D. Counseling and Recovery Support Services are a part of a holistic approach to treating the opiate addicted individual. Counseling services must be provided by a licensed psychologist, licensed professional counselor, licensed certified social worker or DMH credentialed addictions therapist and must be provided in accordance with the following requirements:1. Written documentation must support decisions of the treatment team including indicators such as a positive drug screens, inappropriate behavior, criminal activity, and withdrawal management procedures.2. Counseling must be provided individually or in small (not to exceed 12 individuals) groups of individuals with similar treatment needs.3. Each individual must be assigned to a primary counselor and the counselor must be familiar with all individuals on his/her caseload and document all contacts in the individual’s record.4. Specialized information and counseling approaches for individuals who have special problems, i.e., terminal illness must be provided and documented;5. Counselors must assess the psychological and sociological backgrounds of individuals, contribute to the treatment team, and monitor individual treatment programs.6. Counselor to individual ratio cannot exceed 1:7540 (one counselor to every forty (40) individuals served by the program).
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