Section 22-A6312. PROGRAM POLICIES AND PROCEDURES

 

6312.1 Each provider must document the following:

 

(a) Organization and program mission statement, philosophy, purpose, and values;

 

(b) Organizational structure;

 

(c) Leadership structure;

 

(d) Program relationships;

 

(e) Staffing;

 

(f) Relationships with parent organizations, affiliated organizations, and organizational partners;

 

(g) Treatment philosophy and approach;

 

(h) Services provided;

 

(i) Characteristics and needs of the population served;

 

(j) Performance metrics, including intended outcomes and process methods;

 

(k) Contract services, if any;

 

(l) Affiliation agreements, if any;

 

(m) The scope of volunteer activities and rules governing the use of volunteers, if any;

 

(n) Location of service sites and specific designation of the geographic area to be served; and

 

(o) Hours and days of operation of each site.

 

6312.2Each program shall establish written policies and procedures to ensure each of the following:

 

(a) Service provision based on the individual needs of the client;

 

(b) Consideration of special needs of the individual and the program’s population of focus;

 

(c) Placement of clients in the least restrictive setting necessary to address the severity of the individual’s presenting illness and circumstances; and

 

(d) Facilitation of access to other more appropriate services for individuals who do not meet the criteria for admission into a program offered by the provider.

 

6312.3Each program shall develop and document policies and procedures subject to review by the Department related to each of the following:

 

(a) Program admission and exclusion criteria;

 

(b) Termination of treatment and discharge or transition criteria;

 

(c) Outreach;

 

(d) Infection control procedures and use of universal precautions, addressing at least those infections that may be spread through contact with bodily fluids and routine tuberculosis screening for staff;

 

(e) Volunteer utilization, recruitment, and oversight; 

 

(f) Crisis intervention and medical emergency procedures;

 

(g) Safety precautions and procedures for participant volunteers, employees, and others;

 

(h) Record management procedures in accordance with "Confidentiality of Alcohol and Drug Abuse Patient Records" 42 C.F.R., Part 2, this chapter, and any other District laws and regulations regarding the confidentiality of client records;

 

(i) The on-site limitations on use of tobacco, alcohol, and other substances;

 

(j) Clients' rules of conduct and commitment to treatment regimen, including restrictions on carrying weapons and specifics of appropriate behavior while in or around the program;

 

(k) Clients’ rights;

 

(l) Addressing and investigating major unusual incidents;

 

(m) Addressing client grievances;

 

(n) Addressing issues of client non-compliance with established treatment regimen and/or violation of program policies and requirements; and

 

(o) The purchasing, receipt, storage, distribution, return, and destruction of medication, including accountability for and security of medications located at any of its service site(s) (a Medication Policy).

 

6312.4Gender-specific programs shall ensure that staff of that specific gender is in attendance at all times when clients are present.

 

 

authority

Sections 5113, 5115, 5117 and 5118 of the Department of Behavioral Health Establishment Act of 2013, effective December 24, 2013 (D.C. Law 20-61; D.C. Official Code §§ 7-1141.02, 7-1141-04, 7-1141.06 and 7-1141.07 (2012 Repl.)).

source

Final Rulemaking published at 62 DCR 12056 (September 4, 2015).