Subchapter K. STANDARDS FOR INPATIENT HOSPITAL DRUG
AND ALCOHOL ACTIVITIES OFFERED IN FREESTANDING
PSYCHIATRIC HOSPITALS
Sec.
709.121. Applicability.
709.122. Detoxification.
709.123. Treatment and rehabilitation.
Cross References This subchapter cited in 31 Pa. Code § 89.621 (relating to inpatient detoxification services).
§ 709.121. Applicability.
A psychiatric hospital intending to provide ongoing, structured and systematic drug and alcohol activities shall first be licensed by the Department. These facilities shall comply with this subchapter, Subchapters A and B (relating to general provisions; and licensing procedures) and applicable sections of Subchapter C (relating to general standards for freestanding treatment activities).
§ 709.122. Detoxification.
(a) Intake and admission.
(1) Intake procedures, other than initial medical or psychiatric care, shall be performed at a time when the client is mentally and physically capable of comprehension and response.
(2) Intake procedures shall include documentation of:
(i) Drug or alcohol history, or both.
(ii) Consent to treatment.
(b) Client records. There shall be a complete client record on an individual which includes information relative to the client’s involvement with the project. This shall include, but not be limited to the following:
(1) Consent forms.
(2) Drug and alcohol support plan.
(3) Record of service provided.
(4) Drug and alcohol aftercare plan, if applicable.
(5) Follow-up information.
(c) Client management services.
(1) There shall be a written plan that delineates specific service planning and counseling approaches used to promote client interest in participating in necessary treatment following the detoxification process.
(2) The project shall develop a written client aftercare policy.
(3) The project shall develop a written client follow-up policy.
Cross References This section cited in 31 Pa. Code § 89.621 (relating to inpatient detoxification services).
§ 709.123. Treatment and rehabilitation.
(a) Intake and admission.
(1) The project director shall develop a written plan providing for intake and admission which shall include, but not be limited to:
(i) Criteria for admission.
(ii) Treatment methodology.
(iii) Requirements for completion of treatment.
(iv) Involuntary discharge/termination criteria.
(2) Intake procedures shall include documentation of:
(i) Disclosure to the client of criteria for admission, treatment, completion and discharge.
(ii) Drug and alcohol history.
(iii) Consent to treatment.
(iv) Treatment and rehabilitation plan.
(b) Treatment and rehabilitation services.
(1) An individual treatment and rehabilitation plan shall be developed with a client. This plan shall include, but not be limited to, written documentation of:
(i) Short and long-term goals for treatment as formulated by both staff and client.
(ii) Type and frequency of treatment and rehabilitation services.
(iii) Proposed type of support service.
(2) Treatment and rehabilitation plans shall be reviewed and updated at least every 30 days. For those projects whose client treatment regimen is less than 30 days, the treatment and rehabilitation plan review and update shall occur at least every 15 days.
(3) The project shall assure that counseling services are provided according to the individual treatment and rehabilitation plan.
(4) Counseling shall be provided to a client on a regular and scheduled basis.
(c) Client records. There shall be a complete client record on an individual which includes information relative to the client’s involvement with the project. This shall include, but not be limited to, the following:
(1) Consent forms.
(2) Record of services provided.
(3) Individualized drug and alcohol treatment and rehabilitation plan.
(4) Drug and alcohol aftercare plan, if applicable.
(5) Follow-up information.
(d) Client management services.
(1) The project shall assist the client in obtaining the following supportive services when necessary.
(i) Job development and placement.
(ii) Economic.
(iii) Legal.
(iv) Recreational/social.
(2) The project shall develop a written client aftercare policy.
(3) The project shall develop a written client follow-up policy.
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