board of pharmacy; and are intended to address the behavioral and
other physical health needs of clients receiving treatment for psychiatric
symptoms or substance use disorders.
(2)
Medical
activities include, but are not limited to:
(a)
Performing health
care screenings, assessments, and exams;
(b)
Checking vital
signs;
(c)
Ordering laboratory tests and reviewing the results;
and,
(d)
Medication prescribing, administering, and
monitoring.
Replaces: 5122-29-03, 5122-29-04, 5122-29-05, 3793:2-1-08
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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