2019 Florida Regulations 65D-30.0091: Standards for Intensive Outpatient Treatment
Effective date: 8/29/2019
In addition to rule 65D-30.004, F.A.C., the following standards apply to intensive outpatient treatment.
(1) Intensive outpatient services are non-residential, structured treatment providing counseling and education focusing mainly on addiction-related and mental health issues. This community-based treatment allows the individual to apply skills in real world environments. Each provider shall be capable of providing or arranging for the services listed below. With the exception of counseling, it is not intended that all services listed be provided. For individuals participating under subsection 65D-30.0037(6) and rule 65D-30.0048, F.A.C., services shall be provided according to the conditions of the Department of Corrections’ contract with the provider. Otherwise, services shall be provided in accordance with the needs of the individual as identified in the assessment and treatment plan, as follows:
(a) Individual counseling;
(b) Group counseling;
(c) Counseling with families or support system;
(d) Substance-related and recovery-focused education, such as strategies for avoiding substance use or relapse, information regarding health problems related to substance use, motivational enhancement, and strategies for achieving a substance-free lifestyle;
(e) Life skills training such as anger management, communication skills, employability skills, problem solving, relapse prevention, recovery management, decision-making, relationship skills, and symptom management;
(f) Training or provision of information regarding health and medical issues;
(g) Employment or educational support services to assist individuals in becoming financially independent; and
(h) Mental health services for the purpose of:
1. Managing individuals with disorders who are stabilized;
2. Evaluating individuals’ needs for in-depth mental health assessment;
3. Training individuals to manage symptoms; and
4. If the provider is not staffed to address primary mental health problems that may arise during treatment, the provider should initiate a timely referral to an appropriate provider for mental health crises or the emergence of a primary mental health disorder in accordance with the provider’s policies and procedures.
(2) Required Hours of Services. For intensive outpatient treatment, each individual shall receive at least nine (9) hours of services per week, in accordance with subsection 65D-30.0091(1), F.A.C., including counseling.
(3) Psychiatric and other Medical Services. The need for psychiatric and medical services shall be addressed through consultation or referral when the services cannot be supplied by the provider. Inmate Substance Abuse Programs operated by or under contract with the Department of Corrections and the Department of Management Services are exempt from the requirements of this subsection.
(4) Caseload. No full-time counselor shall have a caseload that exceeds 50 individuals.
(5) Hours of Operation. Providers shall post their hours of operation and this information shall be visible to the public. Inmate Substance Abuse Programs operated by or under contract with the Department of Corrections and the Department of Management Services are exempt from the requirements of this subsection. Juvenile Justice Commitment Programs and detention facilities operated by or under contract with the Department of Juvenile Justice are exempt from the requirements of this subsection but shall provide such services as required in the policies, standards, and contractual conditions established by the Department of Juvenile Justice.
Rulemaking authorized by Florida Statutes § 397.321(5). Law Implemented 397.311(26), 397.321, 397.4014, 397.410 FS. History—New 4-3-03, Amended 8-29-19.