reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-01 - Definition

Current through Supplement No. 393, July, 2024
As used in chapters 75-09.1-01, 75-09.1-02, 75-09.1-02.1,
				  75-09.1-03, 75-09.1-03.1, 75-09.1-04, 75-09.1-04.1, 75-09.1-05, 75-09.1-05.1,
				  75-09.1-06, 75-09.1-06.1, 75-09.1-07, 75-09.1-07.1, and 75-09.1-08:
1. "ASAM patient placement criteria" means
				the third edition, revised, of the patient placement criteria of the American
				society of addiction medicine.
2.
				"Department" means the North Dakota department of human services.
3. "DSM" means the fifth edition, of the
				diagnostic and statistical manual of mental disorders published by the American
				psychiatric association.
4. "DUI"
				means an offense of driving or being in actual control of a motor vehicle while
				under the influence of alcohol or controlled substances, or both.
5. "Program" means a person, partnership,
				association, corporation, or limited liability company that establishes,
				conducts, or maintains a substance abuse treatment program for the care of
				persons addicted to alcohol or other drugs. "Program" does not include a DUI
				seminar which is governed by 75-09.1-09.
6. "Recommendation" means a violation of the
				rule has occurred, however, on a very limited basis. A recommendation can also
				be given when there is general compliance with a rule but the procedures can be
				strengthened.
7. "Type I condition"
				means a violation of the requirements of any applicable law or regulation has
				occurred in at least twenty-five percent of the cases reviewed.
8. "Type II condition" means habitual
				noncompliance with the requirements of any law or regulation including a type l
				condition that is still found to be occurring during subsequent visits, any
				illegal act, or any act that threatens the health or safety of the
				clients.
General Authority:
NDCC 50-06-16,
					 50-31
Law Implemented:
NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-02 - Application for license and notice of address change

Current through Supplement No. 393, July, 2024
1. A program must submit to the department an
				application for a license in the form and manner prescribed by the department.
2. The department will consider an
				application complete when it has received all required information and
				documents.
3. The department may
				declare an application withdrawn if an applicant fails to submit all required
				documentation within sixty days of notification of incompleteness.
4. A new application for a license must be
				submitted to the department by a program upon change of ownership or level of
				care.
5. A program must notify the
				department of a change of address.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-03 - Provisional and unrestricted license

Current through Supplement No. 393, July, 2024
1.
				Provisional license.
a. Upon approval of an
				application, the department may issue a provisional license for the operation
				of a program.
b. A provisional
				license is in effect for the period specified in the license not to exceed one
				year from the date of issuance.
c.
				Prior to changing a provisional license to an unrestricted license, the
				department shall conduct an onsite review to determine that the program is in
				compliance with the standards contained in this article.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-04 - License report procedures

Current through Supplement No. 393, July, 2024
1. Within
				thirty days of an onsite review of a program, the department must send a
				license report to the program that was reviewed.
2. A license report must contain a
				description of the programs and services reviewed, strengths, concerns,
				recommendations, and a description of any existing type I or type II
				conditions.
3. A license report
				shall be retained by the department while the program that is the subject of
				the report is licensed and for at least seven years from the time the program
				is no longer licensed.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-05 - Program authority and administration

Current through Supplement No. 393, July, 2024
1. A program shall identify to the department
				an individual or entity that is responsible for the conduct of the program.
2. A program shall implement a
				written policy governing the operation of services including admission
				procedures, discharge procedures. client grievance procedures, scope of
				service, treatment plans, staffing patterns, outside referrals, and continued
				or followup treatment.
3. The
				program shall conform to applicable legal requirements and regulations of all
				governmental and legally authorized agencies under whose authority it operates,
				to include accessibility, affirmative action, equal employment opportunity,
				health and safety, and licensure.
4. A program shall be responsible for
				providing qualified personnel, facilities, and equipment needed to carry out
				the goals and objectives and meet the needs of the clients.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-06 - Information management

Current through Supplement No. 393, July, 2024
1. A program must
				collect data as prescribed by the department, including information necessary
				for federal and state grant statistical requirements and fiscal information
				such as fee structure.
2. A
				program must apply appropriate safeguards to protect client records regardless
				of whether the records are electronically or manually maintained. These
				safeguards must include:
a. Limiting record
				access to authorized individuals;
b. Suitably maintaining a record indexing and
				filing system to preserve confidentiality;
c. Knowing the essential record location at
				all times;
d. Securing and
				reasonably protecting records against loss, damage, and inappropriate access;
				and
e. Protecting electronic
				records by routine backup.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-07 - Personnel administration

Current through Supplement No. 393, July, 2024
1. A program
				shall employ sufficient and qualified staff members to meet the needs of the
				clients.
2. A program shall have a
				written policy regarding how it verifies the background, qualifications, and
				credentials of staff members, volunteers, and consultants, and how it acts upon
				the results of the information received.
3. A program shall document the nature and
				extent of the involvement of any individual who provides consultation or
				volunteer service to the program.
4. A program shall maintain a personnel file
				for each employee that contains:
a. A written
				job description;
b. The
				qualifications, supervisor, employees supervised, and the duties of each
				employee; and
c. Performance
				evaluations dated and regularly conducted at least annually for continuing
				appropriateness.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-08 - Fiscal management

Current through Supplement No. 393, July, 2024
1. When fees for
				services are charged, a program shall have an established schedule of fees that
				is available in printed form and is applied equitably to all clients.
2. A program shall implement a
				policy that prohibits fee splitting with other programs, agencies, entities, or
				individuals as consideration for referral of the client to be served.
3. If a program is responsible for
				funds or personal possessions that belong to a client, the program shall
				implement a procedure for identification and accountability for those funds.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-09 - Physical facilities

Current through Supplement No. 393, July, 2024
1. All locations
				owned, rented, leased, or occupied by a program must meet standards of the
				state fire marshal or an equivalent code or provide a letter from the
				inspecting authority stating that an inspection was not done and the reason
				why.
2. A program shall provide
				suitable locations within the physical plant for such activities as interviews,
				treatment services, dictation, staff conferences, and psychometric testing to
				provide for confidentiality of client information.
3. A program shall provide adequate toilet
				and lavatory facilities.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-10 - Health and safety program

Current through Supplement No. 393, July, 2024
1. A program
				shall maintain health and safety policies and procedures.
2. A program shall implement a written
				emergency plan that addresses provisions for dealing with bomb threats, fires,
				medical emergencies, natural disasters, and power failures.
3. A program shall make readily available
				first-aid facilities, equipment, and supplies. A program shall have:
a. At least one staff member certified in
				basic first aid and in basic cardiac life support. At least one employee
				certified in cardiopulmonary resuscitation must be present at the program
				during all hours of program operations. The number of other certified
				individuals present must be based on the needs of the clients and the type of
				services provided; and
b. A
				program must implement a written plan to assist a client in receiving
				additional care beyond first aid when it is needed. An outline of the plan must
				be posted where first-aid supplies are kept and at other appropriate places in
				the physical plant.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-11 - Infection control

Current through Supplement No. 393, July, 2024
1. A program shall
				implement a written infection control policy that complies with all applicable
				laws and regulations. The program must review this written policy at least
				annually and at any other times as necessary. The policy must provide screening
				or referral procedures and must include a documented verbal assessment of
				high-risk behaviors for tuberculosis, hepatitis, HIV, and other blood-borne and
				sexually transmitted diseases.
2.
				A program shall implement a practical system developed for reporting,
				evaluating, and maintaining records of infections among clients.
3. A program shall implement a written plan
				for the instruction of new employees in the importance of infection control and
				personal hygiene and their responsibility in the infection control program.
4. A program shall take universal
				precautions in the handling of all bodily fluids and implement written policies
				for the handling of bodily fluids.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-12 - Transportation

Current through Supplement No. 393, July, 2024
If a program provides client transportation services, whether
				  by volunteers or by contract, the program shall provide evidence to the
				  department that the program maintains state minimum liability insurance
				  coverage and that any employee who provides transportation has a current and
				  appropriate driver's license.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-13 - Intake and orientation

Current through Supplement No. 393, July, 2024
1. A program
				shall implement written criteria for client admission for each of the program's
				levels of care based on the DSM and the ASAM patient placement criteria and
				policies for client admission.
2.
				A program shall implement a written policy for orientation of the client and
				the family.
3. A program shall
				explain the rights and responsibilities of persons served and grievance and
				appeal procedures. A program shall post in a place that is conspicuous to the
				public these rights and responsibilities.
4. A program shall implement a written policy
				regarding provision of services for clients who do not have the ability to pay.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-14 - Assessment

Current through Supplement No. 393, July, 2024
1. When conducting an assessment, a program
				shall administer instruments or conduct clinical interviews or both sufficient
				to gather enough information to substantiate or rule out a client's diagnosis.
2. An assessment must include
				adequate assessment in at least each of the following areas: withdrawal
				potential; medical conditions and complications; psychiatric, including
				emotional, behavioral, and cognitive functioning and the presence of
				co-occurring mental health problems; employment; alcohol, tobacco, and other
				drug use; legal; family and social; readiness to change; relapse, continued
				use, and continued problem potential; and recovery environment.
3. When clinically appropriate, previous
				diagnostic, medical, treatment, and training reports that impact the
				development of an individual must be:
a.
				Requested from appropriate current or previous providers and referral sources
				with signed, informed consent to release of information forms in compliance
				with applicable laws and regulations; and
b. Integrated into the assessment process.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-15 - Individual treatment plan

Current through Supplement No. 393, July, 2024
1. A program
				shall implement policies that ensure the services provided to each client are
				coordinated and integrated and address goals that reflect the client's informed
				choice.
2. A program shall
				develop, with each client's participation, a comprehensive, coordinated,
				individualized plan based on referral and assessment information about the
				client's strengths, abilities, needs, functional deficits, and preferences.
3. A program shall develop and
				document an individual treatment plan that is as comprehensive as possible
				given the time in treatment and the client's condition. The individual
				treatment plan shall be developed according to the following schedule:
a. By the end of the first day for a client
				in a social detoxification program;
b. By the end of the third session for a
				client receiving outpatient services or intensive outpatient treatment; and
c. By the end of the fifth working
				day for a client receiving day treatment, inpatient, or low-intensity and
				high-intensity residential treatment.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-16 - Differences in dimensional criteria for adolescents and adults

Current through Supplement No. 393, July, 2024
1. If a program plans to admit an individual
				age seventeen or younger, the program shall implement a written policy
				regarding how to determine when it is appropriate to place an adolescent in an
				adult program. The policy must address the safety and supervision of clients in
				that program. The decision to determine whether a person seventeen years of age
				or younger is appropriately served in an adult rather than an adolescent
				program must be based on clinical judgment and other factors such as:
a. History of sexual acting out;
b. History of violence;
c. History of running away;
d. Living status such as whether the
				adolescent is living independently or with parents;
e. School status;
f. Employment status;
g. Marital status;
h. Ability to act responsibly;
i. Level of emotional maturity;
j. Level of cognitive development;
k. Level of parental or family support; and
I. Current mix of population in
				the adult milieu.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-18 - Admission criteria

Current through Supplement No. 393, July, 2024
A program shall not admit a client into a substance abuse
				  treatment program unless the client:
1. Meets diagnostic criteria for a substance
				use disorder as described in the DSM; and
2. Meets specifications in each of the ASAM
				dimensions required for the recommended level of care.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-19 - Continued stay criteria

Current through Supplement No. 393, July, 2024
For a client to remain in the current level of care
				  placement, a program must document that the client:
1. Is making progress but has not yet
				achieved the goals articulated in the individualized treatment plan and
				continued treatment at the present level of care is necessary to permit the
				client to continue to work toward treatment goals.
2. Is not yet making progress but has the
				capacity to resolve problems and is actively working toward the goals
				articulated in the individual treatment plan.
3. New problems have been identified that are
				appropriately treated at the present level of care that is the least intensive
				in which these problems can be addressed effectively.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-20 - Discharge and transfer criteria

Current through Supplement No. 393, July, 2024
Before a program may transfer or discharge a client, the
				  client must have:
1. Achieved the
				goals articulated in the client's individualized treatment plan and resolved
				the problems that justified admission to the present level of care with
				progress evaluated and a determination has been made that the client is ready
				for a less intensive level of care or independent living.
2. Been unable to resolve the problems that
				justified admission to the present level of care despite amendments to the
				treatment plan and no further progress is likely indicating the need for
				another level of care or type of service.
3. Demonstrated a lack of capacity to resolve
				problems indicating the need for another level of care or type of service.
4. Experienced an intensification
				of problems or has developed new problems and can be treated effectively only
				at a more intensive level of care.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-21 - Referral criteria

Current through Supplement No. 393, July, 2024
1. A program shall
				implement a written policy for referral and recommendations for services not
				available through the program. All referrals and recommendations must be made
				part of the treatment or discharge plan.
2. A program must implement a written policy
				that verifies appropriate referral during and after treatment.
3. A program must secure the written consent
				of the client or a client's legal representative before releasing any
				confidential information about that client and the release of information must
				conform to the following:
a. Any information
				released must be limited to that necessary for the individual or agency
				requesting the information or for the provider to whom the client is referred
				to address the purpose of the referral;
b. A program must stamp or write on the
				records that are being released that any further disclosure of information is
				prohibited unless it is authorized by the client or the client's legal
				representative;
c. A program's
				consent to release of information form must conform to applicable laws and
				regulations and must identify:
(1) The
				information to be released;
(2)
				The form in which the information is to be released such as written, verbal,
				audio, video, or electronic;
(3)
				To whom the information is to be released;
(4) The purpose of the information to be
				released;
(5) The name of the
				client and the client's date of birth;
(6) The date on which the consent to release
				of information is signed;
(7) The
				length of time, event, or condition for which the consent to release of
				information is authorized or the event or condition upon which the consent may
				be withdrawn; and
(8) The
				signature of the client or legal representative; and
d. A program shall give to the client or
				client's legal representative a copy of the signed consent to release of
				information.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-22 - Client records

Current through Supplement No. 393, July, 2024
1. A program shall
				prepare and maintain a single record for each client admitted to the program so
				as to communicate the appropriate case information. This information must be in
				a form that is clear, concise, complete, legible, and current.
2. A program shall implement a written policy
				addressing the process by which a client may gain access to the client's own
				record.
3. If duplicates of
				information or reports from the single record of a client exist or if working
				materials are maintained, such material must:
a. Not be a substitute for the single record;
b. Be secondary to the recording
				of information with the single record of the client receiving first priority;
				and
c. Record information of value
				to the specific service, such as daily attendance, raw scores of tests, and
				similar data.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-23 - Client rights

Current through Supplement No. 393, July, 2024
1. A program must
				assure the right of each client to:
a. Be
				treated with respect and dignity;
b. Be treated without discrimination based on
				physical or mental disability;
c.
				Be treated without regard to race, creed, national origin, sex, or sexual
				preference;
d. Have all
				information handled confidentially in accord with applicable laws, regulations,
				and standards;
e. Receive notice
				of federal confidentiality requirements;
f. Not be subject to physical, emotional, or
				sexual abuse or harassment by employees or another client;
g. Have services for male or female clients
				reflecting the special needs of each gender and to be provided equivalent,
				clearly defined, and well-supervised sleeping quarters and bath accommodations
				for male and female clients;
h. Be
				provided a reasonable opportunity to practice the religion of the client's
				choice insofar as the practice does not interfere with the rights of other
				clients or the treatment program;
i. Have the right to be excused from any
				religious practice;
j. Have access
				to an established client grievance procedure; and
k. Be informed of client rights in a language
				the client understands.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-24 - Quality assurance

Current through Supplement No. 393, July, 2024
1. A program shall
				implement an established written system that provides for internal,
				professional review of the quality and appropriateness of the program of
				services for the client.
2. A
				program shall implement a written quality assurance plan and designate an
				employee to coordinate that plan.
3. A program shall implement a written policy
				that provides that peer review must occur at least quarterly and must involve a
				representative sampling of clients served. The review must be conducted
				irrespective of sources of funding for the clients and the documented results
				of the review must:
a. Produce a documented
				list of areas needing improvement and actions taken;
b. Be integrated into the individual
				planning, plan evaluation, and program management activities for the client;
c. Be administratively used, in
				conjunction with results of consumer satisfaction surveys, in program
				evaluation activities, and in organizational planning; and
d. Be reviewed at least annually by the
				program's administration.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-25 - Accreditation as a basis for licensing

Current through Supplement No. 393, July, 2024
1.
				The department shall issue a license to a program that has a current
				accreditation of a nationally recognized body that reviews and certifies
				providers of drug and alcohol services.
2. When applying for licensure or renewal
				licensure, a program must submit to the department proof of accreditation or
				deemed status in the form of the accreditation agency's most recent review and
				certification.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-26 - Sanctions

Current through Supplement No. 393, July, 2024
1. The department may immediately revoke a
				program's license upon a finding of a type II condition.
2. A program must submit to the department a
				plan of corrective action within thirty days of a licensure visit when a type I
				or type II condition has been found. A program will be allowed thirty days to
				submit to the department a plan of corrective action. A program will be allowed
				sixty days after the plan is submitted to implement the plan and satisfy a type
				I condition.
3. The department may
				conduct another onsite review prior to issuing a license after a program has
				developed a plan of corrective action of any condition.
4. If the program does not satisfy a
				condition or develop a plan to satisfy the cited condition within the
				timeframes allowed, the department shall impose a ninety-nine-day suspension of
				the program's license. At the end of the ninety-nine-day suspension, if the
				cited condition has been corrected, the department may issue a one-year
				provisional license to the program. If the program has not corrected the
				condition, the department shall revoke the provider's license immediately.
5. A program which has had its
				license revoked is prohibited from submitting a new application to the
				department for consideration for a license for any program during the three
				hundred sixty-five days following a license revocation for any type I or type
				II condition.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-01 - General Standards for Substance Abuse Treatment Programs › Section 75-09.1-01-27 - Appeals

Current through Supplement No. 393, July, 2024
An applicant for or a holder of a license may appeal a
				  decision to deny, suspend, or revoke a license by filing a written appeal with
				  the department within thirty days of written notice of such a decision. Upon
				  receipt of a timely appeal, an administrative hearing must be conducted in the
				  manner provided in chapter 75-01-03.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02-01 - Definitions

Current through Supplement No. 393, July, 2024
For the purposes of this chapter:
1. "Clinically managed low-intensity residential care" means
				  providing an ongoing therapeutic environment for clients requiring some
				  structured support in which treatment is directed toward applying recovery
				  skills, preventing relapse, improving emotional functioning, promoting personal
				  responsibility, and reintegrating the individual into the worlds of work,
				  education, and family life, adaptive skills that may not have been achieved or
				  have been diminished during the client's active addiction. Such programs must
				  offer at least five hours per week of low-intensity treatment the focus of
				  which will be on issues in ASAM dimensions four, five, six, and three, if
				  appropriate mental health services are available onsite or by contractual
				  arrangement. Clinically managed low-intensity residential care is also designed
				  for the client suffering from chronic, long-term alcoholism or drug addiction
				  and affords an extended period of time to establish sound recovery and a solid
				  support system. The residential component of clinically managed low-intensity
				  residential care may be combined with low-intensity outpatient, intensive
				  outpatient, or day treatment.
2. "Program" means a clinically managed low-intensity
				  residential care program.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. A program shall
				maintain a safe, comfortable, alcohol-free, and drug-free environment.
2. A program shall provide to
				clients or help clients gain access to full meal service that meets established
				nutritional guidelines.
3. A
				program shall implement written referral procedures and agreements with
				providers of services to enable clients to receive necessary aftercare, other
				therapeutic services, vocational rehabilitation. educational instruction,
				literacy training, and attendance at local support groups.
4. A program shall provide staff twenty-four
				hours per day.
5. A program shall
				offer a minimum of five hours a week of professionally directed treatment in
				addition to other treatment services offered to clients such as partial
				hospitalization or intensive outpatient treatment. Professionally directed
				treatment must include two support or group sessions a week for clients.
6. A program shall collaborate
				with care providers to develop an individual treatment plan for each client
				with time-specific goals and objectives.
7. A program shall maintain a record of the
				client's progress and activities in the program.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02-03 - Program criteria

Current through Supplement No. 393, July, 2024
1. A program shall
				provide services designed to improve a client's ability to structure and
				organize the tasks of daily living and recovery.
2. A program shall provide educational and
				informational programming to enhance client recovery.
3. A program shall provide activities to
				promote a client's social skill development.
4. A program shall provide support group
				meetings available onsite or transportation assistance to offsite support group
				meetings.
5. A program shall
				provide transportation assistance to enable clients to use offsite
				rehabilitation services.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02.1-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter "clinically managed low-intensity
				  residential care" means a substance abuse treatment program that provides an
				  ongoing therapeutic environment for clients requiring some structured support
				  in which treatment is directed toward applying recovery skills, preventing
				  relapse, improving emotional functioning, promoting personal responsibility,
				  and reintegrating the client into the world of work, education, and family
				  life, adaptive skills that may not have been achieved or have been diminished
				  during the client's active addiction. Such programs must offer at least five
				  hours per week of low-intensity treatment, the focus of which will be on issues
				  in ASAM dimensions four, five, and six, as well as ASAM dimension three if
				  appropriate mental health services are available onsite or by contractual
				  arrangement. Clinically managed low-intensity residential care is also designed
				  for the adolescent requiring extended treatment to sustain and further
				  therapeutic gains made at a more intensive level of care because of the
				  client's functional deficits such as developmental immaturity, greater than
				  average susceptibility to peer influence, or lack of impulse control. This
				  level is also sometimes warranted as a substitute for or supplement to the
				  deficits in the adolescent's recovery environment such as chaotic home
				  situation, drug-using caretakers or siblings, or a lack of daily structured
				  activities such as school. The residential component of clinically managed
				  low-intensity residential care may be combined with low-intensity outpatient,
				  intensive outpatient, or day treatment.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. A clinically
				managed low-intensity residential care program shall maintain a safe,
				comfortable, alcohol-free, and drug-free environment.
2. A clinically managed low-intensity
				residential care program shall provide to clients a full meal service that
				meets established nutritional guidelines.
3. A clinically managed low-intensity
				residential care program shall implement written referral procedures and
				agreements with providers of services to enable clients to receive necessary
				aftercare, other therapeutic services, vocational rehabilitation and
				educational instruction such as general educational development preparation and
				literacy training and attendance at local support groups for clients not having
				completed high school.
4. A
				clinically managed low-intensity residential care program shall provide to an
				adolescent still enrolled in school onsite staff or onsite or offsite
				contractors for the provision of accredited educational services or short-term
				educational services linked to home school designed to maintain current
				learning.
5. A clinically managed
				low-intensity residential care program shall provide staff twenty-four hours
				per day.
6. A clinically managed
				low-intensity residential care program shall offer a minimum of five hours a
				week of professionally directed treatment in addition to other treatment
				services a client may receive such as partial hospitalization or intensive
				outpatient treatment. Professionally directed treatment must include two
				support or two group sessions a week.
7. A clinically managed low-intensity
				residential care program shall collaborate with care providers to develop an
				individual treatment plan for each client with time-specific goals and
				objectives.
8. A clinically
				managed low-intensity residential care program shall maintain a record of each
				client's progress and activities in the program.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-02.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
1. A clinically
				managed low-intensity residential care program shall provide services designed
				to improve a client's ability to structure and organize the tasks of daily
				living and recovery.
2. A
				clinically managed low-intensity residential care program shall provide
				educational and informational programming to enhance client recovery.
3. A clinically managed
				low-intensity residential care program shall provide family and caregiver
				treatment.
4. A clinically managed
				low-intensity residential care program shall provide activities to promote a
				client's social skill development.
5. A clinically managed low-intensity
				residential care program shall provide to clients support group meetings
				available onsite or transportation assistance to offsite support group
				meetings.
6. A clinically managed
				low-intensity residential care program shall provide transportation assistance
				to clients so that they may use offsite rehabilitation services.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-03-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter:
1. "Clinically managed high-intensity residential services"
				  means a therapeutic community or residential treatment center that offers
				  continuous observation, monitoring, and treatment by allied professional staff
				  designed to treat clients who are not sufficiently stable to benefit from
				  outpatient treatment no matter how intensive and who have significant
				  psychological and social problems. A clinically managed high-intensity
				  residential services program does not treat clients that exhibit acute
				  intoxication or withdrawal problems also known as ASAM dimension one;
				  biomedical conditions and complications also known as ASAM dimension two; or
				  emotional, behavioral or cognitive problems also known as ASAM dimension three
				  unless in a dual diagnosis program also known as ASAM level III.5 which
				  requires the availability of twenty-four-hour medical or nursing interventions.
2. "Therapeutic community" means a treatment program
				  characterized by reliance on the treatment community as a therapeutic change
				  agent in which the goals of treatment are abstinence from substance use and
				  antisocial behavior and affecting a global change in a client's lifestyles,
				  attitudes, and values. The defining characteristics of such a client are found
				  in emotional, behavioral, and cognitive conditions also known as ASAM dimension
				  three and in the recovery environment also known as ASAM dimension six. For
				  some clients, treatment must be considered habilitative rather than
				  rehabilitative which addresses a client's educational and vocational deficits
				  as well as socially dysfunctional behavior.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-03-02 - Provider criteria

Current through Supplement No. 393, July, 2024
A clinically managed high-intensity residential care program
				  shall include:
1. Onsite, twenty-four
				hour per day clinical staffing by licensed counselors, other clinicians, and
				other allied health professionals such as counselor aides;
2. Specialized professional consultation; and
3. A residential program offered
				no less than seven days per week with the length of stay to be determined by
				the client's condition and functioning.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
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 75-09.1-03-03 - Program criteria

Current through Supplement No. 393, July, 2024
A clinically managed high-intensity residential care program
				  shall include:
1. Daily clinical
				services which include a range of cognitive, behavioral, and other therapies in
				individual or group therapy and psychoeducation as deemed appropriate by an
				assessment and treatment plan;
2.
				Motivational enhancement and engagement strategies appropriate to the client's
				stage of readiness to change;
3.
				Counseling and clinical interventions to teach a client the skills needed for
				daily productive activity, prosocial behavior, and reintegration into family or
				community;
4. Random client drug
				screening to shape behavior and reinforce treatment gains as appropriate to the
				client's individual treatment plan;
5. A system for referral of a client for
				identified treatment needs if the service is not available in the program;
6. Family treatment services as
				deemed appropriate by an assessment and treatment plan; and
7. Educational, vocational, and informational
				programming adapted to individual client needs.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-03.1 - Clinically Managed Medium-Intensity Residential Care - Adolescent ASAM Level III.5 › Section 75-09.1-03.1-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "clinically managed medium-intensity
				  residential care" means a substance abuse treatment program that offers
				  continuous observation, monitoring, and treatment by allied professional staff
				  of individuals with significant psychological and social problems who are not
				  sufficiently stable to benefit from outpatient treatment no matter how
				  intensive. Such programs include therapeutic group homes, therapeutic
				  communities, psychosocial model rehabilitation centers, or extended residential
				  rehabilitation programs. A clinically managed medium-intensity residential care
				  program should not treat a client who exhibits acute intoxication or withdrawal
				  problems also known as ASAM dimension one; biomedical conditions and
				  complications also known as ASAM dimension two; or emotional, behavioral, or
				  cognitive problems also known as ASAM dimension three unless in a dual
				  diagnosis program also known as level III.5 that requires the availability of
				  twenty-four-hour medical or nursing interventions. Clinically managed
				  medium-intensity residential care programs must provide relatively extended,
				  subacute treatments that aim to effect fundamental personal change for the
				  adolescent who has significant social and psychological problems and the goals
				  and modalities of treatment focus not only on the adolescent's substance use
				  but also a holistic view that takes into account the client's behavior,
				  emotions, attitudes, values, learning, family, culture, lifestyle, and overall
				  health. A clinically managed medium-intensity residential care program is
				  particularly suitable for treatment of entrenched patterns of maladaptive
				  behavior, extremes of temperament, and development or cognitive abnormalities
				  related to mental health symptoms or disorders.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31