North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-02.1 - Clinically Managed Low-Intensity Residential Care - Adolescent ASAM Level III.1 › Section 75-09.1-02.1-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a clinically managed low-intensity residential care
				  program may admit a client, the client must:
1. Meet diagnostic criteria for a
				substance-related disorder of the DSM; and
2. Meet specifications in each of the six
				ASAM dimensions. Specifically, the client;
a.
				Must not be in need of detoxification from alcohol or drugs nor have any signs
				or symptoms of withdrawal that cannot be safely managed by the program;
b. Must not have a physical
				condition or complication impacting immediate safety or well-being requiring
				twenty-four-hour medical or nursing interventions and be capable of
				self-administering any prescribed medications but has a biomedical condition
				that distracts from recovery efforts and requires limited residential
				supervision to ensure adequate treatment or to provide support to overcome the
				distraction; or continued substance use would place the adolescent at risk of
				serious damage to the client's health because of the biomedical condition or an
				imminently dangerous pattern of high-risk use;
c. Must not have an emotional, behavioral, or
				cognitive condition or complication that impacts immediate safety or well-being
				requiring twenty-four-hour medical or nursing interventions unless in a dual
				diagnosis program but does have problems in the areas of dangerousness or
				lethality to self or others; interference with addiction recovery efforts;
				social functioning; ability for self-care; or course of illness;
d. Must be at a stage of readiness to change
				in which the client requires limited twenty-four-hour supervision to promote or
				sustain progress through the stages of change and is cooperative and likely to
				engage in treatment at this level of care;
e. Is in danger of relapse because of a lack
				of monitoring or is in danger of relapse because supervision between treatment
				encounters at a less intensive level of care has been a major barrier to
				abstinence; recovery skills are not yet sufficient to overcome environmental
				triggers such as peer pressure; or a history of chronic substance use, repeated
				relapse, or resistance to treatment predicts continued use or relapse without
				residential containment;
f. Has
				been living in an environment in which there is a high risk of neglect or
				initiation or repetition of physical, sexual, or severe emotional abuse; has a
				family member or other household member with an active substance use disorder;
				substance use is endemic in the home environment; has a social network that is
				too chaotic or ineffective to support or sustain treatment goals; or has
				logistical impediments such as distance from a treatment facility or lack of
				transportation that precludes participation at a less intensive level of care;
				and
g. Is able to cope for limited
				periods of time outside of the residential structure to pursue clinical,
				vocational, educational, and community activities.