Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.401 - Levels of Care

Current through Register Vol. 48, No. 28, July 12, 2024
Substance abuse treatment shall be offered in varying degrees
				  of intensity based on the level of care in which the patient is placed and the
				  subsequent treatment plan developed for that patient. The level of care
				  provided shall be in accordance with that specified in the ASAM Patient
				  Placement Criteria and with the following:
a) Level 0.5: Early Intervention
An organized service, delivered in a wide variety of
				  settings, for individuals (adult or adolescent) who, for a known reason, are at
				  risk of developing substance-related problems. Early intervention services are
				  considered sub-clinical or pre-treatment and are designed to explore and
				  address problems or risk factors that appear to be related to substance use and
				  to assist the individual in recognizing the harmful consequences of
				  inappropriate substance use. The length of such service varies according to the
				  individual's ability to comprehend the information provided and to use that
				  information to make behavior changes to avoid problems related to substance use
				  or the appearance of new problems that require treatment at another level of
				  care. Early intervention services are for individuals whose problems and risk
				  factors appear to be related to substance use but do not appear to meet any
				  diagnostic criteria for substance related disorders. Examples of individuals
				  who might receive early intervention are at-risk individuals (i.e., family
				  members of an individual who is in treatment or in need of treatment) or DUI
				  offenders classified at a moderate risk level.
b) Level I: Outpatient
Non-residential substance abuse treatment consisting of
				  face-to-face clinical services for adults or adolescents. The frequency and
				  intensity of such treatment shall depend on patient need but shall be a planned
				  regimen of regularly scheduled sessions that average less than nine hours per
				  week.
c) Level II:
				Intensive Outpatient/Partial Hospitalization
Non-residential substance abuse treatment consisting of
				  face-to-face clinical services for adults or adolescents. The frequency and
				  intensity of such treatment shall depend on patient need but shall be a planned
				  regimen of scheduled sessions for a minimum of nine hours per week.
d) Level III: Inpatient
				Subacute/Residential
Residential substance abuse treatment consisting of clinical
				  services for adults or adolescents. The frequency and intensity of such
				  treatment shall depend on patient need but shall, except in residential
				  extended care as defined in this Part, include a planned regimen of clinical
				  services for a minimum of 25 hours per week. Inpatient care, with the exception
				  of residential extended care as defined in this Part, shall require staff that
				  are on duty and awake, 24 hours a day, seven days per week. During any work
				  period, if professional staff as defined in Section
				  2060.309(a)
				  of this Part are not on duty, such staff shall be available on call for
				  consultation relative to any aspect of patient care. Residential extended care
				  shall require staff on duty 24 hours a day, seven days per week and that low
				  intensity treatment services be offered at least five hours per week. Any staff
				  providing clinical services shall meet the requirements for professional staff
				  as defined in Section
				  2060.309(a)
				  of this Part. Individuals who have been in residence for at least three months
				  without relapse may be used to fulfill any remaining staff requirements.
e) Level IV: Medically Managed
				Intensive Inpatient
Inpatient subacute residential substance abuse treatment for
				  patients whose acute bio/medical/emotional/behavioral problems are severe
				  enough to require primary medical and nursing care services. Such services are
				  for adults or adolescents and require 24 hours medically directed evaluation,
				  care and treatment and that a physician see the patient daily.