North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-03 - Clinically Managed High-Intensity Residential Care - Adult ASAM Level III.5 › Section 75-09.1-03-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a clinically managed high-intensity residential care
				  program may admit a client, the client shall:
1. Meet diagnostic criteria for a substance
				dependence disorder of the DSM; and
2. Meet admission criteria for clinically
				managed high-intensity residential services also known as ASAM level III.5 in
				each of the six ASAM dimensions. Specifically, the client must:
a. Not be in need of detoxification from
				alcohol or drugs or have no signs or symptoms of withdrawal or withdrawal needs
				can be safely managed by the program;
b. Not have a physical condition or
				complication impacting immediate safety and well-being or requiring
				twenty-four-hour medical or nursing interventions and be capable of
				self-administering any prescribed medications;
c. Not have an emotional, behavioral, or
				cognitive condition or complication impacting immediate safety and well-being
				or requiring twenty-four-hour medical or nursing interventions unless the
				client is in a dual diagnosis program but may require a residential program
				because of sufficiently severe functional deficits to maintain abstinence or
				mental stability or both;
d. Have
				a low readiness to change as evidenced by a lack of awareness of the need for
				treatment characterized by active or passive resistance to treatment; marked
				difficulty understanding the relationship between the substance use and life
				problems; require a structured therapy and a twenty-four-hour programmatic
				milieu to promote treatment progress and recovery; or require repeated,
				structured motivational interventions delivered in a twenty-four-hour milieu;
e. Have a higher readiness to
				change but issues in other dimensions impair the client's ability to translate
				this into treatment progress and recovery;
f. Have a high relapse, continued use, or
				continued problem potential as evidenced by the lack of recognition of relapse
				triggers or the lack of commitment to continuing care or both; the inability to
				control use of alcohol or other drugs or antisocial behavior with the attendant
				probability of harm to self or others; symptoms such as drug craving,
				difficulty postponing immediate gratification and other drug-seeking behaviors;
				or imminent danger of relapse with dangerous emotional, behavioral, or
				cognitive consequences because of a crisis situation; and
g. Have a problematic recovery environment
				that makes recovery goals assessed as unachievable at a less intensive level of
				care as evidenced by a moderately high risk of physical, sexual, or emotional
				abuse; substance use so endemic that the client is assessed as unable to
				achieve or maintain recovery; a social network of regular users of alcohol or
				other drugs; a social network characterized by significant withdrawal and
				social isolation; living with an individual who is a regular user, abuser, or
				dealer of alcohol and other drugs; the inability to cope for even limited
				periods of time outside of twenty-four-hour care; a living environment
				characterized by criminal behavior, victimization, and other antisocial norms
				and values; or the need for staff monitoring before safe transfer of the client
				to a less intensive setting.