N.J. Admin. Code § 10:161B-6.3

Current through Register Vol. 56, No. 8, April 15, 2024

Section 10:161B-6.3 - Standards for preadmission, admission, and retention of clients

(a) Prior to or at the time of admission to the program, the facility shall conduct a preadmissions interview with all clients and, in the case of juveniles, his or her family, guardian or legally authorized representative. A summary of the interview shall be documented in the client clinical record after:

1. The orientation of the client to the facility's policies, business hours, fee schedules, services provided, client rights, criteria for admission, treatment and discharge; and

2. The obtaining of informed consent from the parents or legally authorized representative of a juvenile prior to the juvenile entering treatment, except as provided for by 9:17A-4, where a minor voluntarily seeking treatment for substance abuse shall be considered confidential information.

(b) The facility shall not admit a client to a program in the following circumstances:

1. An individual is unconscious at the time of presentation or admission. The facility shall transfer such an individual immediately to a hospital; or

2. An individual manifests such a degree of behavioral disorder that the individual is a danger to himself or herself or others, or whose behavior interferes with the health, safety or welfare of staff or other clients.

i. The facility shall provide assistance in referring such individuals to an appropriate treatment program including a designated mental health screening center.

(c) If admission to the facility is denied, documentation of the reasons for denial and referral of the client to appropriate treatment services shall be entered in the client's record.

(d) Only facilities licensed by DCN&L to provide medically monitored detoxification services or hospitals providing medical detoxification services in a designated detoxification unit or facility shall admit clients requiring medically monitored detoxification.

1. Facilities providing detoxification services shall comply with N.J.A.C. 10:161B-12, and all other applicable sections of this chapter.

(e) Upon admission to an outpatient substance use disorder treatment facility, the following shall apply:

1. Facilities providing opioid treatment and detoxification services shall ensure that each client has received a physical examination in accordance with N.J.A.C. 10:161B-11 and 12;

2. Facilities providing services other than opioid and detoxification shall ensure that each client has completed a comprehensive health history assessment and symptom review and has referred each client for appropriate medical screening and services, as necessary;

3. Facilities that do not require a physical examination shall ensure that clients do not manifest or self-report symptoms of communicable disease such as persistent coughing, fever or other symptoms of illness without receiving medical clearance prior to admission;

4. Clients shall be physically mobile with or without assistive devices; and

5. Clients shall be able to leave the building alone, except in a facility licensed to provide medically monitored detoxification services.

(f) A facility shall not involuntarily admit or retain any client.

(g) A facility shall not retain any client in treatment who is a danger to himself or herself or others, or whose behavior interferes with the health, safety and/or welfare of staff or other clients.

N.J. Admin. Code § 10:161B-6.3

Amended by 48 N.J.R. 2791(a), effective 12/19/2016

Amended by 55 N.J.R. 2346(a), effective 11/20/2023