INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on July 23-26, 2019 by staff from the Bureau of Quality Assurance for Prevention & Treatment. Based on the findings of the on-site complaint investigation, New Directions was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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709.34 (c) (4) LICENSURE Reporting of unusual incidents
§ 709.34. Reporting of unusual incidents.
(c) To the extent permitted by State and Federal confidentiality laws, the project shall file a written unusual incident report with the Department within 3 business days following an unusual incident involving:
(4) Event at the facility requiring the presence of police, fire or ambulance personnel.
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Observations
Based on a review of the facility incident reports for the past year 2018/2019, the facility failed to file a written unusual incident report with the Department within 3 business days following an unusual incident involving: Event at the facility requiring the presence of police.DDAP staff requested the incident reports for the year while investigating an incident at the facility. The incident was not found in any of the reports for the year 2019.
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Plan of Correction
All unusual incident reports will be reviewed and submitted by the Program Director within 3 business days following an unusual incident report. The Program Director will consult with the Director of Operations any time an unusual incident is documented. |
715.19(3) LICENSURE Psychotherapy services
A narcotic treatment program shall provide individualized psychotherapy services and shall meet the following requirements:
(3) After 4 years of treatment, a narcotic treatment program shall provide each patient with at least 1 hour of group or individual psychotherapy every 2 months. Additional psychotherapy shall be provided as dictated by ongoing assessment of the patient.
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Observations
Base on a review of client charts, the facility failed to provide individual psychotherapy services as required.A review of client charts revealed that client #1 started treatment July 13, 2011 and is still an active client in treatment. Client #1 should be having counseling every 2 months since they have been here more than 4 years. The last two sessions took place on March 8, 2019 and June 20, 2019. The facility failed to provide counseling in May 2019.
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Plan of Correction
During individual supervision, the counselor overseeing Client #1 was spoken to regarding the mandatory counseling requirements (specifically, 2.5 hours of counseling for clients during the first two years of treatment, 1 hour of counseling every month after 2 years of treatment, and 1 hour of counseling every other month after 4 years of treatment). In addition, during group supervision on August 27, 2019, the Program Director and Clinical Supervisor will speak to the counselors and discuss the importance of adhering to the Department of Drug and Alcohol's mandated counseling requirements. |