reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-03.1 - Clinically Managed Medium-Intensity Residential Care - Adolescent ASAM Level III.5 › Section 75-09.1-03.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
A clinically managed medium-intensity residential care
				  program shall:
1. Offer onsite
				twenty-four-hour-a-day clinical staffing by licensed counselors, other
				clinicians, and other allied health professionals such as counselor aides;
2. Make available specialized
				professional consultation; and
3.
				Offer the residential program no less than seven days per week with the length
				of stay to be determined by a 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 75-09.1-03.1 - Clinically Managed Medium-Intensity Residential Care - Adolescent ASAM Level III.5 › Section 75-09.1-03.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
A clinically managed medium-intensity residential care
				  program shall include:
1. Daily
				clinical services including 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 a 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 and community;
4. Random client drug screening to shape
				behavior and reinforcement treatment gains as appropriate to a 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 and caregiver treatment services as
				deemed appropriate by an assessment and treatment plan;
7. Educational, vocational, and informational
				programming adaptive to individual client needs; and
8. Onsite staff provided or contracted onsite
				or offsite accredited educational services if a client is in school; general
				educational development preparation if the client does not possess a high
				school diploma and is no longer in school; or short-term educational services
				linked to home school designed to maintain current learning.
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 75-09.1-04 - Medically Monitored Intensive Inpatient Treatment - Adult ASAM Level III.7 › Section 75-09.1-04-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "medically monitored intensive
				  inpatient treatment" means a substance abuse treatment program that provides a
				  planned regimen of twenty-four-hour professionally directed evaluation,
				  observation, medical monitoring, and addiction treatment in an inpatient
				  setting. This program is appropriate for a client whose subacute
				  detoxification, withdrawal, biomedical, and emotional, behavioral, or cognitive
				  problems are so severe that they require inpatient treatment but who does not
				  need the full resources of an acute care general hospital or a medically
				  managed inpatient treatment 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 75-09.1-04 - Medically Monitored Intensive Inpatient Treatment - Adult ASAM Level III.7 › Section 75-09.1-04-02 - Provider criteria

Current through Supplement No. 393, July, 2024
A medically monitored intensive inpatient treatment program
				  shall:
1. Offer twenty-four-hour
				skilled nursing care, daily onsite counseling services, and a physician's
				services twenty-four hours per day seven days per week;
2. Make available specialized professional
				consultation; and
3. Offer the
				inpatient treatment program for seven days per week with the length of stay to
				be determined by a 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 75-09.1-04 - Medically Monitored Intensive Inpatient Treatment - Adult ASAM Level III.7 › Section 75-09.1-04-03 - Program criteria

Current through Supplement No. 393, July, 2024
A medically monitored intensive inpatient treatment program
				  shall provide:
1. A combination of
				individual and group therapy as deemed appropriate by an assessment and
				treatment plan;
2. Medical and
				nursing services available onsite to provide ongoing assessment and care of
				acute detoxification needs, medical, and psychiatric problems;
3. A system for referral of clients for
				identified treatment needs if the service is not available in the program;
4. Family treatment services as
				deemed appropriate by an assessment and treatment plan; and
5. Educational 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 75-09.1-04 - Medically Monitored Intensive Inpatient Treatment - Adult ASAM Level III.7 › Section 75-09.1-04-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a medically monitored intensive inpatient program may
				  admit a client, the client shall:
1.
				Meet diagnostic criteria for a substance dependence disorder of the DSM; and
2. Meet specifications in at least
				two of the six ASAM dimensions, at least one of which is in dimension one, two,
				or three as in the following criteria:
a. The
				client is experiencing signs and symptoms of acute withdrawal or there is
				evidence that a severe withdrawal syndrome is imminent or there is a strong
				likelihood that the client who requires medication will not complete
				detoxification at another level of care and enter continued treatment or
				self-help recovery;
b. The client
				has a physical condition or complication impacting immediate safety or
				well-being;
c. The client has a
				psychiatric condition or complication impacting immediate safety or well-being;
d. The client exhibits severe
				impairment in significant life areas such as legal, family, or work;
e. The client exhibits significant loss of
				control and relapse symptoms; or
f. The client has had multiple attempts at
				treatment programs of lower intensity with an inability to stay sober.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-04.1 - Medically Monitored High-Intensity Inpatient Treatment - Adolescent ASAM Level III.7 › Section 75-09.1-04.1-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "medically monitored intensive
				  inpatient treatment program" means a substance abuse treatment program that
				  provides a planned regimen of twenty-four-hour professionally directed
				  evaluation, observation, medical monitoring, and addiction treatment in an
				  inpatient setting. This program is appropriate for clients whose subacute
				  detoxification, withdrawal, biomedical, and emotional, behavioral, or cognitive
				  problems are so severe that they require inpatient treatment but who do not
				  need the full resources of an acute care general hospital or a medically
				  managed inpatient treatment 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 75-09.1-04.1 - Medically Monitored High-Intensity Inpatient Treatment - Adolescent ASAM Level III.7 › Section 75-09.1-04.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
A medically monitored intensive inpatient treatment program
				  shall:
1. Offer twenty-four-hour
				skilled nursing care, daily onsite counseling services, and the services of a
				physician twenty-four hours per day seven days per week;
2. Make specialized professional consultation
				available;
3. Offer the inpatient
				treatment program for seven days per week with the length of stay to be
				determined by a 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 75-09.1-04.1 - Medically Monitored High-Intensity Inpatient Treatment - Adolescent ASAM Level III.7 › Section 75-09.1-04.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
A medically monitored intensive inpatient treatment program
				  shall provide:
1. A combination of
				individual and group therapy as deemed appropriate by an assessment and
				treatment plan;
2. Medical and
				nursing services available onsite to provide ongoing assessment and care of
				acute detoxification needs, medical, and psychiatric problems;
3. A system for referral of clients for
				identified treatment needs if such services are not available in the program;
4. Family treatment services as
				deemed appropriate by an assessment and treatment plan;
5. Educational and informational programming
				adaptive to individual client needs; and
6. Onsite staff provided or contracted
				accredited educational services if a client is still in school; general
				educational development preparation if the client does not possess a high
				school diploma and is no longer in school; or short-term educational services
				linked to home school designed to maintain current learning.
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 75-09.1-04.1 - Medically Monitored High-Intensity Inpatient Treatment - Adolescent ASAM Level III.7 › Section 75-09.1-04.1-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a medically monitored intensive inpatient 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 at least
				two of the six ASAM dimensions, at least one of which is in dimension one, two,
				or three as in the following criteria:
a. The
				client is experiencing or at risk of acute or subacute intoxication or
				withdrawal with moderate to severe signs and symptoms or there is a strong
				likelihood that the client who requires medication will not complete
				detoxification at another level of care and enter continued treatment or
				self-help recovery;
b. A
				biomedical complication of addiction or co-occurring medical condition requires
				active nursing and medical monitoring which does not require the resources of
				an acute care hospital or continued substance use would place the client at
				risk for serious damage to physical health because of a co-occurring biomedical
				condition;
c. The client has
				problems in one of the following areas requiring twenty-four-hour supervision
				and a high-intensity therapeutic milieu with access to nursing and medical
				monitoring and treatment; dangerousness or lethality; interference with
				addiction recovery efforts; social functioning; ability for self-care; or
				course of illness;
d. The client
				exhibits severe impairment in significant life areas such as legal, family,
				school, or work;
e. The client
				exhibits significant loss of control and relapse symptoms; or
f. The client has had multiple attempts at
				treatment programs of lower intensity with an inability to stay sober.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-05 - Partial Hospitalization - Day Treatment - Adult ASAM Level II.5 › Section 75-09.1-05-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "partial hospitalization" means a
				  substance abuse treatment program that uses multidisciplinary staff and is
				  provided for clients who require a more intensive treatment experience than
				  intensive outpatient treatment but who do not require residential treatment
				  with the exception of ASAM level III.1. This level of care is designed to offer
				  highly structured intensive treatment to those clients whose condition is
				  sufficiently stable so as not to require twenty-four-hour per day monitoring
				  and care, but whose illness has progressed so as to require consistent
				  near-daily treatment intervention. Partial hospitalization may also be referred
				  to as 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 75-09.1-05 - Partial Hospitalization - Day Treatment - Adult ASAM Level II.5 › Section 75-09.1-05-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. A partial
				hospitalization program shall offer no less than twenty hours of programming
				per week in a structured program.
2. A partial hospitalization program shall
				offer the program no less than four days per week with the length of stay to be
				determined by a client's condition and functioning.
3. A partial hospitalization program shall
				make clients aware of emergency services that are available twenty-four hours
				per day seven days per week when the program is not in session.
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 75-09.1-05 - Partial Hospitalization - Day Treatment - Adult ASAM Level II.5 › Section 75-09.1-05-03 - Program criteria

Current through Supplement No. 393, July, 2024
A partial hospitalization program shall offer a client:
1. A combination of individual and
				group therapy as deemed appropriate by an assessment and treatment plan;
2. Medical and nursing services as
				deemed appropriate by an assessment and treatment plan;
3. A system for referral for needs identified
				but not available in the program;
4. Family treatment services as deemed
				appropriate by an assessment and treatment plan; and
5. Educational and informational programming
				adaptable 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 75-09.1-05 - Partial Hospitalization - Day Treatment - Adult ASAM Level II.5 › Section 75-09.1-05-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a partial hospitalization program may admit a client,
				  the client must:
1. Meet diagnostic
				criteria for a substance-related disorder of the DSM;
2. Be at low risk for withdrawal symptoms or
				have minimal remaining withdrawal symptoms;
3. Be physically stable but may have a
				medical condition that is severe enough to distract from recovery efforts or
				would be aggravated by continued use of alcohol or drugs or be psychologically
				stable enough not to require twenty-four-hour observation and care but may have
				a psychiatric condition that would be aggravated by continued use of alcohol or
				drugs; and
4. The client meets at
				least two of the following:
a. The client
				requires repeated, structured, clinically directed motivational enhancement
				strategies not available at a less-intensive level of care;
b. The client has made previous attempts at a
				treatment program of lower intensity with an inability to remain sober or has
				been an active participant at a less-intensive level of care but is
				experiencing an intensification of symptoms of the substance-related disorders
				and the client's functioning is deteriorating despite modifications of the
				treatment plan or there is a high likelihood that the client will continue to
				use or relapse without close outpatient monitoring and structured therapeutic
				services;
c. The client has
				minimal support for sustaining beginning recovery in the client's home or
				customary environment;
d. The
				client has experienced significant impairment in life areas that require a high
				level of intensity best accomplished as close to the client's home community as
				is feasible; or
e. The client has
				experienced significant life traumas or stresses that require therapeutic
				interventions as an adjunct to addiction treatment to assure continuing
				recovery.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-05.1 - Partial Hospitalization - Day Treatment - Adolescent ASAM Level II.5 › Section 75-09.1-05.1-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "partial hospitalization program"
				  means a substance abuse treatment program that uses multidisciplinary staff and
				  is provided for clients who require a more intensive treatment experience than
				  intensive outpatient treatment but who do not require inpatient care or
				  residential treatment with the exception of clients at ASAM level III.1. This
				  level of care is designed to offer highly structured intensive treatment to a
				  client whose condition is sufficiently stable so as not to require twenty-four
				  hour per day monitoring and care, but whose illness has progressed so as to
				  require consistent near-daily treatment intervention. Partial hospitalization
				  may also be referred to as 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 75-09.1-05.1 - Partial Hospitalization - Day Treatment - Adolescent ASAM Level II.5 › Section 75-09.1-05.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. A partial
				hospitalization program shall offer no less than twenty hours of programming
				per week in a structured program.
2. A partial hospitalization program shall
				offer the program no less than four days per week with the length of stay to be
				determined by a client's condition and functioning.
3. A partial hospitalization program shall
				make clients aware of emergency services that are available twenty-four hours a
				day seven days a week when the program is not in session.
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 75-09.1-05.1 - Partial Hospitalization - Day Treatment - Adolescent ASAM Level II.5 › Section 75-09.1-05.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
A partial hospitalization program shall offer a client:
1. A combination of individual and
				group therapy as deemed appropriate by an assessment and treatment plan;
2. Medical and nursing services as
				deemed appropriate by an assessment and treatment plan;
3. A system for referral for needs identified
				but not available in the program;
4. Family treatment services as deemed
				appropriate by an assessment and treatment plan;
5. Educational and informational programming
				adaptable to individual client needs; and
6. Onsite staff provided or contracted
				accredited educational services for clients still in school or short-term
				educational services linked to home school designed to maintain current
				learning.
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 75-09.1-05.1 - Partial Hospitalization - Day Treatment - Adolescent ASAM Level II.5 › Section 75-09.1-05.1-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before a partial hospitalization program may admit a client,
				  the client must:
1. Meet diagnostic
				criteria for a substance-related disorder of the DSM;
2. Be at low risk for withdrawal symptoms or
				have minimal remaining withdrawal symptoms;
3. Be physically stable but may have a
				medical condition that is severe enough to distract from recovery efforts or
				would be aggravated by continued use of alcohol or drugs or the client is
				psychologically stable enough not to require a twenty-four-hour observation and
				care but does have problems in the areas of dangerousness or lethality;
				interference with addiction recovery efforts; social functioning; ability for
				self-care or course of illness; and
4. The client meets at least two of the
				following:
a. The client requires repeated,
				structured, clinically directed motivational enhancement strategies not
				available at a less-intensive level of care;
b. The client made previous attempts at a
				treatment program of lower intensity with an inability to remain sober or has
				been an active participant at a less-intensive level of care but is
				experiencing an intensification of symptoms of the substance-related disorders
				and the client's functioning is deteriorating despite modifications of the
				treatment plan or there is a high likelihood that the client will continue to
				use or relapse without close outpatient monitoring and structured therapeutic
				services;
c. The client minimal
				support for sustaining beginning recovery in the client's home or customary
				environment;
d. The client has
				experienced significant impairment in life areas that require a high level of
				intensity best accomplished as close to the client's home community as is
				feasible; or
e. The client has
				experienced significant life traumas or stresses that require therapeutic
				interventions as an adjunct to addiction treatment to assure continuing
				recovery.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-06 - Intensive Outpatient Treatment - Adult ASAM Level II.1 › Section 75-09.1-06-01 - Definition

Current through Supplement No. 393, July, 2024
As used in this chapter, "intensive outpatient treatment"
				  means treatment provided to clients requiring a primary, organized treatment
				  program and who are able to establish abstinence and recovery within the
				  context of the client's usual environment and daily activities. This level of
				  care will normally be offered in the evening hours to facilitate a client's
				  ability to maintain the usual daily activity but may be offered during the day.
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 75-09.1-06 - Intensive Outpatient Treatment - Adult ASAM Level II.1 › Section 75-09.1-06-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. An intensive
				outpatient treatment program shall offer no less than eight hours and no more
				than nineteen hours of programming per week in a structured environment.
2. An intensive outpatient
				treatment program shall offer the program with the length of stay to be
				determined by a client's condition and functioning.
3. An intensive outpatient treatment program
				shall make clients aware of emergency services that are available twenty-four
				hours per day seven days per week when the program is not in session.
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 75-09.1-06 - Intensive Outpatient Treatment - Adult ASAM Level II.1 › Section 75-09.1-06-03 - Program criteria

Current through Supplement No. 393, July, 2024
An intensive outpatient program shall provide:
1. A combination of individual and group
				therapy as deemed appropriate by an assessment and treatment plan;
2. Medical and nursing services as deemed
				appropriate by an assessment and treatment plan;
3. A system for consultation or referral for
				identified treatment needs if such services are not available in the program
				and which includes close coordination of such services by the program and an
				effort by the program to arrange needed medical or psychiatric services by
				telephone within twenty-four hours of when the need was identified and
				in-person services within a timeframe appropriate to the severity and issue;
4. Family treatment services as
				deemed appropriate by an assessment and treatment plan; and
5. Educational and informational programming
				adaptable to individual client needs and developmental status.
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 75-09.1-06 - Intensive Outpatient Treatment - Adult ASAM Level II.1 › Section 75-09.1-06-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before an intensive outpatient treatment program may admit a
				  client, the client must:
1. Meet
				diagnostic criteria for a substance-related disorder of the current DSM; and
2. Meet admission criteria for
				ASAM level 11.1 outpatient treatment in all six ASAM dimensions and at least
				two of the following:
a. The client has few
				or no symptoms of withdrawal and presents only stable physical or psychiatric
				conditions;
b. The client
				expresses willingness even through coercion to attend all scheduled events; or
c. The client has an environment
				supportive of recovery efforts or is able to be supplied with alternative
				supportive housing.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-06.1 - Intensive Outpatient Treatment - Adolescent ASAM Level II.1 › Section 75-09.1-06.1-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter:
1. "After school program" means an intensive outpatient
				  program offered after school hours to facilitate a client's schedule.
2. "Intensive outpatient treatment" means treatment provided
				  to adolescent clients requiring a primary, organized treatment program and who
				  are able to establish abstinence and recovery within the context of the
				  client's usual environment and daily activities. This level of care will
				  normally be offered in the evening hours to facilitate a client's ability to
				  maintain the usual daily activity but may be offered during the day.
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 75-09.1-06.1 - Intensive Outpatient Treatment - Adolescent ASAM Level II.1 › Section 75-09.1-06.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. An intensive
				outpatient treatment program shall offer no less than six hours per week in a
				structured program.
2. An
				intensive outpatient treatment program shall offer the program with the length
				of stay to be determined by a client's condition and functioning.
3. An intensive outpatient treatment program
				shall make clients aware of emergency services that are available twenty-four
				hours a day seven days a week when the program is not in session.
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 75-09.1-06.1 - Intensive Outpatient Treatment - Adolescent ASAM Level II.1 › Section 75-09.1-06.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
An intensive outpatient program shall provide:
1. A combination of individual and group
				therapy as deemed appropriate by an assessment and treatment plan;
2. Medical and nursing services as deemed
				appropriate by an assessment and treatment plan;
3. A system for consultation or referral for
				identified treatment needs if such services are not available in the program
				and which includes close coordination of such services by the program and an
				effort by the program to arrange needed medical or psychiatric services by
				telephone within twenty-four hours of when the need was identified and
				in-person services within a timeframe appropriate to the severity and issue;
4. Family treatment services as
				deemed appropriate by an assessment and treatment plan;
5. Educational and informational programming
				adaptable to individual client needs and developmental status; and
6. If treatment hours conflict with school
				hours, an intensive outpatient program shall arrange onsite homework assistance
				coordinated with the client's home school.
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 75-09.1-06.1 - Intensive Outpatient Treatment - Adolescent ASAM Level II.1 › Section 75-09.1-06.1-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before an intensive outpatient treatment program may admit a
				  client, the client shall:
1. Meet
				diagnostic criteria for a substance-related disorder of the current DSM; and
2. Meet admission criteria for
				ASAM level 11.1 outpatient in all six ASAM dimensions and at least two of the
				following:
a. The client has few or no
				symptoms of withdrawal and presents only stable physical or psychiatric
				conditions;
b. The client
				expresses willingness even through coercion to attend all scheduled events; or
c. The client has an environment
				supportive of recovery efforts or is supplied with recommendations for
				alternative supportive housing by the intensive outpatient treatment program.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-07 - Outpatient Services - Adult ASAM Level I › Section 75-09.1-07-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter:
1. "Assertive referral" means the identification of
				  appropriate services and actively assisting the client to connect with the
				  service provider and follow through with the plan of service.
2. "Chronic" means diagnosed chemical dependency or severe
				  and persistent mental illness as described in the DSM and characterized by long
				  duration and progression of symptoms, frequent recurrence or relapse, and a
				  prognosis that indicates continuous clinical care or support or both to
				  maintain stability and remission or reduction of symptoms.
3. "Chronic care and maintenance services" means outpatient
				  services necessary and appropriate to assist a client who is chronically
				  chemically dependent or chronically mentally ill or both to maintain stability
				  and live in the community as independently as possible. Such services include
				  professionally directed case management, psychiatric care, support services,
				  monitored medication administration, professional addiction counseling, mental
				  health counseling, mental health and chemical dependency assessment, social
				  services, supported housing, and other services sufficient to allow a client to
				  live outside an institutional setting. This service may be provided as a
				  component of services within a residential or transitional living setting or
				  other such facility but would not require formal attachment to that facility.
4. "Intentional community treatment and support" means
				  proactively identifying client needs and deficits and seeking to identify and
				  put in place services or resources to address those needs and deficits through
				  assertive referral, active implementation, and continuous monitoring by
				  treatment personnel.
5. "Outpatient services" means an organized nonresidential
				  service or an office practice that provides professionally directed aftercare,
				  individual, and other addiction services to clients according to a
				  predetermined regular schedule of fewer than nine contact hours a week.
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 75-09.1-07 - Outpatient Services - Adult ASAM Level I › Section 75-09.1-07-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. An outpatient
				services program shall offer no more than eight hours of programming per week.
2. An outpatient services program
				shall offer the program with the length of stay to be determined by a 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 75-09.1-07 - Outpatient Services - Adult ASAM Level I › Section 75-09.1-07-03 - Program criteria

Current through Supplement No. 393, July, 2024
1. An outpatient
				services program shall provide skilled treatment services that may include any
				combination of the following:
a. Individual
				or group counseling, motivational enhancement, brief intervention,
				cognitive-behavioral therapy, opioid substitution therapy, family therapy,
				educational groups, occupational and recreational therapy, or other
				psychotherapy; or
b. Case
				coordination, case management, chronic care and maintenance services,
				intentional community treatment support, or assertive community treatment.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-07 - Outpatient Services - Adult ASAM Level I › Section 75-09.1-07-04 - Admission criteria

Current through Supplement No. 393, July, 2024
For admission to outpatient services, the client shall meet
				  the criteria set forth in subsections one and two and at least one of the
				  remaining criteria:
1. Meet
				diagnostic criteria for substance-induced disorders of the DSM; and
2. Meet admission criteria for ASAM level I
				outpatient services in all six ASAM dimensions and meet at least one of the
				following:
a. Demonstrates the need to take
				extended time for evaluation or lacks motivation to make a commitment to a more
				intensive recovery effort and requires motivational enhancement strategies;
b. Has completed a higher
				intensity level of care but requires continued services until recovery
				stabilizes;
c. Has evidence of a
				brief return to usage not resulting in significant physical or emotional
				deterioration;
d. Requires
				outpatient counseling of an intensity that will meet the client's needs without
				placement in a higher level of care;
e. Has not been through a prior treatment and
				exhibits motivation for recovery and meets ASAM criteria for level I in
				dimensions one, two, three, five, and six or the client has low severity of
				problems in ASAM dimensions one, two, three, five, and six;
f. Has a low severity of problems in ASAM
				dimensions one, two, three, five, and six but is not motivated and requires
				motivation enhancement strategies best delivered in a level I program; or
g. Has a severe and persistent
				mental illness that impairs the client's ability to consistently follow through
				with mental health appointments, take prescribed psychotropic medications, and
				maintain mental and personal stability in the community but does have the
				ability to access services such as assertive community treatment and case
				management or supportive living.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-07.1 - Outpatient Services - Adolescent ASAM Level I › Section 75-09.1-07.1-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter:
1. "Assertive community treatment" means an effective,
				  evidence-based, outreach-oriented, service delivery model that provides
				  comprehensive community substance abuse treatment, rehabilitation, and support
				  services to clients in their home, work, school, or community setting.
2. "Outpatient services" means an organized nonresidential
				  service or an office practice that provides professionally directed aftercare,
				  individual, and other addiction treatment services to clients according to a
				  predetermined regular schedule of fewer than nine contact hours a week.
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 75-09.1-07.1 - Outpatient Services - Adolescent ASAM Level I › Section 75-09.1-07.1-02 - Provider criteria

Current through Supplement No. 393, July, 2024
1. An outpatient
				services program shall offer no more than five hours of programming per week.
2. An outpatient service program
				shall offer the program with the length of stay to be determined by a 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 75-09.1-07.1 - Outpatient Services - Adolescent ASAM Level I › Section 75-09.1-07.1-03 - Program criteria

Current through Supplement No. 393, July, 2024
An outpatient services program shall provide skilled
				  treatment services that may include any combination of the following:
1. Individual or group counseling or both,
				motivational enhancement, brief intervention, cognitive-behavioral therapy,
				opioid substitution therapy, family therapy, educational groups, occupational
				and recreational therapy, or other psychotherapy;
2. Case coordination, case management, or
				assertive community treatment;
3.
				Services that are provided in an amount, frequency, and intensity appropriate
				to a client's treatment plan;
4.
				Issues of psychotropic medication and mental health treatment and their
				relationship to substance use disorders are addressed as the need arises for
				patients with mental health problems;
5. Dual diagnosis enhanced programs offer
				therapies to actively address, monitor, and manage psychotropic medication,
				mental health treatment, and the interaction with substance-related disorders.
6. Counseling or assessment of a
				client regarding the client's abuse of alcohol or a controlled substance must
				be provided by a licensed addiction counselor as provided in North Dakota
				Century Code chapter 43-45. The provision of case management and educational
				services do not need to be performed by licensed addiction counselors. A
				licensed addiction counselor must be present in all team meetings where level
				of care and treatment planning decisions are made regarding a client receiving
				or referred for substance abuse 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 75-09.1-07.1 - Outpatient Services - Adolescent ASAM Level I › Section 75-09.1-07.1-04 - Admission criteria

Current through Supplement No. 393, July, 2024
Before an outpatient services program may admit a client, a
				  client must:
1. Meet diagnostic
				criteria for substance-induced disorders of the DSM; and
2. Meet admission criteria for ASAM level I
				outpatient services in all six ASAM dimensions and at least one of the
				following:
a. Demonstrate the need to take
				extended time for evaluation or lack motivation to make a commitment to a more
				intensive recovery effort and requires motivational enhancement strategies;
b. Have completed a higher
				intensity level of care but requires continued services until recovery
				stabilizes;
c. Have evidence of a
				brief return to usage not resulting in significant physical or emotional
				deterioration;
d. Require
				outpatient counseling of an intensity that will meet the client's needs without
				placement in a higher level of care;
e. Have not been through a prior treatment
				and exhibits motivation for recovery and meets ASAM criteria for level I in
				dimensions one, two, three, five, and six or the client has low severity of
				problems in ASAM dimensions one, two, three, five, and six;
f. Have a low severity of problems in ASAM
				dimensions one, two, three, five, and six but is not motivated and requires
				motivation enhancement strategies best delivered in a level I program; or
g. Have a severe and persistent
				mental illness that impairs the client's ability to consistently follow through
				with mental health appointments and psychotropic medications but does have the
				ability to access services such as assertive community treatment and case
				management or supportive living.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-09.1 - Substance Abuse Treatment Programs › Chapter 75-09.1-08 - Social Detoxification ASAM Level III.2-D › Section 75-09.1-08-01 - Definitions

Current through Supplement No. 393, July, 2024
1. "CIWA-Ar" means the revised clinical institute withdrawal
				  assessment for alcohol scale published in the archives of general psychiatry
				  48:442-447, May 1991, which is a ten-item scale for clinical quantification of
				  the severity of alcohol withdrawal syndrome.
2. "Detoxification" means the process of interrupting the
				  momentum of compulsive use in an individual diagnosed with substance dependence
				  and the condition of recovery from the effects of alcohol or another drug, the
				  treatment required to manage withdrawal symptoms from alcohol or another drug,
				  and the promotion of recovery from its effects.
3. "Social detoxification" means detoxification in an
				  organized residential nonmedical setting delivered by appropriately trained
				  staff who provide safe, twenty-four-hour monitoring, observation, and support
				  in a supervised environment for a client to achieve initial recovery from the
				  effects of alcohol or another drug. Social detoxification is characterized by
				  its emphasis on peer and social support and it provides care for clients whose
				  intoxication or withdrawal signs and symptoms are sufficiently severe to
				  require twenty-four-hour structure and support but the full resources of a
				  medically monitored inpatient detoxification are not necessary.
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 75-09.1-08 - Social Detoxification ASAM Level III.2-D › Section 75-09.1-08-02 - Program criteria

Current through Supplement No. 393, July, 2024
A social detoxification program must provide:
1. Hospital affiliation providing
				twenty-four-hour medical backup;
2. A trained staff member familiar with
				complications associated with alcohol and other drug use and with community
				resources awake on all shifts;
3.
				A quite, positive atmosphere;
4.
				Use of detoxification time as preparation for referral to another level of
				care; and
5. Recognition of the
				chronic nature of the disease of substance dependence and the fact that some
				clients will require multiple admissions.
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 75-09.1-08 - Social Detoxification ASAM Level III.2-D › Section 75-09.1-08-03 - Provider criteria

Current through Supplement No. 393, July, 2024
A social detoxification provider shall:
1. Maintain a safe, comfortable, positive
				environment in a residential setting;
2. Have an agreement with local medical
				providers that ensure readily accessible emergency care when needed;
3. Implement a protocol so that the nature of
				the medical interventions required are developed and supported by a physician
				knowledgeable in addiction medicine;
4. Have available specialized clinical
				consultation and supervision for biomedical, emotional, behavioral, and
				cognitive problems;
5. Have awake
				staff twenty-four hours per day to monitor clients' conditions;
6. Have staff trained in admission,
				monitoring skills, including signs and symptoms of alcohol and other drug
				intoxication and withdrawal as well as appropriate treatment of those
				conditions, supportive care, basic cardiopulmonary resuscitation technique,
				assessment, and referral procedures;
7. Have services including close observation,
				supportive staff-client interaction, provision for proper fluid and nutritional
				components, and provision for client space that offers low to moderate sensory
				stimulation;
8. Implement a
				clearly defined policy for admission, care, discharge, and transfer of a client
				to another level of care;
9.
				Develop a method of documentation of care and train staff in documentation
				procedures;
10. Develop linkage
				with providers of other levels of care so the client may begin a therapeutic
				process as soon as the client is physically and mentally able to do so;
11. Administer a range of
				cognitive, behavioral, medical, mental health, and other therapies on an
				individual or group basis designed to meet the client's ability to participate
				in order to enhance the client's understanding of addiction, the completion of
				the detoxification process, and referral to an appropriate level of care for
				continuing treatment;
12. Develop
				a preliminary individualized treatment plan with the client that includes
				problem identification in ASAM PPC dimension two through six and development of
				treatment goals and measurable treatment objectives and activities designed to
				meet those objectives; and
13.
				Implement a policy for medication storage, security, and self-administration to
				assure that the client receives the client's medication and for observation of
				the medication taking behavior.
General Authority: NDCC
					 50-06-16, 50-31
Law Implemented: NDCC
					 50-31