| (a) Clients assigned to an intensive service level
in a residential treatment program must be provided at least 20 hours
of substance use disorder services per week, including at least:
(1) ten hours of substance use disorder treatment (one
hour of which must be individual counseling);
(2) five hours of additional substance use disorder
treatment, counseling, substance use education, life skills training,
coping skills training, and/or relapse prevention education; and
(3) five additional hours of services described in
subsection (1) or (2) of this section.
(b) Clients assigned to a specialized service level
in a residential treatment program must be provided at least six hours
of substance use disorder services per week for each client, including
at least:
(1) three hours of substance use disorder treatment
(one hour of which must be individual counseling); and
(2) three hours of additional substance use disorder
treatment, counseling, substance use education, life skills training,
coping skills training, and/or relapse prevention education.
(c) Each residential treatment program must set limits
on caseload size that ensure effective, individualized treatment.
The treatment program must justify the caseload size in writing based
on the treatment program design, characteristics and needs of the
population served, and any other relevant factors.
(d) A treatment program may provide fewer than the
number of weekly service hours required in subsections (a) and (b)
of this section for good cause, such as the unavailability of the
provider or client. All such justifications must be documented in
the client record.
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