(a) Residential treatment provides 24-hour per day,
7 days per week multidisciplinary professional clinical support to
facilitate recovery from addiction. Clients are housed in a residential
site. Comprehensive chemical dependency treatment services offer a
structured therapeutic environment.
(b) The facility shall ensure access to the full continuum
of treatment services and will ensure sufficient treatment intensity
to achieve treatment plan goals. Intensity and content of treatment
shall be appropriate to the client's needs and consistent with generally
accepted placement guidelines and standards of care.
(c) Each individual admitted to intensive residential
services shall be appropriate for this treatment setting, with written
justification to support the admission.
(d) Intensive residential shall provide an average
of at least 30 hours of services per week for each client, comprised
of at least:
(1) ten hours of chemical dependency counseling, (one
hour of which shall be individual counseling);
(2) ten hours of additional counseling, chemical dependency
education, life skills training, relapse prevention education; and
(3) ten hours of planned, structured activities monitored
by staff. Five hours of these services shall occur on weekends and
evenings.
(e) In adult intensive residential programs, the direct
care staff-to-client ratio shall be at least 1:16 when clients are
awake and 1:32 during sleeping hours.
(f) In intensive residential programs counselor caseloads
shall not exceed ten clients for each counselor.
(g) Supportive residential shall provide at least six
hours of treatment services per week for each client, comprised of
at least :
(1) three hours of chemical dependency counseling (one
hour per month of which shall be individual counseling); and
(2) three hours of additional counseling, chemical
dependency education, life skills training, and relapse prevention
education.
(h) In adult supportive residential programs, the direct
care staff-to-client ratio shall be at least 1:20 when clients are
awake and 1:50 during sleeping hours.
(i) Each supportive residential program shall set limits
on caseload size that ensure effective, individualized treatment.
The program shall justify the caseload size in writing based on the
program design, characteristics and needs of the population served,
and any other relevant factors.
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Source Note: The provisions of this §564.903 adopted to be effective September 1, 2004, 29 TexReg 2020; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; transferred effective April 30, 2024, as published in the Texas Register April 5, 2024, 49 TexReg 2197 |