Standards for public agencies

2020 Edition

Mental Health and/or Substance Use Services (PA-MHSU) 8: Ambulatory Detoxification Treatment

Detoxification treatment is provided based on the needs of the service recipient.
NA The agency does not provide detoxification treatment.
2020 Edition

Currently viewing: MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES (PA-MHSU)

VIEW THE STANDARDS

Purpose

Individuals and families who receive Mental Health and/or Substance Use Services improve social, emotional, psychological, cognitive, and family functioning and attain recovery and wellness.
Note: Detoxification can occur at varying levels of intensity.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Criteria for determining the level of care
  • Sample job descriptions from across relevant job categories
  • Interviews may include:
    1. Clinical/Medical director
    2. Relevant personnel
    3. Persons served
  • Review case records

PA-MHSU 8.01

Qualified personnel determine the appropriate level of detoxification care and treatment for the individual using diagnostic criteria outlined in clinical decision support tools and clinical practice guidelines.
Examples: Agencies can utilize the American Society of Addiction Medicine (ASAM) criteria to determine the appropriate level of care.

PA-MHSU 8.02

Detoxification services include:  
  1. assessment and evaluation; 
  2. monitoring and stabilization; and  
  3. preparation for entry into substance use treatment.

Fundamental Practice

PA-MHSU 8.03

Detoxification treatment is provided by a qualified team of trained and licensed professionals appropriate to the intensity of services offered.
Examples: Agencies providing medically-monitored detoxification may employ an interdisciplinary staff of nurses, counselors, social workers, addiction specialists and/or other health and technical personnel, whom all work under the supervision of a licensed physician.