North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-02 - Clinically Managed Low-Intensity Residential Care - Adult ASAM Level III.1 › Section 75-09.1-02-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a program may admit a client, the client must:
1. Meet diagnostic criteria for a substance
				dependence disorder of the DSM; and
2. Meet specifications in each of the six
				ASAM patient placement criteria dimensions. Specifically, the client must:
a. Have no signs or symptoms of withdrawal or
				have withdrawal needs that can be safely managed by the program;
b. Not have a physical condition or
				complication impacting immediate safety and well-being requiring
				twenty-four-hour medical or nursing interventions and the client is capable of
				self-administering any prescribed medications;
c. Not have an emotional, behavioral, or
				cognitive condition or complication impacting immediate safety and well-being,
				requiring twenty-four-hour medical or nursing interventions unless in a dual
				diagnosis program;
d. Be at a
				stage of readiness to change in which the client requires twenty-four-hour
				structured milieu, acknowledges the existence of a substance use problem, is
				capable of self-care, and is sufficiently ready to change or is appropriately
				placed in a level I outpatient services or level II intensive outpatient
				services and is receiving clinically managed low-intensity residential care
				concurrently because of the need for engagement and motivational strategies or
				requires a twenty-four-hour structured milieu to promote treatment progress and
				recovery because past motivational strategies on an outpatient treatment have
				failed or the client is unable to make behavior changes without the support of
				a structured environment; or has a history of compulsive, relapse-prone
				chronicity or organic-related difficulties as a result of the client's abuse of
				alcohol or other drugs;
e. Be in
				imminent danger of relapse with dangerous emotional, behavioral, or cognitive
				consequences because of limited coping skills to address relapse triggers and
				cravings; or because the client is unable to consistently address the substance
				dependence disorder in spite of understanding it and is at risk in a less
				structured level of care or without staff support to maintain engagement while
				transitioning to life in the community; or because of other issues such as
				postponing immediate gratification and these issues are being addressed
				concurrently in a level II program; and
f. Require a twenty-four-hour supportive
				setting because the client is at moderately high risk of physical, sexual, or
				emotional abuse; or is assessed as being unable to achieve or maintain sobriety
				at a less intensive level of care because substance use in the client's
				recovery environment is so endemic; or lacks social contacts or has
				inappropriate social contacts that jeopardize recovery; or is unlikely to
				recover because of continued exposure to school, work, or living environment
				and insufficient resources and skills to maintain an adequate level of
				functioning; or is in danger of victimization by another; and is able to cope
				for limited periods of time outside of the twenty-four-hour structure to pursue
				clinical, vocational, educational, and community activities.