INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection and methadone monitoring inspection conducted on October 7-8, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Discovery House - PA was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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715.9(c) LICENSURE Intake
(c) If a patient was previously discharged from treatment at another narcotic treatment program, the admitting narcotic treatment program, with patient consent, shall contact the previous facility for the treatment history.
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Observations
Based on a review of patient records, the facility failed to contact the previous facility for treatment history when the patients were discharged from treatment at another treatment program in two of four patient records.
The findings include:
Seven patient records were reviewed on October 7-8, 2015. Four of the patients reviewed were discharged from another narcotic treatment program. The facilty failed to contact the prior narcotic treatment program for treatment history in patient records # 1 and 2.
Patient #1 transferred from another narcotic treatment program and was admitted to this facilty on June 17, 2015. As of the date of the inspection, the facilty did not contact the prior narcotic treatment program for Patient #1's treatment history.
Patient #2 transferred from another narcotic treatment program and was admitted to this facilty on July 29, 2015. As of the date of the inspection, the facilty did not contact the prior narcotic treatment program for Patient #2's treatment history.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
This facility will contact the previous treatment facility to obtain treatment records for all transfers to our facility. This will be immediate and on-going. Clinical Supervisor will monitor for compliance. |
715.19(1) LICENSURE Psychotherapy services
A narcotic treatment program shall provide individualized psychotherapy services and shall meet the following requirements:
(1) A narcotic treatment program shall provide each patient an average of 2.5 hours of psychotherapy per month during the patient 's first 2 years, 1 hour of which shall be individual psychotherapy. Additional psychotherapy shall be provided as dictated by ongoing assessment of the patient.
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Observations
Based on a review of patient records, the facility failed to provide each patient an average of 2.5 hours of psychotherapy per month during the patient's first 2 years of treatment in three of six records.
The findings include:
Seven patient records were reviewed October 7-8, 2015. Six patients reviewed were in their first two years of treatment and required an average of 2.5 hours of psychotherapy per month. Patient records #1, 2 and 6 did not include documentation of at least 2.5 hours of psychotherapy per month.
Patient #1 was admitted on June 17, 2015. Patient #1 had 1 hour of psychotherapy in July 2015, 0 hours of psychotherapy in August 2015 and 3 hours of psychotherapy in September 2015.
Patient #2 was admitted on July 29, 2015. Patient #2 had 2.5 hours of psychotherapy in August 2015 and 1 hour of psychotherapy in September 2015.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
This facility will provide an average of 2.5 hours of individual and group counseling per month during a patient's first 2 years of treatment. This will consist of at least one hour of individual counseling and at least one group per month. This will be immediate and on-going. Clinical Supervisor will monitor for compliance. |