14 CRR-NY 820.5NY-CRR
14 CRR-NY 820.5
14 CRR-NY 820.5
820.5 General program standards.
(a) Policies and procedures.
The program sponsor must approve written policies, procedures, and methods governing the provision of services in compliance with office regulations including a description of each service provided. These policies, procedures, and methods must address, at a minimum:
(1) admission and discharge, including transfer and referral procedures;
(2) treatment/recovery plans, including service plans where appropriate;
(3) staffing including, but not limited to, training and use of student interns, peers and volunteers, and compliance with Part 805 of this Title;
(4) screening and referral procedures for associated physical or psychiatric conditions;
(5) a schedule of fees for services rendered;
(6) infection control procedures;
(7) cooperative agreements with other chemical dependence service providers and other providers of services a resident may need;
(8) compliance with other requirements of applicable local, State and Federal laws and regulations, OASAS guidance documents and standards of care regarding, but not limited to:
(i) education, counseling, prevention and treatment of communicable diseases, including viral hepatitis, sexually transmitted diseases and HIV/AIDS; regarding HIV, such education, counseling, prevention and treatment shall include condom use, testing, pre- and post-exposure prophylaxis and treatment;
(ii) medication assisted treatment;
(9) the use of alcohol and other drug screening tests, such as breath testing, urine screening;
(10) procedures for the ordering, procuring, and disposing of medication, as well as the self-administration of medication;
(11) quality improvement and utilization review;
(12) procedures for emergencies;
(13) incident reporting and review in accordance with Part 836 of this Title;
(14) recordkeeping;
(15) procedures whereby required educational services are provided for school age children who are in residence as either an individual who is receiving treatment or as part of a family unit;
(16) procurement, storage, preparation of food and nutritional planning;
(17) records retention. Case records must be retained for six years after the date of discharge or last contact, or three years after the patient reaches the age of 18, whichever time period is longer.
(b) Emergency medical kit.
All programs must maintain an emergency medical kit at each certified location; such kit must include basic first aid and at least one Narcan emergency overdose prevention kit the use of which is subject to applicable laws and regulations. Programs must develop and implement a plan to have staff and residents, where appropriate, trained in the prescribed use of a Narcan kit such that it is available, to the maximum extent possible, for use during all program hours of operation.
(1) All staff and residents should be notified of the existence of the Narcan overdose prevention kit and the authorized administering staff.
(2) Nothing in this regulation shall preclude residents from becoming authorized in the administration of the Narcan emergency overdose prevention kit, provided however, the program director must be notified of the availability of any additional authorized users.
(c) Utilization review and quality improvement.
All programs must have a utilization review process, a quality improvement committee, and a written plan that identifies key performance measures for that particular program.
(d) Medication assisted treatment.
A provider of residential services may provide residential services to an individual who is on methadone or other approved opiate maintenance, or is being detoxified from methadone. Opiate maintenance or detoxification services may be provided through a written agreement with an appropriately certified methadone/opiate provider in accordance with applicable Federal and State requirements including, but not limited to, regulations of the Federal Center for Substance Abuse Treatment, the United States Drug Enforcement Administration, the New York State Department of Health, and the office, including but not limited to Part 822 of this Title.
(e) Services.
All residential programs shall make available, either directly or through referral to appropriate agencies, the following services as clinically and programmatically indicated:
(1) Supportive services: availability of a range of support services appropriate to resident needs including legal, mental health, and social services, vocational assessment and counseling.
(2) Educational and child care services: availability of required educational and childcare services in each program which provides services to school-age children.
(3) Structured activity and recreation: opportunities for residents and family members, where appropriate, to participate in activities designed to foster effective use of leisure time, to improve social skills, develop self-esteem and encourage personal responsibility.
(4) Orientation to community services: orientation for each resident including advice and instruction in identifying and obtaining needed community services such as housing and other necessary case management services.
(f) Certified capacity.
The certified bed capacity of each residential program may not be exceeded at any time except:
(1) in cases of emergency and unexpected surges in demand where no alternative options are available; and
(2) failure to temporarily accept individuals into the program would jeopardize their immediate health and safety; and
(3) where the excess of capacity would be time limited.
(g) Recordkeeping and reporting.
(1) All residential services must maintain individual case records for each resident served. These records must, at a minimum, include the information required in this Part, as well as the source of referral, documentation of any case conferences or case reviews, reports of other evaluations and case consultations, medical orders, if applicable, and consent forms.
(2) Statistical information shall be reported to the office as required and on the prescribed forms therefore.
14 CRR-NY 820.5
Current through May 31, 2021
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