Section 164.113 - Provision of Services(A)Admission: Prior to admission, the licensee shall determine that acupuncture services are appropriate based on: (1) existence of a substance use disorder or a mental or behavioral disorder attributable to psychoactive substance use; and(2) absence of current or potential withdrawal symptoms which constitute a risk to the patient's health and well-being and which require medical attention or medical monitoring.(B)Assessment: In addition to the assessment required by 105 CMR 164.072, the licensee shall conduct a screening to determine that acupuncture is not contraindicated. The screening shall include, at a minimum: (1) client's history of seizures, delirium tremens or other life-threatening withdrawal symptoms, which constitute a risk to the client's health or well-being;(2) neurological evidence of an appropriate level of consciousness; and(C)Treatment: The licensee shall provide: (1) intensive acupuncture administration of six treatments per week for detoxification purposes, followed by less intensive treatment of two to three times per week for relapse prevention;(2) a primary counselor to provide case management and motivational counseling that focus on engaging the client to remain in acupuncture treatment;(3) supportive counseling during the relapse prevention phase to motivate the client to utilize ongoing substance abuse outpatient treatment and self help groups. Supportive counseling sessions shall include HIV risk assessment and AIDS education; and(4) outreach services to attract underserved target populations, maintain client census, and develop linkages with community agencies.