(a) Each client's treatment shall be based on a treatment
plan developed from the client's comprehensive assessment.
(b) Group counseling sessions are limited to a maximum
of 16 clients. Group education and life skills training sessions are
limited to a maximum of 35 clients. This limit does not apply to multi-family
educational groups, seminars, outside speakers, or other events designed
for a large audience.
(c) Chemical dependency education and life skills training
shall follow a written curriculum. All educational sessions shall
include client participation and discussion of the material presented.
(d) The program shall provide education about Tuberculosis
(TB), HIV, Hepatitis B and C, and sexually transmitted diseases
(STDs) based on the Texas Commission on Alcohol and Drug Abuse Workplace
and Education Guidelines for HIV and Other Communicable Diseases.
(e) The program shall provide education about the health
risks of tobacco products and nicotine addiction.
(f) The program shall provide access to screening for
TB and testing for HIV antibody, Hepatitis C, and STDs.
(1) HIV antibody testing shall be carried out by an
entity approved by the Texas Department of Health.
(2) If a client tests positive, the program shall refer
the client to an appropriate health care provider.
(g) The program shall facilitate access to physical
health, mental health, and ancillary services if those services
are not available through the program and are necessary to meet treatment
goals and shall document these efforts.
(h) Individuals shall not be denied admission or discharged
from treatment because they are taking prescribed medication.
(i) The facility shall maintain an adequate number
of qualified staff to comply with licensure rules, provide appropriate
and individualized treatment, and protect the health, safety, and
welfare of clients.
(j) All personnel shall receive the training and supervision
necessary to ensure compliance with Commission rules, provision of
appropriate and individualized treatment, and protection of client
health, safety and welfare.
(k) Direct care staff shall be awake and on site during
all hours of program operation.
(l) Residential direct care staff included in staff-to-client
ratios shall not have job duties that prevent ongoing and consistent
client supervision.
(m) Residential programs shall have at least one counselor
on duty at least eight hours a day, six days a week.
(n) Clients in residential programs shall have an opportunity
for eight continuous hours of sleep each night. Staff shall conduct
and document at least three checks while clients are sleeping.
(o) Individuals responsible for planning, directing,
or supervising treatment programs shall be QCCs. The clinical program
director must have at least two years of post-licensure experience
providing chemical dependency treatment.
(p) Chemical dependency counseling must be provided
by a qualified credentialed counselor (QCC), graduate, or counselor
intern. Chemical dependency education and life skills training shall
be provided by counselors or individuals who have the specialized
education and expertise.
(q) All counselor interns shall work under the direct
supervision of a QCC as required in 40 TEX. ADMIN. CODE ch. 150 of
this title (relating to Counselor Licensure).
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Source Note: The provisions of this §564.901 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 |