Subdivision 1.General.

The license holder must encourage patients to remain in care for an appropriate duration as determined by the patient‘s stabilization plan, and must encourage all patients to enter programs for ongoing recovery as clinically indicated. In addition, the license holder must offer services that are patient-centered, trauma-informed, and culturally appropriate. Culturally appropriate services must include translation services and dietary services that meet a patient’s dietary needs. All services provided to the patient must be documented in the patient’s medical record. The following services must be offered unless clinically inappropriate and the justifying clinical rationale is documented:

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Terms Used In Minnesota Statutes 245F.08

  • Care coordination: means activities intended to bring together health services, patient needs, and streams of information to facilitate the aims of care. See Minnesota Statutes 245F.02
  • children: includes children by birth or adoption;

    (9) "day" comprises the time from midnight to the next midnight;

    (10) "fiscal year" means the year by or for which accounts are reckoned;

    (11) "hereafter" means a reference to the time after the time when the law containing such word takes effect;

    (12) "heretofore" means a reference to the time previous to the time when the law containing such word takes effect;

    (13) "judicial sale" means a sale conducted by an officer or person authorized for the purpose by some competent tribunal;

    (14) "minor" means an individual under the age of 18 years;

    (15) "money" means lawful money of the United States;

    (16) "night time" means the time from sunset to sunrise;

    (17) "non compos mentis" refers to an individual of unsound mind;

    (18) "notary" means a notary public;

    (19) "now" in any provision of a law referring to other laws in force, or to persons in office, or to any facts or circumstances as existing, relates to the laws in force, or to the persons in office, or to the facts or circumstances existing, respectively, on the effective date of such provision;

    (20) "verified" when used in reference to writings, means supported by oath or affirmation. See Minnesota Statutes 645.45

  • Direct patient contact: has the meaning given for "direct contact" in section 245C. See Minnesota Statutes 245F.02
  • Licensed practitioner: means a practitioner as defined in section 151. See Minnesota Statutes 245F.02
  • Nurse: means a person licensed and currently registered to practice practical or professional nursing as defined in section 148. See Minnesota Statutes 245F.02
  • Patient: means an individual who presents or is presented for admission to a withdrawal management program that meets the criteria in section 245F. See Minnesota Statutes 245F.02
  • Peer recovery support services: means mentoring and education, advocacy, and nonclinical recovery support provided by a recovery peer. See Minnesota Statutes 245F.02
  • Person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Minnesota Statutes 645.44
  • Recovery peer: means a person who has progressed in the person's own recovery from substance use disorder and is willing to serve as a peer to assist others in their recovery. See Minnesota Statutes 245F.02
  • Responsible staff person: means the program director, the medical director, or a staff person with current licensure as a nurse in Minnesota. See Minnesota Statutes 245F.02
  • Substance: means "chemical" as defined in subdivision 6. See Minnesota Statutes 245F.02
  • Substance use disorder: means a pattern of substance use as defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. See Minnesota Statutes 245F.02

(1) individual or group motivational counseling sessions;

(2) individual advocacy and case management services;

(3) medical services as required in section 245F.12;

(4) care coordination provided according to subdivision 2;

(5) peer recovery support services provided according to subdivision 3;

(6) patient education provided according to subdivision 4; and

(7) referrals to mutual aid, self-help, and support groups.

Subd. 2.Care coordination.

Care coordination services must be initiated for each patient upon admission. The license holder must identify the staff person responsible for the provision of each service. Care coordination services must include:

(1) coordination with significant others to assist in the stabilization planning process whenever possible;

(2) coordination with and follow-up to appropriate medical services as identified by the nurse or licensed practitioner;

(3) referral to substance use disorder services as indicated by the comprehensive assessment;

(4) referral to mental health services as identified in the comprehensive assessment;

(5) referrals to economic assistance, social services, and prenatal care in accordance with the patient’s needs;

(6) review and approval of the transition plan prior to discharge, except in an emergency, by a staff member able to provide direct patient contact;

(7) documentation of the provision of care coordination services in the patient’s file; and

(8) addressing cultural and socioeconomic factors affecting the patient’s access to services.

Subd. 3.Peer recovery support services.

(a) Peers in recovery serve as mentors or recovery-support partners for individuals in recovery, and may provide encouragement, self-disclosure of recovery experiences, transportation to appointments, assistance with finding resources that will help locate housing, job search resources, and assistance finding and participating in support groups.

(b) Peer recovery support services are provided by a recovery peer and must be supervised by the responsible staff person.

Subd. 4.Patient education.

A license holder must provide education to each patient on the following:

(1) substance use disorder, including the effects of alcohol and other drugs, specific information about the effects of substance use on unborn children, and the signs and symptoms of fetal alcohol spectrum disorders;

(2) tuberculosis and reporting known cases of tuberculosis disease to health care authorities according to section 144.4804;

(3) Hepatitis C treatment and prevention;

(4) HIV as required in section 245A.19, paragraphs (b) and (c);

(5) nicotine cessation options, if applicable;

(6) opioid tolerance and overdose risks, if applicable; and

(7) long-term withdrawal issues related to use of barbiturates and benzodiazepines, if applicable.

Subd. 5.Mutual aid, self-help, and support groups.

The license holder must refer patients to mutual aid, self-help, and support groups when clinically indicated and to the extent available in the community.