NDAC 75-09.1-06.1

NDAC 75-09.1-06.1 Intensive Outpatient Treatment - Adolescent ASAM Level II.1

This North Dakota regulation establishes licensing and operating standards for adolescent substance use intensive outpatient treatment programs at ASAM Level II.1. Providers must offer at least six hours per week of structured programming, provide individual and group therapy, medical/nursing services, family treatment, and educational programming. Admission requires a DSM substance-related disorder diagnosis and meeting ASAM Level II.1 criteria across all six dimensions. Programs must also coordinate school accommodations and ensure clients have access to 24/7 emergency services when the program is not in session.

CHAPTER 75-09.1-06.1
INTENSIVE OUTPATIENT TREATMENT - ADOLESCENT ASAM LEVEL II.1
Section
75-09.1-06.1-01 Definitions
75-09.1-06.1-02 Provider Criteria
75-09.1-06.1-03 Program Criteria
75-09.1-06.1-04 Admission Criteria
75-09.1-06.1-01. Definitions.
As used in this chapter:
1. "After school program" means an intensive outpatient program offered after school hours to 
facilitate a client's schedule. 
2. "Intensive outpatient treatment" means treatment provided to adolescent clients requiring a 
primary, organized treatment program and who are able to establish abstinence and recovery 
within the context of the client's usual environment and daily activities. This level of care will 
normally be offered in the evening hours to facilitate a client's ability to maintain the usual daily 
activity but may be offered during the day.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
75-09.1-06.1-02. Provider criteria.
1. An intensive outpatient treatment program shall offer no less than six hours per week in a 
structured program.
2. An intensive outpatient treatment program shall offer the program with the length of stay to be 
determined by a client's condition and functioning. 
3. An intensive outpatient treatment program shall make clients aware of emergency services 
that are available twenty -four hours a day seven days a 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
75-09.1-06.1-03. Program criteria.
An intensive outpatient program shall provide:
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 consultation or referral for identified treatment needs if such services are not 
available in the program and which includes close coordination of such services by the 
program and an effort by the program to arrange needed medical or psychiatric services by 
telephone within twenty -four hours of when the need was identified and in -person services 
within a time frame appropriate to the severity and issue;
4. Family treatment services as deemed appropriate by an assessment and treatment plan;
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5. Educational and informational programming adaptable to individual client needs and 
developmental status; and
6. If treatment hours conflict with school hours, an intensive outpatient program shall arrange 
onsite homework assistance coordinated with the client's home school. 
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
75-09.1-06.1-04. Admission criteria.
Before an intensive outpatient treatment program may admit a client, the client shall:
1. Meet diagnostic criteria for a substance-related disorder of the current DSM; and
2. Meet admission criteria for ASAM level II.1 outpatient in all six ASAM dimensions and at least 
two of the following:
a. The client has few or no symptoms of withdrawal and presents only stable physical or 
psychiatric conditions;
b. The client expresses willingness even through coercion to attend all scheduled events; or
c. The client has an environment supportive of recovery efforts or is supplied with 
recommendations for alternative supportive housing by the intensive outpatient treatment 
program.
History: Effective October 26, 2004.
General Authority: NDCC 50-06-16, 50-31
Law Implemented: NDCC 50-31
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