Or. Admin. Code § 415-050-0160

Current through Register Vol. 63, No. 12, December 1, 2024

Section 415-050-0160 - Clinically Managed Residential Withdrawal Management, ASAM Level 3.2-WM

In addition to any other requirements described in these rules and applicable statutes, programs approved to render Clinically Managed Residential Withdrawal Management Services, ASAM Level of Care 3.2-WM to adults and must, at a minimum, meet and maintain documentation demonstrating ongoing compliance with each of the following requirements:

(1) Programs must render a planned and structured regimen of 24-hour professionally directed evaluation, observation and support for patients who are intoxicated or experiencing moderate substance use withdrawal management to in a residential setting. These programs emphasize peer and social supports.

(2) Clinically Managed Residential Withdrawal Management, ASAM Level 3.2-WM Programs that are co-located within a Residential Substance Use Disorders Treatment and Recovery facility licensed by the Division do not require additional licensure under these rules. Patients placed at this ASAM Level of Care must meet the following ASAM dimensional assessment criteria required for ASAM Level of Care 3.2-WM:

(a) The patient is experiencing signs and symptoms of moderate withdrawal or there is evidence, based on history or other relevant factors, that moderate withdrawal syndrome is imminent;

(b) The moderate withdrawal syndrome is assessed as manageable at this level of care; and

(c) The patient scores within a defined range on CIWA-Ar, COWs or other assessment metric for the drug(s) identified for withdrawal management services and meets physician-defined protocol for admission at this Level of Care.

(3) Services must include:

(a) On-site, active oversight and responsive support 24 hours per day, 7 days per week;

(b) Services that safely assist patients through withdrawal without the need for continuous on-site medical personnel; and

(c) Medical evaluation and consultation services available 24 hours a day, 7 days per week.

Or. Admin. Code § 415-050-0160

ADS 3-2023, adopt filed 04/07/2023, effective 4/7/2023

Statutory/Other Authority: ORS 413.042 & ORS 430.256

Statutes/Other Implemented: ORS 430.306 & ORS 430.345-430.375