An individual is considered eligible for partial hospitalization
admission when the individual meets the conditions of paragraphs (1)
and (2) of this section.
(1) Criteria for the definition of chemical dependence.
The diagnosis must meet the criteria for the definition of chemical
dependence, as detailed in the most current revision of the international
classification of diseases, or the most current revision of the diagnostic
and statistical manual for professional practitioners, accompanied
by evidence that some of the symptoms have persisted for at least
one month or have occurred repeatedly over a longer period of time.
(2) Other factors for admission to adult and/or adolescent
partial hospitalization service. The individual has met the diagnostic
criteria for chemical dependency in paragraph (1) of this section
and must meet the conditions of all four subparagraphs (A)-(D) of
this paragraph.
(A) Category 1: medical functioning. All the conditions
in clauses (i)-(iii) of this subparagraph must be met, as follows:
(i) a documented medical assessment (except in instances
in which the patient is being referred from an inpatient service)
which indicates that the patient is medically stable and not in acute
withdrawal; and
(ii) the absence of any medical or physical complications
that would hamper the patient's participation in the partial hospitalization
program; and
(iii) logistic impairments (e.g., distance from treatment
facility, mobility limitations, etc.) that would preclude participation
in an outpatient treatment service.
(B) Category 2: family, social, academic dysfunction.
The individual must meet the conditions in at least one clause out
of clauses (i) and (ii) of this subparagraph.
(i) Patient's social system and significant others
are supportive of recovery to the extent that the patient can adhere
to a treatment plan and treatment service schedules without substantial
risk of reactivating the patient's addiction.
(ii) Patient's family and/or significant others are
willing to participate in the partial hospitalization program.
(C) Category 3: emotional/behavioral status. The individual
must meet the conditions of all three clauses of clauses (i)-(iii)
of this subparagraph.
(i) Patient is coherent, rational, and oriented for
treatment.
(ii) Mental state of the patient does not preclude
the patient's ability to:
(I) comprehend and understand the materials presented;
and
(II) participate in rehabilitation/treatment process.
(iii) There is documentation that:
(I) with continued treatment the patient will be able
to improve and/or internalize the patient's motivation toward recovery
within the recommended length of stay time frames (e.g., becoming
less defensive, verbalizing, and working on alcohol and/or drug related
issues, etc.); and
(II) interventions, treatment goals, and/or contracts
are in place to help the patient deal with or confront the blocks
to treatment (e.g., family intervention, employee counseling confrontation,
etc.).
(D) Category 4: recent alcohol/drug chemical substance
use. The individual must meet the conditions in at least one clause
out of clauses (i) and (ii) of this subparagraph.
(i) The patient's chemical substance use is excessive,
and the patient has attempted to reduce or control it, but has been
unable to do so (as long as chemical substances are available).
(ii) Virtually all of the patient's daily activities
revolve around obtaining, using, and/or recuperating from the effects
of chemical substances.
|
