67 : 61 : 07 : 06 . Treatment plan. An addiction counselor or addiction counselor trainee shall develop an individualized treatment plan , based upon the integrated assessment for each client admitted to an outpatient treatment program, an intensive outpatient treatment program, a day treatment program, a clinically-managed , low-intensity residential treatment program, or a medically-monitored , intensive inpatient treatment program. Evidence of the client ' s meaningful involvement in formulating the plan must be documented in the client's clinical record . The treatment plan must be recorded in the client's clinical record and contain :

1. (1) A statement of specific client problems, including any co-occurring disorders, to be addressed during treatment, with supporting evidence;
2. (2) A diagnostic statement and a statement of short- and long-term treatment goals that relate to the problems identified;

3. (3) Measurable objectives or methods leading to the completion of short-term goals:

   1. (a) Time frames for the anticipated dates of achievement or completion of each objective, or for reviewing progress towards objectives;
   2. (b) A specification and description of the indicators to be used to assess progress;
   3. (c) Referrals for needed services that are not provided directly by the agency; and
   4. (d) Interventions, for identified issues, that match the client's readiness for change; and

4. (4) A statement identifying the staff member responsible for facilitating the methods or treatment procedures.

   The individualized treatment plan must be developed within ten calendar days of the client's admission to an intensive outpatient treatment program; a day treatment program; a clinically-managed, low-intensity residential treatment program; or a medically-monitored, intensive inpatient treatment program.

   The individualized treatment plan must be developed within thirty calendar days of the client's admission to a counseling services program.

   All treatment plans must be reviewed, signed, and dated by the addiction counselor or addiction counselor trainee. The signature must be followed by the counselor's credentials.

Source: 43 SDR 80 , effective December 5, 2016; 50 SDR 63, effective November 27, 2023 .

General Authority: SDCL 1-36-25 , 34-20A-27 .

Law Implemented: SDCL 34-20A-27 .

Prior versions effective: 2016-12-05.