N.D. Admin Code 75-09.1-08-04 - Admission and continued stay criteria

Before a client may be admitted to a social detoxification program, the client must meet the diagnostic criteria for a substance-induced disorder of the current DSM and current clearance by a physician or a CIWA-Ar score of less than eight and the presence of any of the following:

1. Diffuse mild central nervous system symptoms such as:

a. Cerebral symptoms, including slow responses to questions, difficulty in following complicated instructions, mild impairment of immediate memory, slurred speech, and mild disorientation to time but not to place or client;

b. Coordination symptoms, including mild abnormality in movement or gait, difficulty in finger-to-nose or finger-to-finger testing and rapid movements;

c. Reflex abnormalities, including normal or slightly depressed but symmetrical; or

d. Motor abnormalities, are normal or slightly depressed but symmetrical.

2. Onset of any stated symptoms listed in subsection 1 over a few hours;

3. Intoxication;

4. The absence of other more serious symptoms, including medical or psychiatric histories of significant problems and the absence of suicidal ideations or suicidal ideation of low lethality without plan or means;

5. Presence of any one of the following physical findings:

a. A temperature of ninety-seven degrees to one hundred degrees Fahrenheit [36.1 to 37.6 degrees Celsius] taken orally;

b. Tachycardia up to one hundred twenty beats per minute;

c. Blood pressure of up to one hundred sixty over one hundred twenty at rest;

d. Respiration of twelve to twenty-six breaths per minute;

e. Flushed skin color;

f. Pupils have a sluggish reaction to light; or

g. Other, such as alcohol odor on breath; or

6. Ability to comprehend and function in an ambulatory setting.

Notes

N.D. Admin Code 75-09.1-08-04

Effective October 26, 2004.

General Authority: NDCC 50-06-16, 50-31

Law Implemented: NDCC 50-31