Admissions Criteria

Admissions to Oasis Behavioral Health may be either voluntary or involuntary. Admission criteria developed and approved by the Medical Staff is utilized to determine the appropriateness of the admission. Only a qualified practitioner may authorize admission to the inpatient programs.

Patients will receive appropriate patient rights and financial information prior to admission, and the admission personnel will ensure that appropriate consent and admission forms are completed prior to admission. Whenever possible, any available member of the patient’s support system will be educated and involved in the evaluation and treatment process. Upon admission, patients and family member (if applicable) will be oriented to the unit or program.

For criteria exclusions please call our admissions department.

• The adult program serving ages 18+
• The adolescent program serving ages 11-17
• Active suicidal ideation
• Post suicide attempt
• Active homicidal ideation
• Psychosis that presents as a danger to self or others (ex- command hallucinations)
• Severe deterioration of functioning- unable to maintain adequate nutrition, shelter, safety or other essentials.

The patient has a DSM-IV-TR Axis I diagnosis:

For the Adult program patients must be at least 18 years of age and have one of the following:

1. Behavior which is life threatening, destructive or disabling to self or others
2. Active or potential suicidal, assault or homicidal threats, plans or attempts in the past 24-48 hours.
3. Serious risk taking or any self-endangering behavior in the past 24 hours.
4. Psychosis that presents a danger to self or (ex-command auditory hallucinations)
5. Significant deterioration of usual level of function. The patient is experiencing severe and acute deterioration as evidenced by: The patient has symptoms which hinders the patient’s ability to function in daily life. The level of functioning is so impaired that the patient cannot maintain adequate nutrition, shelter, safety, or other essentials.
   1. The patient has the ability to accept treatment with the likelihood of rapid reconstitution    within the programming available on this unit.
   2. Failure of outpatient treatment evidences condition in need of care not available in a lesser restrictive setting.
   3. A provider agrees with the clinical assessment and gives an admission order.

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by 3 or more of the following, occurring at any time in the same 12 month period:

1. Tolerance, as defined by either of the following:
   1. a need for markedly increased amounts of the substance to achieve intoxication or desired effect
   2. markedly diminished effect with continued use of the same amount of the substance
2. Withdrawal, as manifested by either of the following:
   1. the characteristic withdrawal syndrome for the substance
   2. the same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms
3.  The substance is often taken in larger amounts or over a longer period than was intended
4. There is a persistent desire or unsuccessful efforts to cut down or control substance use.
5. A great deal of time is spent in activities necessary to obtain the substance, use the substance (e.g., chain-smoking), or recover from its effects.
6. Important social, occupational, or recreational activities are given up or reduced because of substance use.
7. The substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.” (DSM-IV-TR, 2000)

Patients who meet criteria will enter into the Substance Abuse Treatment Tract. Patients who have a substance abuse history but do not meet criteria for abuse or dependency, will take a SASSI (The Substance Abuse Subtle Screening Inventory) to determine if they have substance abuse issues. If abuse is determined, these patients will enter into the Substance Abuse Treatment Tract. Patients who do not meet the criteria for abuse will enter into the Drug Education Program that is offered as a standard program within the regular services provided by Oasis.

Patients who are identified as candidates for the substance abuse treatment tract will meet with their substance abuse assigned clinician and complete a program admissions packet. This packet explains to the patient the group rules, expectations, and goals and objectives of their treatment. Patient will complete preliminary assignments that include a drug history indicating the amount, frequency, and duration of chemical use, a using lifestyle questionnaire that demonstrates the impact that substances have had on their lives, and a change questionnaire that gives information to the substance abuse clinician how ready a patient is to changing their using behaviors. This information is reviewed and discussed in an individual session with the patient prior to their arrival into the substance abuse group.

The Admissions Manager will make every attempt to place the youth with a Therapist whose expertise best meets the needs of the youth and family.

General Admission Criteria

1. Male or female, between the ages of 11-17
2. Presents with one or more psychiatric diagnoses requiring moderately complicated psychiatric and/or medical management.
3. Presents with a substance use disorder with a high risk for continued chemical use if not in a structured, 24-hour treatment setting. Demonstrates moderate to high levels of denial and resistance to changing drug-using lifestyle.
4. Presents with a pattern of moderate risk for danger to self or danger to others
5. High risk for continued harmful behavior if not in a structured, 24-hour treatment setting.
6. Moderate to high levels of denial and resistance to change, or history of failure to make adequate progress in an outpatient treating setting.
7. Clients referred for readmission are considered under the same criteria as new admissions.