| (B) Documentation of the administration of medications, medication errors, and drug reactions. (12) Chemical dependency education and life skills training shall follow a course outline that identifies lecture topics and major points to be discussed. All educational sessions shall include offender participation and discussion of the material presented. (13) The program shall provide education about the health risks of tobacco products and nicotine addiction. (14) The program shall provide human immunodeficiency virus (HIV), Hepatitis B and C, and tuberculosis education based on the Model Workplace Guidelines for Direct Service Providers developed by the DSHS. (15) Offenders shall have access to HIV counseling and testing services directly or through referral, as follows: (A) HIV services shall be voluntary, anonymous, and not limited by ability to pay. (B) Counseling shall be based on the model protocol developed by the DSHS. (C) In all TDCJ CJAD funded facilities, testing, as well as pre- and post-test counseling, shall be provided by the medical department or contracted medical provider. (16) The program shall make testing and information for tuberculosis and sexually transmitted diseases available to all offenders, unless the program has access to test results obtained during the past year, as follows: (A) Services may be made available directly or through referral. (B) If an offender tests positive for tuberculosis or a sexually transmitted disease, the program shall refer the offender to an appropriate health care provider and take appropriate steps to protect offenders and staff. (C) A CCF shall report to the local health department the release of an offender who is receiving treatment for tuberculosis. (17) The program shall: (A) Refer pregnant offenders who are not receiving prenatal care to an appropriate health care provider and verify services were received; and (B) Refer offenders to ancillary services, such as mental health services, necessary to meet treatment goals. (18) CSCDs that contract for services shall give preference to available programs that include the following elements of best practices in criminal justice treatment. CSCDs that conduct their own programs are required to incorporate the following elements of best practices in criminal justice treatment: (A) Validated treatment assessments that include substance abuse, dependency, or addiction, and other criminogenic risks and needs factors; (B) A treatment regimen that focuses on changing substance abuse, dependency or addiction, and other criminogenic risks and needs, behaviors, and thinking patterns; (C) A treatment regimen that includes a specific, cognitive behavioral program that has been recognized in professional criminal justice journals; and (D) Responsivity in addressing offenders' needs and in employment of qualified staff. (19) CSCDs that place offenders in substance abuse treatment programs shall ensure that offenders are referred to available aftercare services, giving preference to programs that incorporate best practices elements. (t) Stages of Treatment. All CCFs providing substance abuse treatment shall designate in the current facility's Community Justice Plan program proposal stages of treatment to be provided as described in subsections (v) - (y) of this rule. (u) Detoxification. Offenders being referred to detoxification services shall be referred to licensed service providers. (v) Intensive Residential Treatment. Written policies and procedures shall ensure the following: (1) All offenders admitted to intensive residential treatment shall have written justification to support their admission, be medically stable, and able to participate in treatment. (2) The program shall provide adequate staff for close supervision and individualized treatment with counselor caseloads not to exceed 10 offenders. (3) There shall be direct care staff alert and on site during all hours of operation. There shall be an appropriate number of direct care staff to provide all required program services, maintain an environment that is conducive to treatment, and ensure the safety and security of the offenders, according to the design of the facility and with the approval of the funding source. (4) Program counselors shall complete a comprehensive offender assessment and individual treatment plan within 10 working days of admission. (5) The facility shall deliver not less than 25 hours of structured activities per week for each offender, including: (A) Ten hours of chemical dependency counseling using a cognitive behavioral approach with no less than one hour of individual counseling; (B) Ten hours additional education, counseling, life skills, or rehabilitation activities; and (C) Five hours of structured social or recreational activities. (6) Counseling and education schedules shall be submitted to the funding entity for approval. (7) Each offender shall have an opportunity to participate in physical recreation at least weekly. (8) Program staff shall offer chemical dependency education or services to identified significant others. (9) The program shall provide each offender with opportunities to apply knowledge and practice skills in a structured, supportive environment. Cognitive behavioral programs shall have a published curriculum identified by the authors to contain cognitive, social, and behavioral elements. Anyone facilitating a cognitive curriculum shall be trained in that specific curriculum. All direct care staff shall receive training on the principles of a cognitive behavioral model as it relates to their job duties. This curriculum shall be approved by the TDCJ CJAD and implemented as designed. Components of the cognitive program shall include, at a minimum: (A) Ways to identify thinking patterns; and (B) A social skills training component. (w) Supportive Residential Treatment. Written policies and procedures shall ensure the following: (1) All offenders admitted to supportive residential treatment shall have written justification to support their admission, be medically stable, be able to function with limited supervision and support, and be able to participate in work release or community service and restitution programs. (2) The program shall have adequate staff to meet treatment needs within the context of the program description, with counselor caseloads not to exceed 20 offenders, unless the program can provide research based evidence in writing to justify a higher caseload size based on the program design, characteristics and needs of the population served, and any other relevant factors. (3) There shall be direct care staff alert and on site during all hours of operation. There shall be an appropriate number of direct care staff to provide for the safety and security of the offenders, according to the design of the facility and with the approval of the funding source. (4) Counselors shall complete a comprehensive offender assessment and individualized treatment plan within 10 working days of admission for each offender. (5) The program shall deliver no less than six hours per week of chemical dependency counseling with a cognitive behavioral approach for each offender, of which one hour per month shall be individual counseling. (6) Counseling and education schedules shall be submitted to the funding entity for approval. (7) The program design and application shall include increasing levels of responsibility for offenders and frequent opportunities for offenders to apply knowledge and practice skills in structured and unstructured settings. Cognitive behavioral programs shall have a published curriculum identified by the authors to contain cognitive, social, and behavioral elements. This curriculum shall be approved by the TDCJ CJAD and implemented as designed. Anyone facilitating a cognitive curriculum shall be trained in that specific curriculum. All staff shall receive training on the principles of a cognitive behavioral model as it relates to their job duties. Components of the cognitive program shall include, at a minimum: (A) Ways to identify thinking patterns; and (B) A social skills training component. (x) Outpatient Treatment. Written policies and procedures shall ensure the following: (1) All offenders admitted to outpatient treatment programs shall be medically stable, and have appropriate support systems in the community to live independently with minimal structure. (2) The program shall have adequate staff to provide offenders support and guidance to ensure effective service delivery, safety, and security. Staffing patterns shall be submitted to the funding entity. Cont'd... |
