SECTION 450:23-3-5. Crisis stabilization, psychiatric, substance use disorder and co-occurring services

(a)   Crisis stabilization services shall provide continuous twenty-four (24) hour evaluation, observation, crisis stabilization, and social services intervention seven (7) days per week for consumers experiencing mental health or substance use disorder related crises; or those who present with co-occurring disorders.

(b)   Licensed nurses and other support staff shall be adequate in number to provide care needed by consumers twenty-four (24) hours a day seven (7) days per week.

(c)   Crisis stabilization services shall be provided by a co-occurring disorder capable multidisciplinary team of medical, nursing, social services, clinical, administrative, and other staff adequate to meet the clinical needs of the individuals served.

(d)   Staff members assigned to a medical supervised detoxification component shall be knowledgeable about the physical signs of withdrawal, the taking of vital signs and the implication of those vital signs, and emergency procedures as well as demonstrating core competencies in addressing the needs of individuals receiving detoxification services who may have co-occurring mental health disorders and be on psychotropic medication.

(e)   Services shall minimally include:

(1)   Medically-supervised substance use disorder and mental health screening, observation and evaluation;

(2)   Initiation and medical supervision of rapid stabilization regimen as prescribed by a physician, including medically monitored detoxification where indicated;

(3)   Medically-supervised and co-occurring disorder capable detoxification, in compliance with procedures outlined in OAC Title 450, Subchapter 18;

(4)   Intensive care and intervention during acute periods of crisis stabilization;

(5)   Motivational strategies to facilitate further treatment participation for mental health and/or substance abuse needs; and,

(6)   Providing referral, linkage or placement, as indicated by consumer needs.

(f)   Crisis stabilization services, whether psychiatric, substance use disorder, or co-occurring, shall be utilized only after less restrictive community resources have been determined to be inadequate to meet the current needs of the consumer.

(g)   Compliance with 450:23-3-5 shall be determined by a review of the following: personnel files and clinical privileges records; clinical records; ICIS information; policy and procedures; critical incident reports; staffing; census; and by on-site observation.

[Source: Added at 18 Ok Reg 531, eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 23 Ok Reg 1436, eff 7-1-06; Amended at 25 Ok Reg 1404, eff 7-1-08; Amended at 31 Ok Reg 2034, eff 10-1-14; Amended at 32 Ok Reg 2110, eff 9-15-15]