1. (a) A health and drug history shall be completed for each consumer at the time of admission in facility-based crisis stabilization and as soon as practical in the URC. The medical history shall include obtainable information regarding:

   1. (1) Name of medication;
   2. (2) Strength and dosage of current medication;
   3. (3) Length of time patient was on the medication if known;
   4. (4) Benefit(s) of medication;
   5. (5) Side effects;
   6. (6) The prescribing medical professional if known; and
   7. (7) Relevant drug history of family members.
2. (b) A mental health history, including symptoms and safety screening, shall be completed for each consumer at the time of admission in facility-based crisis stabilization and as soon as practical in the URC.
3. (c) A substance abuse history, including use, abuse, and dependence for common substances (including nicotine) and screening for withdrawal risk and IV use shall be completed for each consumer at the time of admission
4. (d) Compliance with 450:23-5-5 shall be determined by a review of clinical records.

Added at 18 Ok Reg 531, eff 10-13-00 (emergency)

Added at 18 Ok Reg 2690, eff 7-1-01

Amended at 19 Ok Reg 1443, eff 7-1-02

Amended at 23 Ok Reg 1436, eff 7-1-06

Amended at 25 Ok Reg 1404, eff 7-1-08

Amended at 31 Ok Reg 2034, eff 10-1-14

Amended at 39 Ok Reg 1995, eff 9-15-22