Regulation detail

Pa. Code 709.43

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Pa. Code 709.43 active

Client management

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
DETOX (80%) SUD_RESIDENTIAL (60%)
Plain-English summary

This regulation governs intake projects providing substance use services, requiring written policies and procedures for reporting clients with reportable conditions (e.g., communicable diseases, criminal injury victims, child abuse) to appropriate authorities. Intake projects must also have procedures addressing special client situations such as minors, individuals losing consciousness, communicable disease, hospital transfers, and detoxification needs. Staff must observe clients upon intake for withdrawal symptoms and obtain prompt medical attention if serious symptoms are present, and a consent to treatment form should be completed at intake.

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Regulation text
28 Pa. Code § 709.43 - Client management 

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(a)
 The intake project shall have written policies and procedures for communication with law-enforcement authorities, local or State health or welfare authorities, as appropriate, regarding clients whose condition or its cause is reportable; for example, persons having contagious diseases or victims of suspected criminal acts, such as rape or gunshot wounds, 
18 Pa.C.S. §
 
5106
 (relating to failure to report injuries by firearm or criminal act) and child abuse under the Child Protective Services Law (
11 P. S. §§
 
2201
-
2224
).

(b)
 The intake project shall have written policies and procedures to address special issues regarding treatment of clients. These policies and procedures shall include, but are not limited to: 
(1)
 Individuals who lose consciousness.

(2)
 Minors.

(3)
 Individuals with communicable disease.

(4)
 Individuals requiring transfer to a hospital or other treatment facility.

(5)
 Individuals requiring detoxification.

(c)
 Clients shall be observed upon intake for withdrawal symptoms from substances abused. If serious symptoms of drug/alcohol abuse or dependence or other physical problems are observed, prompt medical attention shall be obtained. Data obtained during the observation period shall be recorded.

(d)
 If possible, the client should be transported to the selected referral agency/resource.

(e)
 A consent to treatment form should be completed and signed by the client and intake worker at intake.

Notes

28
 Pa. Code §
 
709.43

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