Current through Vol. 41, No. 13, March 15, 2024
(a) Proof of completion of orientation in the
PSR model shall be kept on file for all program staff members. The CMHC
policies and procedures shall document a plan by which employees who are staff
members in the PSR program are to be oriented to the PSR model.
(b) The program shall incorporate the
following functions:
(1)
Recovery
Orientation. The service elements include a Recovery oriented treatment
plan, member goal setting, employment and educational support services, and a
staff philosophy of recovery that permeates all service elements and
activities.
(2)
Empowerment
Orientation. The service elements include peer support, leadership skill
development, member participation on agency boards, and participation in
consumer advocacy groups. All PSR programs shall establish an advisory
committee consisting of members and a staff person, which will address issues
such as program development and planning, and program problem solving.
(3)
Competency
Orientation. The service elements include curriculum based life skills
training (covering self-management of illness, independent living skills,
social skills, and work related skills), a multi-dynamic learning approach, an
explicit focus on generalization to contexts beyond the immediate learning task
and transfer of skills to real life situations and a community based supports
component that provides on-going in home or community based support services,
based on consumer need and choice, in the areas of housing, employment,
education and the development of natural supports (i.e., family, cultural and
social). Curricula shall include attention to building decision making capacity
and life skills to implement decisions regarding substance use, including
nicotine and caffeine, to promote health choices. Decision making should not be
mandated abstinence but should be client-centered within the overall context of
recovery goals. Service elements also include a work unit component that
adheres to the following standards:
(A)
Members and staff work side-by-side.
(B) The work completed is work generated by
the PSR program. No work for outside individuals or agencies is acceptable.
(C) All work in the PSR program is
designed to help members regain self-worth, purpose and confidence; it is not
intended to be job specific training.
(D) The program is organized into one or more
work units, each of which has sufficient staff, members and meaningful work.
(c) PSR
programs are required to maintain minimum staff ratios to assure participants
have choices in activities and staff with whom they work. The following
staffing ratios shall be maintained for each location at which a psychiatric
rehabilitation program is in operation.
(1)
Fourteen (14) or fewer participants in attendance; at least one staff member
present provided arrangements for emergency back-up staff coverage are in place
and described in the program's policy and procedures;
(2) Fifteen (15) to twenty eight (28)
participants in attendance; at least two staff members present; or,
(3) Programs with twenty nine (29) or more
participants shall maintain a 14:1 participant-to-staff ratio.
(d) Compliance with 450:17-3-144
shall be determined by on-site observation; interviews with members; interviews
with staff; a review of policy and procedures; and a review of clinical
records.
Added at 13 Ok Reg
2741, eff 7-1-96; Amended at 16 Ok Reg 1494, eff 7-1-99; Amended at 18 Ok Reg
2658, eff 7-1-01; Amended at 19 Ok Reg 2333, eff 7-1-02; Amended at 20 Ok Reg
1303, eff 7-1-03; Amended at 21 Ok Reg 1067, eff 7-1-04; Amended at 23 Ok Reg
1421, eff 7-1-06; Amended at 24 Ok Reg 2563, eff 7-12-07; Amended at 27 Ok Reg
2216, eff 7-11-10
