# Title 75 — Department of Human Services

## Article 75-09.1 — Substance Abuse Treatment Programs

## Chapter 75-09.1-05 — Partial Hospitalization - Day Treatment - Adult ASAM Level II.5

### § 75-09.1-05-01. Definition.

As used in this chapter, "partial hospitalization" means a substance abuse treatment program that
uses multidisciplinary staff and is provided for clients who require a more intensive treatment
experience than intensive outpatient treatment but who do not require residential treatment with the
exception of ASAM level III.1. This level of care is designed to offer highly structured intensive
treatment to those clients whose condition is sufficiently stable so as not to require twenty-four-hour per
day monitoring and care, but whose illness has progressed so as to require consistent near-daily
treatment intervention. Partial hospitalization may also be referred to as day treatment.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
### § 75-09.1-05-02. Provider criteria.

1. A partial hospitalization program shall offer no less than twenty hours of programming per
week in a structured program.
2. A partial hospitalization program shall offer the program no less than four days per week with
the length of stay to be determined by a client's condition and functioning.
3. A partial hospitalization program shall make clients aware of emergency services that are
available twenty-four hours per day seven days per week when the program is not in session.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
### § 75-09.1-05-03. Program criteria.

A partial hospitalization program shall offer a client:
1. A combination of individual and group therapy as deemed appropriate by an assessment and
treatment plan;
2. Medical and nursing services as deemed appropriate by an assessment and treatment plan;
3. A system for referral for needs identified but not available in the program;
4. Family treatment services as deemed appropriate by an assessment and treatment plan; and
5. Educational and informational programming adaptable to individual client needs.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31

### § 75-09.1-05-04. Admission criteria.

Before a partial hospitalization program may admit a client, the client must:
1. Meet diagnostic criteria for a substance-related disorder of the DSM;
2. Be at low risk for withdrawal symptoms or have minimal remaining withdrawal symptoms;
3. Be physically stable but may have a medical condition that is severe enough to distract from
recovery efforts or would be aggravated by continued use of alcohol or drugs or be
psychologically stable enough not to require twenty-four-hour observation and care but may
have a psychiatric condition that would be aggravated by continued use of alcohol or drugs;
and
4. The client meets at least two of the following:
a. The client requires repeated, structured, clinically directed motivational enhancement
strategies not available at a less-intensive level of care;
b. The client has made previous attempts at a treatment program of lower intensity with an
inability to remain sober or has been an active participant at a less-intensive level of care
but is experiencing an intensification of symptoms of the substance-related disorders and
the client's functioning is deteriorating despite modifications of the treatment plan or there
is a high likelihood that the client will continue to use or relapse without close outpatient
monitoring and structured therapeutic services;
c. The client has minimal support for sustaining beginning recovery in the client's home or
customary environment;
d. The client has experienced significant impairment in life areas that require a high level of
intensity best accomplished as close to the client's home community as is feasible; or
e. The client has experienced significant life traumas or stresses that require therapeutic
interventions as an adjunct to addiction treatment to assure continuing recovery.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
