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Substance Abuse Medically Monitored Community Residential Treatment

Substance Abuse Medically Monitored Community Residential Treatment

  • Medically Monitored Inpatient Withdrawal Management Service Definition and Required Components Non-Hospital Medical Detoxification is an organized service delivered by medical and nursing professionals, that provides for 24-hour medically supervised evaluation and withdrawal management in a permanent facility affiliated with a hospital or in a freestanding facility of 16 beds or less.
  • Services are delivered under a defined set of physician-approved policies and physician-monitored procedures and clinical protocols.
  • A comprehensive clinical assessment is one mechanism to demonstrate medical necessity for a service and to assess and identify an individual’s needs.
  • For state-funded services, a service order is recommended.
  • Providers shall coordinate with the LME-MCO regarding their requirements for service orders. Provider Requirements Non-Hospital Medical Detoxification shall be delivered by practitioners employed by substance abuse provider organizations that meet the requirements of 10A NCAC 27G and the provider qualification policies, procedures, and standards established by DMH/DD/SAS.
  • These policies and procedures set forth the administrative, financial, clinical, quality improvement, and information services infrastructure necessary to provide services.
  • Non-Hospital Medical Detoxification is staffed by physicians, who are available 24 hours a day by telephone and who conducts an assessment within 24 hours of admission.
  • Physician assessments may be conducted in-person or via telehealth.
  • A registered nurse is available to conduct a nursing assessment on admission and oversee the monitoring of an individual’s progress and medication administration.
  • The level of nursing care is appropriate to the severity of the individual’s needs, based on the clinical protocols of the program.
  • Appropriately licensed and credentialed staff are available to administer medications in accordance with physician orders.
  • Non-Hospital Medical Detoxification is staffed by physicians, who are available 24 hours a day by telephone and who conducts an assessment within 24 hours of admission.
  • Physician assessments may be conducted in-person or via telehealth.
  • A registered nurse is available to conduct a nursing assessment on admission and oversee the monitoring of an individual’s progress and medication administration.
  • The level of nursing care is appropriate to the severity of the individual’s needs, based on the clinical protocols of the program.
  • Appropriately licensed and credentialed staff are available to administer medications in accordance with physician orders.
  • A registered nurse is available to conduct a nursing assessment on admission and oversee the monitoring of an individual’s progress and medication administration.
  • The level of nursing care is appropriate to the severity of the individual’s needs, based on the clinical protocols of the program. Appropriately licensed and credentialed staff are available to administer medications in accordance with physician orders.
  • Date Amended: August 1, 2022 98 State-Funded Enhanced MH/SA Services – August 1, 2022 24-hour evaluation, care and treatment services for individuals engaged in Non-Hospital Medical Detoxification.
  • The planned regimen of 24-hour evaluation, care and treatment services must be under the clinical supervision of a CCS or LCAS who is available by phone 24 hours a day.
  • The planned regimen of 24-hour evaluation, care and treatment services for individuals engaged in Non-Hospital Medical Detoxification must be provided by staff who meet the requirements specified for QP or AP status in Substance Abuse according to 10A NCAC 27G .0104, under the supervision of a LCAS or CCS.
  • Paraprofessional level providers who meet the requirements for Paraprofessional status according to 10A NCAC 27G.0104 and who have the knowledge, skills, and abilities required by the population and age to be served may deliver the planned regimen of 24-hour evaluation, care and treatment services for individuals engaged in Medical Detoxification, under the supervision of a LCAS or CCS. Paraprofessional level providers may not provide services in lieu of on-site service provision to individuals by a QP, CCS, LCAS, LCAS-A, CSAC or CADC.

There are many ways to find safe, effective medication-assisted treatments (MAT) for substance abuse. Some focus only on drugs, others include alcohol as a drug so they can be used together. MATs like these are typically referred to as pharmacotherapy because the medicine component is designed to work along with any other psychotherapies and lifestyle changes.

In addition to helping users stay sober, medications also facilitate successful reintegration back into society.

A medical monitoring facility is an ideal setting for individuals who suffer from addiction and also require mental health care. Medical detox is typically done in a hospital or outpatient clinic, and professionals monitor patients’ vital signs (e.g., blood pressure, heart rate, respiratory rates) as they withdraw from drugs and alcohol.

In addition to safety measures during withdrawal, medical monitoring allows doctors to evaluate how well your body responds to medication therapy. This helps determine if additional treatments are needed and what type of medications could be effective.

Because most people with addictions have co-occurring mental health conditions such as anxiety or depression, therapists at a medical monitoring program may help you deal with those issues as well.

Amenities

Outdoor living spaces that include a pool, hot tub, hard court, and a gym.

The key to healing is building a sense of community.

Activities

Changing Paths of NC Addiction & Rehabilitation Center offers encourages residents to participate in activities that may be in a group setting or individual activities to help the men and women learn they can enjoy supportive living with healthy activities…

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