Current through Register Vol. 48, No. 9, September 27, 2024
A.
Patients shall receive assistance in activities of daily living as documented
in the Individual Plan of Care.
B.
Patients shall be provided necessary items and assistance to maintain their
personal hygiene.
C. Opportunities
shall be provided for participation in religious services. Assistance in
obtaining pastoral counseling shall be provided upon request by the
Patient.
D. Precautions shall be
taken for the protection of the personal possessions of the Patients, including
their personal funds. The Facility may secure the personal funds of the Patient
provided the Patient authorizes the Facility to do so. The Facility shall
maintain an accurate accounting of the funds, including evidence of purchases
by Facility on behalf of the Patients. No personal monies shall be given to
anyone, including family members, without written consent of the Patient. If
money is given to anyone by the Facility, a receipt shall be
obtained.
E. Residential Treatment
Programs shall document in the Patient's medical record that the Facility has
provided or made available the following:
1.
Specialized professional consultation, supervision, and direct affiliation with
other levels of treatment;
2.
Arrangements for appropriate laboratory and toxicology tests as
needed;
3. Counselors to assess and
treat Patients for Substance Use Disorders and obtain and interpret information
regarding the needs of the Patients;
4. Counselors to provide a planned regimen of
twenty-four (24) hour professionally-directed evaluation, care, and treatment
services for persons with Substance Use Disorders and their families to include
individual, group, and/or family counseling directed toward specific Patient
goals indicated in his or her Individual Plan of Care;
5. Educational guidance and educational
program referral when indicated; and
6. Vocational counseling for any Patient when
indicated. For those not employed, Staff and/or Volunteers shall facilitate the
Patient's pursuit of employment search;
F. Withdrawal Management Programs.
1. Facilities Offering a Medical Withdrawal
Management Program shall document in the Patient's medical record that the
facility has provided the following:
a.
Continuing observation and monitoring of each Patient's condition to recognize
and evaluate significant signs and symptoms of medical distress and take
appropriate action. Each Patient's general condition, including vital signs,
shall be documented at a frequency as determined by the Facility, but not less
than three (3) times during the first seventy-two (72) hours of admission to
the Facility;
b. A plan for
supervised withdrawal, to be implemented upon admission;
c. Counseling designed to motivate Patients
to continue in the treatment process and referral to the appropriate treatment
modality.
2. Facilities
offering a Social Withdrawal Management Program shall document in the Patient's
medical record that the Facility has provided the following:
a. Development of an Individual Plan of Care
for supervised withdrawal;
b.
Continuing observation of each Patient's condition to recognize and evaluate
significant signs and symptoms of medical distress and take appropriate action;
and
c. Counseling designed to
motivate Patients to continue in the treatment process.
3. Facilities providing a Withdrawal
Management Program shall provide room, dietary service, care, and supervision
necessary for the maintenance of the Patient.
