North Dakota Administrative Code

1. A program shall implement written criteria for client admission for each of the program's levels of care based on the DSM and the ASAM patient placement criteria and policies for client admission. 2. A program shall implement a written policy for orientation of the client and …

1. When conducting an assessment, a program shall administer instruments or conduct clinical interviews or both sufficient to gather enough information to substantiate or rule out a client's diagnosis. 2. An assessment must include adequate assessment in at least each of the foll…

1. A program shall implement policies that ensure the services provided to each client are coordinated and integrated and address goals that reflect the client's informed choice. 2. A program shall develop, with each client's participation, a comprehensive, coordinated, individua…

1. If a program plans to admit an individual age seventeen or younger, the program shall implement a written policy regarding how to determine when it is appropriate to place an adolescent in an adult program. The policy must address the safety and supervision of clients in that …

1. A program shall secure a criminal history record investigation for any employee who works with adolescents. 9 a. A program shall secure from any employee who may have any contact with an adolescent treated by the program identifying information that is appropriate to accomplis…

A program shall not admit a client into a substance abuse treatment program unless the client: 1. Meets diagnostic criteria for a substance use disorder as described in the DSM; and 2. Meets specifications in each of the ASAM dimensions required for the recommended level of care.…

For a client to remain in the current level of care placement, a program must document that the client: 1. Is making progress but has not yet achieved the goals articulated in the individualized treatment plan and continued treatment at the present level of care is necessary to p…

Before a program may transfer or discharge a client, the client must have: 1. Achieved the goals articulated in the client's individualized treatment plan and resolved the problems that justified admission to the present level of care with progress evaluated and a determination h…

1. A program shall implement a written policy for referral and recommendations for services not available through the program. All referrals and recommendations must be made part of the treatment or discharge plan. 2. A program must implement a written policy that verifies approp…

1. A program shall prepare and maintain a single record for each client admitted to the program so as to communicate the appropriate case information. This information must be in a form that is clear, concise, complete, legible, and current. 2. A program shall implement a written…

1. A program must assure the right of each client to: a. Be treated with respect and dignity; b. Be treated without discrimination based on physical or mental disability; c. Be treated without regard to race, creed, national origin, sex, or sexual preference; d. Have all informat…

1. A program shall implement an established written system that provides for internal, professional review of the quality and appropriateness of the program of services for the client. 2. A program shall implement a written quality assurance plan and designate an employee to coor…

1. The department shall issue a license to a program that has a current accreditation of a nationally recognized body that reviews and certifies providers of drug and alcohol services. 2. When applying for licensure or renewal licensure, a program must submit to the department pr…

1. The department may immediately revoke a program's license upon a finding of a type II condition. 2. A program must submit to the department a plan of corrective action within thirty days of a licensure visit when a type I or type II condition has been found. A program will be …

An applicant for or a holder of a license may appeal a decision to deny, suspend, or revoke a license by filing a written appeal with the department within thirty days of written notice of such a decision. Upon receipt of a timely appeal, an administrative hearing must be conduct…

For the purposes of this chapter: 1. "Clinically managed low-intensity residential care" means providing an ongoing therapeutic environment for clients requiring some structured support in which treatment is directed toward applying recovery skills, preventing relapse, improving …

1. A program shall maintain a safe, comfortable, alcohol-free, and drug-free environment. 2. A program shall provide to clients or help clients gain access to full meal service that meets established nutritional guidelines. 3. A program shall implement written referral procedures…

1. A program shall provide services designed to improve a client's ability to structure and organize the tasks of daily living and recovery. 2. A program shall provide educational and informational programming to enhance client recovery. 3. A program shall provide activities to p…

Before a program may admit a client, the client must: 1. Meet diagnostic criteria for a substance dependence disorder of the DSM; and 2. Meet specifications in each of the six ASAM patient placement criteria dimensions. Specifically, the client must: a. Have no signs or symptoms …

As used in this chapter "clinically managed low-intensity residential care" means a substance abuse treatment program that provides an ongoing therapeutic environment for clients requiring some structured support in which treatment is directed toward applying recovery skills, pre…

1. A clinically managed low-intensity residential care program shall maintain a safe, comfortable, alcohol-free, and drug-free environment. 2. A clinically managed low-intensity residential care program shall provide to clients a full meal service that meets established nutrition…

1. A clinically managed low-intensity residential care program shall provide services designed to improve a client's ability to structure and organize the tasks of daily living and recovery. 2. A clinically managed low-intensity residential care program shall provide educational …

Before a clinically managed low-intensity residential care 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 each of the six ASAM dimensions. Specifically, the client; a. Must not be…

As used in this chapter: 1. "Clinically managed high-intensity residential services" means a therapeutic community or residential treatment center that offers continuous observation, monitoring, and treatment by allied professional staff designed to treat clients who are not suff…

A clinically managed high-intensity residential care program shall include: 1. Onsite, twenty-four hour per day clinical staffing by licensed counselors, other clinicians, and other allied health professionals such as counselor aides; 2. Specialized professional consultation; and…

A clinically managed high-intensity residential care program shall include: 1 1. Daily clinical services which include a range of cognitive, behavioral, and other therapies in individual or group therapy and psychoeducation as deemed appropriate by an assessment and treatment pla…

Before a clinically managed high-intensity residential care program may admit a client, the client shall: 1. Meet diagnostic criteria for a substance dependence disorder of the DSM; and 2. Meet admission criteria for clinically managed high-intensity residential services also kno…

As used in this chapter, "clinically managed medium-intensity residential care" means a substance abuse treatment program that offers continuous observation, monitoring, and treatment by allied professional staff of individuals with significant psychological and social problems w…

A clinically managed medium-intensity residential care program shall: 1. Offer onsite twenty-four-hour-a-day clinical staffing by licensed counselors, other clinicians, and other allied health professionals such as counselor aides; 2. Make available specialized professional consu…

A clinically managed medium-intensity residential care program shall include: 1 1. Daily clinical services including a range of cognitive, behavioral, and other therapies in individual or group therapy and psychoeducation as deemed appropriate by an assessment and treatment plan;…

Before a clinically managed medium-intensity residential care program may admit a client, the client must: 1. Meet diagnostic criteria for a substance-related disorder of the DSM; and 2. Meet admission criteria for clinically managed medium-intensity residential services also kno…

As used in this chapter, "medically monitored intensive inpatient treatment" means a substance abuse treatment program that provides a planned regimen of twenty-four-hour professionally directed evaluation, observation, medical monitoring, and addiction treatment in an inpatient …

A medically monitored intensive inpatient treatment program shall: 1. Offer twenty-four-hour skilled nursing care, daily onsite counseling services, and a physician's services twenty-four hours per day seven days per week; 2. Make available specialized professional consultation; …

A medically monitored intensive inpatient treatment program shall provide: 1. A combination of individual and group therapy as deemed appropriate by an assessment and treatment plan; 2. Medical and nursing services available onsite to provide ongoing assessment and care of acute …

Before a medically monitored intensive inpatient program may admit a client, the client shall: 1. Meet diagnostic criteria for a substance dependence 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 …

As used in this chapter, "medically monitored intensive inpatient treatment program" means a substance abuse treatment program that provides a planned regimen of twenty-four-hour professionally directed evaluation, observation, medical monitoring, and addiction treatment in an in…

A medically monitored intensive inpatient treatment program shall: 1. Offer twenty-four-hour skilled nursing care, daily onsite counseling services, and the services of a physician twenty-four hours per day seven days per week; 2. Make specialized professional consultation availa…

A medically monitored intensive inpatient treatment program shall provide: 1. A combination of individual and group therapy as deemed appropriate by an assessment and treatment plan; 2. Medical and nursing services available onsite to provide ongoing assessment and care of acute …

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,…

As used in this chapter, "partial hospitalization" means a substance abuse treatment program that uses multidisciplinary staff and is provided for clients who require a more intensive treatment experience than intensive outpatient treatment but who do not require residential trea…

1. A partial hospitalization program shall offer no less than twenty hours of programming per week in a structured program. 2. A partial hospitalization program shall offer the program no less than four days per week with the length of stay to be determined by a client's conditio…

A partial hospitalization program shall offer a client: 1. A combination of individual and group therapy as deemed appropriate by an assessment and treatment plan; 2. Medical and nursing services as deemed appropriate by an assessment and treatment plan; 3. A system for referral …

Before a partial hospitalization program may admit a client, the client must: 1. Meet diagnostic criteria for a substance-related disorder of the DSM; 2. Be at low risk for withdrawal symptoms or have minimal remaining withdrawal symptoms; 3. Be physically stable but may have a m…

As used in this chapter, "partial hospitalization program" means a substance abuse treatment program that uses multidisciplinary staff and is provided for clients who require a more intensive treatment experience than intensive outpatient treatment but who do not require inpatien…

1. A partial hospitalization program shall offer no less than twenty hours of programming per week in a structured program. 2. A partial hospitalization program shall offer the program no less than four days per week with the length of stay to be determined by a client's conditio…

A partial hospitalization program shall offer a client: 1. A combination of individual and group therapy as deemed appropriate by an assessment and treatment plan; 2. Medical and nursing services as deemed appropriate by an assessment and treatment plan; 3. A system for referral …

Before a partial hospitalization program may admit a client, the client must: 1. Meet diagnostic criteria for a substance-related disorder of the DSM; 2. Be at low risk for withdrawal symptoms or have minimal remaining withdrawal symptoms; 3. Be physically stable but may have a m…