Ariz. Admin. Code § R9-10-1411 - Behavioral Health Services

A. An administrator shall ensure that counseling is:

1. Offered as described in the substance abuse transitional facility's scope of services,

2. Provided according to the frequency and number of hours identified in the participant's assessment, and

3. Provided by a behavioral health professional.

B. An administrator shall ensure that:

1. A behavioral health professional 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

2. Each counseling session is documented in a participant'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 a facility that provides behavioral health services to individuals under 18 years of age shall ensure that:

1. A participant does not receive the following from other participants at the facility:

a. Threats,

b. Ridicule,

c. Verbal harassment,

d. Punishment, or

e. Abuse; and

2. The interior of the facility has furnishings and decorations appropriate to the ages of the participant receiving services at the facility.

D. An administrator shall ensure that an emergency safety response is:

1. Only used:

a. By a personnel member trained to use an emergency safety response,

b. For the management of a participant's violent or self-destructive behavior, and

c. When less restrictive interventions have been determined to be ineffective;

2. Discontinued at the earliest possible time, but no longer than five minutes after the emergency safety response is initiated; and

3. Documented as follows:

a. Within 24 hours after an emergency safety response is used for a participant, the following information is entered into the participant medical record:

i. The date and time the emergency safety response was used;

ii. The name of each personnel member who used an emergency safety response;

iii. The specific emergency safety response used;

iv. Personnel member or participant behavior, event, or environmental factor that caused the need for the emergency safety response; and

v. Any injury that resulted from the emergency safety response;

b. Within 10 working days after an emergency safety response is used for a participant, the administrator or clinical director reviews the information in subsection (D)(3)(a); and

c. After the review required in subsection (D)(3)(b), the following information is entered into the participant's medical record:

i. Actions taken or planned actions to prevent the need for the use of an emergency safety response for the participant;

ii. A determination of whether the participant is appropriately placed at the facility; and

iii. Whether the participant's treatment plan was reviewed or needs to be reviewed and amended to ensure that the participant's treatment plan is meeting the participant's treatment needs.

E. An administrator shall ensure that a personnel member whose job description includes the ability to use an emergency safety response completes training in crisis intervention:

1. Before providing behavioral health services, and

2. At least once every 12 months after the date the personnel member completed the initial training.

Notes

Ariz. Admin. Code § R9-10-1411

Adopted effective February 1, 1994 (Supp. 94-1). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.