N.H. Admin. Code § He-A 304.16

Current through Register No. 2, January 9, 2025

Section He-A 304.16 - Clinical Services

(a) Each OTP shall have and adhere to a clinical care manual which includes policies and procedures related to all clinical services provided.

(b) All clinical services provided shall:

(1) Focus on the client's strengths;

(2) Be culturally competent with regard to the clients being served;

(3) Be client and family centered;

(4) Be evidence based, as demonstrated by meeting one of the following criteria:

a. The service shall be included as an evidence-based mental health and substance use disorder intervention on the SAMHSA National Registry of Evidence-Based Programs and Practices (NREPP), http://www.nrepp.samhsa.gov/ViewAll.aspx;

b. The services shall be published in a peer-reviewed journal and found to have positive effects; or

c. The OTP shall be able to document the services' effectiveness based on the following:

1. The service is based on a theoretical perspective that has validated research; or

2. The service is supported by a documented body of knowledge generated from similar or related services that indicate effectiveness;

(5) Be trauma informed, which means designed to acknowledge the impact of violence and trauma on people's lives and the importance of addressing trauma in services; and

(6) Be delivered in accordance with:

a. The American Society of Addiction Medicine (ASAM) Criteria: Treatment Criteria for Substance-Related, Addictive, and Co-Occurring Conditions, Third Edition (2013), henceforth referred to as "ASAM Criteria (2013) " available as noted in Appendix A; and

b. The Treatment Improvement Protocols (TIPS) and Technical Assistance Publications (TAPS) published by SAMHSA and available at https://store.samhsa.gov/list/series?name=TIP-Series-Treatment-Improvement-Protocols-TIPS-&page Number=1 [File Link Not Available] and https://store.samhsa.gov/list/series?name=Technical-Assistance-Publications-TAPs-&page Number=1 [File Link Not Available], respectively, and as noted in Appendix A:

1. "TAP 19: Relapse Prevention with Chemically Dependent Criminal Offenders, Counselor's Manual" (1/2006 edition) ;

2. "TAP 21-A: Competencies for Substance Abuse Treatment Clinical Supervisors" (1/2013 edition);

3. "TAP 21: Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice" (11/2015 edition);

4. "TAP 34: Disaster Planning Handbook for Behavioral Health Treatment Programs" (5/2012 edition);

5. "TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women" (11/2015 edition) ;

6. "TIP 55: Behavioral Health Services for People Who Are Homeless" (11/2015 edition);

7. "TIP 59: Improving Cultural Competence" (11/2015 edition);

8. "TIP 60: Using Technology-Based Therapeutic Tools in Behavioral Health Services" (11/2015 edition);

9. "TIP 41: Substance Abuse Treatment: Group Therapy" (10/2015 edition);

10. "TIP 45: Detoxification and Substance Abuse Treatment" (10/2015 edition);

11. "TIP 27: Comprehensive Case Management for Substance Abuse Treatment" (10/2015 edition);

12. "TIP 39: Substance Abuse Treatment and Family Therapy" (10/2015 edition);

13. "TIP 50: Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment" (10/2015 edition);

14. "TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor" (9/2014 edition) ;

15. "TIP 56: Addressing the Specific Behavioral Health Needs of Men" (5/2014 edition);

16. "TIP 57: Trauma-Informed Care in Behavioral Health Services" (3/2014 edition);

17. "TIP 58: Addressing Fetal Alcohol Spectrum Disorders (FASD) " (12/2013 edition);

18. "TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System" (9/2013 edition);

19. "TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders" (7/2013 edition);

20. "TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment" (1/2013 edition);

21. "TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery" (1/2013 edition);

22. "TIP 46: Substance Abuse: Administrative Issues in Outpatient Treatment" (12/2012 edition);

23. "TIP 34: Brief Interventions and Brief Therapies for Substance Abuse" (9/2012 edition);

24. "TIP 36: Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues" (7/2012 edition);

25. "TIP 29: Substance Use Disorder Treatment for People With Physical and Cognitive Disabilities" (7/2012 edition) ;

26. "TIP 37: Substance Abuse Treatment for Persons With HIV/AIDS" (7/2012 edition);

27. "TIP 32: Treatment of Adolescents With Substance Use Disorders" (4/2012 edition);

28. "TIP 54: Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders" (1/2012 edition);

29. "TIP 53: Addressing Viral Hepatitis in People With Substance Use Disorders" (12/2011 edition); and

30. "TIP 21: Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System" (4/2008 edition) .

(c) All OTPs shall offer the following clinical services:

(1) Screening and evaluation services;

(2) Treatment services;

(3) Recovery support services;

(4) Transfer and discharge services; and

(5) Client record services.

N.H. Admin. Code § He-A 304.16

#7496, eff 5-23-01; ss by #9476, eff 5-22-09 (from He-A 304.15 )

Amended by Volume XXXVIII Number 10, Filed March 8, 2018, Proposed by #12476, Effective 2/16/2018, Expires 2/16/2028.