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(a) A deleted text begin license holder deleted text end new text begin licensed residential treatment program new text end must offer the deleted text begin following deleted text end treatment services new text begin in clauses (1) to (5) to each client new text end , unless clinically inappropriate and the justifying clinical rationale is documented deleted text begin : deleted text end new text begin . A nonresidential treatment program must offer all treatment services in clauses (1) to (5) and document in the individual treatment plan the specific services for which a client has an assessed need and the plan to provide the services: new text end
(1) individual and group counseling to help the client identify and address needs related to substance use and develop strategies to avoid harmful substance use after discharge and to help the client obtain the services necessary to establish a lifestyle free of the harmful effects of substance use disorder;
(2) client education strategies to avoid inappropriate substance use and health problems related to substance use and the necessary lifestyle changes to regain and maintain health. Client education must include information on tuberculosis education on a form approved by the commissioner, the human immunodeficiency virus according to section 245A.19 , other sexually transmitted diseases, drug and alcohol use during pregnancy, and hepatitis deleted text begin . deleted text end deleted text begin A licensed alcohol and drug counselor must be present during an educational group deleted text end ;
(3) a service to help the client integrate gains made during treatment into daily living and to reduce the client's reliance on a staff member for support;
(4) a service to address issues related to co-occurring disorders, including client education on symptoms of mental illness, the possibility of comorbidity, and the need for continued medication compliance while recovering from substance use disorder. A group must address co-occurring disorders, as needed. When treatment for mental health problems is indicated, the treatment must be integrated into the client's individual treatment plan; new text begin and new text end
deleted text begin (5) on July 1, 2018, or upon federal approval, whichever is later, peer recovery support services provided one-to-one by an individual in recovery. Peer support services include education, advocacy, mentoring through self-disclosure of personal recovery experiences, attending recovery and other support groups with a client, accompanying the client to appointments that support recovery, assistance accessing resources to obtain housing, employment, education, and advocacy services, and nonclinical recovery support to assist the transition from treatment into the recovery community; and deleted text end
deleted text begin (6) on July 1, 2018, or upon federal approval, whichever is later, care deleted text end new text begin (5) treatment new text end coordination provided new text begin one-to-one new text end by an individual who meets the staff qualifications in section 245G.11, subdivision 7. deleted text begin Care deleted text end new text begin Treatment new text end coordination services include:
(i) assistance in coordination with significant others to help in the treatment planning process whenever possible;
(ii) assistance in coordination with and follow up for medical services as identified in the treatment plan;
(iii) facilitation of referrals to substance use disorder services as indicated by a client's medical provider, comprehensive assessment, or treatment plan;
(iv) facilitation of referrals to mental health services as identified by a client's comprehensive assessment or treatment plan;
(v) assistance with referrals to economic assistance, social services, housing resources, and prenatal care according to the client's needs;
(vi) life skills advocacy and support accessing treatment follow-up, disease management, and education services, including referral and linkages to long-term services and supports as needed; and
(vii) documentation of the provision of deleted text begin care deleted text end new text begin treatment new text end coordination services in the client's file.
(b) A treatment service provided to a client must be provided according to the individual treatment plan and must consider cultural differences and special needs of a client.