The patient is considered eligible for discharge from the outpatient
service when the patient meets the conditions for discharge as stated
in any one paragraph out of paragraphs (1)-(3) of this section.
(1) Psychiatric illness or medical complication. The
patient must meet the conditions in subparagraph (A) or (B) of this
paragraph, as follows:
(A) documentation that a psychiatric or medical condition
should be treated in another setting; or
(B) documentation that a psychiatric or medical condition
which is interfering with alcohol/drug recovery is not being treated.
(2) Alcohol/drug rehabilitation/treatment. The patient
must meet all the conditions in subparagraph (A) or (B) of this paragraph.
(A) Patient displays behaviors which demonstrate that
the patient:
(i) recognizes or identifies with the severity of chemical
substance use;
(ii) has insight into the patient's defeating relationship
with alcohol/drugs; and
(iii) is applying the essential coping skills necessary
to cope with the alcohol and/or drug problem and to maintain abstinence.
(B) Patient is functioning adequately in assessed deficiencies
in the life tasks areas of work, social functioning, or primary relationships.
(3) Behavioral factors. The patient must meet all the
conditions in subparagraphs (A) and (B) of this paragraph.
(A) Patient is consistently uncooperative, to the degree
that no further progress is likely to occur.
(B) Greater intensity of service or transfer to another
treatment provider would not have a positive impact on the problem.
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