N.Y. Comp. Codes R. & Regs. tit. 14 § 819.9

Current through Register Vol. 46, No. 45, November 2, 2024

Section 819.9 - Additional requirements for intensive residential rehabilitation

(a) Admission criteria. In addition to the admission criteria applicable to residential services generally, an individual admitted to intensive residential rehabilitation services must meet the following criteria:

(1) The individual must have demonstrated an inability to participate in treatment outside of a twenty-four hour setting as indicated by one or more of the following:

(i) recent unsuccessful attempts at abstinence; or

(ii) substantial limitations in functional skills evidencing the need for extensive habilitation or rehabilitation in order to achieve lasting recovery in an independent setting.

(b) Clinical services. Intensive residential services are required to provide a minimum of forty hours per week within a structured therapeutic environment, consisting of the services identified in Section 819.4 of this Part and include the following:

(1) Rehabilitation and/or habilitation services.

(i) Each service shall ensure that a comprehensive and appropriate range of rehabilitative services are available to each resident. Such services include, but are not limited to:

(a) vocational services such as vocational assessment, job skills training, and employment readiness training;

(b) educational remediation services; and

(c) life, parenting and social skills training.

(ii) These services may be provided directly by the service or by referral.

(iii) These services shall be reflected in the resident's comprehensive treatment/recovery plan and the resident's progress shall be documented in the resident's record.

(2) Personal, social, and community skills training and development. Residents shall receive training in community and adult living skills, as needed by each individual. Such skill development shall include, but is not limited to, social interaction and leisure activities.

(c) Comprehensive treatment/recovery plan update.

(1) Each comprehensive plan, once established, must be reviewed and revised at least every three months thereafter by the responsible clinical staff member in consultation with the resident and reviewed and signed (physically or electronically) by the supervisor.

(2) A summary of the resident's progress in each of the specified goals shall be prepared and documented in the resident's record as part of the plan update.

(d) Staffing.

(1) Each residential facility shall have a full-time on-site Director whose duties shall include overseeing the day-to-day operations of the service.

(2) There shall be sufficient staff available to all residents at all times. During late evening and night shifts, there shall be at least one responsible staff person awake and on duty.

(3) In addition to the twenty four hour per day, seven day per week coverage, all intensive residential rehabilitation services shall have sufficient staff to ensure that counseling and rehabilitation services are available and responsive to the needs of each resident. An intensive residential rehabilitation service will have no less than one clinical staff member for every fifteen residents.

(4) For those residential rehabilitation services that serve children, at least one clinical staff member with training and experience in childcare shall be available.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 819.9

Amended New York State Register September 14, 2022/Volume XLIV, Issue 37, eff. 10/1/2022