1 67:61:01:01. Definitions. Terms used in this article mean:
(1) "Addiction counselor," an individual who meets the standards established by the
Board of Addiction and Prevention Professionals and is recognized as a licensed addiction
counselor or certified addiction counselor by the board;
(2) “Addiction counselor supervisee,” an individual who meets the standards
established by the Board of Addiction and Prevention Professionals and is recognized as a
licensed addiction counselor supervisee or certified addition counselor supervisee by the board;
(3) "Addiction counselor trainee," an individual who meets the standards established
by, and is recognized by, the Board of Addiction and Prevention Professionals;
(3) (4) "Admission," the point in an individual's relationship with an agency or program
when the intake services are complete, and the individual is eligible to receive and accept
services;
(4) (5) "Advocate," an individual designated by a client to support that client by
speaking or acting on the client's behalf;
(5) (6) "Agency," a facility seeking or holding accreditation through the department, as
provided in SDCL subdivision 34-20A-2(1);
(6) (7) "Agency director," the individual in charge of the overall management of the
agency;
(7) (8) "Board of directors," the entity legally responsible for the overall operation and
management of an agency;
(8) (9) "Client," an individual receiving alcohol, other drug, or gambling treatment
services, from an accredited agency;
2 (9) (10) "Clinically-managed, low-intensity residential treatment program," an
accredited residential program that provides services listed in chapter 67:61:16 to a client in a
structured environment designed to aid re-entry into the community;
(10) (11) "Clinically-managed, residential detoxification program," an accredited
short-term residential program that provides services listed in chapter 67:61:17, through the
supervised withdrawal from alcohol or other drugs, for an individual not having a known
serious physical or immediate psychiatric complication;
(11) (12) "Collateral contact," telephone or face-to-face contact with an individual,
other than the identified client, in order to plan appropriate treatment to:
(a) Assist an individual, so the individual can respond therapeutically to the
client's substance abuse problem; or
(b) Refer the client, family, or both, to other necessary community supports;
(12) (13) "Continued service criteria," criteria to describe the clinical severity and
degree of resolution of a client's alcohol or other drug problem and indicate the intensity of the
services needed in determining continuing care;
(13) (14) "Continuing care," the provision of a treatment plan and organizational
structure that will ensure a client receives the care needed at the time, particularly at the point
of discharge or transfer from the current level of care. The treatment program is flexible and
tailored to the shifting needs of the client and level of treatment acceptance or adherence;
(14) (15) "Co-occurring disorder," a mental health condition in combination with a
substance use problem, trauma issues, problem gambling, medical issues, or developmental
disabilities;
3 (15) (16) "Crisis intervention," services provided to an individual experiencing a crisis
situation related to the individual's use of alcohol or other drugs, and includes crisis situations
in which co-occurring mental health symptoms may be present with a focus on restoring the
individual to the level of functioning before the crisis or that provides a means to place the
individual into a secure environment;
(16) (17) "Day treatment program," an accredited program that provides services listed
in chapter 67:61:15 to a client, in a clearly defined, structured, intensive treatment program;
(17) (18) "Department," the Department of Social Services;
(18) (19) "Discharge summary," a narrative summary of a client's treatment record,
including the reason for the client's admission, clinical problems, accomplishments during
treatment, and reason for discharge, and may include a recommendation or referral for further
services;
(19) (20) "Diversion services," services intended to divert a person at high risk for
alcohol, tobacco, or other drug use, abuse, and dependency;
(20) (21) "Early intervention program," an accredited nonresidential program that
provides services listed in chapter 67:61:12 to individuals who may have substance use related
problems, but do not meet the diagnostic criteria for a substance use disorder;
(21) (22) "Family counseling," the face-to-face or telehealth interaction between an
addiction counselor, addiction counselor supervisee or addiction counselor trainee, a client,
and a family member of the client, for a therapeutic purpose related to the client's treatment
program;
(22) (23) "Group counseling," the face-to-face or telehealth interaction between an
addiction counselor, addiction counselor supervisee or addiction counselor trainee and at least
4 two clients, for a specific therapeutic purpose, provided the number of clients does not exceed
fifteen, unless otherwise dictated by the evidence-based practice used;
(23) (24) "High risk," an individual who is exposed to or experimenting with alcohol
or other drugs, and possesses multiple risk factors for substance abuse;
(24) (25) "Individual counseling," the face-to-face or telehealth interaction between an
addiction counselor, addiction counselor supervisee or addiction counselor trainee and an
individual client for a specific therapeutic purpose;
(25) (26) "Integrated assessment," the gathering of information and engaging in a
process with the client, thereby enabling the provider to establish the presence or absence of a
co-occurring disorder and identifying a client's strengths and needs, determining the client's
motivation and readiness for change, and engaging the client in the development of an
appropriate treatment relationship in which an individualized treatment plan can be developed;
(26) (27) "Intensive outpatient treatment program," an accredited nonresidential
program that provides services listed in chapter 67:61:14 to a client, in a clearly defined,
structured, intensive outpatient treatment program, on a regularly scheduled basis;
(27) (28) "Intern," a college or university student gaining supervised practical
experience;
(28) (29) "Management information system," a system designed to collect, store, and
report treatment and treatment outcome data;
(29) (30) "Medical director,” the individual responsible for providing care and
overseeing the provision of medical care to a client in an accredited agency;
5 (30) (31) "Medically-monitored, intensive inpatient treatment program," an accredited
residential treatment program that provides services listed in chapter 67:61:18, to an individual
in a structured environment;
(31) (32) "Mental disorder" means a substantial organic or psychiatric disorder of
thought, mood, perception, orientation, or memory, as specified within the Diagnostic and
Statistical Manual of Mental Disorders, 5th Edition, criteria or in coding found in
§ 67:16:01:26. An intellectual disability, epilepsy, another developmental disability, alcohol
abuse, substance abuse, brief periods of intoxication, or criminal behavior do not, alone,
constitute a mental disorder;
(32) (33) "Nonresidential program," an accredited program that provides alcohol and
other drug abuse treatment and prevention services, on a less than twenty-four hour a day basis,
but does not provide housing for clients;
(33) (34) "Outpatient treatment program," an accredited nonresidential program that
provides services listed in chapter 67:61:13, to a client or a person harmfully affected by
alcohol or other drugs through regularly scheduled counseling services;
(34) (35) "Prevention program," an accredited program that provides services listed in
chapter 67:61:11, through a planned and recurring sequence of multiple, structured activities
to inform, educate, impart skills, and provide appropriate referrals for other services, through
the practice and application of recognized prevention strategies;
(35) (36) "Program," an organized system and specific level of services, offered by an
agency, and designed to address the treatment needs of a client;
6 (36) (37) "Residential program," an accredited program that provides room and board,
in addition to alcohol and other drug abuse treatment services on a twenty-four hour a day,
seven day a week basis;
(37) (38) "Services," direct or indirect contact between a client or a group of clients and
agency staff, for the purpose of diagnosis, evaluation, treatment, consultation, or other
necessary direct assistance in providing comprehensive treatment;
(38) (39) "Substance use disorder," a diagnosable substance use condition or diagnosed
gambling disorder;
(39) (40) "Telehealth," a method of delivering services, including interactive audio-
visual or audio-only technology, in accordance with SDCL chapter 34-52;
(40) (41) "Transfer," movement of the client from one level of service to another;
(41) (42) "Treatment plan," a written, individualized, and comprehensive plan that is
based on information obtained from the integrated assessment, is designed to improve a client's
condition, and includes treatment goals or objectives for primary problems that indicate a need
for treatment services; and
(42) (43) "Work therapy," a therapeutic task that is based on the client's physical
abilities, interest level, and proficiency, and used to habilitate or rehabilitate a client.
Source: 43 SDR 80, effective December 5, 2016; 48 SDR 14, effective August 22,
2021; 50 SDR 63, effective November 27, 2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
7 Cross Reference: Use of International Classification of Diseases, § 67:16:01:26.
Reference: DSM-5 -- Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition, published by the American Psychiatric Association, 1000 Wilson Boulevard, Suite
1825, Arlington, VA 22209-3901. Cost: $199.00.
8 67:61:04:09. Staffing, training, and hours of operation. Each agency shall have
policy and procedures to respond to potential medical emergencies that clients may encounter
while residing at the agency. Each agency that provides treatment services shall provide
adequate staffing, training, and hours of operation at the following levels:
(1) Early intervention, outpatient programs, and intensive outpatient treatment
programs shall have counseling staff on duty at all times during scheduled hours of program
operation or available by phone. The agency shall post the hours that the agency is open to the
general public in a prominent place on the premises. The agency shall have an on-call system,
available seven days a week, twenty-four hours a day, for client access to program services, in
the event of an emergency;
(2) Day treatment programs without residential services shall have counseling staff on
duty at all times during scheduled hours of program operation. The agency shall post the hours
that the agency is open to the general public in a prominent place on the premises. The agency
shall have an on-call system, available seven days a week, twenty-four hours a day, for client
access to program services, in the event of an emergency;
(3) Day treatment with residential services and clinically-managed, low-intensity
residential treatment programs shall operate seven days a week, twenty-four hours a day. The
agency shall have, on duty at all times, a staff member who is trained to respond to fires and
other natural disasters, as well as to administer emergency first aid and cardiopulmonary
resuscitation. An addiction counselor, addiction counselor supervisee or addiction counselor
trainee must be available to the clients at least eight hours a day, five days a week, and must
be available on-call, twenty-four hours a day. The agency shall maintain written staff
schedules, which must be available to the department at the time of the accreditation survey;
9 (4) Clinically-managed, residential detoxification programs shall operate seven days a
week, twenty-four hours a day whenever clients are present. If no clients are present, a staff
member must be on call to open the facility, if necessary. When the agency is open, a staff
member who is trained, in accordance with § 67:61:17:06, to respond to fires and other natural
disasters, as well as to administer emergency first aid and cardiopulmonary resuscitation, must
be on duty. An addiction counselor, addiction counselor supervisee or addiction counselor
trainee must be available to clients at least eight hours a day, five days a week, and available
on-call, twenty-four hours a day. The agency shall maintain written staff schedules, which must
be available to the department at the time of the accreditation survey; and
(5) Medically-monitored, intensive inpatient treatment programs shall operate seven
days a week, twenty-four hours a day. The agency shall have, on duty at all times, a staff
member who is trained to respond to fires and other natural disasters, as well as to administer
emergency first aid and cardiopulmonary resuscitation. Training and annual training updates
in each area must be documented in the staff members' personnel files. Nursing staff must be
on-call twenty-four hours a day, seven days a week. Counseling staff shall be on duty during
normal daytime hours and must be on-call, twenty-four hours a day, seven days a week. The
agency shall maintain written staff schedules, which must be available to the department at the
time of the accreditation survey.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
10 67:61:05:03. Qualifications of addiction counselors. All agency staff that provide
addiction counseling shall meet the standards for an addiction counselors counselor, addiction
counselor supervisee or addiction counselor trainees trainee as established by the Board of
Addiction and Prevention Professionals. A certificate and identification card issued by the
board is evidence of meeting the standards for an addiction counselor or certificate of
recognition for an addiction counselor supervisee or trainee. An addiction counselor must
obtain certification and an addiction counselor supervisee or trainee must obtain recognition
before performing any addiction counseling functions.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
Cross Reference: Addiction and prevention professionals, article 20:80.
11 67:61:05:07. Clinical supervision. The board of directors or the agency director shall
designate an addiction counselor to be responsible for supervising clinical services, and for
providing required supervision of an addiction counselor trainees supervisee or trainee. The
methods of supervising clinical services are:
(1) Case staffing, meaning a meeting of an agency’s staff treatment team to review and
evaluate a client's case progress in treatment and determine whether changes are needed in the
services provided to a client;
(2) Individual case supervision;
(3) Consultation with other clinical professionals;
(4) Review of case record maintenance; and
(5) Other clinically appropriate supervision methods, as determined by agency policy.
If an addiction counselor is not available within the addiction counselor supervisee or
trainee's employing agency, supervision may be obtained on a contractual or consultant basis,
from an outside party meeting the required qualifications.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
12 67:61:07:05. Integrated assessment. An addiction counselor, addiction counselor
supervisee or addiction counselor trainee shall meet with the client and, if appropriate, the
client's family, to complete an integrated assessment, within thirty days of the first day the
intake process begins. The integrated assessment must include both functional and diagnostic
components. The assessment must establish the historical development and dysfunctional
nature of the client's alcohol and drug abuse or dependence, and must assess the client's
treatment needs. The assessment must be recorded in the client's case record and must contain:
(1) Strengths of the client and the client's family, if appropriate, as well as previous
periods of success, the strengths that contributed to that success, and the identification of
potential resources within the family, if applicable;
(2) Presenting problems or issues that indicate a need for services;
(3) Identification of readiness for change for problem areas, including motivation and
supports for making such changes;
(4) Current substance use and relevant treatment history of any previous mental health
and substance use disorder or gambling treatment, and periods of success, psychiatric hospital
admissions, psychotropic and other medications, relapse history or potential for relapse,
physical illness, and hospitalization;
(5) Relevant family history, including family relationship dynamics and family
psychiatric and substance abuse history;
(6) Family and relationship issues along with social needs;
(7) Educational history and needs;
(8) Legal issues;
(9) Living environment or housing;
13 (10) Safety needs and risks with regard to physical acting out, health conditions, acute
intoxication, or withdrawal;
(11) Past or current indications of trauma or domestic violence;
(12) Vocational and financial history and needs;
(13) Behavioral observations or mental status;
(14) Formulation of a diagnosis, including documentation of co-occurring medical,
developmental disability, mental health, substance use disorder, or gambling issues or a
combination of these based on integrated screening;
(15) Eligibility determination, including level of care determination for substance use
services, or serious mental illness or serious emotional disturbance for mental health services,
or both;
(16) Clinician's signature, credentials, and date; and
(17) Clinical supervisor's signature, credentials, and date, to verify review of the
assessment and if there is agreement with:
(a) The initial diagnosis; or
(b) The formulation of the initial diagnosis, if the staff does not have the
education or training to make a diagnosis.
Any information related to the integrated assessment must be verified through collateral
contact, if possible, and recorded in the client's case record.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
14 Law Implemented: SDCL 34-20A-27.
15 67:61:07:06. Treatment plan. An addiction counselor, addiction counselor
supervisee or addiction counselor trainee shall develop an individualized treatment plan, based
upon the integrated assessment for each client admitted to an outpatient treatment program, an
intensive outpatient treatment program, a day treatment program, a clinically-managed, low-
intensity residential treatment program, or a medically-monitored, intensive inpatient
treatment program. Evidence of the client's meaningful involvement in formulating the plan
must be documented in the client's clinical record. The treatment plan must be recorded in the
client's clinical record and contain:
(1) A statement of specific client problems, including any co-occurring disorders, to
be addressed during treatment, with supporting evidence;
(2) A diagnostic statement and a statement of short- and long-term treatment goals that
relate to the problems identified;
(3) Measurable objectives or methods leading to the completion of short-term goals:
(a) Time frames for the anticipated dates of achievement or completion of each
objective, or for reviewing progress towards objectives;
(b) A specification and description of the indicators to be used to assess
progress;
(c) Referrals for needed services that are not provided directly by the agency;
and
(d) Interventions, for identified issues, that match the client's readiness for
change; and
16 (4) A statement identifying the staff member responsible for facilitating the methods
or treatment procedures.
The individualized treatment plan must be developed within ten calendar days of the
client's admission to an intensive outpatient treatment program; a day treatment program; a
clinically-managed, low-intensity residential treatment program; or a medically-monitored,
intensive inpatient treatment program.
The individualized treatment plan must be developed within thirty calendar days of the
client's admission to a counseling services program.
All treatment plans must be reviewed, signed, and dated by the addiction counselor,
addiction counselor supervisee or addiction counselor trainee. The signature must be followed
by the counselor's credentials.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
17 67:61:07:10. Transfer or discharge summary. An addiction counselor, addiction
counselor supervisee or an addiction counselor trainee shall complete a transfer or a discharge
summary for a client, within five working days after the client is transferred or discharged,
regardless of the reason for the transfer or discharge. A transfer or a discharge summary of the
client's problems, course of treatment, and progress toward planned goals and objectives
identified in the treatment plan must be maintained in the client's case record. A process must
be in place to ensure that the transfer or discharge summary is completed in the management
information system.
When a client prematurely discontinues services, reasonable attempts must be made
and documented by the agency to re-engage the client, if appropriate.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27,
2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.