DEPARTMENT OF COMMUNITY HEALTH

                 MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

                        PART 8. INPATIENT PROGRAMS


R  325.14801   Hospital standards.
  Rule 801. A facility which provides inpatient substance abuse  treatment
services, but which is not operated by  the  state  department  of  mental
health, shall  conform  to  the  state  minimum  standards  for  hospitals
promulgated by the department,  being  R 325.1021  to  R 325.1027  of  the
Michigan Administrative Code.

  History:  1981 AACS.


R  325.14802   Medical director.
  Rule 802. An inpatient  program  shall  have  a  licensed  physician  as
medical director.

  History:  1981 AACS.


R  325.14803   Admissions.
  Rule 803. (1) All of the following information shall  be  collected  and
recorded for all applicants before, or at the time of, admission:
  (a) Name, address, and telephone number, when applicable.
  (b) Date of birth and sex.
  (c) Family and social history.
  (d) Educational history.
  (e) Occupation.
  (f) Legal and court-related history.
  (g) Present substance abuse problem.
  (h) Date the information was gathered.
  (i) Signature of the staff member gathering the information.
  (j) Name of referring agency, when appropriate.
  (k) Address, telephone number, and name of nearest relative  to  contact
in case of emergency.
  (l) History of current and past  substance  abuse  or  other  counseling
services received. The agency, type of service, and the date the  services
were received shall be indicated.
  (m) Name, address, and telephone number of the  most  recent  family  or
private physician.
  (n) A substance abuse history, including  information  about  prescribed
drugs and alcohol, which indicates, at a minimum,  all  of  the  following
information:
  (i) Substances used in the past, including prescribed drugs.
  (ii) Substances used recently, especially those used within the last  48
hours.
  (iii) Substances of preference.
  (iv) Frequency with which each substance is used.
  (v) Previous occurrences of overdose, withdrawal,  or  adverse  drug  or
alcohol reactions.
  (vi) History of previous substance abuse treatment received.
  (vii) Year of first use of each substance.
  (2) There shall be an assessment of a client's social and  psychological
needs made as soon after admission as  possible.  This  history  shall  be
sufficient to make a written assessment of the type  of  treatment  needed
and the appropriate referrals to be made upon discharge.

  History:  1981 AACS.


R  325.14804   Counselors; availability.
  Rule 804. At least the equivalent of  1  full-time  counselor  shall  be
available for approximately every 10 clients.

  History:  1981 AACS.


R  325.14805   Treatment plans.
  Rule 805. (1) Treatment plans shall be developed  for  each  client  and
shall be reviewed and evaluated periodically by treatment personnel.
  (2) A client's progress and current status  in  meeting  the  objectives
established in the treatment  plan,  together  with  a  statement  of  the
efforts  by  staff  members  to  help  the  client  achieve  these  stated
objectives, shall be recorded in the client's case record for every formal
client counseling session. A progress note shall be dated  and  signed  by
the individual who makes the entry.

  History:  1981 AACS.


R  325.14806   Client activities.
  Rule 806. Ten or more hours per week of scheduled  activities  shall  be
available to a client. Included in these activities shall  be  2  or  more
hours of formalized individual,  group,  or  family  counseling  for  each
client. The hours of counseling actually provided should vary according to
the needs of the client.

  History:  1981 AACS.


R  325.14807   Support and rehabilitative services.
  Rule 807. (1) All of the following support and  rehabilitative  services
shall be available  to  all  clients  either  internally  or  through  the
referral process:
  (a) Education.
  (b) Vocational counseling and training.
  (c) Job development and placement.
  (d) Financial counseling.
  (e) Legal counseling.
  (f) Spiritual counseling.
  (g) Nutritional education and counseling.
  (2) A program shall maintain a current  listing  of  services  available
on-site and by referral. This listing shall be reviewed with  each  client
as part of the program's orientation procedure.

  History:  1981 AACS.