Md. Code Regs. 10.47.02.06

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.47.02.06 - Residential Service - Clinically Managed Low Intensity Treatment Level III.1

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 10.47.01.06C.

(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 10.47.01.04C within 2 weeks of admission;

(2) An individualized treatment plan as described in COMAR 10.47.01.04C 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.

Md. Code Regs. 10.47.02.06

Regulations .06 Specific Program Requirements, adopted effective June 10, 2002 (29:11 Md. R. 882)
Regulation .06 amended as an emergency provision effective April 1, 2008 (35:9 Md. R. 894); amended permanently effective May 5, 2008 (35:9 Md. R. 898)