820.11 Additional requirements for rehabilitation services in a residential setting:
- Rehabilitation services are appropriate for individuals who do not have significant withdrawal symptoms, are free of severe cravings to use substances and, if present, psychiatric and medical conditions are stable. Individuals have functional impairment in cognitive, emotional regulation, social and role functioning.
- Staffing. In addition to staffing required of all residential services pursuant to section 820.6 of this Part, rehabilitation services approved by the Office must provide medical staff, as defined in Part 800 of this Title, on site or on-call, and staff available sufficient to meet the emergent needs of the resident population including any or all of the staff identified in 820.6(b)(2) of this Part. The percentage of time that each shared staff is assigned to the residential service must be documented.
- In addition to the services required of all residential programs, rehabilitation services must provide:
- individual, group and family counseling as appropriate to resident needs; provided by clinical staff as clinical staff are defined in Part 800 of this Title.
- A group therapy session shall contain no more than 15 persons;
- Family counseling services include services to significant others;
- Peer support may occur in a peer group setting where the group is facilitated by residents who have greater experience or seniority within the service. Such counseling must be directly supervised by a clinical staff member in attendance;
- Multi-family group counseling and psycho-education.
- Medical assessment of physical and mental health conditions and medical treatment to enable the resident to manage chronic health and mental health conditions including treatment of physical health conditions that are routine:
- Psychiatric assessment and medication management of co-occurring psychiatric conditions which can be managed within the residential setting;
- Psycho-social interventions which teach skills for coping with urges, craving, impulsive behavior and cognitive distortions in thinking, motivational interviewing techniques to engage the resident in treatment;
- Planned interactions with residents within the milieu intended to build social, emotional, and behavioral functioning including: increased empathy, successful social interactions, increase in self-efficacy, confidence, control over impulses, managing of urges and cravings to use and the skill in use of social supports available within the community.