DHS 75.24(14)(g)(g) When the recommended level of care cannot be determined, or is not available, or the individual has declined the recommended level of care, clinical consultation shall be completed at clinically-determined intervals until the appropriate level of care is determined, or obtained, or the individual’s risk level decreases. DHS 75.24(15)(a)(a) A service shall have a written policy and procedure that outlines the structure for clinical staffing. DHS 75.24(15)(b)(b) Clinical staffing applies to all clinical staff of a service, and includes the clinical supervisor and medical personnel. Clinical staffing is facilitated at intervals appropriate to the individual’s needs and as prescribed based on the level of care. DHS 75.24(15)(c)1.1. Clinical staffing shall include the clinical supervisor of the service. DHS 75.24(15)(c)2.2. Clinical staffing shall include a patient’s prescriber or medical personnel, if applicable. DHS 75.24(15)(c)3.3. Clinical staffing may be combined with treatment plan review and level of care review. DHS 75.24(15)(c)4.4. Clinical staffing shall be documented in the patient’s clinical record. DHS 75.24(16)(a)(a) A service shall document in the patient’s record each contact the service has with a patient or with a collateral source. DHS 75.24(16)(b)(b) Notes shall be entered by the staff member providing the service to document the content of the contact with the patient or a collateral source; or, if notes are entered by a designee, this must be specified. DHS 75.24(16)(c)(c) Progress notes shall include chronological documentation of treatment that is directly related to the patient’s treatment plan, and documentation of the patient’s response to treatment. DHS 75.24(16)(d)(d) The person making the entry shall sign and date the note, and if a designee, shall indicate who provided the service. DHS 75.24(17)(b)(b) A service shall have written policies and procedures regarding group counseling that include, at minimum, the following: DHS 75.24(17)(b)3.3. Consideration of needs related to special populations or considerations for co-mingled groups. DHS 75.24(17)(c)(c) Each group therapy contact shall be documented as a progress note in each patient’s case record. DHS 75.24(18)(a)(a) When requested by a patient’s affected family member or significant other, the service shall offer or refer for supportive services, such as counseling, support groups, or education. DHS 75.24(18)(b)(b) A service shall involve a patient’s family members and significant others in assessment, treatment planning, transfers of care, safety planning, and discharge whenever feasible. DHS 75.24(18)(c)(c) A service shall have written policies and procedures to address confidentiality, conflicts of interest, and ethics related to family services. DHS 75.24(19)(a)(a) All medical services provided under this chapter shall be provided by appropriately credentialed staff operating within their scope of practice, DHS 75.24(19)(b)(b) Prescribers providing substance use treatment services or supervision of substance use treatment services shall be knowledgeable in addiction treatment.