Section 325.14701. Program staffing; admissions; criteria; forms; policies and procedures; information; eligibility.

Rule 701. (1) The equivalent of 1 or more full-time counselors shall  be available for approximately 40 clients.

(2)   Clearly stated written criteria for determining the  eligibility   of individuals for admission shall be developed.

(3)   Information gathered in the course of the intake and  assessment process shall be recorded on internally standardized forms. The completed forms shall become part of the applicant's case record.

(4)   A program shall develop written policies and  procedures  to   govern the intake process which shall set forth both of the following:

(a)   The procedures to be followed when accepting referrals from  outside agencies or organizations.

(b)   The procedures to be followed, including those for referrals,  when an applicant is found ineligible for admission.

(5)   All of the following information shall be collected and recorded for all applicants before, or at the time of, admission:

(a)   Name, address, and telephone number, when applicable.

(b)   Date of birth and sex.

(c)   Family and social history.

(d)  Educational history.

(e)   Occupation.

(f)  Legal and court-related history.

(g)   Present substance abuse problem.

(h)   Date the information was gathered.

(i)   Signature of the staff member gathering the information.

(j)   Name of referring agency, when appropriate.

(k)   Address, telephone number, and name of nearest relative  to   contact in case of emergency.

(l)    History of current and past substance abuse or other counseling services received. The agency, type of service, and the date the service was received shall be indicated.

(m)    Name, address, and telephone number of the  most  recent  family  or private physician.

(n)   A substance abuse history, including   information  about   prescribed drugs and alcohol which indicates, at a  minimum, all  of  the  following information:

(i)   Substances used in the past, including prescribed drugs.

(ii)   Substances used recently, especially those used within the last 48 hours.

(iii)   Substances of preference.

(iv)   Frequency with which each substance is used.

(v)    Previous occurrences of overdose, withdrawal, or adverse drug or alcohol reactions.

(vi)   History of previous substance abuse treatment received.

(vii)   Year of first use of each substance.

(6)    During the admission process, every effort shall be made to assure that an applicant understands all of the following:

(a)   General nature and objectives of the program.

(b)   Rules that govern client conduct and infractions that can lead to disciplinary action or discharge from the program.

(c)   Hours during which services are available.

(d)  Costs to be borne by the client, if any.

History: 1981 AACS.