North Carolina Administrative Code

10a NCAC 27g .3102 STAFF (a) A minimum of one direct care staff member shall be on duty at all times for every nine or fewer clients. (b) The treatment of each client shall be under the supervision of a physician. (c) The services of a certified alcoholism counselor, a certified …

10a NCAC 27g .3103 OPERATIONS (a) Monitoring Clients. Each facility shall have a written policy that requires: (1) procedures for monitoring each client's general condition and vital signs during at least the first 72 hours of the detoxification process; and (2) procedures for mo…

SECTION .3200 - SOCIAL SETTING DETOXIFICATION FOR SUBSTANCE ABUSE 10a NCAC 27g .3201 SCOPE (a) Social setting detoxification is a 24-hour residential facility which provides social support and other non-medical services to individuals who are experiencing physical withdrawal from…

10a NCAC 27g .3202 STAFF (a) A minimum of one direct care staff member shall be on duty at all times for every nine or fewer clients. (b) The services of a certified alcoholism counselor or a certified substance abuse counselor shall be available on an as-needed basis to each cli…

10a NCAC 27g .3203 OPERATIONS (a) Monitoring Clients. Each facility shall have a written policy that requires: (1) procedures for monitoring each client's general condition and vital signs during at least the first 72 hours of the detoxification process; and (2) procedures for mo…

SECTION .3300 - OUTPATIENT DETOXIFICATION FOR SUBSTANCE ABUSE 10a NCAC 27g .3301 SCOPE An outpatient detoxification facility is a periodic service which provides services involving the provision of supportive services, particularly active support systems under the supervision of …

10a NCAC 27g .3302 STAFF (a) The treatment of each client shall be under the supervision of a physician. (b) The services of a certified alcoholism counselor, a certified drug abuse counselor or a certified substance abuse counselor shall be available to each client. (c) Each fac…

10a NCAC 27g .3303 OPERATIONS (a) Hours. Each outpatient detoxification facility shall operate at least eight hours per day, for a minimum of five days per week. (b) Discharge Planning And Referral To Treatment/Rehabilitation Facility. Before discharging the client, the facility …

SECTION .3400 - RESIDENTIAL TREATMENT/REHABILITATION FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3401 SCOPE (a) A residential treatment or rehabilitation facility for alcohol or other drug abuse disorders is a 24-hour residential service which provides active tre…

10a NCAC 27g .3402 STAFF (a) Each facility shall have full-time staff as follows: (1) One full-time certified alcoholism, drug abuse or substance abuse counselor for a facility having up to 30 occupied beds, and for every 30 occupied bed incrument or portion thereafter. (2) One f…

10a NCAC 27g .3403 OPERATIONS (a) Each facility shall provide or have access to the following services: (1) individual, group or family therapy for each client; (2) educational counseling, including schools for minors; (3) vocational counseling; (4) job development and placement;…

SECTION .3500 - OUTPATIENT FACILITIES FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3501 SCOPE Outpatient facilities provide periodic service for individuals with substance abuse disorders. Outpatient services include individual, group, family, and educational coun…

10a NCAC 27g .3502 STAFF (a) The services of a certified alcoholism counselor, a certified drug abuse counselor or a certified substance abuse counselor shall be available to each client. (b) Each facility shall have at least one staff member on duty trained in the following area…

10a NCAC 27g .3503 OPERATIONS (a) Group size shall be limited to a maximum of 20 participants. (b) Before discharging the client, the facility shall complete a discharge plan for each client and refer each client who has completed services to the level of treatment or rehabilitat…

SECTION .3600 - OUTPATIENT OPIOID TREATMENT 10a NCAC 27g .3601 SCOPE (a) An outpatient opioid treatment facility provides periodic services designed to offer the individual an opportunity to effect constructive changes in his lifestyle by using methadone or other medications appr…

10a NCAC 27g .3602 DEFINITIONS In addition to terms defined in G.S. 122C-3 and Rule .0103 of this Subchapter, the following definitions shall also apply: (1) "Capacity management system" is a computerized database, maintained at the Office of the North Carolina State Authority fo…

10a NCAC 27g .3603 STAFF (a) A minimum of one certified drug abuse counselor or certified substance abuse counselor to each 50 clients and increment thereof shall be on the staff of the facility. If the facility falls below this prescribed ratio, and is unable to employ an indivi…

10a NCAC 27g .3604 OPERATIONS (a) Hours. Each facility shall operate at least six days per week, 12 months per year. Daily, weekend and holiday medication dispensing hours shall be scheduled to meet the needs of the client. (b) Compliance with The Substance Abuse and Mental Healt…

10A NCAC 27G .3605 Medication Units and Mobile Units (a) Definitions: (1) "Opioid Treatment Program" (hereinafter, OTP) means the same as defined in G.S. 122C-3(25a). (2) "Opioid Treatment Program Facility" (hereinafter OTP Facility) means the primary location on the facility lic…

SECTION .3700 - DAY TREATMENT FACILITIES FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .3701 SCOPE (a) Day treatment facilities provide services in a group setting for individuals who need more structured treatment for substance abuse than that provided by outpatien…

10a NCAC 27g .3702 STAFF (a) The staff of the day treatment facility shall include a minimum of one full-time or equivalent certified alcoholism, drug abuse or substance abuse counselor for every 16 or fewer clients. (b) If the facility falls below the prescribed ratio in Paragra…

10a NCAC 27g .3703 OPERATIONS (a) Each day treatment facility shall operate at least three days per week, but not fewer than 12 hours per week. (b) A client shall be provided a structured program of treatment for a minimum of five hours per week. (c) Before discharging the client…

SECTION .3800 - SUBSTANCE ABUSE SERVICES FOR DWI OFFENDERS 10a NCAC 27g .3801 ALCOHOL AND DRUG EDUCATION TRAFFIC SCHOOLS (ADETS) (a) An alcohol and drug education traffic school (ADETS) is a prevention and intervention service which provides an educational program primarily for f…

10A NCAC 27g .3802 STAFF (a) Certification. Each class shall have a designated instructor who is certified by DMH/DD/SAS. An individual seeking initial certification as an instructor shall: (1) be a high school graduate or its equivalent; (2) have a working knowledge of alcohol, …

10a NCAC 27g .3803 OPERATIONS (a) Curriculum. School instructors shall follow the requirements in G.S. 122C-142.1. (b) The program of instruction shall consist of not less than 16 hours of classroom instruction. (c) Each school may provide up to three additional hours for classro…

10a ncac 27g .3804 PURPOSE AND SCOPE (a) These Rules set forth procedures for providing, supervising and reporting DWI substance abuse assessments and the treatment and education (ADETS) provided to DWI offenders. (b) Assessments may be sought either voluntarily on a pre-trial ba…

10A ncac 27G .3805 DEFINITIONS For the purpose of the rules in this Section, the following terms shall have the meanings indicated: (1) "American Society of Addiction Medicine (ASAM) Placement Criteria" means the Patient Placement Criteria for the Treatment of Substance-Related D…

10A ncac 27g .3806 AUTHORIZATION: FACILITIES PROVIDING SA SERVICES TO DWI OFFENDERS (a) Application Process: Facilities licensed to provide substance abuse services by the Division of Health Service Regulation, or determined by DHSR to be exempt from license under the provisions …

10a ncac 27g .3807 DWI SUBSTANCE ABUSE ASSESSMENT ELEMENTS (a) DWI substance abuse assessments shall only be provided by a facility licensed by the State as a substance abuse treatment facility as specified in 10A NCAC 27G .0400 LICENSING PROCEDURES or a facility which provides s…

10a ncac 27g .3808 QUALIFICATIONS OF INDIVIDUALS PERFORMING ASSESSMENTS Individuals performing DWI substance abuse assessments shall have at least one of the following qualifications: (1) certification/licensure or other credential issued by the North Carolina Substance Abuse Pro…

10a ncac 27g .3809 RESPONSIBILITIES OF ASSESSING AGENCY (a) Following the completion of the assessment process, which may include a staffing conference and review of the assessment by the supervisor, the agency or clinician performing the assessment shall inform the individual of…

10a ncac 27g .3810 RESPONSIBILITIES OF TREATMENT and ADETS PROVIDERS (a) All providers shall conduct an orientation/intake interview with every client being admitted to a level of treatment, in which the assessment, diagnosis and placement shall be reviewed in the light of the cl…

10a ncac 27g .3811 REPORTING REQUIREMENTS (a) The assessment portion of the DMH Form 508-R shall be completed for each client who received a DWI Substance Abuse Assessment. An initial supply of this form may be obtained from the DWI/Criminal Justice Branch of the DMH/DD/SAS, 3008…

10a ncac 27g .3812 PRE-TRIAL ASSESSMENTS (a) A DMH Form 508-R shall be initiated for each individual who voluntarily refers himself or herself for a DWI assessment, under the provisions of G.S. 20-179(e)(6). (b) The DMH Form 508-R shall not be used to report the results of the pr…

10a ncac 27g .3813 PLACEMENT CRITERIA FOR ASSESSED DWI CLIENTS (a) Clients who have completed a DWI substance abuse assessment shall be placed in the appropriate service level. (b) Placement of clients in a specific category shall be based on the assessment outcome, diagnosis, an…

10a ncac 27g .3814 DOCUMENTATION REQUIREMENTS (a) When conducting the assessment for an individual charged with, or convicted of, offenses related to Driving While Impaired (DWI), a DMH Form 508-R shall be completed. (b) If treatment is recommended, client record documentation sh…

10A ncac 27G .3815 AUTHORIZATION TO PROVIDE DWI SUBSTANCE ABUSE ASSESSMENTS Any facility that provides DWI assessments shall comply with 10A NCAC 27G .3801 through .3817 of this Subchapter. History Note: Authority G.S. 20-17.6 (c); 122C-142.1; 143B-147; Eff. April 1, 2001; Pursua…

10A ncac 27G .3816 Services for Non-English Speaking Offenders/Clients (a) Providers offering services to special populations/language groups shall inform DMHDDSAS in writing and include these services in facility monitoring activities. (b) When a facility represents to the DMHDD…

10A ncac 27G .3817 Minimal Program Content (a) All levels of Substance Abuse Services for DWI offenders shall include education for all clients on: (1) all items specified in the "clinical interview", as defined in Rule .3805 of this Section; (2) North Carolina DWI laws, penaltie…

SECTION .3900 - DRUG EDUCATION SCHOOLS (DES) 10A NCAC 27G .3901 SCOPE A drug education school (DES) is a prevention and intervention service which provides an educational program for drug offenders as provided in the North Carolina Controlled Substances Act and Regulations. Histo…

10A NCAC 27G .3902 STAFF (a) Each class shall have a designated instructor who is certified by the DMH/DD/SAS. An individual seeking initial certification as an instructor shall: (1) be a college graduate or its equivalent; (2) have a working knowledge of alcohol and other drug i…

10A NCAC 27g .3903 OPERATIONS (a) Population Served: (1) Each school shall be designed primarily to serve individuals who are using drugs at the experimental, social-recreational or abusive levels, but who are not drug dependent or engaged in drug dealing. (2) First offenders ref…

SECTION .4000 - TREATMENT ALTERNATIVES TO STREET CRIMES (TASC) 10A NCAC 27g .4001 SCOPE (a) Treatment Alternatives to Street Crimes (TASC) is a service designed to offer a supervised community-based alternative to incarceration or potential incarceration primarily to individuals …

10A NCAC 27g .4002 STAFF (a) Each TASC staff member shall have a baccalaureate degree in either criminal justice or human service related fields or an associate of arts degree with four years experience in criminal justice or human service related fields. (b) TASC personnel shall…

10A NCAC 27G .4003 OPERATIONS (a) Population Served. Each TASC program shall be designed to serve individuals who have a documented substance abuse problem and who are involved with the criminal justice system. (b) Screening and Identification. Each TASC program shall: (1) provid…

SECTION .4100 - RESIDENTIAL REcovERY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND THEIR CHILDREN 10A NCAC 27g .4101 SCOPE (a) A 24-hour residential recovery program is a professionally supervised residential facility which provides trained staff who work intensivel…

10a NCAC 27g .4102 STAFF (a) Each individual and child admitted to a facility shall receive services as appropriate to his or her needs from a qualified professional who has responsibility for the client's treatment program. Each individual and child shall receive age-appropriate…