Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 17 - Standards and Criteria for Community Mental Health Centers
Subchapter 5 - Optional Services
Part 25 - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS
Section 450:17-5-180 - Initial assessment and initial care plan
Universal Citation: OK Admin Code 450:17-5-180
Current through Vol. 41, No. 13, March 15, 2024
(a) The initial assessment and the initial care plan must be completed within ten (10) business days after the first contact. The initial care plan must include, at a minimum, the following:
(1) Preliminary diagnoses;
(2) Source of referral;
(3) Reason for seeking care, as stated by the
client or other individuals who are significantly involved;
(4) Identification of the client's immediate
clinical care needs related to the diagnosis for mental and substance use
disorders;
(5) A list of current
prescriptions and over-the-counter medications, as well as other substances the
client may be taking;
(6) An
assessment of whether the client is a risk to self or to others, including
suicide risk factors;
(7) An
assessment of whether the client has other concerns for their safety;
assessment of need for medical care (with referral and follow-up as required);
(8) A determination of whether the
person presently is or ever has been a member of the U.S. Armed Services; and
(9) At least one (1) immediate
treatment goal.
(b) A Licensed Behavioral Health Professional (LBHP) or Licensure Candidate, acting within his/her scope of practice requirements, must complete the initial assessment and initial care plan in accordance with OAC 450:17-3-21 for consumers who have not been assessed by the facility within the past six (6) months.
Disclaimer: These regulations may not be the most recent version. Oklahoma 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
