R523.  Human Services, Substance Abuse and Mental Health.
R523-1.  General Provisions.
R523-1-1.  Authority.
	This rule establishes procedures and standards for administration of substance use disorder and mental health services as granted by Section 62A-15-105.

R523-1-2.  Purpose.
	(1)  The purpose of this rule is to:
	(a)  Define the continuum of substance use disorder services;
	(b)  Clarify funding for Medical detoxification programs; and
	(c)  Adopt the American Society of Addiction Medicine (ASAM) Patient Placement Criteria to determine the level of care provided to all individuals served by programs provided by or contracted with the Division or county local authorities.

R523-1-3.  Continuum of Services.
	(1)  Prevention means a proactive comprehensive approach to reduce risk factors and promote protective factors of substance use disorders and mental illness. The comprehensive approach is to include services in universal, selective, and indicated settings across a broad array of activities, programs, and strategies.
	(2)  Substance Use Disorder Treatment means those services which target individuals or families who are functionally impaired psychologically, physically, or socially in association with the patterned misuse of or dependence on alcohol, tobacco, or other drugs.  This includes only those individuals upon whom a written consumer record, as defined in licensing standards (Rule R501-2-5) as adopted by the Division of Substance Abuse and Mental Health, is maintained.
	(3)  Mental Health services means a broad array of activities directly or indirectly related to mental well-being and includes promotion of well-being, the prevention of mental disorders, and the treatment and rehabilitation of people affected by mental disorders.
	(4)  Recovery Support Services means those services or activities provided before, during or after completion of acute treatment services to enhance a person's ability to either attain or retain their recovery from either mental health or substance use disorders.

R523-1-4.  Funding of Medical Detoxification Programs.
	Medical detoxification programs shall not be funded by the Division on an ongoing basis.

R523-1-5.  Use of Standard Criteria.
	(1)  All contractors and subcontractors shall conduct an assessment of each client to determine the degree of severity of any substance use disorder.  This assessment shall evaluate the client's status in the following dimensions.
	(a)  Risk of acute psychosis, intoxication/withdrawal;
	(b)  Biomedical conditions or complications;
	(c)  Emotional, Behavioral Cognitive Conditions;
	(d)  Readiness to change;
	(e)  Relapse, continued use or continued problem potential; and
	(f)  Recovery environment.
	(2)  The assessment shall include relevant information on the client's:
	(a)  Substance use history, and any treatment history;
	(b)  Legal status; and
	(c)  Criminogenic Risk and needs.
	(3)  The placement decisions for all patients treated in programs funded by or contracting with the Division of Substance Abuse and Mental Health or subcontracted to any local authority shall be based upon the current placement criteria developed by the American Society of Addiction Medicine (ASAM).
	(4)  Documentation of the use of ASAM placement criteria must be included in each patient's record.

KEY:  substance disorder, financing of programs, service continuum, assessment instruments
Date of Enactment or Last Substantive Amendment:  December 22, 2015
Authorizing, and Implemented or Interpreted Law:  62A-15-105