NAC458.246. Provision of services to clients.

The operator of a treatment program shall:

     1. Perform an assessment of each client or obtain the most recent assessment of the client which is found to be sufficient to:

     (a) Make a complete identification of any problems concerning the substance-related disorder of the client; and

     (b) Determine the appropriate level of service for the client pursuant to the criteria of the Health Division.

     2. Identify the staff which provide the services set forth in subsection 1 and require such staff to develop a plan of treatment, not including detoxification, on or before the third contact of the client with the program or on or before the third day on which the client receives services from the program, whichever occurs first. For the purposes of this subsection, any contact that a client has with the program for the sole purpose of receiving medication does not constitute contact or receiving services. The plan of treatment must specify:

     (a) Behavioral objectives to be achieved by the client in response to the problems identified by the treatment assessment;

     (b) The services to be provided by the staff to facilitate the client in attaining the objectives of the plan; and

     (c) The member of the staff who is responsible for ensuring that the services specified pursuant to paragraph (b) are provided and that the client attains the objectives of the plan.

     3. Review and revise the plan of treatment of a client:

     (a) If the client is receiving outpatient treatment services, whenever the condition of the client changes over the course of treatment or every 30 days, whichever occurs first; and

     (b) If the client is receiving residential treatment services, whenever the condition of the client changes over the course of treatment or every 14 days, whichever occurs first.

     4. Provide the appropriate level of services determined pursuant to paragraph (b) of subsection 1 or refer the client to services which are the appropriate level and are otherwise available in the community.

     5. Provide, when appropriate, a referral to, and coordination of care with, an employee assistance program or any other provider of a service related to the treatment of a substance-related disorder to address any identified problems of a client which cannot be resolved by a service provided by the treatment program.

     (Added to NAC by Bd. of Health by R120-04, eff. 10-5-2004)