048-8 Wyo. Code R. § 8-6

Current through April 27, 2019

Section 8-6 - Adolescent Primary Residential Treatment Program

Primary treatment for adolescents is a 45-60 day, nonmedical, 24-hour, live-in rehabilitation treatment program for chemically dependent or chemically abusing individuals aged 13 to the age of majority under Wyoming Statute and who require intensive evaluation and treatment services in a highly structured and controlled setting.

(a) The provision of primary residential treatment services to minors includes:

(i) 28-35 hours per week of structured, stafffacilitated, group activities which focus on all aspects or chemical dependency, the predominant life issues that impact on recovery, and the individual concerns of each client;

(ii) Family counseling;

(iii) Individual counseling;

(iv) On-site appropriate schooling;

(v) Organized recreational activities provided on a regularly scheduled basis at a minimum of three times per week;

(vi) Referral to appropriate self help groups;

(vii) Continuing care service either as a component of the program or provided under an agreement with a certified substance abuse program in the location of the residence of the minor;

(viii) Direct 24-hour-a-day supervision by program staff.

(b) If primary residential treatment services for adolescents and adults are provided in the same facility, the two populations and all services and activities shall be separate.

(c) Primary residential treatment facilities for adolescents must be certified by the Department of Family Services as a child care facility.

(d) An evaluation and assessment shall be completed and documented in the client file. The information gathered in the evaluation and assessment procedure shall include, but not be limited to:

(i) The history and current status of the chemical use of the minor;

(ii) The history and current status of the minors involvement with the criminal justice system;

(iii) The history and current status of any school problems of the minor;

(iv) The events that precipitated the minors referral to primary residential treatment;

(v) The substance abuse/mental health service history of the minor and of the minors family members;

(vi) The history and potential for physical and emotional abuse of and by the minor;

(vii) An assessment by the minor of his/her own alcohol and drug abuse; and

(viii) The medical history of the minor;

(e) The information used in the evaluation and assessment procedure shall be gathered through interviews and consultations with the adolescent and the adolescents family, the referral source, and allied agencies that are involved, including the school.

(f) Clinical staff shall be knowledgeable about normal childhood development, the impact of the use of and the dependency on alcohol and drugs on normal childhood development, and the issues of adolescence.

(g) The ratio of two staff for every six youth shall be maintained during waking hours.

(h) There shall be one male and one female staff person on duty at all times.

(i) There shall be counseling staff on duty or on call at all times.

(j) The programs on-site schooling shall comply with accreditation requirements of the Wyoming State Department of Education.

(k) All school educational activities shall be conducted by instructors certified by the Wyoming State Department of Education.

(l) All school activities shall be conducted at times of the day conducive to learning and shall be individualized, according to the age, learning level, and needs of the minor.

(m) If the program employs a step-level system, it must comply with the following requirements:

(i) Criteria for entering each level are defined in writing and stated in behavioral terms.

(ii) Criteria are applied equally to all clients.

(iii) Privileges, rewards, restrictions, and other consequences corresponding to the specific levels or behaviors are therapeutically indicated as determined by the executive director, defined in writing, implemented consistently as written, and documented in the client record.

(n) Upon completion of treatment, a referral for aftercare services shall be made to an appropriate substance abuse treatment program, and with the parents or guardians consent the discharge summary shall be forwarded to that agency.

(o) The program shall develop and implement policies on: visitation, receiving and sending mail, sexual activity, the use of alcohol and drugs within the facility, violence, facility damages, room searches, personal possessions, smoking, contraband, leaving the grounds without permission, money, clothing, and interpersonal conduct. These policies shall be explained to the minor and his/her parents or guardians upon admission.

(p) The program shall utilize, on a day-to-day basis, a consistent, behavioral, therapeutic model of treatment. The treatment model shall be described in writing and approved by the executive director.

048-8 Wyo. Code R. § 8-6