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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />SERVICE AGREEMENT <br />Services must be based upon a clinical assessment, and treatment and support <br />services must be available for and offered to individuals receiving medications to <br />support their ongoing recovery. <br />13.14 — Outpatient — Individual and 35 — Outpatient — Group (Eligible OCAs: MSOCR, <br />MSONQ) <br />Outpatient services provide clinical interventions to improve the functioning or prevent <br />further deterioration of persons with mental health and/or substance abuse use <br />disorders. These services are usually provided on a regularly scheduled basis by <br />appointment, with arrangements made for non-scheduled visits during times of <br />increased stress or crisis. Outpatient services may be provided to an individual or in a <br />group setting. The maximum number of individuals allowed in a group session is 15. <br />This covered service shall include clinical supervision provided to a service provider's <br />personnel by a professional qualified by degree, licensure, certification, or specialized <br />training in the implementation of this service. <br />14.15 — Outreach (Eligible OCAs: MSOCR, MSONQ) <br />Outreach services are provided through a formal program to both individuals and the <br />community. Community services include education, identification, and linkage with <br />high-risk groups. Outreach services for individuals: encourage, educate, and engage <br />prospective individuals who show an indication of substance misuse and mental health <br />problems or needs. Individual enrollment is not included in Outreach services. <br />15.18 — Residential Level I (Eligible OCAs: MSONQ) <br />These licensed services provide a structured, live-in, non -hospital setting with <br />supervision on a twenty-four hours per day, seven days per week basis. For adult <br />mental health, Residential Treatment Facilities Level IA and IB, as defined in Rule 65E- <br />4.016, F.A.C., are reported under this Covered Service. For children with serious <br />emotional disturbances, Level 1 services are the most intensive and restrictive level of <br />residential therapeutic intervention provided in a non -hospital or non -crisis stabilization <br />setting. Residential Treatment Centers, as defined in Rule 65E-9.002, F.A.C. are <br />reported under this Covered Service. For substance use treatment, Residential Level <br />1, as defined in Rule 65D-30.007, F.A.C., provides a range of assessment, treatment, <br />rehabilitation, and ancillary services in an intensive therapeutic environment, with an <br />emphasis on treatment, and may include formal school and adult education programs. <br />16.19 — Residential Level II (Eligible OCAs: MSONQ) <br />Level II facilities are licensed, structured rehabilitation -oriented group facilities that <br />have twenty-four hours per day, seven days per week, supervision. Level II facilities <br />house persons who have significant deficits in independent living skills and need <br />Incorporated Document 20 Agreement No.: AGR75-002 <br />Indian River County Board of County <br />Commissioners <br />