Current through Bulletin 2024-06, March 15, 2024
(1) A licensee may provide inpatient or
outpatient substance use disorder rehabilitation services. A licensee that
provides substance use disorder rehabilitation services shall staff the
hospital to meet the needs of the patients or clients.
(a) An individual appointed and authorized by
the hospital administrator shall provide administrative direction.
(b) A qualified physician who is a member of
the medical staff shall define in writing and provide medical
direction.
(c) The licensee shall
ensure nursing services are under the direction of a full-time registered
nurse.
(d) The licensee shall
ensure substance use disorder counseling is under the direction of a licensed
mental health therapist.
(e) A
licensed substance use disorder counselor may serve as the primary therapist
under the direction of an individual licensed under the Mental Health
Professional Practice Act, Title 58, Chapter 60.
(f) An interdisciplinary team including the
physician, registered nurse, licensed mental health therapist, and substance
use disorder counselor is responsible for program and treatment services. The
patient or client may be included as a member of the interdisciplinary
team.
(2) The licensee
shall ensure that substance use disorder rehabilitation services include the
following:
(a) detoxification care is
available for the systematic reduction or elimination of a toxic agent in the
body by use of rest, fluids, medication, counseling, or nursing care;
(b) individual, group, or family counseling
is available;
(c) educational,
employment, or other counseling is available as needed;
(d) treatment services that are coordinated
with other hospital and community services to assure continuity of care through
discharge planning and aftercare referrals. Counselors may refer patients or
clients to public or private agencies for substance use disorder
rehabilitation, and employment and educational counseling; and
(e) comprehensive assessment that is
documented and includes a physical examination, a psychiatric and psychosocial
assessment, and a social assessment.
(3) The licensee shall maintain the
confidentiality of medical records of substance use disorder patients and
clients according to the federal guidelines in the Code of Federal Regulations,
Title 42, Part 2, Confidentiality of Substance Use Disorder Patient
Records.
(4) The medical director
or designee may direct the residential treatment services. Residential
treatment services shall comply with the Residential Treatment Services section
of Rule R432-101.
