Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 450. Department of Mental Health and Substance Abuse Services |
Chapter 23. Standards and Criteria for Community-Based Structured Crisis Centers |
Subchapter 5. CBSCC Clinical Records |
SECTION 450:23-5-2. Basic requirements
Latest version.
- (1) define the content of the consumer record in accordance with 450:23-5-4 through 23-5-9;(2) define storage, retention and destruction requirements for consumer records;(3) require consumer records be confidentially maintained in locked equipment under secure measures;(4) require legible entries in consumer records signed with first name or initial, last name, and dated by the person making the entry;(5) require the consumer's name be typed or written on each sheet of paper or page in the consumer record;(6) require a signed consent for treatment before the consumer is admitted on a voluntary basis; and(7) require a signed consent for follow-up before any contact after discharge is made.(b) Compliance with 450:23-5-2 shall be determined by on-site observation and a review of the following: CBSCC policy, procedures and operational methods; clinical records; other CBSCC provided documentation; and PI information and reports.