Regulation .06 Residential Service — Clinically Managed Low Intensity Treatment Level III.1.
Regulation .06 Residential Service — Clinically Managed Low Intensity Treatment Level III.1.LinkCopy Citation
A.
Program Description. Clinically managed low intensity treatment programs shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration.
B.
Patients who are appropriate for this level of treatment shall:
(1)
Meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level III.1, or its equivalent as approved by the Administration; and
(2)
Be capable of self-care but not ready to return to family or independent living.
C.
Staffing.
(1)
Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06.
(2)
A clinically managed low intensity treatment program shall employ:
(a)
One individual as clinical supervisor who may also be the program's administrator;
(b)
Another individual as house manager;
(c)
At least one staff member to be on duty at all times; and
(d)
At least one staff member who is certified in cardiopulmonary resuscitation, and who has been trained in crisis intervention to be on duty between 11 p.m. and 7 a.m.
(3)
The patient to alcohol and drug counselor ratio may not exceed 15 patients to one full-time alcohol and drug counselor.
(4)
Staff may not dispense medications.
D.
Program Services. A clinically managed low intensity treatment program shall provide the following services:
(1)
An assessment as described in COMAR 10.47.01.04 within 2 weeks of admission;
(2)
An individualized treatment plan as described in COMAR 10.47.01.04 completed and signed by the alcohol and drug counselor and patient within 7 working days of the comprehensive assessment and updated every 60 days;
(3)
Periodic group counseling that focuses on relapse prevention;
(4)
Case management services;
(5)
Individual counseling, at least monthly; and
(6)
Leisure and recreational activities.
E.
Documentation. The clinical staff providing the service shall write a patient progress note after each counseling session and shall place the note in the patient's record.
F.
Referral Services. The program shall offer the following services or maintain a listing of agency referral agreements for the following services:
(1)
Physical examinations as determined by medical condition, within a reasonable time;
(2)
Services through the Division of Rehabilitation Services;
(3)
Vocational assistance;
(4)
Mental health services, which shall include:
(a)
Medication monitoring for patients who are admitted on or are prescribed psychotropic medications; and
(b)
Services appropriate to the severity and urgency of the patient's mental condition;
(5)
Legal assistance;
(6)
Substance abuse treatment programs;
(7)
Social services;
(8)
Family services; and
(9)
Education.