Specifications include, but are not limited to: IMD Services are provided in locked facilities that operate 24 hours per day, seven days per week, and provide recovery-based mental health services including medication management and a minimum of 27 hours per week of structured therapeutic group activities. For IMDs licensed as SNF/STPs or MHRCs, services shall be trauma-informed and individualized to meet the specific needs of each client based upon individual assessments. SNF/STP IMD services shall comply with CCR Title 22, and MHRC IMD services shall comply with CCR Title 9. IMD services shall include, but not be limited to: A. Physician, psychiatric, medication, and nursing services; B. Dietary Services; C. An individualized treatment plan for each client, which includes goals developed in collaboration with the client and steps the client needs to take in conjunction with the treatment team to reach these goals; D. A minimum of 27 hours per week of direct group and/or individual therapeutic sessions by the appropriately licensed/credentialed staff, which include – but are not limited to - the following, with the goal to promote healthy coping strategies and empower clients to participate in community-based services: 1. Self-care training, such as managing personal care/hygiene, use of community resources, sexual health and well-being, mindfulness, behavioral and impulse control, frustration tolerance, physical fitness, and psychoeducation regarding mental health diagnoses, symptoms, and medications; 2. Individual and/or group structured substance use treatment programming utilizing evidence-based practices effective at addressing motivation for change, insight building, and building healthy coping skills...
