1. (a) The primary counselor shall enter in the patient's record his or her name and the date the patient was assigned to the counselor.

2. (b) Detoxification Treatment Plan Requirements. Programs shall develop an individualized treatment plan for each patient which shall include:

   1. (1) Provisions to assist the patient to understand illicit drug addictions and how to deal with them.
   2. (2) Provisions for furnishing services to the patient as needed when the period of detoxification treatment is completed.
   3. (3) The treatment services required and a description of the role they play in achieving the stated goals.
   4. (4) The type and frequency of scheduled counseling services.

3. (c) Maintenance Treatment Plan Requirements.

   Programs shall develop an individualized treatment plan for each patient.

4. (d) Prior to developing a patient's initial maintenance treatment plan, as required in paragraph (e) of this section, the primary counselor shall complete and document in the patient's record a needs assessment for the patient which shall include:

   1. (1) A summary of the patient's psychological and sociological background, including his or her educational and vocational experience.

   2. (2) An assessment of the patient's needs for:

      1. (A) Health care as recorded within the overall impression portion of the physical examination;
      2. (B) Employment;
      3. (C) Education;
      4. (D) Psychosocial, vocational rehabilitation, economic, and legal services.

5. (e) Within 28 calendar days after initiation of maintenance treatment the primary counselor shall develop the patient's initial maintenance treatment plan which shall include:

   1. (1) Goals to be achieved by the patient based on the needs identified in paragraph (d) of this section and with estimated target dates for attainment in accordance with the following:

      1. (A) Short-term goals are those which are estimated to require ninety (90) days or less for the patient to achieve; and
      2. (B) Long-term goals are those which are estimated to require a specified time exceeding ninety (90) days for the patient to achieve.
   2. (2) Specific behavioral tasks the patient must accomplish to complete each short-term and long-term goal.
   3. (3) A description of the type and frequency of counseling services to be provided to the patient as required in Section 10345.
   4. (4) An effective date based on the day the primary counselor signed the initial treatment plan.

6. (f) The primary counselor shall evaluate and update the patient's maintenance treatment plan whenever necessary or at least once every three months from the date of admission. This updated treatment plan shall include:

   1. (1) A summary of the patient's progress or lack of progress toward each goal identified on the previous treatment plan.
   2. (2) New goals and behavioral tasks for any newly identified needs, and related changes in the type and frequency of counseling services as required in Section 10345.
   3. (3) An effective date based on the day the primary counselor signed the updated treatment plan.
7. (g) The supervising counselor shall review the initial maintenance treatment plan, along with the corresponding needs assessment, and all updated maintenance treatment plans within fourteen (14) calendar days from the effective dates and shall countersign these documents to signify concurrence with the findings.

8. (h) The medical director shall review the initial maintenance treatment plan, along with the corresponding needs assessment, and all updated maintenance treatment plans within fourteen (14) calendar days from the effective dates and shall record the following:

   1. (1) Countersignature to signify concurrence with the findings; and
   2. (2) Amendments to the plan where medically deemed appropriate.

Note: Authority cited: Sections 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Sections 11839.3 and 11839.20, Health and Safety Code.

History

1. Change without regulatory effect renumbering and amending parts of former sections 10072 and 10074 to 10305 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).

2. Change without regulatory effect correcting printing errors redesignating subsections filed 9-24-93 pursuant to title 1, section 100, California Code of Regulations (Register 93, No. 39).

3. Amendment of article 3 heading and section filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.

4. Amendment of article 3 heading and section refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.

5. Amendment of article 3 heading and section refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.

6. Amendment of article 3 heading and section refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.

7. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).

8. Amendment of article 3 heading and Note filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.

9. Certificate of Compliance as to 4-15-97 order transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).

10. Amendment of section and Note filed 6-23-97 as an emergency; operative 7-1-97 (Register 97, No. 26). Pursuant to Health and Safety Code section 11758.42, a Certificate of Compliance must be transmitted to OAL by 12-28-97 or emergency language will be repealed by operation of law on the following day.

11. Editorial correction of History 10 (Register 98, No. 1).

12. Reinstatement of section as it existed prior to 6-23-97 emergency amendment by operation of Government Code section 11346.1(f) (Register 98, No. 1).

13. Amendment of section and Note filed 12-31-97 as an emergency; operative 12-31-97 (Register 98, No. 1). A Certificate of Compliance must be transmitted to OAL by 4-30-98 or emergency language will be repealed by operation of law on the following day.

14. Amendment of section and Note refiled 4-27-98 as an emergency; operative 4-30-98 (Register 98, No. 18). A Certificate of Compliance must be transmitted to OAL by 8-28-98 or emergency language will be repealed by operation of law on the following day.

15. Certificate of Compliance as to 4-27-98 order, including amendment of subsections (e)(1)(A)-(B), repealer of subsections (e)(1)(C), (e)(4), (f)(2) , (f)(4) and (h)(2), subsection renumbering, and amendment of newly designated subsections (e)(4) and (f)(3), transmitted to OAL 6-1-98 and filed 6-29-98 (Register 98, No. 27).

16. Change without regulatory effect amending subsection (e)(3) and Note filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).