PURPOSE: This rule describes the specific service delivery requirements for compulsive gambling treatment.

Editor’s Note: The following material is incorporated into this rule by reference: 1) American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders 4th Edition. (Washington, D.C., American Psychiatric Association, 1994). In accordance with section 536.031(4), RSMo, the full text of material incorporated by reference will be made available to any interested person at the Office of the Secretary of State and the headquarters of the adopting state agency. 9 CSR 30-3

1. (1) Service Functions. The key functions of compulsive gambling treatment and rehabilitation services shall include:

   1. (A) Using generally accepted treatment principles to promote positive changes in gambling behavior and lifestyle;
   2. (B) Exploring the compulsive gambling and its impact on individual and family functioning;
   3. (C) Helping the person to better understand his/her needs and how to constructively meet them;
   4. (D) Teaching effective methods to deal with urges to gamble; and
   5. (E) Enhancing motivation and creative problem solving for both the individual and his/her family.
2. (2) Treatment Goals and Performance Outcomes. Indicators of positive treatment outcome include the amelioration of gambling behavior, as well as improvements in family relationships, leisure and social activities, educational/vocational functioning, legal status, psychological functioning and financial situation.
3. (3) Eligibility Criteria. Eligibility for treatment services shall be based on criteria for pathological gambling as defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. There must be documentation of the specific behaviors and circumstances demonstrating how the person meets each criteria. For persons who receive services funded by the department or through a service network authorized by the department, those instruments stipulated or provided by the department shall be used in the admission process and eligibility determination.

4. (4) Available Services. Compulsive gambling treatment services shall be offered on an individual, family and group basis in an outpatient setting. Available services shall include individual counseling, group education and counseling, family therapy, and codependency counseling for family members.

   1. (A) Each client shall be oriented to and encouraged to participate in self-help groups and peer support.
   2. (B) Family members of persons with a gambling problem shall be encouraged to participate in a recovery process. Such participation does not include counseling sessions for family members on an ongoing basis to resolve other personal problems or other mental disorders.
   3. (C) The treatment provider shall arrange other services and make referrals to address other problems that the client or the family may have, such as financial problems, substance abuse or other mental disorders.
5. (5) Service Authorization and Utilization Review. Services shall be subject to authorization and clinical utilization review in accordance with 9 CSR 30-3.100 Service Delivery Process and Documentation.

6. (6) Definition of Compulsive Gambling Counselor. A compulsive gambling counselor is a person who demonstrates substantial knowledge and skill in the treatment and rehabilitation of compulsive gambling by having completed a designated training program sponsored or approved by the division and being either—

   1. (A) A counselor, clinical social worker, psychologist, or physician licensed in Missouri by the Division of Professional Registration; or
   2. (B) A substance abuse counselor I or II certified by the Missouri Substance Abuse Counselor Certification Board.

7. (7) Credentialing of Compulsive Gambling Counselors. The department shall issue a compulsive gambling counselor credential to designate those persons who meet the qualifications specified in this rule. This credential shall be a requirement for providing compulsive gambling counseling services eligible for funding by the department.

   1. (A) A person may request an application for this credential from the Department of Mental Health PO Box 687, Jefferson City, MO 65102.

      1. 1. The department may require an appli-

cation fee.

1. 2. The applicant must fully complete the

application process and must verify that s/he meets all qualifications specified in this rule.

1. (B) The credential shall be issued for a period of time coinciding with the period of licensure or certification otherwise required of the applicant, up to a maximum period of two (2) years.
2. (C) The credential may be renewed upon further application and verification that the counselor continues to meet all qualifications. For renewal, the applicant must have received during the past two (2) years at least fourteen (14) hours of training sponsored or approved by the department that is directly related to the treatment of compulsive gambling.

3. (D) Credentialed counselors shall adhere to the code of ethics for their profession in providing services for compulsive gambling.

   1. 1. Any complaint or grievance received

by the department regarding a compulsive gambling counselor shall be forwarded to the applicable licensure or certification body.

1. 2. Any sanction arising from a code of

ethics violation shall be deemed as applying equally to the compulsive gambling counselor credential.

AUTHORITY: sections 313.842, 630.050 and 630.655, RSMo 2000.* This rule originally filed as 9 CSR 30-3.611. Original rule filed Oct. 13, 1995, effective April 30, 1996. Amended: Filed Jan. 10, 1997, effective Aug. 30, 1997. Moved to 9 CSR 30-3.134 and amended: Filed Feb. 28, 2001, effective Oct. 30, 2001.

*Original authority: 313.842, RSMo 1991, amended 1996, 2000; 630.050, RSMo 1980, amended 1993, 1995; and 630.655, RSMo 1980.