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The Detox Program provides a short-term social model program that is designed to address the alcohol and alcohol abuse problem in Bernalillo County. Through this, the program provides a safe environment to individuals who require detoxification services, non-medical interventions and referrals. It also serves those individuals who would otherwise be transported by law enforcements or emergency medical services to jail or to one of the local emergency rooms.
Medical services are available to clients through a collaborative effort with the University of New Mexico Hospital and other local hospitals. The program currently manages a forty-eight (48) bed capacity (32 male and 16 female).
Program services are offered to public inebriates for the purpose of withdrawing from alcohol and/or other drugs.
Staff provides observation, intervention, safety and educational services on the disease of addiction to all clients entering the program. staff also provides screening, brief assessment, referral, AccuDetox, substance abuse psycho-education groups, recovery planning, treatment planning and discharge planning/follow up (when appropriate).
DBHS provides a short term social model detox program that is designed to address the alcohol abuse problem in Bernalillo County. The program provides a safe environment to individuals who require detoxification services, non-medical interventions and referrals.
The person also:
- Must not have any restraining orders or warrants for arrest.
- Must not have any appointments within the next 24 hours and up to the next 3 – 5 days. Admission to these services would most likely prevent the person from making that appointment.
- Must be mobile or able to move without assistance from others.
People who would not be able to be admitted to the detox program include:
- Any person who is violent, has outstanding warrants, or otherwise needs a secure holding facility, or who has a no-contact restraining order against them.
- Any person who is under the age of eighteen (18) years.
- Any person who is the subject of involuntary commitment proceedings or detention without a hearing
- Any person who requires specialized care not available at the facility.
- Any person who has a physical or medical condition that is unstable or can only be safely treated in a hospital.
- Any person who can be safely maintained and effectively treated in a less restrictive or intensive level of care.
- Any person who does not voluntarily consent to admission or treatment.
- Any person needing assistance with activities of daily living.
|INCLUSIONARY CRITERIA||EXCLUSIONARY CRITERIA||RESTRICTION CRITERIA|
1. 18 years of age or older with a primary behavioral health, substance use and/or mental health diagnosis
3. Must be able to independently conduct activities of daily living, such as eating, drinking, and toileting independently.
5. Pass COVID 19 screening
6. Individual must not be combative, aggressive or highly agitated
9. Person may express suicidal ideations but does not have an actual plan for self-harm.
10. Individual has no communicable diseases.
11. Client has no major medical problems that would compromise safety in a social model milieu.
12. Must bring prescribed medications for chronic illness (such as diabetes, hypertension)
13. Have medical equipment and supplies to independently care for chronic illness.
14. No active wounds or other acute trauma that require nursing care for medical issues such as wound care, abscesses that require urgent or emergent medical intervention other than simple skin abrasions or abscesses.
15. No head trauma/injury sustained within past 24 hours or client unable to state time trauma occurred, unless cleared by hospital Emergency Department.
16. Client is not actively seizing or has been cleared by hospital emergency department.
17. Must meet vital sign parameters (see graphs below) and be asymptomatic.
18. Clients who report use of methamphetamines in the past 24 hours are to be evaluated by medical staff prior to admission. They may wait in Central Intake Unit until medical staff can complete the assessment.
19. Staff will review NMCourts data (with the exception of those seeking admission to Public Inebriate Intervention Program) for the presence of warrants and no-contact restraining orders, determination of admission will be made on a case-by-case basis.
20. Individuals who are required to wear an ankle monitor may be admitted upon completion of a signed Release of Information with Probation and Parole.
Clients on Methadone Seeking Detox Services
Crisis Stabilization Unit-ONLY
Supportive After Care Community-ONLY
1. Under 18 years of age
2. Any person who does not voluntarily consent to admission or treatment. Any person who represents a physical risk to other clients or staff.
3. Any person needing assistance with activities of daily living.
4. Not able to walk (ambulate) or use their assistive devices cane or wheelchair independently.
5. Any person who is subject of involuntary commitment proceedings or detention without a hearing
6. Any person who has an unstable physical, medical or psychiatric condition that can only be safely treated in a hospital or requires specialized care not available at the facility.
7. DBHS policy allows for the review of an individual clients legal circumstances by a program supervisor or above.
8. Any person who has infectious, communicable or contagious diseases, contagions, an unstable physical or medical condition that can only be safely treated in a hospital.
9. Any couple, of any gender, married or unmarried, shall NOT be admitted to DBHS Detox at the same time. However, one person of the couple could be admitted to PIIP (described in Section 8 of these procedures) if the other person in the couple is in DBHS Detox. The PIIP client shall not be moved to the Detox floor at any time while the other member of the couple is in Detox. Also, both persons in the couple may stay in PIIP for observation, provided they are not both moved to the Detox floor. Other close relatives (mother, father, aunt, uncle, child or sibling) shall not be admitted at the same time, with the same PIIP exception previously stated for couples.
10. DBHS does not currently admit individuals seeking detox from benzodiazepines. Staff will assist client in accessing care through Turquoise Lodge Hospital.
11. DBHS does not admit clients seeking to detox from methadone, regardless of their current dosage level. These clients should be referred to their home methadone clinic in order to complete a detox from methadone.
Below is a list of negative behaviors and related periods of time the client will be restricted from admission. Tech Leads will inform client as to reason for and length of restriction. All restrictions will result in completion of a detailed Incident Report. Leads will take into account the client’s level of intoxication at the time of problematic behavior and an attempt at de-escalation, when appropriate. For most restrictions of 30 days or more, On-Call Supervisor will be notified and will evaluate the need for a 30-day or more restriction.
1. Physical Violence directed at staff or other clients. Due to the gravity of offense, Tech Lead will not need consultation with On Call Supervisor. Call APD. 90-Day Restriction
2. Inappropriate Sexual Behavior, to include any touching or attempted touching or other forms of physical contact of a sexual nature with staff or client. Consult with On Call Supervisor. 90-day Restriction
3. Direct threat of Violence, Intimidation, Coercion, to include aggressive posturing, clenched fist, verbal threats. Direct statement of intent to harm. (e.g., “I will wait for you in the parking lot and mess you up” vs “I hope somebody messes you up good.”) Consult with On-Call Supervisor. 90-Day Restriction
4. Drug-Related Contraband (substances, alcohol, paraphernalia). 30-day restriction
5. Weapons Brought into Facility. On person – 30 day restriction. Weapon within stored belongings – 10 day restriction. No need to consult with On Call Supervisor. Weapons are turned over to Security.
6. Vandalism. Major damage or defacing of property – 30 day restriction. Minor damage – 15-day Restriction
7. False Identity – wrong name, wrong social security number, wrong date of birth – 30-day restriction.
8. Sexually inappropriate or other Offensive Language (racial slurs, homophobic comments, etc.), Conduct which continues after staff has conducted de-escalation attempts and client is not in early stage of detox. Making offensive remarks about appearance, racial/ethnic/gender identity. 15-day restriction
9. Theft. 15-Day Restriction
10. Bad Language and/or Negative Attitude directed at staff and/or other clients. Client is challenging authority, verbally belligerent, continuing after documented intervention by staff. 10- to 15-day restriction depending upon severity and duration
11. Fraternizing, to include inappropriate comradery with another client, continuing after redirection by staff. 10- to 15-day restriction depending on severity.
12. Contraband (lighter, cigarettes, make-up, cell phone, e.g.) 5-day restriction
13. Smoking in Facility – 5-day restriction
14. All Client Discharges, whether planned or unplanned. 3-day restriction
Public Inebriate Intervention Program-ONLY
3-Day Restriction for:
1. Drug-related contraband
3. Minor Vandalism
4. False Identity
5. Sexually inappropriate or other offensive language
7. Bad language and or negative attitude
10. Smoking in Facility
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