Okla. Admin. Code § 377:10-7-18

Current through Vol. 42, No. 8, January 2, 2025

Section 377:10-7-18 - Moderate intensity specialized residential care ("Level D")

The standardized set of criteria for each "Level D" community based residential carefacility is provided in (1)-(9) of this Section.

(1)Nature of program services. The basic goals of this level shall be elimination of behavioral problems through therapy and by provision of intensive, 24-hour awake supervision.

(A) Social services shall be generally provided by professional and direct care staff of the facility as a team. Facility staff shall have access to a consultant, as described in paragraph (c) of 377:10-7-2. The on-site direct care staff shall respond first to crisis situations. Backup shall be through the normal on-call schedule.

(B) The facility's environment shall provide a therapeutic setting. The professional staff of the facility with assistance from the direct care staff shall provide group work. The primary goal of groups is to stop a juvenile's pattern of aggressive behavior. Groups shall be held for a minimum of one hour per week. Individual therapy is provided for each juvenile for a minimum of one hour per week based on the juvenile's individual needs and treatment plan. The facility's designated social work or counseling staff shall provide individual therapy.

(C) Mental health consultation shall be available for juveniles directly through a licensed psychologist, psychiatrist, or clinical social worker.

(2)Description of juveniles to be served.

(A) A juvenile appropriate for placement in a "Level D" facility shall have demonstrated behavior problems. The juvenile may have a history of multiple failed placements. Typical behaviors are:

(i) repeated minor criminal offenses;

(ii) difficulty in school;

(iii) problems with authority figures;

(iv) sexual acting out;

(v) verbal aggression;

(vi) physical aggression toward authority figures;

(vii) peer difficulties; and

(viii) runaway behavior.

(B) A juvenile placed in a "Level D" facility may experience emotional difficulties which can be treated in a structured community-based setting. The juvenile also has consistent antisocial and aggressive behavior. The juvenile may be intellectually limited and incapable of controlling impulses, requiring a high degree of individualized supervision and services.

(3)Educational services. Education shall conform with the standards of the State Board of Education. In-house educational programs operated in conjunction with the local school system are optional. The facility shall ensure that:

(A) each juvenile is provided the training and education appropriate to the juvenile's abilities;

(B) special, remedial, and vocational education are available; and

(C) tutoring services are provided for juveniles who need them.

(4)Recreational services. Planned and supervised indoor and outdoor recreation shall be available for each juvenile. The facility shall provide leisure time to pursue talents, hobbies, and chosen interests. Recreation shall be available on campus and/or through community resources.

(5)Employment services. The facility shall provide services to prepare a juvenile for employment and, as appropriate, facilitate job placement and job retention.

(6)Independent living skills training. The program shall incorporate a focus on independent living with a goal of improving the juvenile's capability to function in adulthood.

(7)Description of staff. Staff shall include professional and non-credentialed persons. Non-credentialed personnel shall perform basic care and custody functions. Social workers, psychologists, or other professional staff shall augment services provided by non-credentialed staff. Twenty-four hour awake supervision shall be provided. Line staff shall typically have specific shift assignment. If the direct care staff members live in the facility, a shift component shall be in place to ensure continuous awake supervision and staff capability to respond to crisis situations on a 24-hour basis.

(A) Staff to juvenile ratio shall meet requirements as set forth in DHS rules OAC 340:110, "Requirements for Residential Child Care Facilities." Juvenile care and professional staff shall meet, at minimum, state licensing standards.

(B) Juvenile care and professional staff shall receive formal training in excess of the minimum required, upon entering the job and on an ongoing basis. The facility shall provide training through a combination of in-house and outside training.

(C) Direct care staff shall participate in staffing of each juvenile as a part of the treatment team. All direct care staff shall have access to psychological and/or psychiatric consultation.

Okla. Admin. Code § 377:10-7-18

Added at 14 Ok Reg 1864, eff 6-2-97; Amended at 15 Ok Reg 2667, eff 7-1-98; Amended at 16 Ok Reg 2976, eff 7-12-99; Amended at 25 Ok Reg 1368, eff 7-1-08