Chapter 10A NCAC 27G

10a NCAC 27g .2302 DEFINITIONS In addition to the terms defined in Rule .0103 of this Subchapter and G.S. 122C-3, the following terms shall also apply: (1) "Approved supported employment conversion plan" means a planned approach to changing the type of services delivered from ADV…

10a NCAC 27g .2303 STAFF (a) Each ADVP shall have a designated full-time program director. (b) The Program Director shall be at least a high school graduate or equivalent with three years of experience in developmental disabilities programming. (c) Each facility shall have evalua…

10a NCAC 27g .2304 OPERATIONS (a) Safety Educational Program. Each ADVP shall provide an ongoing educational program for staff and clients designed to teach them the principles of accident prevention and control of specific hazards. The program shall include training for clients …

10a NCAC 27g .2305 PHYSICAL PLANT If the site is maintained by the ADVP: (1) Each site shall be inspected annually by an outside safety consultant with written documentation and follow-up on recommendations; and (2) Each site shall be designed and equipped to promote the training…

10a NCAC 27g .2306 CLIENT ELIGIBILITY AND ADMISSIONS (a) Eligibility. Clients served shall be eligible for ADVP regardless of financial resources with the exception of a client whose work earnings exceed 60% of the prevailing wage over a consecutive 90-day period. Eligibility for…

SECTION .2400 - DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES OR ATYPICAL DEVELOPMENT 10a NCAC 27g .2401 SCOPE A developmental day service is a day/night service which provides individual habilitative programming for …

10a NCAC 27g .2402 STAFF (a) Each developmental day center shall have a designated director who holds a bachelor level degree with specialization in administration, education, social work, nursing, psychology or a related field or have comparable experience and education. (b) Eac…

10a NCAC 27g .2403 OPERATIONS (a) Hours. Developmental day services for preschool children shall be available for a minimum of eight hours per day (exclusive of transportation time), five days per week, twelve months a year. (b) Daily Training Activities. Activities shall be plan…

10a NCAC 27g .2404 PHYSICAL PLANT (a) Classroom And Activity Space: (1) A ratio of 50 square feet per child shall be available for indoor classroom and activity space, exclusive of space occupied by sinks, lockers, storage cabinets, and other fixed equipment. (2) Space shall be a…

SECTION .2600 - RESERVED FOR FUTURE CODIFICATION

SECTION .2700 - RESERVED FOR FUTURE CODIFICATION

SECTION .2800 - RESERVED FOR FUTURE CODIFICATION

SECTION .2900 - RESERVED FOR FUTURE CODIFICATION

SECTION .3000 - RESERVED FOR FUTURE CODIFICATION

SECTION .3100 - NONHOSPITAL MEDICAL DETOXIFICATION FOR INDIVIDUALS WHO ARE SUBSTANCE ABUSERS 10a NCAC 27g .3101 SCOPE (a) Nonhospital medical detoxification is a 24-hour residential facility which provides medical treatment and supportive services under the supervision of a physi…

10a NCAC 27g .3102 STAFF (a) A minimum of one direct care staff member shall be on duty at all times for every nine or fewer clients. (b) The treatment of each client shall be under the supervision of a physician. (c) The services of a certified alcoholism counselor, a certified …

10a NCAC 27g .3103 OPERATIONS (a) Monitoring Clients. Each facility shall have a written policy that requires: (1) procedures for monitoring each client's general condition and vital signs during at least the first 72 hours of the detoxification process; and (2) procedures for mo…

SECTION .3200 - SOCIAL SETTING DETOXIFICATION FOR SUBSTANCE ABUSE 10a NCAC 27g .3201 SCOPE (a) Social setting detoxification is a 24-hour residential facility which provides social support and other non-medical services to individuals who are experiencing physical withdrawal from…

10a NCAC 27g .3202 STAFF (a) A minimum of one direct care staff member shall be on duty at all times for every nine or fewer clients. (b) The services of a certified alcoholism counselor or a certified substance abuse counselor shall be available on an as-needed basis to each cli…

10a NCAC 27g .3203 OPERATIONS (a) Monitoring Clients. Each facility shall have a written policy that requires: (1) procedures for monitoring each client's general condition and vital signs during at least the first 72 hours of the detoxification process; and (2) procedures for mo…

SECTION .3300 - OUTPATIENT DETOXIFICATION FOR SUBSTANCE ABUSE 10a NCAC 27g .3301 SCOPE An outpatient detoxification facility is a periodic service which provides services involving the provision of supportive services, particularly active support systems under the supervision of …

10a NCAC 27g .3302 STAFF (a) The treatment of each client shall be under the supervision of a physician. (b) The services of a certified alcoholism counselor, a certified drug abuse counselor or a certified substance abuse counselor shall be available to each client. (c) Each fac…

10a NCAC 27g .3303 OPERATIONS (a) Hours. Each outpatient detoxification facility shall operate at least eight hours per day, for a minimum of five days per week. (b) Discharge Planning And Referral To Treatment/Rehabilitation Facility. Before discharging the client, the facility …

SECTION .3400 - RESIDENTIAL TREATMENT/REHABILITATION FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3401 SCOPE (a) A residential treatment or rehabilitation facility for alcohol or other drug abuse disorders is a 24-hour residential service which provides active tre…

10a NCAC 27g .3402 STAFF (a) Each facility shall have full-time staff as follows: (1) One full-time certified alcoholism, drug abuse or substance abuse counselor for a facility having up to 30 occupied beds, and for every 30 occupied bed incrument or portion thereafter. (2) One f…

10a NCAC 27g .3403 OPERATIONS (a) Each facility shall provide or have access to the following services: (1) individual, group or family therapy for each client; (2) educational counseling, including schools for minors; (3) vocational counseling; (4) job development and placement;…

SECTION .3500 - OUTPATIENT FACILITIES FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3501 SCOPE Outpatient facilities provide periodic service for individuals with substance abuse disorders. Outpatient services include individual, group, family, and educational coun…

10a NCAC 27g .3502 STAFF (a) The services of a certified alcoholism counselor, a certified drug abuse counselor or a certified substance abuse counselor shall be available to each client. (b) Each facility shall have at least one staff member on duty trained in the following area…

10a NCAC 27g .3503 OPERATIONS (a) Group size shall be limited to a maximum of 20 participants. (b) Before discharging the client, the facility shall complete a discharge plan for each client and refer each client who has completed services to the level of treatment or rehabilitat…

SECTION .3600 - OUTPATIENT OPIOID TREATMENT 10a NCAC 27g .3601 SCOPE (a) An outpatient opioid treatment facility provides periodic services designed to offer the individual an opportunity to effect constructive changes in his lifestyle by using methadone or other medications appr…

10a NCAC 27g .3602 DEFINITIONS In addition to terms defined in G.S. 122C-3 and Rule .0103 of this Subchapter, the following definitions shall also apply: (1) "Capacity management system" is a computerized database, maintained at the Office of the North Carolina State Authority fo…

10a NCAC 27g .3603 STAFF (a) A minimum of one certified drug abuse counselor or certified substance abuse counselor to each 50 clients and increment thereof shall be on the staff of the facility. If the facility falls below this prescribed ratio, and is unable to employ an indivi…

10a NCAC 27g .3604 OPERATIONS (a) Hours. Each facility shall operate at least six days per week, 12 months per year. Daily, weekend and holiday medication dispensing hours shall be scheduled to meet the needs of the client. (b) Compliance with The Substance Abuse and Mental Healt…

10A NCAC 27G .3605 Medication Units and Mobile Units (a) Definitions: (1) "Opioid Treatment Program" (hereinafter, OTP) means the same as defined in G.S. 122C-3(25a). (2) "Opioid Treatment Program Facility" (hereinafter OTP Facility) means the primary location on the facility lic…

SECTION .3700 - DAY TREATMENT FACILITIES FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3701 SCOPE (a) Day treatment facilities provide services in a group setting for individuals who need more structured treatment for substance abuse than that provided by outpatien…

10a NCAC 27g .3702 STAFF (a) The staff of the day treatment facility shall include a minimum of one full-time or equivalent certified alcoholism, drug abuse or substance abuse counselor for every 16 or fewer clients. (b) If the facility falls below the prescribed ratio in Paragra…

10a NCAC 27g .3703 OPERATIONS (a) Each day treatment facility shall operate at least three days per week, but not fewer than 12 hours per week. (b) A client shall be provided a structured program of treatment for a minimum of five hours per week. (c) Before discharging the client…

SECTION .3800 - SUBSTANCE ABUSE SERVICES FOR DWI OFFENDERS 10a NCAC 27g .3801 ALCOHOL AND DRUG EDUCATION TRAFFIC SCHOOLS (ADETS) (a) An alcohol and drug education traffic school (ADETS) is a prevention and intervention service which provides an educational program primarily for f…

10A NCAC 27g .3802 STAFF (a) Certification. Each class shall have a designated instructor who is certified by DMH/DD/SAS. An individual seeking initial certification as an instructor shall: (1) be a high school graduate or its equivalent; (2) have a working knowledge of alcohol, …

10a NCAC 27g .3803 OPERATIONS (a) Curriculum. School instructors shall follow the requirements in G.S. 122C-142.1. (b) The program of instruction shall consist of not less than 16 hours of classroom instruction. (c) Each school may provide up to three additional hours for classro…

10a ncac 27g .3804 PURPOSE AND SCOPE (a) These Rules set forth procedures for providing, supervising and reporting DWI substance abuse assessments and the treatment and education (ADETS) provided to DWI offenders. (b) Assessments may be sought either voluntarily on a pre-trial ba…

10A ncac 27G .3805 DEFINITIONS For the purpose of the rules in this Section, the following terms shall have the meanings indicated: (1) "American Society of Addiction Medicine (ASAM) Placement Criteria" means the Patient Placement Criteria for the Treatment of Substance-Related D…

10A ncac 27g .3806 AUTHORIZATION: FACILITIES PROVIDING SA SERVICES TO DWI OFFENDERS (a) Application Process: Facilities licensed to provide substance abuse services by the Division of Health Service Regulation, or determined by DHSR to be exempt from license under the provisions …

10a ncac 27g .3807 DWI SUBSTANCE ABUSE ASSESSMENT ELEMENTS (a) DWI substance abuse assessments shall only be provided by a facility licensed by the State as a substance abuse treatment facility as specified in 10A NCAC 27G .0400 LICENSING PROCEDURES or a facility which provides s…

10a ncac 27g .3808 QUALIFICATIONS OF INDIVIDUALS PERFORMING ASSESSMENTS Individuals performing DWI substance abuse assessments shall have at least one of the following qualifications: (1) certification/licensure or other credential issued by the North Carolina Substance Abuse Pro…

10a ncac 27g .3809 RESPONSIBILITIES OF ASSESSING AGENCY (a) Following the completion of the assessment process, which may include a staffing conference and review of the assessment by the supervisor, the agency or clinician performing the assessment shall inform the individual of…

10a ncac 27g .3810 RESPONSIBILITIES OF TREATMENT and ADETS PROVIDERS (a) All providers shall conduct an orientation/intake interview with every client being admitted to a level of treatment, in which the assessment, diagnosis and placement shall be reviewed in the light of the cl…