N.D. Admin Code 75-09.1-04.1-04 - Admission criteria

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.

Notes

N.D. Admin Code 75-09.1-04.1-04

Effective October 26, 2004.

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

Law Implemented: NDCC 50-31