NDAC 75-09.1-04.1-04
Admission criteria
Cite as N.D. Admin. Code ยง 75-09.1-04.1-04
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.