Ariz. Admin. Code § R9-10-1909 - Counseling
A. An administrator
of a counseling facility shall ensure that:
1.
Counseling provided at the counseling facility is provided under the direction
of a behavioral health professional;
2. A personnel member who provides counseling
is at least 18 years old;a. At least 21 years of
age, or
b. At least 18 years of age and is
licensed or certified under A.R.S. Title 32 and providing services within the
personnel member's scope of practice; and
3. If a counseling facility provides
counseling to a patient who is less than 18 years of age, an employee or a
volunteer and the owner comply with the fingerprint clearance card requirements
in A.R.S. §
36-425.03.
B. An administrator of a
counseling facility shall ensure that:
1.
Before counseling for a patient is initiated, there is a behavioral health
assessment for the patient that complies with the requirements in this Section
that is:
a. Available:
i. In the patient's medical record maintained
by the counseling facility;
ii. If
the counseling facility is an affiliated counseling facility, in the patient's
integrated medical record; or
iii.
If the counseling facility has an affiliated outpatient treatment center, in
the patient's integrated medical record maintained by the counseling facility's
affiliated outpatient treatment center; and
b. Either:
c.ii. Obtained from a
behavioral health provider other than the counseling facility;
i. Completed by a personnel member at the
counseling facility; or
2. A behavioral health
assessment, obtained from a behavioral health provider other than the
counseling facility or available in a medical record or integrated medical
record, was completed within 12 months before the date of the patient's current
admission;
3. If a behavioral
health assessment is obtained from a behavioral health provider other than the
counseling facility or is available as stated in subsection (B)( 1 )(a), the
information in the behavioral health assessment is reviewed and updated if
additional information that affects the patient's behavioral health assessment
is identified;
4. The review and
update of the patient's assessment information in subsection (B)(3) is
documented in the patient's medical record within 48 hours after the review is
completed;
5. If a behavioral
health assessment is conducted by a:
a.
Behavioral health technician or a registered nurse, within 72 hours after the
behavioral health assessment is conducted, a behavioral health professional
certified or licensed to provide the counseling needed by the patient reviews
and signs the behavioral health assessment to ensure that the behavioral health
assessment identifies the counseling needed by the patient; or
b. Behavioral health paraprofessional, a
behavioral health professional certified or licensed to provide the counseling
needed by the patient supervises the behavioral health paraprofessional during
the completion of the behavioral health assessment and signs the behavioral
health assessment to ensure that the assessment identifies the counseling
needed by the patient;
6. A behavioral health assessment:
a. Documents a patient's:
i. Presenting issue;
ii. Substance use history;
iii. Co-occurring disorder;
iv. Medical condition and history;
v. Legal history, including:
(1) Custody,
(2) Guardianship, and
(3) Pending litigation;
vi. Criminal j ustice record;
vii. Family history;
viii. Behavioral health treatment history;
and
ix. Symptoms reported by the
patient or the patient's representative and referrals needed by the patient, if
any;
b. Includes:
i. Recommendations for further assessment or
examination of the patient's needs;
ii. A description of the counseling,
including type, frequency, and number of hours, that will be provided to the
patient; and
iii. The signature
and date signed of the personnel member conducting the behavioral health
assessment; and
c. Is
documented in patient's medical record;
7. A patient is referred to a medical
practitioner if a determination is made that the patient requires immediate
physical health services or the patient's behavioral health issue may be
related to the patient's medical condition;
8. A request for participation in a patient's
behavioral health assessment is made to the patient or the patient's
representative;
9. An opportunity
for participation in the patient's behavioral health assessment is provided to
the patient or the patient's representative;
10. Documentation of the request in
subsection (B)(8) and the opportunity in subsection (B)(9) is in the patient's
medical record;
11. A patient's
behavioral health assessment information is documented in the medical record
within 48 hours after completing the assessment;
12. If information in subsection (B)(6)(a) is
obtained about a patient after the patient's behavioral health assessment is
completed, an interval note, including the information, is documented in the
patient's medical record within 48 hours after the information is
obtained;
13. Counseling is:
a. Offered as described in the counseling
facility's scope of services;
b.
Provided according to the type, frequency, and number of hours identified in
the patient's assessment; and
c.
Provided by a behavioral health professional or a behavioral health
technician;
14. A
personnel member providing counseling to address a specific type of behavioral
health issue has the skills and knowledge necessary to provide the counseling
that addresses the specific type of behavioral health issue; and
15. Each counseling session is documented in
the patient's medical record to include:
a.
The date of the counseling session;
b. The amount of time spent in the counseling
session;
c. Whether the counseling
was individual counseling, family counseling, or group counseling;
d. The treatment goals addressed in the
counseling session; and
e. The
signature of the personnel member who provided the counseling and the date
signed.
C. An
administrator may provide any of the following, according to the applicable
requirements in 9 A.A.C. 20, to individuals required to attend by a referring
court, if approved by the Department to provide the services:
1. DUI screening,
2. DUI education,
3. DUI treatment, or
4. Misdemeanor domestic violence offender
treatment.
D. An
administrator of a counseling facility authorized to provide the services in
subsection (C):
1. Shall comply with the
requirements for the specific service in 9 A.A.C. 20, and
2. May have a behavioral health technician
who has the appropriate skills and knowledge established in policies and
procedures provide the services.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.