1. (a) A substance abuse comprehensive outpatient treatment program (SACOT) is one that provides a multi-faceted approach to treatment in an outpatient setting for adults with a primary substance-related diagnosis who require structure and support to achieve and sustain recovery.
2. (b) Treatment support activities may be adapted or specifically designed for persons with physical disabilities, co-occurring disorders including mental illness or developmental disabilities, pregnant women, chronic relapse, and other homogenous groups.

3. (c) SACOT shall have a structured program, which includes the following services:

   1. (1) individual counseling;
   2. (2) group counseling;
   3. (3) family counseling;
   4. (4) strategies for relapse prevention to include community and social support systems in treatment;
   5. (5) life skills;
   6. (6) crisis contingency planning;
   7. (7) disease management;
   8. (8) service coordination activities; and
   9. (9) biochemical assays to identify recent drug use (e.g. urine drug screens).

4. (d) The treatment activities specified in Paragraph (c) of this Rule shall emphasize the following:

   1. (1) reduction in use and abuse of substances or continued abstinence;
   2. (2) the understanding of addictive disease;
   3. (3) development of social support network and necessary lifestyle changes;
   4. (4) educational skills;
   5. (5) vocational skills leading to work activity by reducing substance abuse as a barrier to employment;
   6. (6) social and interpersonal skills;
   7. (7) improved family functioning;
   8. (8) the negative consequences of substance abuse; and
   9. (9) continued commitment to recovery and maintenance program.

History Note: Authority G.S. 122C-26; 143B-147;
Eff. April 1, 2006;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 20, 2019.