Okla. Admin. Code § 377:10-7-19

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

Section 377:10-7-19 - Moderate to High Intensity Specialized Residential Care ("Level D Plus")

The standardized set of criteria for each "Level D Plus" community based residential care facility is provided in (1)-(10) of this Section.

(1)Nature of program services. The basic goals of the program shall be eliminating behavioral problems through therapy and by providing 24-hour awake supervision.

(A) Social services shall be generally provided by professional and direct care staff of the facility as a team. Consultants shall be available to staff. On-site, direct care staff shall respond initially to crisis situations. Backup shall be through normal on-call schedule.

(B) The facility shall provide a therapeutic setting. The primary goal of groups shall be to stop a juvenile's pattern of aggressive behavior. Groups shall be held at a minimum of two hours per week. An agency social worker or counseling staff shall provide individual therapy for each juvenile a minimum of one hour per week. Family therapy shall be available when needed.

(C) Psychological/psychiatric intervention shall be available to a juvenile by direct contact with a psychologist, psychiatrist, or psychiatric consultant or from the facility's designated social worker or counseling staff with psychological or psychiatric case consultation.

(2)Description of juveniles to be served. Juveniles appropriate for "Level D Plus":

(A) may have multiple, failed placements;

(B) may exhibit typical behavior such as:

(i) a combination of repeated criminal offenses;

(ii) difficulty in school;

(iii) problems with authority figures;

(iv) verbal aggression; and

(v) peer difficulties

(C) may evidence antisocial and/or aggressive behavior;

(D) may be intellectually limited with no impulse control requiring individualized services;

(E) may have emotional difficulties that are amenable to treatment in structured, community-based setting; and

(F) may experience chemical abuse secondary to other criminal/behavior problems.

(3)Educational services. The facility shall provide education according to the standards of the State Board of Education. Programs may have in-house education operated in conjunction with the local school system. 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. The facility shall provide planned and supervised indoor and outdoor recreation. Juveniles shall have leisure time to pursue their talents, hobbies, and chosen positive interests. Services are campus facilities and/or through use of community resources.

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

(6)Independent living skills training. Independent living training shall be incorporated throughout the program with a goal of providing each juvenile with adequate life skills and experiences to function as an adult.

(7)Staffing. The facility shall provide 24-hour, awake coverage. Two direct care staff shall be on duty on shifts in which juveniles are awake and not in school. Two staff shall typically be on the afternoon/evening shift, the day shift, weekends, school holidays, and during the summer. One consultant (psychiatrist, psychologist, or M.S.W.) shall be available to the administrator and staff at least two hours per week.

(8) Description of staff. Staff shall include professional and non-credentialed personnel. Non-credentialed staff shall typically perform basic care and custody functions. Social workers, psychologists, or other professional staff shall enhance basic care services. If live-in juvenile care is provided, shifts must ensure 24-hour, continuous, awake supervision and capability to respond to crises on 24-hour basis.

(A) Staff to client ratio shall meet requirements for "Residential Child Care Facilities." Direct care and professional staff must meet, at minimum, the state licensing standards.

(B) Direct care and professional staff should have more formal training than the minimum required. Training should be both in-house and outside training.

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

Okla. Admin. Code § 377:10-7-19

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