The target population is individuals experiencing problems
with a substance use disorder and mental illness whose acute or chronic
symptoms would be best served through integrated treatment. The certificate
holder must be capable of providing integrated treatment for the target
population, but the certificate holder may elect to treat a broader continuum
of individuals in its program. The target population typically includes the
following:
A. an individual assessed
as having both a substance use disorder and, for an adult, a diagnosis of
schizophrenia, schizoaffective disorder, or a major mood disorder, including
major depressive disorder and bipolar disorder; or, for a child, an emotional
disturbance or severe emotional disturbance according to Minnesota Statutes,
section
245.4871,
subdivisions 6 and 15; or
B. an
individual with co-occurring disorders and impaired role functioning
demonstrated by one or more of the following characteristics:
(1) a pattern of high use of acute care
services, based on the number of inpatient hospitalizations, time spent in the
hospital, and use of emergency services;
(2) during the previous six months,
substantial uncertainty in living conditions, including homelessness, housing
instability, incarceration, or frequent law enforcement encounters;
(3) a persistent pattern of nonengagement in
mental health services or treatment for a substance use disorder, despite
continuing outreach directed at the client;
(4) presentation with active symptoms of
substance use, active psychiatric symptoms, or both, including circumstances
where present symptoms are severe and ongoing or create a crisis for the
client; or
(5) presentation with
chronic symptoms of mental health disability, a substance use disorder, or
both.
