PART I - Department of Behavioral Health and Developmental ...

Crisis Stabilization Unit ServicesUnit Value 1 day Maximum Daily Units 1 unitInitial Auth 20 units Re-AuthorizationAuth Period 20 Days Utilization Criteria LOCUS scores: 4(residential detox only)-6This is a residential alternative to or diversion from inpatient hospitalization, offering psychiatric stabilization and detoxification services. The program providesmedically monitored residential services for the purpose of providing psychiatric stabilization and substance detoxification services on a short-term basis. Servicesmay include:1) Psychiatric medical assessment;Service2) Crisis assessment, support and intervention;Definition3) Medically Monitored Residential Substance Detoxification (at ASAM Level III.7-D).4) Medication administration, management and monitoring;5) Brief individual, group and/or family counseling; and6) Linkage to other services as needed.AdmissionCriteriaContinuingStay CriteriaDischargeCriteriaServiceExclusionsClinicalExclusionsRequiredComponents1. Treatment at a lower level of care has been attempted or given serious consideration; and #2 and/or #3 are met:2. Individual has a known or suspected illness/disorder in keeping with target populations listed above; or3. Individual is experiencing a severe situational crisis which has significantly compromised safety and/or functioning; and one or more of the following:a. Individual presents a substantial risk of harm to self, others, and/or property or is so unable to care for his or her own physical health and safety as to createa life-endangering crisis. Risk may range from mild to imminent; orb. Individual has insufficient or severely limited resources or skills necessary to cope with the immediate crisis; orc. Individual demonstrates lack of judgment and/or impulse control and/or cognitive/perceptual abilities to manage the crisis; ord. For detoxification services, individual meets admission criteria for Medically Monitored Residential Detoxification.This service may be utilized at various points in the course of treatment and recovery; however, each intervention is intended to be a discrete time-limited service thatstabilizes the individual.1. Individual no longer meets admission guidelines requirements; or2. Crisis situation is resolved and an adequate continuing care plan has been established; or3. Individual does not stabilize within the evaluation period and must be transferred to a higher intensity service.This is a comprehensive service intervention that is not to be provided with any other service(s), except for the following:• Methadone Administration1. Individual is not in crisis.2. Individual does not present a risk of harm to self or others or is able to care for his or her own physical health and safety.3. Severity of clinical issues precludes provision of services at this level of intensity.1. Crisis Stabilization Units (CSU) providing medically monitored short-term residential psychiatric stabilization and detoxification services shall be designated by theDepartment as both an emergency receiving facility and an evaluation facility and must be surveyed and licensed by the DBHDD.2. In addition to all service qualifications specified in this document, providers of this service must adhere to content in the DBHDD Rules and Regulations for AdultCrisis Stabilization Units, Chapter 82-3-1.3. Individual referred to a CSU must be evaluated by a physician within 24 hours of the referral.4. The maximum length of stay in a crisis bed is 10 adjusted days (excluding Saturdays, Sundays and state holidays) for adults (an adult occupying a transitionalFY2013 Provider Manual for Community Behavioral Health Providers Page 108