24 Miss. Code. R. 2-31.6 - Level 3.5 Clinically Managed High-Intensity Residential Services
A. Level 3.5 Clinically Managed
High-Intensity Residential Service is the highest community-based level of care
for the treatment of substance use disorders. This level of treatment provides
a safe and stable group living environment where the person can develop,
practice, and demonstrate necessary recovery skills. People admitted to this
level of care must be in imminent danger to justify admission and continued
stay. The person's length of stay is determined by the goals the person has
achieved on their Individual Service Plan. There is no fixed length of stay in
this level of care. People placed in a high-intensity residential setting
(Level 3.5 or higher) must be re-assessed at minimum every 14 calendar days to
ensure level of care appropriateness. The multi-disciplinary team and treatment
professionals have a responsibility to make admission, continued service, and
discharge decisions based on clinical evaluation of a person's assessed needs
and treatment progress for all people seeking services, including people under
a court order with a specified length of stay. If a person has improved
significantly enough to warrant discharge or transfer to another LOC, the
treatment professional has a responsibility to contact the appropriate court
and seek to have the court order amended. The provider should refer to the
current version of the ASAM Criteria.
B. People admitted into this level of care
must receive a medical assessment within 48 hours of admission to screen for
health risks.
C. Services must
ensure access to each of the following professionals, either through agency
provider employees or affiliation agreement/contract:
1. A licensed psychiatrist or psychologist
with experience in the treatment of substance use disorders; or
2. A licensed physician with experience in
the treatment of substance use disorders.
D. The service components include at a
minimum:
1. At least one (1) hour of
individual therapy per week with each person.
2. A minimum attendance of at least five (5)
hours of group therapy per week with each person.
3. Family therapy must be offered and
available at least twice during the course of treatment. Documentation of
attendance or refusal by the person or family is required.
4. At least 20 hours of psychoeducational
groups individualized to the people. Topics to be addressed may include, but
are not limited to, substance use disorders, self-help/personal growth,
increasing self-esteem, wellness education, social skills, anger management,
the recovery process, and a philosophy of living which will support
recovery.
5. At least three (3)
hours of family-oriented education activities during the course of
treatment.
6. Therapeutic and
leisure/recreational/physical exercise activities (with physician's
approval).
7. Vocational counseling
and planning/referral for follow-up vocational services.
8. For children/youth, an academic schedule
indicating school hours.
E. A written master schedule that documents
the provision of the following services:
1.
Group therapy;
2. Psychoeducational
groups;
3. Family-oriented
education;
4. Therapeutic and
leisure/recreational/physical exercise activities;
5. Vocational counseling and
planning/referral; and
6. For
children/youth, an academic schedule indicating school hours.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.