65D-30.009. Standards for Day or Night Treatment  

Effective on Thursday, August 29, 2019
  • 1In addition to rule 565D-30.004, 6F.A.C., the following standards apply to day or night treatment.

    16(1) Services. Each individual shall receive services each week. Clinical staff shall provide those services. Each provider shall be capable of providing or arranging for the services listed below. With the exception of counseling, it is not intended that all services listed be provided. For individuals participating under subsection 65D-30.0037(6) and rule 65D-30.0048, F.A.C., services shall be provided according to the conditions of the Department of Corrections’ contract with the provider. Otherwise, services shall be provided in accordance with the needs of the individual as identified in the assessment and treatment plan, as follows:

    110(a) Individual counseling;

    113(b) Group counseling;

    116(c) Counseling with families or support system;

    123(d) Substance-related and recovery-focused education, such as strategies for avoiding substance use or relapse, information regarding health problems related to substance use, motivational enhancement and strategies for achieving a substance-free lifestyle;

    154(e) Life skills training in areas such as anger management, communication, employability, problem solving, relapse prevention, decision-making, relationship skills, and symptom management to promote recovery;

    179(f) Expressive therapies, such as recreation therapy, art therapy, music therapy, or dance (movement) therapy to provide the individual with alternative means of self-expression and problem resolution;

    206(g) Training or provision of information regarding health and medical issues;

    217(h) Employment or educational support services to assist individuals in becoming financially independent; and

    231(i) Mental health services for the purpose of:

    2391. Managing individuals with disorders who are stabilized;

    2472. Evaluating individuals’ needs for in-depth mental health assessment;

    2563. Training individuals to manage symptoms; and

    2634. 264If the provider is not staffed to address primary mental health problems that may arise during 280treatment, the provider shall initiate a t287imely referral to an appropriate provider for mental health crises or the emergence of a primary mental health disorder 306in accordance with the provider’s policies and procedures314.

    315(2) Required Hours of Services. For day or night treatment, each 326individual 327shall receive a minimum of 332at least three (3) hours per day, 33912 hours of services per week in accordance with subsection 34965D-30.009(1), 350F.A.C. This shall include individual counseling, group counseling, or counseling with families 362or support systems, which shall be provided by clinical staff372. In instances where a provider requires fewer hours of 382individual 383participation in the latter stages of the treatment process, this shall be clearly described and justified as essential to the provider’s objectives relative to service delivery.

    409(3) Psychiatric and other Medical Services. The need for psychiatric and medical services shall be addressed through consultation or referral when the services cannot be supplied by the provider. Inmate Substance Abuse Programs operated by or under contract with the Department of Corrections or the Department of Management Services are exempt from the requirements of this subsection.

    466(4) Staff Coverage. Each facility shall have an awake, paid employee on the premises at all times when one (1) or more individuals are present.

    491(5) Caseload. No primary counselor may have a caseload that exceeds 15 individuals.

    504Rulemaking Authority 506397.321(5) FS. 508Law Implemented 510397.311(26), 511397.321, 512397.4014, 397.410 FS. History–New 5-25-00, Amended 4-3-03, 8-29-19.