[32 Pa.B. 3201]
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Annex A
TITLE 4. ADMINISTRATION
PART XI. GOVERNOR'S COUNCIL ON DRUG AND ALCOHOL ABUSE
CHAPTER 259. (Reserved) § 259.1. (Reserved).
§ 259.2. (Reserved).
TITLE 28. HEALTH AND SAFETY
PART V. DRUG AND ALCOHOL FACILITIES AND SERVICES
CHAPTER 701. GENERAL DEFINITIONS
Subchapter A. DEFINITIONS § 701.1. General definitions.
The following words and terms, when used in this part, have the following meanings, unless the context clearly indicates otherwise:
Act--The Pennsylvania Drug and Alcohol Abuse Control Act (71 P. S. §§ 1690.101--1690.115).
Active client--A client in any phase of treatment.
Administration activity--The provision of planning, organizing, funding and control of the SCA drug and alcohol program.
Aftercare plan--A plan for clients to follow after they leave formal treatment. It is the client's individual plan for the future, including an identification of the client's personal goals and objectives.
Budgeted capacity--The maximum number of active clients a project is funded to treat for each activity or activity/approach combination.
Caseload--The number of clients who are receiving direct counseling services on a regular basis at least twice per month. The number of clients does not include clients who are seen by a counselor only for intake evaluations.
Case management--An organized system of coordinative activities developed and administered by the SCA to ensure client continuity of service, efficient and effective utilization of available resources, and appropriateness of service to meet the needs of the client.
Certificate of compliance--A certificate which indicates that the Department has found a drug and alcohol treatment activity, which is part of a health care facility, to be in full or substantial compliance with standards established by the Department.
Client--An individual who is or has been the recipient of the services of a project. A client may be receiving drug services, alcohol services, or both.
Client records--The medical, psychological, social, occupational and financial data obtained as part of the diagnosis, classification and treatment of a client.
Clinical supervisor--The director of treatment services who supervises counselors and counselor assistants and who meets the education and experience requirements in Chapter 704 (relating to staffing requirements for drug and alcohol treatment activities).
Close supervision--Formal documented case review and an additional hour of direct observation by a supervising counselor or a clinical supervisor once a week.
Correctional institution activity--The provision of drug or alcohol services within or under the jurisdiction of a State or county correctional facility.
Counselor--An individual who provides a wide variety of treatment services which may include performing diagnostic assessments for chemical dependency, developing treatment plans, providing individual and group counseling and other treatment modes and who meets the education and experience requirements in Chapter 704.
Counselor assistant--An entry level position for an individual without counseling experience who provides treatment services under the direct supervision of a trained counselor or clinical supervisor. This individual shall complete a structured supervision and training program as delineated in §§ 704.9 and 704.11(g) (relating to supervision of counselor assistant; and staff development program). The length of time spent in assistant status is dependent upon previous education and clinical experience and satisfactory completion of the performance evaluation completed during the assistant status.
Department--The Department of Health of the Commonwealth.
Department-approved curriculum--Training courses developed or funded by the National Institute on Drug Abuse (NIDA), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the Office for Substance Abuse Prevention (OSAP), the Department or other Federal or State agencies.
Detoxification approach--The process whereby a drug- or alcohol-intoxicated or dependent client is assisted through the period of time necessary to eliminate, by metabolic or other means, the presence of the intoxicating substance or dependency factors, while keeping the physiological or psychological risk to the client at a minimum. This process should also include efforts to motivate and support the patient to seek formal treatment after the detoxification process.
Direct observation--In person observation of staff working in a clinical setting for the purpose of planning, oversight, monitoring and evaluating their activities.
Driving under the influence activity--The provision of services aimed at the reduction of alcohol related motor vehicle offenses through education, information and consultation; identification of individuals in need of treatment; and referral to other resources.
Drug--A substance:
(i) Recognized in the official or supplement to either the United States Pharmacopeia or official National Formulary.
(ii) Intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals.
(iii) Other than food, intended to affect the structure or function of the body of man or other animals.
(iv) Intended for use as a component of any article specified in subparagraph (i), (ii) or (iii), but not including devices or their components, parts or accessories.
Drug and alcohol specialist--The administrator of a drug and alcohol planning council.
Drug dependent person--A person who is using a drug, controlled substance or alcohol, and who is in a state of psychic or physical, or both, dependence arising from administration of that drug, controlled substance or alcohol, on a continuing basis.
Drug free approach--The provision of guidance, advice, and psychological treatment as a means to deal with the client's emotional structure and concurrent problems without the use of a maintenance substance. Temporary medication for treatment of physiological conditions or as an adjunct to psychosocial treatment may be utilized in this approach.
Drug screening--A clinical test to detect a drug or its metabolities in human biological fluid.
Dynamic capacity--The maximum number of clients that can be treated in 1 year in each activity or activity/approach combination.
Evaluation activity--The systematic collection, analysis and interpretation of objective data pertaining to the measurement of success in achieving goals and objectives or to the development of a needs assessment.
Executive director--The administrator of a drug and alcohol commission.
Experimental approach--An innovative treatment approach not generally utilized for treatment of drug and alcohol clients.
Facility--The physical location in which ongoing, structured and systematic drug and alcohol services are delivered. A facility may have more than one activity.
Facility director--The administrator of the treatment facility who is responsible for the overall management of the facility and staff and who meets the education and experience requirements in Chapter 704.
Follow-up--The procedure by which a project determines the status of a client who has been referred to an outside service provider for services or who has been discharged from the project.
Freestanding treatment facility--The setting in which drug and alcohol treatment services take place that is not located in a health care facility.
Governing body--The persons with full legal responsibility for the overall operation of the project.
Health care facility--
(i) A general, tuberculosis, chronic disease or other type of hospital--but not hospitals caring exclusively for the mentally ill--a skilled nursing facility, home health care agency, intermediate care facility, ambulatory surgical facility or birth center--regardless of whether the health care facility is created for profit, nonprofit, or by an agency of the Commonwealth or local government.
(ii) The term does not include an office used primarily for the private practice of medicine, osteopathy, optometry, chiropractic, podiatry or dentistry; nor a program which renders treatment or care for drug or alcohol abuse or dependence, unless located within a health facility; nor a facility providing treatment solely on the basis of prayer or spiritual means.
(iii) The term does not include a mental retardation facility except to the extent that it provides skilled nursing care.
(iv) The term does not apply to a facility which is conducted by a religious organization for the purpose of providing health care services exclusively to clergymen or other persons in a religious profession who are members of a religious denomination.
Inpatient hospital activity--The provision of detoxification or treatment and rehabilitation services, or both, 24 hours a day, in a hospital. The hospital shall be licensed by the Department as an acute care or general hospital, or approved by the Department of Public Welfare as a psychiatric hospital.
Inpatient nonhospital activity--A nonhospital, residential facility, providing one of the following drug and alcohol services:
(i) Residential treatment and rehabilitation services.
(ii) Transitional living services.
(iii) Short-term detoxification.
Intake, evaluation and referral activity--The provision of intake and referral by a facility designated by the SCA to perform those services centrally for two or more facilities within that SCA.
Intervention level--The provision of services aimed at assisting the client in coping with a specific crisis or other situation in his life for which his customary modes of adaptation have proved inadequate. This level is aimed at assisting in decision making and supporting the client until he can cope with the situation independently. Referral is provided if the need for a structured treatment regimen or other services is indicated.
Joinder--A drug and alcohol administrative unit whose geographic area consists of two or more counties.
License--A certificate which indicates that the Department has found a freestanding treatment facility to be in full or substantial compliance with standards established under this part.
Local authority--The elected executive officials of a county.
Long-term residential facilities--Facilities where the average length of stay exceeds 90 days.
Maintenance approach--The prescription of methadone or other Department approved substance in sufficient doses to achieve stabilization or prevent withdrawal symptoms. This approach differs from the drug free approach in that a maintenance substance is utilized throughout the treatment regimen. Slow withdrawal or outpatient detoxification of the client from the maintenance substance is considered as a part of maintenance. The ultimate goal of maintenance is to assist the client in permanently discontinuing the use of dependency producing substances.
Maintenance substance--Methadone or other Department approved substance used in sufficient doses to achieve stabilization or prevent withdrawal symptoms.
Medication--A prescription drug ordered by a licensed physician.
MH/MR administrator--The person appointed by the local authority to carry out duties, as provided in the Mental Health and Mental Retardation Act of 1966 (50 P. S. §§ 4101--4704), within a county MH/MR Program.
Nonresidential facility--A facility that does not provide sleeping accommodations and provides one or more of the following activities: outpatient, partial hospitalization, intake, evaluation or referral activities.
Occupational program activity/employee assistance programs--The provision of consultation, education, training and referral services to industry to assist employees whose job performance is deteriorating due to substance abuse.
Other chemotherapy approach--A treatment approach that includes chemotherapy using a primary medication for other than detoxification purposes. The term implies continued doses of medication. If a client receives only short-term medication for temporary symptomatic relief, the client is entered under the drug free or the detoxification approach, as appropriate.
Outpatient activity--The provision of counseling or psychotherapeutic services on a regular and predetermined schedule. The client resides outside the facility.
Outreach--Identifying persons who are in need of services, and alerting them to the availability and location of the services.
Paraprofessional--An individual, currently serving in a clinical capacity in a drug or alcohol treatment intervention or prevention project, whose performance closely relates to the technical or ethical standards normally ascribed to a professional.
Partial hospitalization activity--The provision of psychiatric, psychological, social and other therapies on a planned and regularly scheduled basis. Partial hospitalization is designed for those clients who would benefit from more intensive services than are offered in outpatient treatment projects, but who do not require 24-hour inpatient care.
Performance audit--An examination of the total fiscal and program operations of the SCA and its drug and alcohol projects.
Physician--An individual licensed under the statutes of the Commonwealth to engage in the practice of medicine and surgery, in its branches, or in the practice of osteopathy or osteopathic surgery, as defined in 1 Pa.C.S. § 1991 (relating to definitions).
Planning council/executive commission--A body of individuals appointed to plan, approve and coordinate the county drug and alcohol program.
Primary care hours--The primary hours of operation during which primary care services are provided as established by the facility and approved by the Department.
Primary care services--Medical, psychological, counseling and support services provided by primary care staff in a treatment and rehabilitation activity as defined in this chapter.
Primary care staff--The group of individuals, including clinical supervisors, counselors, physicians, physician's assistants, psychologists, registered nurses and licensed practical nurses who provide primary care services and those individuals who are responsible for developing and implementing the treatment plan.
Program--The aggregate of drug and alcohol projects under the jurisdiction of an SCA. This aggregation may be by type (SCA alcohol program), by level (SCA prevention program) or may include drug and alcohol projects (SCA drug and alcohol program).
Project--The public or private organization responsible for the administration and delivery of drug or alcohol services, or both, through one or more facilities. A project is a component of an SCA drug and alcohol program.
Project appoval--The process for determining a project's compliance with published standards and certifying that the project is in compliance.
Project director--The administrator of the treatment project who is responsible for the overall management of the project and staff and who meets the education and experience requirements in Chapter 704.
Project staff--Persons performing the activities necessary for the operation of the project or facility.
Psychologist--A person licensed to practice psychology under the Professional Psychologists Practice Act (63 P. S. §§ 1201--1218).
Residential facility--An inpatient, nonhospital facility or inpatient freestanding psychiatric hospital that provides sleeping accommodations and provides one or more of the following activities: residential treatment and rehabilitation services, transitional living services or short-term detoxification services, 24 hours a day.
SCA--Single County Authority--The agency designated by the local authorities in a county or joinder to plan, fund and administer drug and alcohol activities in that county or joinder. The SCA consists of the planning council/executive commission, the specialist/executive director, and, in the case of the planning council option, the MH/MR administrator. The local authorities are the final fiscal and management authority.
SCA level--Those activities conducted by the SCA which do not involve direct contact with clients or participants.
SCA plan--The annual drug and alcohol prevention, intervention and treatment plan of the SCA.
Secretary--The Secretary of the Department.
Short-term detoxification activity--The provision of detoxification services in a residential facility, not to exceed 7 days.
Training activity--The provision of necessary education and experience used to prepare those who will work or are currently working in the drug or alcohol field.
Transitional living activity--The provision of supportive services in a semiprotected home-like environment to assist a client in his gradual reentry into the community. No formal treatment--counseling/psychotherapy--takes place at the facility. This is a live-in/work-out situation.
Treatment--Activities carried out specifically to effect the reduction or alleviation of the dysfunctions or disability of the client.
Treatment and rehabilitation activity--Following the physiological detoxification phase, a full range of treatment and supportive services carried out specifically to alleviate the dysfunction of the patient. This includes the systematic application of social, psychological or medical service methods to assist individuals to deal with the causative effects or consequences of drug or alcohol abuse. These services can be provided either in a hospital or residential nonhospital setting licensed/approved by the Department.
Treatment level--The activities aimed at the systematic application of social, psychological or medical service methods to assist individuals to deal with negative effects or consequences of drug and alcohol use or abuse.
UDCS--Uniform Data Collection System--Includes the client management facet, the fiscal management facet, and the program management facet set of forms developed and maintained by the Department.
§ 701.13. (Reserved).
CHAPTER 713. (Reserved)
Subchapter A. (Reserved) §§ 713.1--713.5. (Reserved).
Subchapter B. (Reserved) §§ 713.11--713.18. (Reserved).
Subchapter C. (Reserved) §§ 713.21--713.29. (Reserved).
Subchapter D. (Reserved) §§ 713.41--713.43. (Reserved).
[Pa.B. Doc. No. 02-1168. Filed for public inspection July 5, 2002, 9:00 a.m.]
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