Subchapter F. STANDARDS FOR INPATIENT NONHOSPITAL
709.61. Exceptions to the general standards for freestanding treatment activities.
709.62. Intake and admission.
709.63. Client records.
709.64. Project management services.
This subchapter cited in 31 Pa. Code § 89.621 (relating to inpatient detoxification services).
§ 709.61. Exceptions to the general standards for freestanding treatment activities.
Due to the nature of this detoxification activity, projects of this kind need not comply with § 709.24(a)(2) and (3) (relating to treatment/rehabilitation management).
§ 709.62. Intake and admission.
(a) The project director shall develop a written plan providing for intake and admission which includes, but is not limited to:
(1) Criteria for admission.
(2) Treatment methodology.
(3) Requirements for completion of treatment.
(4) Involuntary discharge/termination criteria.
(b) Intake procedures other than initial medical care shall be performed at a time when the immediate physiological effects of drug and alcohol abuse have subsided.
(c) Intake procedures shall include documentation of the following:
(1) Disclosure to the client of criteria for admission, treatment, completion and discharge.
(2) Client orientation to the project which includes, but is not limited to a familiarization with:
(i) Project policies, which include the following:
(ii) Hours of operation.
(iii) Fee schedule.
(iv) Services provided.
(3) Histories, which include the following:
(i) Medical history.
(ii) Drug or alcohol history, or both.
(iii) Personal history.
(4) Consent to treatment.
(5) Physical examination.
§ 709.63. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the clients involvement with the project. This shall include, but not be limited to the following:
(1) Consent forms.
(2) Drug and alcohol support plan.
(3) Progress notes.
(4) Medication records.
(5) Record of services provided.
(6) Aftercare plans, if applicable.
(7) Discharge summary.
(8) Follow-up information.
(9) Verification that work done by the client at the project is an integral part of the clients drug and alcohol support plan.
(10) Documentation of special dietetic needs, if applicable.
(b) The project shall develop and maintain client records on standardized project client record forms.
§ 709.64. Project management services.
(a) The inpatient nonhospital project shall have written policies and procedures for its dietetic services which shall include, but not be limited to the following:
(1) Purchasing of food and equipment.
(2) Receiving, storing and preserving of food stuff.
(3) Proper preparation of food.
(4) Safety and sanitation, including the preparation, handling and storage of foods; the care and cleaning of dishes, utensils and work area.
(5) Personal hygiene for those in food preparation areas.
(6) Special dietary needs.
(b) The project shall develop 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.
(c) The project shall assist the client in obtaining the following supportive services when necessary:
(d) The project shall develop a written client aftercare policy.
(e) The project shall develop a written client follow-up policy.
(f) The project shall develop a written plan providing for outreach services which shall include, but not be limited to:
(1) Identifying persons in need of project services.
(2) Alerting persons and their families to the availability of project services.
(3) Encouraging persons to utilize the service delivery system.
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