Ala. Admin. Code r. 580-9-44-.14 - Level 0.5: Early Intervention
(1) Rule Compliance. Each Level 0.5 Early
Intervention Program shall comply with the following rules and the rules
specified in this chapter.
(a) Operational
Plan. The entity shall develop, maintain and document implementation of a
written operational plan that defines its Level 0.5 Early Intervention Program.
The program description shall comply with all of the requirements specified in
580-9-44-.13 and the following
additional specifications:
1. Location. The
entity shall specifically identify and describe the setting in which Level 0.5
Early Intervention services shall be provided. Services may be provided in any
appropriate setting that protects the client's right to privacy,
confidentiality, safety and meets the DMH facility certification standards as
appropriate to the location. Service locations may include traditional clinical
offices and behavioral health sites, residences, schools, shelters, work sites,
community centers and other locations as pre-authorized by DMH.
(i) Adolescent Specific Criteria.
(I) Location. Shall not provide services in
locations that would require shared services or significant contact with
individuals receiving treatment for substance use
disorders.
2.
Admission Criteria. The entity shall develop, maintain, and document
implementation of written criteria for admission to its Level 0.5 Outpatient
Program, as according to
580-9-44-.13(9),
and the following criteria:
(i) The entity's
admission criteria shall specify the target population for Level 0.5 services
to include, at a minimum, individuals whose problems and risk factors appear to
be related to substance use, but do not meet the diagnostic criteria for a
substance-related disorder as defined in the current Diagnostic and Statistical
Manual of Mental Disorders of the American Psychiatric Association.
(ii) The entity shall provide written
documentation in individual case records that each client admitted to receive
Level 0.5 Early Intervention Services meets the most current edition of the
ASAM Patient Placement Criteria diagnostic and dimensional criteria for this
level of care.
(iii) Adolescent
Program Specific Criteria. The entity shall provide written documentation in
individual case records that each adolescent admitted to receive Level 0.5
Early Intervention services meets the most recent edition of the ASAM Patient
Placement Criteria adolescent diagnostic and dimensional criteria for this
level of care.
3. Core
Services. Each Level 0.5 Early Intervention Program shall demonstrate the
capacity to provide a basic level of skilled services appropriate to the needs
of its clientele:
(i) Screening and assessment
sufficient to screen for, and rule in or out, substance-related
disorders.
(ii) Individual
counseling.
(iii) Group
counseling.
(iv) Family
counseling.
(v)
Psychoeducation.
(iv) Case
Management:
(I) Case planning.
(II) Linkage.
(III) Advocacy.
(IV)
Monitoring.
4.
Service Intensity. The entity shall document that the amount and frequency of
services is established on the basis of the unique needs of each client
served.
5. Documentation: In
addition to meeting the requirements of
580-9-44-.13(21),
an individualized progress note shall be recorded for each service provided in
Level 0.5.
6. Support Systems.
(i) At a minimum, the Early Intervention
Program shall develop, maintain and document implementation of written policies
and procedures which govern the process used to ensure the availability of and
provide referrals as needed for:
(I) Treatment
of substance use disorders.
(II)
Medical, psychological or psychiatric services, including assessment.
(III) Community social
services.
(ii) The entity
shall maintain up-to-date, written Memorandums of Understanding, Collaborative
Agreements or Referral Agreements as applicable.
7. Program Personnel. Each Level 0.5 Early
Intervention Program shall employ an adequate number of qualified individuals
to carry out personalized care for its clientele and to meet the program's
goals and objectives.
(i) Every client in a
Level 0.5 Program shall be assigned to a specific Primary Counselor for care
management.
8. Training.
The entity shall provide written documentation that all Level 0.5 Program
personnel satisfy the competency and training requirements as specified in
580-9-44-.02(3).
9. Service Intensity: The entity shall
document that the amount and frequency of Level 0.5 Early Intervention Services
are established on the basis of the unique needs of each client
served.
10. Length of Service: The
entity shall provide written documentation that the duration of treatment in
each Level 0.5 Program shall vary as determined by:
(i) The client's ability to comprehend the
information provided and use that information to make behavior changes;
or
(ii) The appearance of new
problems which require another modality of service.
11. Service Availability: The entity shall
provide written documentation describing the process utilized to establish the
hours of service availability for its Level 0.5 Early Intervention Program. At
a minimum, this process shall:
(i) Include
consideration of the needs of the target population, including work, school and
parenting responsibilities.
(ii)
Not be based solely on standard eight (8) to five (5), Monday through Friday
office hours.
Notes
Author: Substance Abuse Services Division
Statutory Authority: Code of Ala. 1975, ยง 22-50-11.
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