24 Miss. Code. R. 2-31.7 - Level 3.5 Clinically Managed Medium-Intensity Residential Services (Adolescent)
Rules in this section are based on the ASAM's established criteria for Level 3.5 Clinically Managed Medium-Intensity Residential Services (Adolescents).
A. Clinically Managed
Medium-Intensity Residential Services (Adolescents) 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. Adolescents 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 medium-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. Adolescents admitted into Level 3.5
Residential Services 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 (if applicable) for follow-up vocational
services.
8. An academic schedule
indicating school hours.
E. A written master schedule which 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 (if applicable); 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.