1. (1) Each client shall be no younger than 13 years of age and no older than 17 years of age and shall have a current health history report which includes notation of client physical limitations and prescriptive medications.
2. (2) The health history report shall be completed, submitted, and verified by each client's parent or guardian as part of the intake screening or assessment in accordance with Sections R501-1-18 and R501-1-23 and before entry into the field.

3. (3) An admissions assessment shall be conducted by a treatment professional before each client enters into the field and shall include the following:

   1. (a) a review of each client's social and psychological history with the client's parent or legal guardian before enrollment; and
   2. (b) an interview with the client before entrance into the field program.

4. (4) before entry into the field and within 15 days of admission to the program, the following requirements must be met:

   1. (a) a licensed medical professional must review each client's health history report and conduct a physical examination; and

   2. (b) the program shall provide a physical examination form to a licensed medical professional that clearly states a description of the physical demands and environment of the program, and requires the following information before a client may enter the field:

      1. (i) a urinalysis drug screen;
      2. (ii) a complete blood count (CBC) unless waived in writing by the client's parent or guardian;
      3. (iii) a complete metabolic profile (CMP) unless waived in writing by the client's parent or guardian;
      4. (iv) a urinalysis for possible infections;
      5. (v) a pregnancy test;
      6. (vi) a physical stress assessment;
      7. (vii) a determination by the physician if detoxification is indicated for client before entrance into field portion of the program;
      8. (vii) any other tests as necessary to assess fitness for the field portion of the program; and
      9. (ix) a medical professional shall review current and historical medical data and approve the client to enter the field with recommendations for any medical monitoring.
5. (5) A copy of each client's medical forms and approvals shall be maintained at the field office and another copy shall be carried by staff members in a waterproof container throughout the field expedition.
6. (6) Each program must clinically review each client's psychological history and conduct an additional psychological assessment as clinically necessary before the client's entry into the field..
7. (7) Upon admission and for a period of no fewer than three days in the field, direct care field staff shall closely monitor each client for any health problems that may be a result of hiking or living outdoors.

KEY: licensing, human services, youth

Date of Last Change: March 7, 2022

Notice of Continuation: October 3, 2022

Authorizing, and Implemented or Interpreted Law: 62A-2-101 et seq.