Oklahoma Administrative Code
Title 340 - Department of Human Services
Chapter 75 - Child Welfare Services
Subchapter 11 - Child Welfare Community-Based Residential Care
Part 33 - CONTRACTED LEVEL D PLUS AND LEVEL E QUALIFIED RESIDENTIAL TREATMENT PROGRAMS (QRTP)
Section 340:75-11-360 - Contracted Level D plus (+) qualified residential treatment programs (QRTP)

(1) structured group therapy, a minimum of two hours per week for each child;

(2) individual therapy, a minimum of one hour per week for each child;

(3) family time;

(4) family therapy;

(5) substance use, abuse, or chemical dependency therapy within a group or individual counseling or therapy session for each child, as needed;

(6) psychological or psychiatric intervention for each child through direct contact with a psychologist or psychiatric consultant or the contractor's designated therapy counseling staff;

(7) behavior redirection 24-hours a day, seven days a week to ensure safety, meet the goals and objectives of the treatment plan, and respond to any behavioral crisis of the child. The contractor ensures that staff is available to respond in a crisis to stabilize the child's behavior and prevent placement disruption;

(8) active teaching and redevelopment of the child's basic living and social skills, both on-site and in the community. At minimum, the focus is on the restoration of skills for:

(9) developing and implementing policy and procedures to successfully deliver adulthood skills training to youth, using an approved curriculum for teaching successful adulthood skills;

(10) assisting in the provision of federally mandated successful adulthood services that include coordinating with the assigned child welfare (CW) specialist to ensure:

(11) providing 24-hour awake supervision of each child;

(12) providing 24-hour on-call and on-site crisis intervention and behavior management services to each child, as needed. Emergency or crisis intervention services include face-to-face encounters with the child to resolve acute emotional dysfunction by providing intervention resolution and stabilizing functions through triage screening, planning, and documentation;

(13) providing recreation services for each child;

(14) providing schooling according to the school district where each child is located, and as agreed upon by the child's educational team. The child's educational team is comprised of the local education agency, contractor, CW specialist, and education surrogate;

(15) operating with a trauma-informed treatment model;

(16) providing transition services throughout the child's placement episode; and

(17) providing post-discharge support to each child and his or her family.

(1) complies with Part 105 of Oklahoma Administrative Code (OAC) 317:30-5 for residential behavior management services in group settings;

(2) provides clothing after the child's initial placement. Emergency funds for clothing may be accessed, per OAC 340:75-13-45;

(3) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response. The contractor submits the original incident report to the Child Welfare Services (CWS) Specialized Placements and Partnerships Unit (SPPU), a copy to the assigned CW specialist and CW facility liaison, and files a copy in the child's case record;

(4) meets the staffing guidelines defined in the Oklahoma Human Services (OKDHS) contract;

(5) complies with a child's rights, per OAC 340:75-11-237;

(6) complies with all general requirements, per OAC 340:75-11-240;

(7) maintains documentation of each child's unapproved absence from the facility and leave days defined in the contract and reports leave days on Form 04CB002E, CWS Claim for Purchase of Residential Care;

(8) establishes a procedure to address and document a response to concerns in Level D+ QRTP that do not warrant a referral for an abuse or neglect assessment or investigation. When documented efforts to address these issues do not remove the concerns, OKDHS has the right to impose adverse contract actions or decline use of the facility. Examples of this type of concern include, but are not limited to:

(9) is paid by OKDHS at a fixed daily rate for the total number of beds specified in the OKDHS contract. The fixed daily rate is a blend of Title IV-E and Title XIX federal funds, per eligibility of each child served, and state funds; and

(10) submits Form 04CB002E for payment to CWS Contracting and Acquisitioning Unit.

(1) The primary goal of Level D+ services is the remediation of emotional or behavioral disorders or behavioral problems through clinical interventions.

(2) Level D+ QRTP are less restrictive treatment intensive placements than Level E QRTP or psychiatric inpatient care and are available for children with severe emotional or behavioral disorders.

(3) Children served in Level D+ QRTP exhibit a wide range of severe emotional and behavioral disorders, per OAC 317:30-5-240.1, but are less physically or sexually aggressive than children served in Level E QRTP.

(4) Children served in D+ QRTP typically have a history of trauma that results in characteristics including, but not limited to:

(5) In general, children served are 13 to 18 years of age in Level D+ QRTP. Each contractor serves a specifically defined target population of children.

(6) The contractor receives referrals for the placement of children from CWS SPPU through the CW facility liaison.