Minnesota Administrative Rules

9530.6525 ADMISSION AND DISCHARGE POLICIES.

Subpart 1.

Admission policy.

A license holder must have a written admission policy containing specific admission criteria. The policy must describe the admission process and the point at which a person who is eligible under subpart 2 is admitted to the program. License holders must not admit individuals who do not meet the admission criteria. The admission policy must be approved and signed by the medical director of the facility and designate which staff members are authorized to admit and discharge clients. The admission policy must be posted in the area of the facility where clients are admitted, or given to all interested persons upon request.

Subp. 2.

Admission criteria.

A detoxification program may only admit persons who meet the admission criteria and who, at the time of admission:

A.

appear intoxicated;

B.

experience physical, mental, or emotional problems due to withdrawal from alcohol or other drugs;

C.

are being held under apprehend and hold orders under Minnesota Statutes, section 253B.07, subdivision 2b;

D.

have been committed under Minnesota Statutes, chapter 253B, and need temporary placement;

E.

are held under emergency holds or peace and health officer holds under Minnesota Statutes, section 253B.051, subdivisions 1 and 2; or

F.

need to stay temporarily in a protective environment because of a crisis related to substance use disorder. Persons meeting this criterion may be admitted only at the request of the county of fiscal responsibility, as determined according to Minnesota Statutes, section 256G.02, subdivision 4. Persons admitted according to this provision must not be restricted to the facility.

Subp. 3.

Individuals denied admission by program.

A license holder must have a written plan for addressing the needs of individuals whose potential for medical problems may require acute medical care. This includes clients whose pregnancy, in combination with their presenting problem, requires services not provided by the program, and clients who pose a substantial likelihood of harm to themselves or others if their behavior is beyond the behavior management capabilities of the program and staff.

Subp. 4.

Discharge and transfer policies.

A license holder must have a written policy, approved and signed by the medical director, that specifies conditions under which clients may be discharged or transferred. The policy must include the following:

A.

guidelines for determining when a client is detoxified and whether a client is ready for discharge or transfer; and

B.

procedures staff must follow, including the procedures for making reports to law enforcement agencies when appropriate, when discharging a client under each of the following circumstances:

(1)

the client is involved in the commission of a crime against program staff or against a license holder's property;

(2)

the client behaves in a manner that is dangerous to self or others and is beyond the license holder's capacity to assure safety;

(3)

the client was admitted under Minnesota Statutes, chapter 253B; or

(4)

the client is leaving against staff or medical advice.

Subp. 5.

Establishing custody procedure.

Immediately upon a person's admission to the program according to the criteria in subpart 2, the license holder obtains custody of a person under a peace officer's hold, and is responsible for all requirements of client services until the person is discharged from the facility.

Statutory Authority:

MS s 241.021; 245A.03; 245A.09; 254A.03; 254B.03; 254B.04

History:

29 SR 129; 32 SR 2268

Published Electronically:

October 7, 2021