SECTION 450:60-3-3. Screening, intake, and assessment services  


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  • (a)   CEDT policy and procedure shall require a comprehensive assessment of each consumer's service needs be completed in a timely manner.
    (b)   Screening and intake services shall include a complete assessment of each consumer to determine clinical needs. The assessment shall be completed by a LBHP or licensure candidate and shall include but not be limited to an assessment of the following areas and needs:
    (1)   Behavioral, including mental health and addictive disorders as well as the following;
    (A)   presenting problem and current symptomology;
    (B)   previous treatment history;
    (C)   current and past psychotropic and addiction medications, including name, dosage and frequency; and
    (D)   Family history of mental health and other addictive disorders.
    (2)   Emotional, including issues related to past or current trauma and domestic violence;
    (3)   Physical, including;
    (A)   health history and current biomedical conditions and complications;
    (B)   current and past physical health medications, including name, dosage and frequency; and
    (C)   food and nutrition status.
    (4)   Social and recreational, including;
    (A)   family and other relationships;
    (B)   recovery and community supports;
    (C)   leisure and wellness activities; and
    (D)   culture, including traditions and values.
    (5)   Vocational, including;
    (A)   educational attainment, difficulties, and history;
    (B)   current or previous military service including discharge status; and
    (C)   current and desired employment status.
    (c)   The consumer and family as appropriate shall be an active participant(s) in the intake and assessment process.
    (d)   The CEDT shall have policy and procedures specific to each program service that dictate timeframes by when assessments must be completed and documented. In the event the consumer is not admitted and the assessment is not included in the clinical record, the policy shall specify how screening and assessment information is maintained and stored.
[Source: Added at 23 Ok Reg 1617, eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff 7-1-07; Amended at 35 Ok Reg 1863, eff 10-1-18]