R03-706 Therapeutic Community Modality

A. Therapeutic community treatment is typically longer term (3 months to 2 years) and is designed to treat individuals who have significant social and psychological problems.  These programs are characterized by their reliance on the treatment community as a therapeutic agent.  The goals of treatment are to effect a global change on the participant’s lifestyles, attitudes and values.  The typical individual residing in a therapeutic community may be experiencing multiple problems including substance abuse, criminal activity, psychological problems, impaired functioning and disaffiliation with mainstream values.

Review policy and procedure manual and verify it reflects the requirements as stated in R03-706 A.

 

B. A licensee providing therapeutic community treatment shall assign a minimum of one qualified staff for every fifteen clients in residence.

Review policy and procedure and verify it reflects the requirements as stated in R03-706 B. Verify ratio by reviewing assigned counselors and client list.

 

C. The licensee shall maintain sufficient employees on duty 24 hours a day to meet the needs and protect the safety of clients. Employees on duty shall be awake on all shifts.

Review policy and procedure and verify it reflects the requirements as stated in R03-706 C. Verify by reviewing employee schedule.

 

D. A licensee providing therapeutic community treatment shall provide at least 20 hours each week of scheduled, structured activities to include:

1. A minimum of 5 hours per week of individual, group, and/or family counseling,

2. Community participation,

3. Life skills,

4. Recreational groups, and

5. Self-help support meetings.

Review policy and procedure manual and verify it reflects the requirements as stated in R03-706 D 1 through 4. Review program schedule to verify services provided. Review client file (progress notes) and verify services and number of counseling hours provided.

 

D. The duration of therapeutic community treatment should be determined by the individual’s illness and his or her response to treatment.

Review policy and procedure manual and verify it reflects the requirements as stated in R03-706 D

 

E. A licensee providing therapeutic community treatment shall:

1. Ensure access to consultation with a licensed physician,

2. Provide meals that comply with the dietary standards set forth in Section R03-503.

Review policy and procedure manual and verify it reflects the requirements as stated in R03-706 E.