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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-23. [RESERVED] |
Section 29-2399. DEFINITIONS
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Access to Recovery Program or ATR Program - The voucher program for the provision of recovery support services under section 4a of the Choice in Drug Treatment Act of 2000, effective July 18, 2000 (D.C. Law 13-146; D.C. Official Code § 7-3003.01).
Act - The District of Columbia Substance Abuse Treatment and Prevention Act of 1989 ("Act") effective March 15, 1990 (D.C. Law 8-80; D.C. Official Code § 44-1201 et seq.).
Admission - Entry into the substance abuse treatment facility or program after completion of intake screening and initial assessment and a determination that an individual is eligible for admission into a program.
Addiction counselor - A person who possesses and utilizes a unique knowledge and skill base to assist: (i) a substance abuser, or (ii) a person or group affected by a problem affected by substance abuse, or (iii) the public for whom the prevention of substance abuse is a primary concern. This knowledge and skill base may be attained through a combination of specialized training, education, supervised work experience, and life experience.
Alcohol abuse - Any pattern of pathological use of alcohol that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical intolerance or by physical symptoms when it is withdrawn.
Alternative housing - Arrangement or provision of safe, appropriate, substance-free housing in the community on a long or short term basis in order to facilitate community based substance abuse treatment and rehabilitation, to maximize its benefits, and to maintain recovery.
Applicant - A facility or program that has applied to the Department for certification as a substance abuse treatment facility or program.
Case management - Specific coordination activities with or on behalf of a particular client in accordance with an individual rehabilitation plan. The aim of the activities is to maximize the client’s adjustment and functioning within the community while promoting sobriety and recovery promoting client independence and responsibility, and maximizing client involvement in the community and its support systems.
Case manager - Facility or program staff specially designated to provide case management activities with or on behalf of a patient to maximize the patient’s adjustment and functioning within the community while achieving sobriety and sustaining recovery.
Certification - The process of establishing that standards of care described in this document are met; or approval from the Department indicating that the applicant has successfully complied with all requirements for the operation of a substance abuse treatment facility or program in the District of Columbia.
Chemical restraints - Drugs which are prescribed or administered in an emergency to restrain temporarily, through the use of chemicals, a patient who presents a likelihood of serious physical harm to self or to others.
Childcare, short-term, on-site - Support provided to a patient for the care of a child while the patient is engaged in treatment and rehabilitation activities deemed clinically and programmatically necessary.
Child development facility - A center, home, or other structure that provides care and other services, supervision, and guidance for children up to 15 years of age on a regular basis, regardless of its designated name, but does not include a public or private elementary or secondary school engaged in legally required educational and related functions.
Clinician - A licensed or certified professional with expertise in one of the following areas: physical medicine, addiction medicine, psychiatry, or social work.
Codependent - A person who is a member of a family in which there is a substance abuser receiving treatment for substance abuse.
Communicable disease - Any disease as defined in Title 22, §201 of the District of Columbia Municipal Regulations (DCMR).
Community-based service - Service delivery conducted in accordance with the principles of community integration and patient self-determination.
Crisis - A time, stage or event for a patient characterized by one or more threats or losses such as loss of housing, employment, or personal support(s), or legal or medical problems, or imminent or actual relapse.
Day(s) - Refers to calendar day unless specifically stated otherwise.
Day Treatment - A comprehensive package of services and structured activities provided consistent with patient’s rehabilitation plan which is designed to achieve and promote recovery from substance abuse/dependency and is provided in a supervised substance-free facility that provides for a minimum of five (5) visits per week for five (5) hours per day.
Department - The District of Columbia Department of Health, Addiction Prevention and Recovery Administration.
Detoxification - A program designed to achieve systematic reduction in the degree of physical dependence on alcohol or drugs.
Director - Director of the Department of Health and/or the Administrator of the Addiction Prevention and Recovery Administration.
Discharge - The time when a patient’s active involvement with the facility or program is terminated as documented in the facility or program’s records.
Discharge planning - Activities with or on behalf of an individual to arrange for appropriate follow-up care to sustain recovery after being discharged from the Program, including educating the individual how to access or reinitiate additional services, as needed.
Discrete patients - Children, accompanied by a parent into a treatment environment, that are clinically determined to require admission as a patient with their own separate and distinct assessment, treatment plan, course of treatment and record, but does not include children who receive services primarily to support a parent’s recovery.
District - The District of Columbia government.
Drug - Any chemical substance used in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or animal.
Dual Diagnosis - The presence of concurrent diagnosis of substance abuse/dependency and a mental disease or disorder.
Facility - Any individual, public or private service provider, firm, corporation, partnership, society or association which represents itself either through name, advertisement, practice, or reputation to offer any service including treatment, counseling, or rehabilitation to alcoholics, drug abusers or drug dependent individuals. Such services may be in addition to providing information, education, prevention, and aftercare services related to substance abuse and addiction, but does not include providers offering only information, education, prevention and aftercare services.
Family - Individuals who comprise a household, who may or may not be related by marriage or ancestry.
Family therapy - Planned face-to-face, goal-oriented, therapeutic interaction by a qualified individual with a client and/or one (1) or more members of the client’s family in order to address and resolve the family system’s dysfunction as it relates to the patient’s substance abuse problem in accordance with the patient’s rehabilitation plan.
Group addiction counseling - A face-to-face, goal-oriented therapeutic interaction among a counselor and two (2) or more patients as specified in individual rehabilitation plans designed to promote self-understanding, self-esteem and resolution of personal problems through personal disclosure and interpersonal interaction among group members.
Group education - The presentation of general information and application of the information to participants through group discussion in accordance with individualized rehabilitation plans. The plans are designed to promote recovery and enhance social functioning.
Individual addiction counseling - A structured, goal-oriented therapeutic process in which a patient interacts on a face-to-face basis with a counselor in accordance with the patient’s rehabilitation plan in order to resolve problems related to alcohol or other drugs, or both, which interfere with the patient’s functioning.
Individual psychotherapy services - Services designed to enhance or improve an individual’s psychological and social functioning, improve self-esteem and increase coping abilities in accordance with a patient’s rehabilitation plan, where the patient interacts on a face-to-face basis with a qualified mental health professional.
Intake screening and assessment - The process of gathering and evaluating relevant information about an individual to determine initial admission for rehabilitation program services and development of an initial treatment plan and referral.
Inpatient services - Therapeutic services that are medically or psychologically necessary and that are provided in a hospital or a non-hospital residential facility to patients admitted to the hospital or non-hospital residential facility.
In-service training - Activities to achieve or improve competency of employees to perform present jobs or to prepare for other jobs or promotions.
Mayor - The Mayor of the District of Columbia.
Mechanical restraint - Any device, instrument or physical object used to restrict an individual’s freedom of movement except for orthopedic, surgical and other medical purposes as ordered by a physician.
Medical waste - Any solid waste that is generated in the diagnosis, treatment, or immunization of human beings, or in research pertaining thereto, or in the testing of biologicals, including but not limited to, soiled or blood-soaked bandages, needles- used to give shots or draw blood, and lancets.
Medication Management - Patient service component of a program dealing with the acquisition, storage, handling, accounting, prescribing, dispensing, administering, and self-administering of drugs used for therapeutic purposes.
Medically or psychologically necessary - Services that are essential for the treatment of substance abuse, as determined by a physician, psychologist, or social worker as they relates to patient’s medical or psychiatric condition.
Narcotic Treatment program - A substance abuse treatment program that is certified by the Department and certified by the Food and Drug Administration as an opioid replacement treatment program.
Nutritional services - Services provided by a registered dietitian in a substance abuse treatment facility or program.
Opioid Drug - Any drug having an addiction-forming or addiction sustaining ability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining ability.
Opioid treatment - The dispensing of an opioid agonist treatment medication, along with a comprehensive range of medical and rehabilitative services, when clinically necessary, to an individual to alleviate the adverse medical, psychological, or physical effects incident to opioid addiction.
Orientation - Introduction of new, promoted or transferred employees to the philosophy, organization, practices, procedures and goals of the program.
Outcomes of care - Includes abstinence or reduction of abuse of substances, elimination or reduction of criminal activity, reduction of antisocial activity associated with substance abuse, reduction in need for medical or mental health services, reduction of need for substance abuse treatment, increase in pro-social involvement, and increase in productivity and employment.
Outpatient services - Therapeutic services that are medically or psychologically necessary and that are provided to a patient according to an individualized treatment plan that does not require the patient’s admission to a hospital or a non-hospital residential facility. The term “outpatient services” refers to services that may be provided (on an ambulatory basis) in a hospital, a non-hospital residential facility, an outpatient treatment facility, or the office of a licensed physician, psychologist, or social worker.
Outpatient treatment facility - A clinic, counseling center, or other similar establishment that is certified by the District or by any state or territory as a qualified provider of outpatient services for the treatment of substance abuse. The term “outpatient treatment facility” includes any facility operated by the District, any state or territory, or the United States to provide these services on an outpatient basis, or any private, for profit or not for profit but excluding a group practice consisting solely of licensed physicians, psychologists, or social workers.
Outreach - Efforts to inform and facilitate access to the program’s services.
Parent - A person who has custody of a child as a natural parent, stepparent of the child, has adopted the child, or has been appointed as a guardian for the child by a court of competent jurisdiction.
Patient - A person who is admitted to a substance abuse treatment facility or program who is judged to need substance abuse treatment services based on the results of an intake screening and initial assessment.
Physical abuse - The abuse of a patient with more force than is reasonable or apparently necessary for proper control, treatment or management; purposefully beating, striking, wounding or injuring any patient; or the mistreating or maltreating of a patient in a brutal or inhumane manner.
Physical restraint - Physical holding of a patient to temporarily restrict freedom of movement in an emergency when the patient appears likely to inflict serious physical harm to self or others.
Postpartum - A period of time for up to six (6) months after birth of offspring.
Program Director - An individual having authority and responsibility for the day-to-day operation of a substance abuse treatment facility or program.
Provider - A person, firm, corporation, partnership, or organization that provides recovery support services, substance abuse treatment services, or a combination of substance abuse treatment services and recovery support services.
Recovery support services - Services provided through the Access to Recovery Program, which may include care coordination services, spiritual and faith based support services, community based support services, educational support services, parenting classes, family counseling services, child care, transportation, and other services related to, but not including, substance abuse treatment, with the exception of methamphetamine-related treatment services. Methamphetamine-related treatment services provided through the Access to Recovery Program shall be provided solely by providers certified pursuant to section 2300, not including section 2300.14
Referral - Activities with and on behalf of a specific patient to establish initial linkage and facilitate access to other substance abuse treatment facilities or programs and support service providers.
Rehabilitation - The process of maximizing a patient’s ability to achieve and maintain sobriety and to function in his/her current social environment through structured therapeutic activities designed to develop skills, attitudes and behaviors based on the patient’s rehabilitation plan.
Rehabilitation Plan - The course of action taken to address the issues that are identified in the assessment. The plan includes the type of services needed, frequency of services, the type of personnel providing the service, monitoring of patient’s progress and periodic plan revision.
Research - Experiments including new interventions of unknown efficacy applied to patients whether behavioral, psychological, biomedical or pharmacological.
Serious Mental Illness - A diagnosis of mental illness as defined by the most recent Diagnostic Statistical Manual of Mental Disorders. The American Psychiatric Association in 1994 published the fourth edition of this manual.
Sexual abuse - Any touching, directly or through clothing, of the genitals, anus, or breasts of a person for other than medical purposes by an employee or patient, or failing to exercise a duty to stop or prevent sexual harassment between patients or causing patients to touch or fondle an employee through either the clothing of the employee or direct body contact.
Static capacity - Maximum number of patients a facility or program can serve at any given time.
Substance abuse - A pattern of pathological use of a drug or alcohol that causes impairment in social or occupational functioning or produces physiological dependency evidenced by physical tolerance or physical symptoms when the drug or alcohol is not used.
Substance Abuse Treatment Program - Any individual, public or private service provider, firm, corporation, partnership, society or association which represents itself either through name, advertisement, practice, or reputation to offer any service including treatment, counseling, or rehabilitation, to alcoholics, drug abusers or drug dependent individuals. Such services may be in addition to providing information, education, prevention, and aftercare services related to substance abuse and addiction, but does not include providers offering only information, education, prevention and aftercare services.
Support services - Include, but are not limited to, such services as vocational training, education, and placement activities either provided directly by the program or arranged for patients by the program through referral to outside community resources.
Therapeutic Assistant Services - Services provided by an individual who provides a variety of services within the substance abuse treatment facility or program that are prescribed on the individual’s rehabilitation plan.
Treatment - Any effort to accomplish a change in the cognitive or emotional conditions or the behavior of a patient consistent with generally recognized principles or standards in the substance abuse treatment field.
Verbal abuse - Staff or volunteers referring to a patient in the patient’s presence, with profanity or in a demeaning, undignified or derogatory manner.