Okla. Admin. Code § 450:70-3-7

Current through Vol. 41, No. 19, June 17, 2024

Section 450:70-3-7 - Biopsychsocial assessment

(a) All OTPs shall complete a biopsychsocial assessment which gathers sufficient information to assist the person served in developing an individualized treatment plan. The OTP may utilize the current edition of the Addiction Severity Index (ASI) or develop a biopsychsocial assessment which contains, but not be limited to, the following:

(1) Identification of the strengths, needs, abilities, and preferences of the person served;

(2) Presenting problem and history of the presenting problem;

(3) Previous treatment history, including opioid substitution therapy:

(A) Mental health,

(B) Substance abuse, and

(4) Health history and current biomedical conditions and complications;

(5) Alcohol and drug use history;

(6) History of trauma;

(7) Family and social history, including family history of alcohol and drug use;

(8) Educational attainment, difficulties, and history;

(9) Cultural and religious orientation;

(10) Vocational, occupational and military history;

(11) Sexual history, including HIV, AIDS and STD at-risk behaviors;

(12) Marital or significant other relationship history;

(13) Recreational and leisure history;

(14) Legal history;

(15) Present living arrangement;

(16) Economic resources;

(17) Level of functioning;

(18) Current support system;

(19) Current medications, including the name of prescribing physician, name of medication, strength and dosage, and length of time the consumer has been on the medication;

(20) Expectations of the person served in terms of service; and

(21) Assessment summary or diagnosis, and signature of the assessor and date of the assessment.

(b) The assessment shall be completed by a LBHP or licensure candidate.

(c) The assessment shall be completed as soon as possible after admission and no later than the third (3) therapy or rehabilitation service visit.

(d) In the event of a consumer re-admission after one (1) year of the last biopsychsocial assessment, a new biopsychsocial assessment shall be completed. If readmission occurs within one (1) year after the last biopsychsocial assessment, an update shall be completed.

(e) Compliance with 450:70-3-7 may be determined by:

(1) A review of policies and procedures,

(2) Treatment records, and

(3) Other facility documentation.

Okla. Admin. Code § 450:70-3-7

Added at 24 Ok Reg 2638, eff 7-12-07 ; Amended at 30 Ok Reg 1425, eff 7-1-13

Amended by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 10/1/2017

Amended by Oklahoma Register, Volume 35, Issue 24, September 4, 2018, eff. 10/1/2018

Amended by Oklahoma Register, Volume 36, Issue 22, August 1, 2019, eff. 11/1/2019

Amended by Oklahoma Register, Volume 40, Issue 22, August 1, 2023, eff. 9/15/2023