R501. Health and Human Services, Human Services Program Licensing.

R501-11. Social Detoxification Programs.

R501-11-1. Authority.

This rule is authorized by Section 26B-2-104.

R501-11-2. Purpose.

The purpose of this rule is to set foundational health and safety standards for programs providing social detoxification services.

R501-11-3. Definition.

Social detoxification is an organized service delivered by trained staff who provide 24-hour supervision, observation, and support for individuals who are intoxicated or experiencing withdrawal. This level of service is characterized by its emphasis on peer and social support rather than nursing or medical care. This level of service provides care for individuals whose intoxication or withdrawal symptoms are sufficiently severe to require 24-hour structure and support, however not in need of the full resources of a medically monitored level of care.

R501-11-4. Administration.

In addition to this rule, each social detoxification program shall comply with Rules R501-1, General Provisions for Licensing and R501-14 Human Services Background Screening.

R501-11-5. Physical Facility.

(1) This section supersedes conflicting requirements of Rule R501-1.

(2) Each provider shall ensure that the physical facility is compliant with the following:

(a) 24 hour live-in staff have a separate living space with a private bathroom;

(b) a large room may be used as a dormitory style bedroom;

(c) a minimum of 50 square feet per individual, excluding storage space, is provided for a multiple occupant bedroom;

(d) a minimum of 70 square feet per individual, excluding storage space is provided for a single occupant bedroom;

(e) there is an escape window for each sleeping room unless there are two ways to exit the room; and

(f) each bathroom meets a minimum ratio of one toilet, one sink, and one tub or shower for each eight residents.

R501-11-6. Specialized Services.

(1) Social detoxification services shall serve clients who require a clinical managed residential withdrawal management level of care only until they can be stabilized and transition to a lower level of care, or medical necessity requires moving the individual to a higher level of care.

(2) A provider wishing to provide medically monitored inpatient withdrawal management under a social detoxification license may only do so under the following conditions:

(a) medical and nursing professionals provide 24-hour medically monitored evaluation and withdrawal management under physician-approved policies and physician-monitored procedures and protocols;

(b) justification is documented for how clients served at this level do not require services at the level of either a higher or lower level of care;

(c) the individual meets the admission and continued service criteria for medically monitored withdrawal management; and

(d) the program meets each requirement for medically monitored withdrawal management.

(3) The provider shall complete a preliminary screening when an individual presents for service to determine appropriateness for social model detox and shall complete the subsequent intake evaluation within seven days.

(4) The provider shall require a client to provide recent evidence of a Tuberculosis screening or get tested for Tuberculosis within one week of presenting for service.

(5) The provider shall ensure:

(a) a client who exhibits signs of possible active Tuberculosis is screened by the provider immediately with assistance from the local health department; and

(b) any local health department recommendations are followed.

(6) Once a client has completed the acute detoxification period as demonstrated by reasonable physical and psychological stability, the provider shall conduct an evaluation to determine the treatment referral.

KEY: licensing, human services, substance abuse

Date of Last Change: August 2, 2023

Notice of Continuation: October 4, 2022

Authorizing, and Implemented or Interpreted Law: 26B-2-104