R523-3-8. Standards for Substance Use Disorder Treatment

  (1) All programs shall maintain the appropriate license from the Department of Human Services, Office of Licensing for the services being provided.

  (2) All programs shall submit Treatment Episode Data (TEDs) admission and discharge data as outlined in the Division's most current Division Directives.

  (3) Programs shall evaluate all participants for criminogenic risk and need, and deliver services that target the specific risk and needs identified.

  (4) Youth with high risk and youth with low risk to reoffend shall be treated separately.

  (5) Programs shall coordinate and communicate with the Juvenile Court, Juvenile Justice Services, the State Office of Education, and other necessary agencies on a regular and consistent basis as agreed.

  (6) Programs shall provide multi-dimensional services that target the validated criminogenic risk factors. (7) Treatment participation and length shall be of sufficient dosage/duration to affect stable behavioral change.

  (7) The appropriateness of treatment intensity, duration and modality shall be adjusted based on medical necessity using the current ASAM or comparable mental health criteria and ongoing assessment process.

  (a) The Division shall develop performance metrics that evaluate the ability of programs to engage and retain individuals in the appropriate intensity and modality of service.

  (8) Treatment programs shall ensure that public funds are the payor of last resort.

  (a) Treatment programs shall coordinate or refer youth and families to the Department of Workforce Services or healthcare navigators for assistance with eligibility for public or private insurance plans.

  (b) Treatment programs may negotiate and assess usual and customary fees to youth.

  (9) Youth treatment programs shall:

  (a) Assess youth for substance use and mental health disorders and motivation to seek treatment using validated instruments and protocols;

  (b) Identify barriers to treatment participation and develop specific strategies to address each barrier as early as possible;

  (c) Diagnose, treat or ensure treatment for co-occurring mental illness;

  (d) Provide comprehensive treatment services;

  (e) As appropriate and with consent, involve families in the treatment process;

  (f) Use developmentally appropriate and informed treatments;

  (g) Have qualified, and licensed staff trained to work with youth with substance use disorders and mental illness;

  (h) Recognize gender, cultural, and youth differences;

  (i) Provide or link to ongoing chronic disease management, recovery supports, monitoring and aftercare services;

  (j) Ensure that low risk youth and high risk youth are treated in separate groups;

  (k) Use specific evidence-based or evidence-informed clinical interventions, strategies, and procedures to achieve specific treatment goals and objectives;

  (l) Youth testing positive for drugs or alcohol shall not be denied entry or removed from treatment from a program solely for positive drug tests.

  (m) Programs shall comply with all Division Directives for Drug testing as published in the annual DSAMH Division Directives.

  (n) Conduct program evaluation and ongoing process improvement activities;

  (o) Agree to allow the Division to perform qualitative review and audits;

  (p) Agree to allow program information to be published in the Division's Online Guide to Adolescent Substance Use Disorder Treatment programs in Utah;

  (q) Complete and submit the National Survey on Substance Abuse Treatment Services (N-SATTS); and

  (r) All individuals working with youth shall complete a background check that meets the standards for working with vulnerable populations prior to beginning employment.