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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-A. MENTAL HEALTH |
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Chapter 22-A63. CERTIFICATION STANDARDS FOR SUBSTANCE USE DISORDER TREATMENT AND RECOVERY PROVIDERS |
Section 22-A6338. CORE SERVICE: CASE MANAGEMENT
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6338 CORE SERVICE: CASE MANAGEMENT
6338.1 Case Management facilitates implementation of the treatment plan and administrative facilitation of the client’s service needs, including but not limited to scheduling of appointments, assisting in completing applications, facilitating transportation, tracking appointments, and collecting information about the client’s progress.
6338.2 Case Management also encompasses the coordination of linkages such as vocational/educational services, housing services, legal monitoring entities (e.g. probation), childcare, public assistance, and social services. Case Management also includes training in the development of life skills necessary to achieve and maintain recovery.
6338.3 In addition to the case management activities listed below, Case Management-HIV entails providing access to testing and referrals for HIV and infectious diseases and coordination of services with medical care or specialty services related to an infectious disease (an individual does not need to be diagnosed with an infectious disease to receive this service).
6338.4 All Case Management services must be authorized in the individual's treatment plan.
6338.5 Additional key service functions of Case Management in a treatment program include:
(a)Attending interdisciplinary team meetings for assessment/diagnostic services;
(b)Following up on service delivery by providers external to the treatment program and ensuring communication and coordination of services;
(c)Contacting clients who have unexcused absences from program appointments or from other critical off-site service appointments to re-engage them and promote recovery efforts;
(d)Locating and coordinating services and resources to resolve a client's crisis;
(e)Providing training in the development of life skills necessary to achieve and maintain recovery; and
(f)Participating in discharge planning.
6338.6 The assigned case manager for each client shall provide case management services with or on behalf of a client to maximize the client’s adjustment and functioning within the community while achieving sobriety and sustaining recovery. Each client shall have a case manager designated in his or her treatment plan. Each case manager shall be assigned no more than one hundred fifty (150) clients and shall ensure that each client receives clinically appropriate case management in accordance with the treatment plan.
6338.7 All case managers shall be supervised by a CAC II or a licensed practitioner. At least weekly, the case manager’s supervisor shall review and approve encounter notes to indicate compliance with treatment plan. At least monthly, the case manager’s supervisor shall provide regular case and chart review and meet in-person with the case manager. Providers with a Human Care Agreement with the Department shall comply with the Department policy on supervision.
6338.8 Case Management shall not be considered a counseling service or activity. An individual performing both SUD Counseling and Case Management as part of his or her normal duties shall maintain records that clearly document separate time spent on each of these functions, such as, work logs, encounter notes, and documentation in the client’s record.
6338.9 Case Management services shall be provided by:
(a)A Qualified Practitioner;
(b)An individual with at least a bachelor's degree from an accredited college or university in social work, counseling, psychology, or closely related field; or
(c)An individual with at least a GED or high school diploma, four (4) years of relevant, qualifying full-time-equivalent experience in human service delivery who demonstrates skills in developing positive and productive community relationship and the ability to negotiate complex service systems to obtain needed services and resources for individuals.