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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-A6344. SPECIALTY SERVICE: ADOLESCENT-COMMUNITY REINFORCEMENT APPROACH (ACRA)
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6344 SPECIALTY SERVICE: ADOLESCENT – COMMUNITY REINFORCEMENT APPROACH (ACRA)
6344.1ACRA is a specialty service that can be infused into Level I Outpatient treatment as a more targeted approach to treatment for youth and young adults ages twelve (12) to twenty-four (24) years old with co-occurring mental health and substance use disorders. ACRA services include Counseling, Case Management, and Clinical Care Coordination when provided in accordance with the requirements of this section and the ACRA evidence-based practice certification model.
6344.2The provider must have the following ACRA-certified staff for each ACRA team:
(a)A clinical supervisor, with ACRA clinical supervisor certification, who is also a Master’s-level qualified practitioner; and
(b)One (1) to four (4) clinicians with ACRA clinician certification who are either Master’s-level qualified practitioners or Bachelor’s-level qualified practitioners with at least five (5) years’ experience working with behaviorally-challenged youth.
6344.3 ACRA practitioners must comply with the supervision, taping, feedback and coaching requirements of the ACRA certification.
6344.4A minimum of four units (one hour) of ACRA Counseling services should be provided each week. Additional units of ACRA Case Management and Clinical Care Coordination, and remaining Level 1 services shall be provided as clinically appropriate.
6344.5ACRA generally lasts up to six (6) months with the first three (3) months of services provided in the office setting and the last three (3) months of service provided in the home or community setting, based on the client’s needs and progress.
6344.6ACRA may be provided by the following qualified practitioners who satisfy the requirements of Subsection 6344.2 above:
(a)Qualified Physicians;
(b)Psychologists;
(c)LICSWs;
(d)LGSWs;
(e)APRNs;
(f)RNs;
(g)LISWs;
(h) LPCs;
(i)LGPCs (only for providers not operating under a Human Care Agreement);
(j)LMFTs; or
(k)CAC Is and IIs.