2339.1 A substance abuse treatment facility or program shall provide at a minimum the following consumer-centered core services on-site, either directly or through consultant/contract agreement, in such a manner as to ensure seamless care:

1. (a) Intake services as specified in SERVICES AND SUPPORTS - INTAKE AND SCREENING, except intake services provided by the Department as a condition of a contract or grant agreement or as required by District law;
2. (b) Individual assessment and placement services as specified in SERVICES AND SUPPORTS - PATIENT ASSESSMENT AND PLACEMENT Criteria. In the event that the Department provides the preliminary assessment and makes the placement decision as a condition of a contract or grant agreement or as required by District law, the facility or program shall be responsible for establishing an interdisciplinary team to complete any incomplete assessments in the time periods specified in SERVICES AND SUPPORTS - PATIENT ASSESSMENT AND PLACEMENT CRITERIA;
3. (c) Treatment/Rehabilitation planning;
4. (d) Clinical case management;
5. (e) Individual and group addiction counseling;
6. (f) Individual and group psychotherapy as specified in the patient's rehabilitation plan;
7. (g) Family therapy as specified in the rehabilitation plan;
8. (h) Group education;
9. (i) Therapeutic assistant services for residential treatment facilities or programs;
10. (j) Registered/licensed nursing services as applicable to the level of care provided;
11. (k) Medical services on a frequency and accessibility level appropriate for the level and modality of care provided;
12. (l) Drug screening and other laboratory services; and
13. (m) Discharge and aftercare planning services.

2339.2 Non-hospital residential and non-hospital detoxification facilities providing substance abuse treatment shall operate twenty-four (24) hours a day, seven (7) days a week.

2339.3 A substance abuse treatment facility or program including a narcotic treatment program shall provide services seven (7) days per week, with hours of operation that are convenient to the population served, including evenings and weekend hours.

2339.4 A substance abuse treatment facility or program shall maintain hours of operation during daytime and evening hours that are consistent with the needs and schedules of the individuals it serves. Evening is defined as beginning at 6:00 p.m. for purposes of this chapter.

2339.5 A substance abuse treatment facility or program shall provide a minimum of twelve (12) hours of services per day, Monday through Friday, and a minimum of three (3) hours of services on

weekends and holidays.

2339.6 A substance abuse treatment facility or program may request an exemption from the twelve hours of service per day requirement in §2339.5 and the seven (7) days per week requirement in §2339.3. In approving an exemption, the Department shall give special consideration to requests from facilities or programs that provide non-residential Level I or Level II care.

2339.7 If the Department approves an exemption of §2339.5, a substance abuse treatment facility or program shall offer a minimum of eight (8) hours of services per day, Monday through Friday.

2339.8 A substance abuse treatment facility or program shall be structured to accommodate a regular admission schedule for services Monday through Friday. A facility or program with weekend and holiday hours of operation shall have a system in place to admit individuals in crisis during weekends and holidays.

2339.9 A substance abuse treatment facility or program shall implement written policies that ensure access to transportation for scheduled services provided outside of the facility for patients in need. The facility shall provide or arrange for transportation to individuals in need as deemed clinically and programmatically necessary to obtain services specified in the individual rehabilitation plan.

2339.10 A substance abuse treatment facility or program specifically serving parents with dependent children shall provide or arrange for therapeutic childcare or provide on-site short-term child care for parents participating in treatment and rehabilitation activities deemed clinically and programmatically necessary to obtain services consistent with the patient's rehabilitation plan, and shall address the contribution of a parent's substance abuse to the child's development and wellness.

2339.11 The facility or program director of a facility or program specifically serving parents with dependent children shall provide or assist in locating and obtaining private or public therapeutic childcare services as well as the resources to pay therapeutic childcare expenses, or shall provide on-site short-term childcare. All therapeutic childcare programs shall be licensed in accordance with Chapter 3 of Title 29 of the District of Columbia Municipal Regulations.

SOURCE: Final Rulemaking published at 47 DCR 9341 (November 24, 2000), adopting Emergency and Proposed Rulemaking published at 47 DCR 7708, 7764 (September 22, 2000).