This is an edited version of the Ministry Regulations for Narconon Trois-Riveres to be Certified. The entire regulations are here:http://www.canlii.org/en/qc/laws/regu/2010-goq-2-1944/latest/2010-goq-2-1944.html
c. S-4.2, r. 0.0003
Regulation respecting the certification of drug addiction or pathological gambling resources
An Act respecting health services and social services
(R.S.Q., c. S-4.2, ss. 346.0.6 and 346.0.21)
1. Subdivision 2.1 of Division II of Chapter I of Title 1 of Part III of the Act respecting health services and social services (R.S.Q., c. S-4.2) applies to any resource in drug addiction or pathological gambling that offers lodging.
Such a resource is a place that offers residential services and support services of various kinds, including therapy, social reintegration, assistance and support in recovering from an intoxication, and assistance and support in disintoxication, through individual or group interventions in the field of drug addiction or pathological gambling.
O.C. 569-2010, s. 1.
If an operator offers services to more than one type of client, the operator must group the services offered under that program in a separate unit and may hold the certificate of compliance referred to in section 346.0.3 of the Act only in respect of that program.
4. For the purposes of this Regulation, persons working as volunteers within a resource are considered staff members of that resource.
O.C. 569-2010, s. 4.
5. The operator of a drug addiction or pathological gambling resource must treat residents with courtesy, fairness and understanding, and with respect for their dignity, autonomy and needs.
6. Drug addiction or pathological gambling activities must be part of an intervention program that relies on an intervention approach or model recognized in the field.
7. The physical layout of the resource must facilitate activities and make the environment welcoming and functional.
Mixed occupation by men and women, persons of full age and minors is prohibited in the resource's bedrooms, dormitories or sanitary facilities, and any close contact that may hinder the assistance and support objectives must be avoided.
O.C. 569-2010, s. 7.
10. The operator must adopt a residents' charter of rights and responsibilities and ensure that every resident knows of its existence and has access to it.
O.C. 569-2010, s. 10.
11. The operator must adopt a code of ethics for the resource's directors and staff members that sets out the practices and behaviours expected in their dealings with residents.
The operator must ensure that every director and staff member has read and understood the code of ethics and has undertaken, in writing, to comply with it.
O.C. 569-2010, s. 11.
13. An operator must ensure that the advertising for the services offered reflects reality.
O.C. 569-2010, s. 13.
17. The operator must inform all residents of their right provided for in the Act to directly file a complaint with the territory's agency and must post in a conspicuous and accessible place the information related to the exercise of that right.
The operator must also establish and apply a procedure to assess its services, as well as a procedure for processing dissatisfactions including
(1) the possibility for any resident of expressing dissatisfactions verbally or in writing;
(2) the designation of a person responsible for examining the dissatisfactions expressed by residents; and
(3) a requirement for that person to give reasons for all decisions made following the examination of dissatisfactions.
O.C. 569-2010, s. 17.
20. The operator must designate the person responsible for coordinating and assessing the intervention team.
The person must meet one of the following conditions:
(1) have, as provided for in the Schedule, eligible university training in intervention or human resources management and have a minimum of 3 years relevant experience in the field of drug addiction or pathological gambling;
(2) have, as provided for in the Schedule, eligible collegial training in intervention or human resources management, as well as a university certificate in addiction counselling and have a minimum of 5 years relevant experience in the field of drug addiction and pathological gambling; or
(3) hold an addiction counselling certificate awarded by a recognized university and have a minimum of 7 years relevant experience in the field of drug addiction or pathological gambling.
O.C. 569-2010, s. 20.
22. The operator must ensure the supervision of case workers by a person meets one of the following conditions:
(1) have, as provided for in the Schedule, eligible university training in intervention and have a minimum of 3 years relevant experience in the field of drug addiction or pathological gambling; or
(2) hold a master's university degree in drug addiction and have a minimum of 3 years relevant experience in the field of drug addiction or pathological gambling.
O.C. 569-2010, s. 22.
23. The operator must ensure that at least 75% of all full-time case workers have
(1) eligible university training in intervention, as provided for in the Schedule;
(2) a university addiction counselling certificate; or
(3) eligible collegial training in intervention as provided for in the Schedule.
O.C. 569-2010, s. 23.
27. The operator must ensure
(1) that the operator's retail or restaurant activities, or supply of services for remuneration, do not jeopardize the residents' health or safety because of a failure to comply with the Food Products Act (R.S.Q., c. P-29) or a regulation thereunder;
(2) that the residents' health or safety is not jeopardized by being housed by the operator in a building that does not meet the standards contained in a by-laws on hygiene, sanitation, security or construction of the municipality where the operator's residence is located; and
(3) that the residents' health and safety is not jeopardized by being housed by the operator in a building that does not meet the standards of the Public Buildings Safety Act (R.S.Q., c. S-3) or the Building Act (R.S.Q., c. B-1.1), or of a regulation thereunder.
O.C. 569-2010, s. 27.
28. The operator must ensure that the place where the operator conducts activities is in a state that ensures the physical safety of residents.
The operator must, in addition, establish and apply a maintenance plan for the operator's buildings and facilities.
O.C. 569-2010, s. 28.
30. The operator must have and maintain liability insurance in a sufficient amount to cover the operator against any claim resulting from the operator's civil or professional liability.
The operator must also have and maintain separate insurance covering the liability of the operator's directors and officers.
O.C. 569-2010, s. 30.
31. The building in which the operator conducts activities must be insured.
O.C. 569-2010, s. 31.
35. The operator must protect the confidentiality of the personal information held and provide access in accordance with the Act respecting the protection of personal information in the private sector (R.S.Q., c. P-39.1)
O.C. 569-2010, s. 35.
38. The operator must draw up an individualized intervention plan for each resident, including, in particular,
(1) the target objectives, the methods to be used in meeting the objectives, and a timeframe for meeting the objectives;
(2) details on participation by the resident and, if applicable, by the resident's immediate circle, in the drafting and revision of the intervention plan;
(3) the revision of the intervention plan for a stay that extends beyond 3 months; and
(4) the name of the case worker responsible for the intervention plan and, if applicable, the follow-up plan established with community organizations.
O.C. 569-2010, s. 38.
39. The operator must, in accordance with recognized practices, assess the suicide risk of each resident when admitted and prior to departure.
O.C. 569-2010, s. 39.
41. The operator must maintain a ratio of 1 case worker for every 15 residents or less per work shift during which program activities are conducted.
O.C. 569-2010, s. 41.
44. The operator must ensure that every new resident has been the subject of a medical assessment in the 7 days prior to admission, or will be so assessed in the 7 days following admission.
O.C. 569-2010, s. 44.
45. The operator must have a protocol for intervention in crisis and emergency situations and ensure that every staff member know the protocol and has the skills to apply it.
O.C. 569-2010, s. 45.
50. An operator who provides meals to residents must offer varied menus in keeping with Canada's Food Guide to Healthy Eating.
A staff member is responsible for meal preparation.
O.C. 569-2010, s. 50.
51. The operator must draw up and apply a protocol for medication management, with assistance from a pharmacist under a written agreement, and establish control mechanisms.
The protocol defines measures to be taken upon a resident's admission and departure, and specifies procedures for the storage, conservation, preparation and distribution of medication, as well as management measures for outdated medication.
O.C. 569-2010, s. 51
53. The operator must establish and apply an admission protocol specific to a person on replacement therapy.
The protocol provides in particular that the resource must, before admitting such a person and after obtaining the person's consent, establish written agreements with the person's prescribing physician and dispensing pharmacist and, if applicable, with the psychosocial worker monitoring the person, setting out the terms and conditions on which the person may continue that treatment during the rehabilitation stay.
O.C. 569-2010, s. 53.
54. The operator must draw up and apply a procedure for the management of replacement medication that defines measures for the control, reception and return of the product, safe storage and distribution conditions, and the measures to be taken if a resident on replacement therapy leaves precipitately.
The procedure must be validated by a health professional.
O.C. 569-2010, s. 54.
55. The staff members responsible for applying the protocol provided for in section 53 must have received specific training from the Institut national de santé publique du Québec on the management and monitoring of clients on replacement therapy that is suited to their profile.
O.C. 569-2010, s. 55.
58. The operator of a resource offering a disintoxication support program must ensure that the severity of a new resident's withdrawal is assessed by qualified personnel, in accordance with recognized practices, in the 24 hours prior to or following admission.
O.C. 569-2010, s. 58.
59. The operator of a resource that specifically caters to clients with concurrent drug addiction and mental health disorders must ensure that at least one staff member trained to intervene adequately with residents under a training program recognized in the field is present at all times on the premises.
The operator must also ensure that at least one staff member having the qualifications required to provide support to the intervention team with clients having mental health disorders is available at all times to provide support to the intervention team.
In addition, the operator must, for prevention purposes, draw up a crisis intervention plan for every resident that is suited to the resident's state of mental health.
O.C. 569-2010, s. 59.
60. An operator referred to in section 15 or 16 of the Act to amend the Act respecting health services and social services with regard to the certification of certain resources offering lodging to vulnerable clienteles (S.Q. 2009, c. 46) must comply with section 23 of this Regulation within 6 years after first obtaining a certificate pursuant to the Act.
Despite the foregoing, the operator must be able to demonstrate, when the application for a certificate is evaluated, that at least 50% of the operator's staff is enrolled in training provided for in section 23 and will graduate within 3 years.
O.C. 569-2010, s. 60.
LIST OF ADMISSIBLE TRAINING PROGRAMS
(a) college level
Diploma of college studies in
– Special care counselling
– Social service
– Youth and adult correctional intervention
(b) university level
Bachelor's degree, master's degree or doctorate in
– Special education
– Social service or social work
– Drug addiction
2. Human resources management
(a) college level
Diploma of college studies in
– Administrative techniques
(b) university level
Bachelor's degree, master's degree or doctorate in
– Health administration
– Public administration
– Human resources management in the workplace
- Human resources management
- Industrial or labour relations
O.C. 569-2010, Sch.
O.C. 569-2010, 2010 G.O. 2, 1944