Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 450. Department of Mental Health and Substance Abuse Services |
Chapter 22. Certification of Alcohol and Drug Assessment and Evaluations Related to Driver's License Revocation |
SECTION 450:22-1-3. Definitions
Latest version.
- The following words and terms, when used in this Chapter, shall have the following meaning, unless the context clearly indicates otherwise."Abuse" means the causing or permitting of harm or threatened harm to thehealth, safety, or welfare of a participant by staff responsible for the participant's health, safety, or welfare including, but not limited to:(A) non-accidental physical injury or mental anguish;(B) sexual abuse;(C) sexual exploitation;(D) use of mechanical restraints without proper authority;(E) the intentional use of excessive or unauthorized force aimed at hurting or injuring the participant; or(F) deprivation of food, clothing, shelter, or healthcare by staff responsible for providing these services to a participant."ADSAC" means Alcohol and Drug Substance Abuse Course."American Society of Addiction Medicine Patient Placement Criteria" or "ASAM PPC" means the most recent clinical guide published by the American Society of Addiction Medicine to be used in matching patients to appropriate levels of care."Assessor" means an individual certified to conduct alcohol and other drug assessments related to driver's license revocations."Assessment" means a face-to-face clinical interview evaluating an individual's need and receptivity to substance abuse treatment and his or her prognosis."Assessment agency" means an agency certified by ODMHSAS to provide substance abuse treatment services authorized through Title 43A, 3-415, A. 1, with an additional certification to provide ADSAC assessments using certified assessors."Audit" means a systematic inspection of accounting records involving analyses, tests, and confirmations or the hearing or investigation by an auditor."Biopsychsocial Assessment" means a face-to-face clinical interview conducted by an ADSAC assessor designed to elicit historical and current information regarding the behavior and experiences of a participant, and is designed to provide sufficient information for problem formulation, intervention planning, and formulation of appropriate substance abuse-related clinical and/or educational interventions to reduce or eliminate recidivism."Certification" means ODMHSAS approval for an individual or agency to conduct alcohol and other drug assessments related to driver's license revocations."Certified Alcohol and Drug Counselor" or "CADC" means any person who is certified through the State of Oklahoma pursuant to the provisions of the Licensed Alcohol and Drug Counselors Act."Conflict of Interest" means a conflict between the private interests and public obligations of a certified institution, organization or assessor."Consumer" means an individual, adult or child, who has applied for, is receiving, or has received services, evaluation or treatment, from an entity operated or certified by ODMHSAS or with which ODMHSAS contracts and includes all persons referred to in OAC Title 450 Chapters 16, 17, 18, 19 and 23 as client(s) or patient(s) or resident(s) or a combination thereof."Critical incident" means an occurrence or set of events inconsistent with the routine operation of an approved ADSAC assessor or assessment agency, or the routine work with a participant during the course of an ADSAC assessment. Critical incidents specifically include, but are not limited to, the following: adverse drug events; self destructive behavior; deaths and injuries to the participant, participant's family, staff and visitors; medication errors; neglect or abuse of a participant; fire; unauthorized disclosure of information; damage to or theft of property belonging to a participant or an approved assessment agency; other unexpected occurrences; or events potentially subject to litigation. A critical incident may involve multiple individuals or results."Defendant Questionnaire" or "DQ" is an automated assessment or screening instrument used in assessing an offender with alcohol or other drug involvement. This instrument contains scales to measure truthfulness, stress coping ability, and severity of alcohol or other drug abuse and classifies an individual as being either a substance abuser or substance dependent using the American Society of Addiction Medicine, patient placement criteria."DOC" means the Oklahoma Department of Corrections."DPS" means the Oklahoma Department of Public Safety."Driver Risk Inventory-II" or "DRI-II" is an assessment or screening instrument, which contains six scales measuring truthfulness, driver risk, stress coping ability, and severity of alcohol or other drug abuse and classifies a participant as being either a substance abuser or substance dependent in compliance with current Diagnostic and Statistical Manual criteria."Evidenced based practice" means programs or practices that are proven to be successful through research methodology and have produced consistently positive patterns of results."Group counseling" means a method of using various commonly accepted treatment approaches provided face-to-face by a treatment professional with two (2) or more participants that does not consist of solely related individuals, to promote positive emotional or behavioral change. Services rendered in this setting should be guided by the participant's treatment goals and objectives, and does not include social or daily living skill development as described in educational group counseling."Independent practitioner" means any professional, appropriately licensed or certified as an alcohol and drug counselor through the State of Oklahoma, pursuant to state law, and certified by ODMHSAS to conduct ADSAC assessments who does so through the format of a private practice."Individual counseling" means a method of using various commonly accepted treatment approaches provided face-to-face by a treatment professional with one participant to promote positive emotional or behavioral change."Intensive outpatient services" or "IOP" means an organized, non-residential outpatient treatment service with scheduled sessions that provide a range of nine (9) to fifteen (15) treatment hours per week. Intensive outpatient services may offer evening outpatient services several nights per week or be incorporated into an inpatient or residential treatment program in which the individual participates in daytime treatment services but goes home at night. Intensive Outpatient shall correspond to ASAM Patient Placement Criteria Treatment Level: Level II.1, Intensive outpatient."Licensed Alcohol and Drug Counselor" or "LADC" means any person who is licensed through the State of Oklahoma pursuant to the provisions of the Licensed Alcohol and Drug Counselors Act."Licensed Behavioral Health Professional" or "LBHP" means:(A) Allopathic or Osteopathic Physicians with a current license and board certification in psychiatry or board eligible in the state in which services are provided, or a current resident in psychiatry;(B) Practitioners with a license to practice in the state in which services are provided by one of the following licensing boards:(i) Psychology;(ii) Social Work (clinical specialty only);(iii) Professional Counselor;(iv) Marriage and Family Therapist;(v) Behavioral Practitioner; or(vi) Alcohol and Drug Counselor."Licensure Candidate" means practitioners actively and regularly receiving board approved supervision, and extended supervision by a fully licensed clinical if board's supervision requirement is met but the individual is not yet licensed, to become licensed by one of the following licensing boards:(A) Psychology;(B) Social Work (clinical specialty only);(C) Professional Counselor;(D) Marriage and Family Therapist;(E) Behavioral Practitioner;(F) Alcohol and Drug Counselor."Mutual support group" means a non-professional, widely available, peer directed, system of support meetings, available at little or no charge to the participant, in a group format, dedicated to the support and teaching of the skills related to an alcohol and other drug free lifestyle."Needs assessment" or "NEEDS" is a one hundred and thirty (130) item comprehensive adult assessment instrument addressing attitude, emotional stability, employment, health, education, substance abuse, relationships, support systems, criminal history and supervision needs."Note" means a complete chronological written description of any intervention(s) provided to a participant requiring documentation. Notes may include the participant's response and are written by the ADSAC staff delivering the service."ODMHSAS" means the Oklahoma Department of Mental Health and Substance Abuse Services."OSBI" means Oklahoma State Bureau of Investigation."Participant" means a person convicted of driving under the influence of alcohol or other intoxicating substances or who has received an alcohol or drug related revocation or suspension of driving privileges in Oklahoma and is who involved in the ADSAC process."Professional setting" means a building or site that is adequate and suitable for the purpose of providing adult education or assessment services, meeting all confidentiality requirements of 42 CFR, Part 2 and 45 C.F.R. Parts 160 & 164 (HIPAA), and without distraction or interruption from adjacent business or activities."Program" means a structured set of treatment activities designed to achieve specific objectives relative to the needs of individuals served by the facility and certified or recognized by ODMHSAS."Residential treatment" means treatment for a participant in a live-in setting which provides a twenty-four (24) hour therapeutic regimen. Corresponding ASAM Patient Placement Criteria Treatment Level: Level III. 5, Clinically managed High-Intensity Residential Services."Sentinel event" is a type of critical incident that is an unexpected occurrence involving the death or serious physical or psychological injury to a participant, or risk thereof. Serious injury specifically includes loss of limb or limb function. The phrase "or risk thereof" includes a variation in approved processes which could carry a significant chance of a serious adverse outcome to a participant. These events signal the need for immediate investigation and response. Sentinel events include, but are not limited to: suicide, homicide, criminal activity, assault and other forms or violence, including domestic violence or sexual assault, and adverse drug events resulting in serious injury or death."TAAD" or "Triage Assessment for Addictive Disorders" is a very brief, structured interview covering current alcohol and drug problems related to DSM-IV criteria for substance abuse and dependency. The TAAD is intended to be presented as an interview and not as a paper and pencil instrument."Victims Impact Panel" or "VIP" means the two (2) hour presentation, identified statutorily, intended to enhance awareness of the participant regarding possible impact on others by the individual driving while impaired.
[Source: Added at 13 Ok Reg 2799, eff 7-1-96; Amended at 15 Ok Reg 2759, eff 7-1-98; Amended at 19 Ok Reg 1439, eff 7-1-02; Amended at 20 Ok Reg 997, eff 7-1-03; Amended at 20 Ok Reg 2864, eff 8-4-03 (emergency); Amended at 21 Ok Reg 1756, eff 7-1-04; Amended at 22 Ok Reg 2159, eff 7-1-05; Amended at 23 Ok Reg 1958, eff 7-1-06; Amended at 25 Ok Reg 1390, eff 7-1-08; Amended at 33 Ok Reg 997, eff 9-1-16]