La. Admin. Code tit. 48 § I-5703

Current through Register Vol. 50, No. 9, September 20, 2024

Section I-5703 - Clinically Managed Residential Withdrawal (Social) (ASAM Level 3.2-WM)

A. The provider shall:

1. only admit clients clinically appropriate for ASAM level 3.2-WM into its Clinically Managed Residential Withdrawal Management Program;

2. screen each client upon arrival for at least the following to ensure proper placement:

a. withdrawal potential;

b. biomedical conditions; and

c. cognitive/emotional complications;

3. have at least one staff member on each shift trained in cardiopulmonary resuscitation (CPR);

4. develop and implement an individualized stabilization/treatment plan in collaboration with the client that:

a. shall be reviewed and signed by the UP and the client; and

b. shall be filed in the client's record within 24 hours of admission;

5. provide case management that is:

a. provided by a care coordinator who is on duty as needed; or

b. assumed by the clinical staff.

B. Emergency Admissions

1. If a client is admitted under emergency circumstances, the admission process may be delayed until the client can be interviewed, but no longer than 24 hours unless assessed and evaluated by a physician.

2. The provider shall orient the direct care staff to monitor, observe and recognize early symptoms of serious illness associated with withdrawal management and to access emergency services promptly.

C. Staffing. The provider shall ensure that:

1. there is a physician on call 24 hours per day, seven days per week and on duty as needed for management of psychiatric and medical needs of the clients;

2. there is a clinical supervisor available for clinical supervision when needed and by telephone for consultation;

3. there is at least one LMHP or UP available on site at least 40 hours per week; and

4. for adults:

a. each LMHP/UPs caseload shall not exceed 1:25;

b. there is at least one direct care aide per shift with additional as needed;

5. for children/adolescents:

a. each LMHP/UPs caseload shall not exceed 1:16;

b. there are at least two direct care aides per shift with additional as needed; and

c. the ratio of aides to clients shall not exceed 1:10.

La. Admin. Code tit. 48, § I-5703

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 411715 (9/1/2015), Amended LR 481286 (5/1/2022).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.