As in effect on April 1, 2008
Pursuant to Section 62A-2-101 et seq., the Office of Licensing, shall license outpatient treatment programs according to the following rules.
Outpatient treatment programs shall serve consumers who require less structure than offered in day treatment or residential treatment programs. Consumers are provided treatment as often as determined and noted in the treatment plan.
Outpatient treatment program means individual, family, or group therapy or counseling designed to improve and enhance social or psychological functioning for those whose physical and emotional status allows them to continue functioning in their usual living environment in accordance with Subsection 62A-2-101(12).
A. In addition to the following rules, all Outpatient Treatment Programs shall comply with R501-2, Core Standards.
B. A current list of enrollment of all registered consumers shall be on-site at all times.
Professional staff shall include at least one of the following individuals who has received training in the specific area listed below:
A. Mental Health
1. a licensed physician, or
2. a licensed psychologist, or
3. a licensed mental health therapist, or
4. a licensed advanced practice registered nurse-psychiatric mental health nurse specialist.
5. If unlicensed staff are used, they shall not supervise clinical programs. Unlicensed staff shall be trained to work with psychiatric consumers and be supervised by a licensed clinical professional.
B. Substance Abuse
1. a licensed physician, or
2. a licensed psychologist, or
3. a licensed mental health therapist, or
4. a licensed advanced practice registered nurse-psychiatric mental health nurse specialist.
5. A licensed substance abuse counselor or unlicensed staff who work with substance abusers shall be supervised by a licensed clinical professional.
C. Children and Youth
1. a licensed psychiatrist, or
2. a licensed psychologist, or
3. a licensed mental health therapist, or
4. a licensed advanced practice registered nurse-psychiatric mental health nurse specialist.
5. If the following individuals are used they shall not supervise clinical programs: A person with a graduate degree in counseling, psychiatric nursing, marriage and family therapy, social work or psychology who is working toward a clinical license, and has been approved by the Division of Occupational and Professional Licensing for the appropriate supervision, or a second year graduate student training for one of the above degrees.
D. Domestic Violence
1. a licensed psychiatrist, or
2. a licensed psychologist, or
3. a licensed clinical social worker, or
4. a licensed marriage and family therapist, or
5. a licensed professional counselor, or
6. a licensed advanced practice registered nurse-psychiatric mental health nurse specialist, or
7. a person with a graduate degree in counseling, psychiatric nursing, marriage and family therapy, social work or psychology who is working toward a clinical license, and has been approved by the Division of Occupational and Professional Licensing for the appropriate supervision, or
8. a second year graduate student in training for one of the above degrees, or
9. a licensed social services worker with at least three years of continual, full time, related experience, when practicing under the direction and supervision of a licensed clinical professional.
10. Individuals from categories g.h. above shall not supervise clinical programs. Individuals in category i. above shall not supervise clinical programs, and may only co-facilitate group therapy sessions with a person qualified per paragraphs a. through f. above.
A. Treatment plans shall be developed based on assessment and evaluation of individual consumer needs. The treatment may be consultive and may include medication management.
B. Treatment plans shall be reviewed and signed by a licensed clinical professional as frequently as determined in the treatment plan.
C. Except for Domestic Violence, individual, group, couple, or family counseling sessions shall be provided to the consumer as frequently as determined in the treatment plan. In the consumer's record and in the progress notes, the date of the session and the provider shall be documented. Treatment sessions may be provided less frequently than once a month if approved by the clinical supervisor and justified in the consumer record.
D. Domestic violence treatment programs shall comply with generally accepted practices in the current domestic violence literature and the following requirements:
1. Maintain and document cooperative working relationships with domestic violence shelters, treatment programs, referring agencies, custodial parents when the consumer is a minor and local domestic violence coalitions. If the consumer is a perpetrator, contact with victims, current partner, and the criminal justice referring agencies is also required, as appropriate.
2. Treatment sessions for each perpetrator, not including orientation and assessment interviews, shall be provided for at least one hour per week for a minimum of sixteen weeks. Treatment sessions for children and victims shall offer a minimum of 10 sessions for each consumer not including intake or orientation.
3. Staff to Consumer Ratio:
a. The staff to consumer ratio in adult treatment groups shall be one to eight for a one hour long group or one to ten for an hour and a half long group. The maximum group size shall not exceed sixteen.
b. Child victim or child witness groups shall have a ratio of one staff to eight children when the consumers are under twelve years of age, and a one staff to ten children ratio when the consumers are twelve years of age or older.
c. When any consumer enters a treatment program the staff shall conduct an in-depth, face to face interview and assessment to determine the consumer's clinical profile and treatment needs. For perpetrator consumers, additional information shall be obtained from the police incident report, perpetrator's criminal history, prior treatment providers, and the victim. When appropriate, additional information for child consumers shall be obtained from parents, prior treatment providers, schools and Child Protective Services. When any of the above information cannot be obtained the reason shall be documented. The assessment shall include the following:
1) a profile of the frequency, severity and duration of the domestic violence behavior, which includes a summary of psychological violence,
2) documentation of any homicidal, suicidal ideation and intentions as well as abusive behavior toward children,
3) a clinical diagnosis and a referral for evaluation to determine the need for medication if indicated,
4) documentation of safety planning when the consumer is an adult victim, child victim, or child witness, and that they have contact with the perpetrator. For victims who choose not to become treatment consumers, safety planning shall be addressed when they are contacted, and
5) documentation that appropriate measures have been taken to protect children from harm.
4. Consumers deemed appropriate for a domestic violence treatment program shall have an individualized treatment plan, which addresses all relevant treatment issues. Consumers who are not deemed appropriate for domestic violence programs shall be referred to the appropriate resource, with the reasons for referral documented and notification given to the referring agency. Domestic violence counseling shall be provided when appropriate, concurrently with or after other necessary treatment.
5. Conjoint or group therapy sessions with victims and perpetrators together or with both co- perpetrators shall not be provided until a comprehensive assessment has been completed to determine that the violence has stopped and that conjoint treatment is appropriate. The perpetrator must complete a minimum of 12 domestic violence treatment sessions prior to implementing conjoint therapy.
6. A written procedure shall be implemented to facilitate the following in an efficient and timely manner:
a. entry of the court ordered defendant into treatment,
b. notification of consumer compliance, participation or completion,
c. disposition of non-compliant consumers,
d. notification of the recurrence of violence, and
e. notification of factors which may exacerbate an individual's potential for violence.
7. Comply with the "Duty to Warn," Section 78-14a-102.
8. Document specialized training in domestic violence assessment and treatment practices including 24 hours of pre-service training within the last two years and 16 hours of training annually thereafter for all individuals providing treatment services.
9. Clinical supervision for treatment staff who are not clinically licensed shall consist of a minimum of an hour a week to discuss clinical dynamics of cases.
A. The program shall provide written documentation of compliance with the following:
1. local zoning ordinances,
2. local business license requirements,
3. local building codes,
4. local fire safety regulations, and
5. local health codes.
B. Building and Grounds
1. The program shall ensure that the appearance and cleanliness of the building and grounds are maintained.
2. The program shall take reasonable measures to ensure a safe physical environment for consumers and staff.
A. Space shall be provided for private and group counseling sessions.
B. The program shall have storage for the following:
1. locked storage for medications, and
2. locked storage for hazardous chemicals and materials, according to the direction of the local fire authorities.
C. Equipment
1. Furniture and equipment shall be of sufficient quantity, variety, and quality to meet program and consumer plans.
2. All furniture and equipment shall be maintained in a clean and safe condition.
D. Bathrooms
1. Bathrooms shall accommodate physically disabled consumers.
2. Each bathroom shall be maintained in good operating order and be properly equipped with toilet paper, towels, and soap.
3. Bathrooms shall be ventilated by mechanical means or equipped with a screened window that opens.
human services, licensing
May 2, 2000
April 22, 2005
62A-2-101 et seq.
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