Ariz. Admin. Code § R9-10-1011 - Behavioral Health Services
A.
An administrator of an outpatient treatment center that is authorized to
provide behavioral health services shall ensure that:
1. The outpatient treatment center does not
provide a behavioral health service the outpatient treatment center is not
authorized to provide;
2. The
behavioral health services provided by or at the outpatient treatment center:
a. Are provided under the direction of a
behavioral health professional; and
b. Comply with the requirements:
i. For behavioral health paraprofessionals
and behavioral health technicians; in
R9-10-115,
and
ii. For an assessment, in
subsection (B);
3. A personnel member who provides behavioral
health services is at least 18 years old;
a. At least 21 years of age;
or
b. At least 18 years of age and is
licensed or certified under A.R.S. Title 32 and providing sendees within the
personnel mem bcr's scope of practice; and
4. If an outpatient treatment center provides
behavioral health services to a patient who is less than 18 years of age, the
owner and an employee or a volunteer comply with the fingerprint clearance card
requirements in A.R.S. §
36-425.03.
B. An administrator of an
outpatient treatment center that is authorized to provide behavioral health
services shall ensure that:
1. Except as
provided in subsection (B)(2), a behavioral health assessment for a patient is
completed before treatment for the patient is initiated;
2. If a behavioral health assessment that
complies with the requirements in this Section is received from a behavioral
health provider other than the outpatient treatment center or the outpatient
treatment center has a medical record for the patient that contains an
assessment that was completed within 12 months before the date of the patient's
current admission:
a. The patient's
assessment information is reviewed and updated if additional information that
affects the patient's assessment is identified, and
b. The review and update of the patient's
assessment information is documented in the patient's medical record within 48
hours after the review is completed;
3. If a behavioral health assessment is
conducted by a:
a. Behavioral health
technician or a registered nurse, within 72 hours a behavioral health
professional certified or licensed to provide the behavioral health services
needed by the patient reviews and signs the behavioral health assessment to
ensure that the behavioral health assessment identifies the behavioral health
services needed by the patient; or
b. Behavioral health paraprofessional, a
behavioral health professional certified or licensed to provide the behavioral
health services needed by the patient supervises the behavioral health
paraprofessional during the completion of the behavioral health assessment and
signs the behavioral health assessment to ensure that the assessment identifies
the behavioral health services needed by the patient;
4. A behavioral health assessment:
a. Documents a patient's:
i. Presenting issue;
ii. Substance abuse history;
iii. Co-occurring disorder;
iv. Medical condition and history;
v. Legal history, including:
(1) Custody,
(2) Guardianship, and
(3) Pending litigation;
vi. Criminal justice record;
vii. Family history;
viii. Behavioral health treatment history;
and
ix. Symptoms reported by the
patient and referrals needed by the patient, if any;
b. Includes:
i. Recommendations for further assessment or
examination of the patient's needs;
ii. The behavioral health services, physical
health services, or ancillary services that will be provided to the patient;
and
iii. The signature and date
signed of the personnel member conducting the behavioral health assessment;
and
c. Is documented in
patient's medical record;
5. A patient is referred to a medical
practitioner if a determination is made that the patient requires immediate
physical health services or the patient's behavioral health issue may be
related to the patient's medical condition;
6. A request for participation in a patient's
behavioral health assessment is made to the patient or the patient's
representative;
7. An opportunity
for participation in the patient's behavioral health assessment is provided to
the patient or the patient's representative;
8. Documentation of the request in subsection
(B)(6) and the opportunity in subsection (B)(7) is in the patient's medical
record;
9. A patient's behavioral
health assessment information is documented in the medical record within 48
hours after completing the assessment;
10. If information in subsection (B)(4)(a) is
obtained about a patient after the patient's behavioral health assessment is
completed, an interval note, including the information, is documented in the
patient's medical record within 48 hours after the information is
obtained;
11. Counseling is:
a. Offered as described in the outpatient
treatment center's scope of services,
b. Provided according to the frequency and
number of hours identified in the patient's assessment, and
c. Provided by a behavioral health
professional or a behavioral health technician;
12. A personnel member providing counseling
that addresses a specific type of behavioral health issue has the skills and
knowledge necessary to provide the counseling that addresses the specific type
of behavioral health issue; and
13.
Each counseling session is documented in the patient's medical record to
include:
a. The date of the counseling
session;
b. The amount of time
spent in the counseling session;
c.
Whether the counseling was individual counseling, family counseling, or group
counseling;
d. The treatment goals
addressed in the counseling session; and
e. The signature of the personnel member who
provided the counseling and the date signed.
C. An administrator of an outpatient
treatment center authorized to provide behavioral health services may request
to provide any of the following to individuals required to attend by a
referring court:
1. DUI screening,
2. DUI education,
3. DUI treatment, or
4. Misdemeanor domestic violence offender
treatment.
D. An
administrator of an outpatient treatment center authorized to provide the
services in subsection (C):
1. Shall comply
with the requirements for the specific service in 9 A.A.C. 20, and
2. May have a behavioral health technician
who has the appropriate skills and knowledge established in policies and
procedures provide the services.
Notes
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