1. (a) Each OTP shall have and adhere to a clinical care manual which includes policies and procedures related to all clinical services provided.

2. (b) All clinical services provided shall:

   1. (1) Focus on the client’s strengths;
   2. (2) Be culturally competent with regard to the clients being served;
   3. (3) Be client and family centered;

   4. (4) Be evidence based, as demonstrated by meeting one of the following criteria:

      1. a. The service shall be included as an evidence-based mental health and substance use disorder intervention on the SAMHSA National Registry of Evidence-Based Programs and Practices (NREPP), http://www.nrepp.samhsa.gov/ViewAll.aspx;
      2. b. The services shall be published in a peer-reviewed journal and found to have positive effects; or

      3. c. The OTP shall be able to document the services’ effectiveness based on the following:

         1. 1. The service is based on a theoretical perspective that has validated research; or
         2. 2. The service is supported by a documented body of knowledge generated from similar or related services that indicate effectiveness;
   5. (5) Be trauma informed, which means designed to acknowledge the impact of violence and trauma on people’s lives and the importance of addressing trauma in services; and

   6. (6) Be delivered in accordance with:

      1. a. The American Society of Addiction Medicine (ASAM) Criteria: Treatment Criteria for Substance-Related, Addictive, and Co-Occurring Conditions, Third Edition (2013), henceforth referred to as “ASAM Criteria (2013)” available as noted in Appendix A; and

      2. b. The Treatment Improvement Protocols (TIPS) and Technical Assistance Publications (TAPS) published by SAMHSA and available at https://store.samhsa.gov/list/series?name=TIP-Series-Treatment-Improvement-Protocols-TIPS-&pageNumber=1 and https://store.samhsa.gov/list/series?name=Technical-Assistance-Publications-TAPs-&pageNumber=1, respectively, and as noted in Appendix A:

         1. 1. “TAP 19: Relapse Prevention with Chemically Dependent Criminal Offenders, Counselor's Manual” (1/2006 edition);
         2. 2. “TAP 21-A: Competencies for Substance Abuse Treatment Clinical Supervisors” (1/2013 edition);
         3. 3. “TAP 21: Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice” (11/2015 edition);
         4. 4. “TAP 34: Disaster Planning Handbook for Behavioral Health Treatment Programs” (5/2012 edition);
         5. 5. “TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women” (11/2015 edition);
         6. 6. “TIP 55: Behavioral Health Services for People Who Are Homeless” (11/2015 edition);
         7. 7. “TIP 59: Improving Cultural Competence” (11/2015 edition);
         8. 8. “TIP 60: Using Technology-Based Therapeutic Tools in Behavioral Health Services” (11/2015 edition);
         9. 9. “TIP 41: Substance Abuse Treatment: Group Therapy” (10/2015 edition);
         10. 10. “TIP 45: Detoxification and Substance Abuse Treatment” (10/2015 edition);
         11. 11. “TIP 27: Comprehensive Case Management for Substance Abuse Treatment” (10/2015 edition);
         12. 12. “TIP 39: Substance Abuse Treatment and Family Therapy” (10/2015 edition);
         13. 13. “TIP 50: Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment” (10/2015 edition);
         14. 14. “TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor” (9/2014 edition);
         15. 15. “TIP 56: Addressing the Specific Behavioral Health Needs of Men” (5/2014 edition);
         16. 16. “TIP 57: Trauma-Informed Care in Behavioral Health Services” (3/2014 edition);
         17. 17. “TIP 58: Addressing Fetal Alcohol Spectrum Disorders (FASD)” (12/2013 edition);
         18. 18. “TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System” (9/2013 edition);
         19. 19. “TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders” (7/2013 edition);
         20. 20. “TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment” (1/2013 edition);
         21. 21. “TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery” (1/2013 edition);
         22. 22. “TIP 46: Substance Abuse: Administrative Issues in Outpatient Treatment” (12/2012 edition);
         23. 23. “TIP 34: Brief Interventions and Brief Therapies for Substance Abuse” (9/2012 edition);
         24. 24. “TIP 36: Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues” (7/2012 edition);
         25. 25. “TIP 29: Substance Use Disorder Treatment for People With Physical and Cognitive Disabilities” (7/2012 edition);
         26. 26. “TIP 37: Substance Abuse Treatment for Persons With HIV/AIDS” (7/2012 edition);
         27. 27. “TIP 32: Treatment of Adolescents With Substance Use Disorders” (4/2012 edition);
         28. 28. “TIP 54: Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders” (1/2012 edition);
         29. 29. “TIP 53: Addressing Viral Hepatitis in People With Substance Use Disorders” (12/2011 edition); and
         30. 30. “TIP 21: Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System” (4/2008 edition).

3. (c) All OTPs shall offer the following clinical services:

   1. (1) Screening and evaluation services;
   2. (2) Treatment services;
   3. (3) Recovery support services;
   4. (4) Transfer and discharge services; and
   5. (5) Client record services.

Source. #7496, eff 5-23-01; ss by #9476, eff 5-22-09 (from He-A 304.15); ss by #12178, INTERIM, eff 5-20-17, EXPIRED: 11-16-17 New. #12476, eff 2-16-18