16 Del. Admin. Code § 6001-III-12.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 6001-III-12.0 - Residential Treatment

12.1 Services Required

12.1.1 In addition to the requirements applicable to all programs, a Residential Treatment program shall provide:

12.1.1.1 Medical assessment by qualified medical personnel on the day of admission.

12.1.1.2 A physical examination in accordance with § 8.1.2.1.2.1.7 within seventy-two (72) hours of admission, unless the client presents a copy of a physical examination completed by qualified medical personnel within ninety (90) days prior to admission.

12.1.1.3 A TB test and urine drug screen within seventy-two (72) hours of admission or documentation of a TB test performed within one (1) year prior to admission.

12.1.1.4 RESERVED

12.1.1.5 Diagnostic assessment in accordance with 8.1.2.1.7 within forty-eight (48) hours of admission.

12.1.1.6 The recovery plan required by § 8.1.2.1.8 within seventy-two (72) hours of admission.

12.1.1.7 Recovery plan review/revision and update in accordance with § 8.1.2.1.10 as needed based on changes in functioning for each client and at a minimum:

12.1.1.7.1 On the thirtieth (30) day; and

12.1.1.7.2 Every thirty (30) days thereafter.

12.2 Hours of Operation, Staffing and Staff Schedules

12.2.1 Residential programs shall operate twenty-four (24) hours per day, seven (7) days per week.

12.2.2 There shall be staff on duty and awake at all times.

12.2.3 A counselor shall be on site at least eight (8) hours a day, seven (7) days a week and available on call twenty-four (24) hours a day.

12.2.4 Counselor I's and Counselor II's shall meet face-to-face with clinical supervisors a minimum of one (1) hour per Counselor per week for clinical supervision.

12.3 Nutritional Services

12.3.1 Programs shall establish a written plan for meeting the basic nutritional needs, as well as any special dietetic needs, of clients. Plans shall:

12.3.1.1 Include a varied and nutritious diet of at least three (3) meals a day, seven (7) days per week;

12.3.1.2 Include snacks as part of the overall dietary plan;

12.3.1.3 Include food substitutions, (as applicable);

12.3.1.4 Be reviewed by a registered dietitian annually and when they are changed.

12.4 Facility Standards

12.4.1 All residential programs shall provide:

12.4.1.1 Separation of sleeping quarters serving male and female clients;

12.4.1.2 Separation of bathroom facilities serving male and female clients;

12.4.1.3 Privacy for personal hygiene;

12.4.1.4 Secure closet and storage space for clients' personal property;

12.4.1.5 Security for valuables, including an inventory and receipt system;

12.4.1.6 Laundry facilities for clients; and

12.4.1.7 Space for solitude.

12.4.2 All agencies operating residential programs shall ensure that in addition to the clients' rights enumerated in § 7.0, these additional clients' rights are fully protected:

12.4.2.1 The right to visitation with family and friends, subject to written visiting rules and hours established by the program, except as provided in this subsection.

12.4.2.2 The right to conduct private telephone conversations, subject to written rules and hours established by the program, except as provided in this subsection.

12.4.2.2.1 The Administrator or designee may impose limitations on any of the, visitation and/or phone call procedures when in the judgment of the Administrator, such limitations are therapeutically necessary. Limitations shall be recorded in the client's record.

12.4.2.3 The right to send and receive uncensored and unopened mail. Program may require the client to open mail or package(s) in the presence of program staff for inspection.

12.4.2.4 The right to wear his/her own clothing subject to written program rules.

12.4.2.5 The right to bring personal belongings, subject to limitation or supervision by the program.

12.4.2.6 The right to communicate with their personal physician.

12.4.2.7 The right to practice their personal religion or attend religious services, within the program's policies and written policies for attendance at outside religious services.

16 Del. Admin. Code § 6001-III-12.0

14 DE Reg. 471 (11/01/10)