Outpatient Behavioral Health Clinic- Policies and Procedures- Arizona State Licensure

Introducing our comprehensive Outpatient Behavioural Health Clinic Policies and Procedures package designed specifically for Arizona State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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TABLE OF CONTENTS

DOCUMENT CONTROL & APPROVALS 
PROGRAM STATEMENT 
Purpose and Philosophy 
Our Mission 
Our Vision 
Our Values 
Services 
Crisis Services 
Case Management 
Behavioral Health Counseling and Therapy 
Psychoeducational Services 
Skills Training and Development/ Psychosocial Rehabilitation 
Groups 
LGBTQ Affirmative Counseling & Community Support 
Peer Services 
Physical Health Services 
Statement of Policy 

STATE POLICIES 
Administrative Rules 
R9-10-1003. Administration 
R9-10-1004. Quality Management 
R9-10-1006. Personnel 
R9-10-1007. Transport; Transfer 
R9-10-1008. Patient Rights 
R9-10-1009. Medical Records 
R9-10-1010. Medication Services 
R9-10-1011. Behavioral Health Services 
R9-10-1012. Behavioral Health Observation/Stabilization Services 
Arizona Health Care Cost Containment System (AHCCCS) Policies 
Behavioral Health Service Benefit 
Screening and Preventive Services 
100 – AHCCCS Medical Policy Manual Overview 
System Values and Guiding Principles
Adult System of Care - Nine Guiding Principles 

12 PRINCIPLES 
210 – WORKING WITH THE BIRTH THROUGH FIVE POPULATION 
211 – Psychiatric and Psychotherapeutic Best Practices for Children Birth Through Five Years of Age 
220 – Child and Family Team 
230 – Support And Rehabilitation Services For Children, Adolescents, And Young Adults 
240 – Family Involvement in The Children’s Behavioral Health System 
250 - Youth Involvement In The Children’s Behavioral Health System 

260 – THE UNIQUE BEHAVIORAL HEALTH SERVICES - NEEDS OF CHILDREN, YOUTH, AND FAMILIES INVOLVED WITH DCS 
270 – Children’s Out-Of-Home Services 
280 – Transition to Adulthood 
Chapter 300 and 310-B - Medical Policy for Covered Services 
Chapter 900 - Quality Management and Performance Improvement Program 

POLICIES AND PROCEDURES 
Level of Supervision 
Supervision of Care and Services 
Supervisory Instructions 
Plan for the Provision of Client Care 
Client Assessment 
Delivering care 
Confidentiality of Clients Records 
Clients Confidentiality Agreement 
Safety of Clients 
Intervention for The Agitated or Dangerous Client 
Medications 
Medications Guidelines 
Medication Administration 
Drug and Dangerous Items Disposal Policy 
Universal Precautions 
Health & Safety 
Cleaning & Covid-19 Precautions 
Behavior Intervention 
Disruptive Behavior 
Behavior Interventions 
Positive Behavior Support Strategies 
Responding to Disruptive Behavior 
Client Discipline and Behavior 
Restricted Behavior Management Practices 
Intervention for The Intoxicated /Impaired Client 
Suicide Prevention 
Serios Incident Reporting 
Definition of Incidents 
Classification of Incidents 
Serious Reportable Incidents 
Recordable Incidents 
Investigation Process 
Procedure for Reporting 
Missing participants 
Preventing Missing participants Incidents 
Procedure for Searching Missing/Loss Participants 
Client Access to Confidential Family Planning Services 
Smoking Policy 
Prohibition of Client Employment 
Contacting Licensee or Staff 
Document Procedures of Client Care 
Emergency Safety Intervention 

MEDICATION 
Medication Administration, Storage and Disposal 
Documentation of Medication Administration 
Record Procedures 
Correction of documentation 
Physician Orders 
Documentation 
Filing of Records 
Security of Records/Documents 
Client Refusal of Medication 

EMERGENCY PLANNING AND PREPARATION 
Emergency Preparedness and Response Plan 
Emergency Preparedness Plan 
Emergency Plan 
Emergency Preparedness 
Responsibilities of the Management 
Risk Management 
Emergency Management Procedures 
Review Plan 
Obtains Written Authorization to seek Emergency Treatment 
Record Keeping in Employee Personnel Records 
Emergency Communications 

PERSONNEL
Job Descriptions
    Chief Executive Officer
    Client-Care Administrator
    Registered Nurse
    Therapist
    Psychologist
Behavioral Management
Emergency Preparedness
Background Check and Drug-Free Workplace
Drug-Free and Non-Smoking Policies
Employee Verification
Background Check
Recruitment
Volunteer
Abuse, Neglect, Or Exploitation
Procedures:
Disciplinary sanctions
Investigation Procedures
Evidence
Protective Custody
Identification of Suspect/Custody Considerations
Notifications
Documentation
Impact of Investigation
Confidentiality

RIGHTS AND GRIEVANCE POLICY
Children’s Rights 
Grievance Policy 
Making Complaints Accessible 
Acknowledgment 
Open Disclosure 
Assessment and assigning priority 
Investigation 
Timeframe for resolution 

ELECTRONIC RECORDS 
Personnel, Client and Other Records 
Personnel Records 
Client Records 
Other Records 

INTAKE AND DISCHARGE 
Intake Procedures 
Discharge Procedures 

ANNEXURES
Intake Screening 
HIPAA Privacy Authorization Form 
Consents to Patients Responsibilities 
Consent to Participate in Physical Activities 
Consents to Participate in Treatment 
Consents to Photograph Acknowledgement
Record Request Form 
Medical Refusal Form