New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 816 - SUBSTANCE USE DISORDER WITHDRAWAL AND STABILIZATION SERVICES › Section 816.4 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				"Detoxification" or "detox" means a medical withdrawal and stabilization
				regimen under the supervision of a physician or nurse practitioner, consistent
				with federal authority, to reduce systematically the amount of an addictive
				substance on which the patient is physiologically dependent, provide reasonable
				control of active withdrawal symptoms and/or avert a lifethreatening medical
				crisis related to the substance on which the patient is physiologically
				dependent.
(b) "Discrete unit"
				means an OASAS program certified pursuant to Article 32 of the Mental Hygiene
				Law providing inpatient or outpatient substance use disorder treatment
				co-located in a facility licensed pursuant to Article 28 of the Public Health
				Law because such facility is providing treatment due to a consistent demand
				exceeding five (5) medical-surgical beds, or greater than 10% of overall
				patient days.
(c) "Medically
				managed withdrawal and stabilization services" are 24/7 services designed for
				individuals who are acutely ill from alcohol and/or substance related
				addictions or dependence, including the need for medical management of persons
				with severe withdrawal or risk of severe withdrawal symptoms, and may include
				individuals with or at risk of acute physical or psychiatric co-occurring
				conditions. This level of care includes the forty-eight (48) hour observation
				bed. Individuals who have stabilized in a medically managed detoxification
				service may transition to a medically supervised service within the same
				service setting or may be transferred to another service setting.
(d) "Medically supervised inpatient
				withdrawal and stabilization services" means services for the treatment of
				moderate withdrawal symptoms and non-acute physical or psychiatric
				complications. This service is physician directed and staffed 24/7 with medical
				staff and includes twenty-four (24) hour emergency medical coverage. Medically
				supervised withdrawal and stabilization services are appropriate for persons
				who are intoxicated by alcohol and/or substances, who are experiencing or who
				are expected to experience withdrawal symptoms that require medical oversight.
				Individuals who have stabilized in a medically managed or medically supervised
				inpatient withdrawal service may transition to a medically supervised
				outpatient service.
(e) "Medically
				supervised outpatient" means services appropriate for persons who are suffering
				from mild to moderate withdrawal or persons experiencing non-acute physical or
				psychiatric complications associated with their substance use disorder and who
				are unable to detox on their own without withdrawal complications, but who
				retain a stable living environment.
(f) "Observation bed" means a service
				providing intensive assessment and treatment of withdrawal where the patient
				has continuous periodic evaluation for up to forty-eight (48) hours. The care
				given in an observation bed is a medically managed level of care.