Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0054 - Substance Abuse
Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES
Section 4-11 - Outpatient Treatment Services
Universal Citation: WY Code of Rules 4-11
Current through September 21, 2024
Outpatient treatment services must meet all applicable standards, Chapters 1 and 2, and Sections 1 through 9 of Chapter 4, of these standards, including the following service level requirements.
(a) Description of Services. Outpatient services per ASAM description encompasses services which may be delivered in a wide variety of settings. Outpatient programs provide regularly scheduled sessions of usually fewer than nine (9) contact hours for adults and fewer than six ( 6) contact hours for adolescents a week. The services follow a defined set of policies and procedures or clinical protocols.
(b) Required Personnel.
(i) Outpatient clinical services are
appropriately staffed by Qualified Clinical Staff person(s) who are
credentialed through the Wyoming Mental Health Professions Licensing Board
established under the provisions of W.S. §
33-38-101, et seq., a
psychologist who is licensed to practice psychology pursuant to W.S. §
33-27-113(a)(v), a Licensed
Physician by the Wyoming State Board of Medicine, as defined in Chapter 1,
Section 4, of the Definitions of these standards, and a Wyoming Advanced
Psychiatric Nurse.
(ii) Staff is
capable of obtaining and interpreting information regarding the client's
bio-psychosocial spiritual needs, and is knowledgeable about the dimensions of
alcohol and other drug disorders, including assessment of the client's
readiness to change.
(iii) Staff is
capable of monitoring stabilized mental health problems and recognizing any
instability of clients with co-occurring mental health problems.
(c) ASAM Continued Stay, Transfer and Discharge Review. ASAM dimensional criteria shall be reviewed by the clinical staff person responsible for treatment whenever the condition changes significantly per Chapter 4, Section 6, of these standards.
(d) Therapies and Interventions.
(i) Intervention services per ASAM
description involve skilled treatment services, which include, but are not
limited to, individual and group counseling, as indicated by client need,
family therapy, educational groups, occupational and recreational therapy,
psychotherapy or other therapies, as indicated by client need.
(ii) Such services are provided in an amount,
frequency and intensity appropriate to the client's individualized treatment
plan.
(iii) Motivational
enhancement and engagement strategies are used in preference to confrontational
approaches.
(iv) For clients with
mental health problems, the issues of psychotropic medication, mental health
treatment and their relationship to substance abuse disorders are addressed, as
the need arises. Programs that provide co-occurring treatment offer therapies
to actively address, monitor, and manage psychotropic medication, mental health
treatment and the interaction with substance-related disorders. There may be
close coordination with intensive case management and assertive community
treatment for clients who have serious and persistent mental illness.
(e) Individualized Treatment Planning.
(i) Treatment plans shall be
completed in conjunction with the initiation of treatment.
(ii) Initial treatment plans shall be
developed with the client. The client and clinical staff responsible for the
course of treatment will sign this initial individualized treatment plan, if
possible.
(iii) Treatment plans
shall be developed utilizing the assessment information, including ASAM
dimensional criteria and the DSM diagnoses.
(iv) Treatment plans shall document outcome
driven goals that are measurable. The plan shall specify the changes in the
client's symptoms and behaviors that are expected during the course of
treatment for the current level of service the client is in and shall be
expressed in measurable and understandable terms. The goals shall describe
improved functioning level of the client utilizing ASAM dimensional
criteria.
(v) Treatment plans shall
integrate mental health issues, if identified as part of the assessment
process, or at any point during the continuum of treatment.
(vi) Treatment plan reviews shall be
evaluated throughout the course of treatment based on client progress or lack
of progress toward goals per ASAM continued stay, transfer and discharge
criteria. Modifications shall be made as clinically indicated. This review
shall include a written description within the client record of degree of
progress or lack of progress for each stated goal and can be completed within
the progress notes or as part of an ASAM dimensional criteria review
form.
(vii) Treatment plans shall
list action statements that describe the steps the client will take to meet
each stated goal.
(viii) The
provider shall endeavor to develop a single, individualized work plan when the
client is receiving services from other human services agencies, including, but
not limited to, the Department of Education, Department of Family Services,
Department of Workforce Services, or Department of Corrections. The treatment
plan shall be comprehensive and include goals and services developed in
collaboration with the client, the client's family, where feasible, and other
human service agencies serving the client's overall functioning
level.
Disclaimer: These regulations may not be the most recent version. Wyoming 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.
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