|
Driving Under the Influence Program
|
|
Training and Program Questions
Click on a question below to reveal or hide its answer.
- Q.
- Is the 12-hour requirement for Clinical Services Supervisor sufficient? Do we need to adopt Clinical Services Supervisor certification?
- A.
- The Division of Behavioral Health (DBH) intended to improve the quality of clinical services supervision in certified DUI programs by making it a requirement in administrative regulation 908 KAR 1:310 Section 3(2)(g) that a clinical services supervisor must complete a division-approved 12-hour course in clinical supervision within six months of assuming responsibility as the clinical services supervisor in a DUI program, or within one year of April 12, 2000, whichever is later.
Since the implementation of this mandated training, DBH sees this training as a good first step in the development of clinical competency. We believe, however, that in order for there to be a system of clinical supervision where clinicians are assisted in building the knowledge base and clinical skills necessary to achieve advanced competence, training must be ongoing, and skills-building activities must be available to clinical services supervisors. At this time, DBH continues to monitor these and other performance improvement initiatives. - Q.
- Can the case coordinator reject treatment at other agencies because of time, multiple transfers, and attendance?
- A.
- Yes. Administrative regulation 908 KAR 1:310 Section 6(2)(b)4 states: "A program shall not accept a client referral from another program without first obtaining a copy of the client's assessment and other available records pertinent to the client's assessment, education, or treatment." Further, 908 KAR 1:310 Section 8(3)(b) states: "If a client is receiving treatment at a program other than the program where he received his assessment, the program administrator of the treatment program shall notify the individual responsible for the client's case coordination if a client: 1. Demonstrates a need for service at a different level of care; 2. Satisfactorily completes treatment; or 3. Is non-compliant."
From this, it is clear that the case coordinator has the ultimate responsibility for determining completion. This makes it imperative that the case coordinator documents in the client's record all referral information regarding assessment, education or treatment. The case coordinator is required to have regular contact with a program receiving a client referral to determine compliance with the education or treatment and must document in the assessment record all actions related to follow-up on a client. Once the client completes the service, the referral agency must report the client's progress to the case coordinator. At that time, the case coordinator must determine if the client has satisfactorily completed the treatment that was recommended based on the assessment. Several factors, such as length of time between assessment and completion, record of attendance, and progress toward treatment goals and objectives should be considered by the case coordinator when determining compliance or noncompliance with the required service.
|