N.J. Admin. Code § 10:161B-1.9 - Qualifications and responsibilities of the substance abuse counseling staff
(a) Every facility shall ensure that the
ratios of substance abuse counseling staff are maintained so that 50 percent of
the staff are LCADC or CADC or other licensed health professionals doing work
of an alcohol or drug counseling nature within their scope of practice by June
1, 2012, and at all times thereafter. The remaining 50 percent of substance
abuse counseling staff will be considered counselor-interns (formerly referred
to as "substance abuse counselors in training") who are actively working toward
LCADC or CADC status, or toward another health professional license that
includes work of an alcohol or drug counseling nature within its scope of
practice. The director of substance abuse counseling must maintain an active
client caseload if the director of substance abuse counseling is to be counted
in the above ratios.
1. Each substance abuse
counselor shall be either an LCADC or a CADC or another licensed health
professional doing work of an alcohol or drug counseling nature within their
scope of practice.
i. A CADC shall work under
the supervision of an LCADC, or another health professional licensed to
supervise work of an alcohol or drug counseling nature within their scope of
practice.
ii. A CADC cannot
diagnose substance abuse without the signature approval of an LCADC or other
clinical supervisor approved to do so.
2. Substance abuse counseling staff without
LCADC or CADC status, or who are not other health professionals licensed to do
work of an alcohol or drug counseling nature within their scope of practice,
shall function as counselor-interns, and shall:
i. Be enrolled in a course of study leading
to CADC or LCADC status, or to another health professional license that
includes work of an alcohol and drug counseling nature within its scope of
practice, without regard to changes in employment, with progress towards
certification or licensing on file, reviewed by the facility at least
semiannually and documented; and
ii. Be trained, evaluated and receiving
continuing formal clinical supervision by the director of substance abuse
counseling or designee, pursuant to the clinical supervision rules of the State
health professional licensing board for the course of study in which they are
enrolled: the Board of Marriage and Family Therapy Examiners (BMFTE) for
licensed marriage and family therapists; the BMFTE's Professional Counselor
Examiners Committee for licensed professional counselors; the BMFTE's Alcohol
and Drug Counselor Committee for LCADC and CADC; the State Board of
Psychological Examiners for licensed psychologists; and the State Board of
Social Work Examiners for licensed clinical social workers.
(b) Counseling staff
employed in an outpatient treatment facility subsequent to June 1, 2009 shall
have three years from the date of employment to obtain LCADC or CADC status or
another health professional license that includes work of an alcohol or drug
counseling nature within its scope of practice.
(c) Only staff possessing the appropriate
clinical background and educational qualifications from the appropriate
clinical discipline may provide the diagnosis, assessment and treatment of
clients with co-occurring disorders.
(d) Each substance abuse counselor shall be
responsible for the following:
1. Assessing
the counseling needs of the clients;
2. Assessing clients using the ASI or other
standardized clinical interview tool, and diagnosing clients for substance use
disorder using the DSM-5 ;
3.
Determining the appropriate level of care according to ASAM Criteria ;
4. Obtaining previous records that
are relevant to the current treatment episode;
5. Unless clinically contraindicated,
collaborating with the client to develop a written treatment plan that includes
goals and measurable objectives, and is client centered, recovery oriented;
i. The director of substance abuse counseling
shall develop, monitor and provide the client and treatment team a written
schedule to update each client treatment plan(s) in order to ensure clients'
needs are met;
6.
Providing the substance abuse counseling services specified in the client
treatment plan;
7. Reviewing
clients throughout the treatment episode according to the ASAM Criteria , to
determine the need for continued services, transfer, or discharge/transfer;
8. Reviewing and, where necessary,
revising the client treatment plan to address ongoing problems;
9. Developing a client discharge/transfer
plan to ensure movement to the appropriate levels of care;
10. Contact, case consultation if necessary,
and coordination with referral sources, (for example, mental health treatment
providers, criminal justice agencies, schools, employers, DCPP);
11. Participating as a member of a
multidisciplinary team for assigned clients;
12. Providing active case consultation;
and
13. Documenting all counseling
and education services, assessments, reassessments, referrals and follow-up in
the client 's clinical record , and providing appropriate signatures and dating
of such entries, including those made in electronic records.
Notes
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No prior version found.