Level III.2D Social-Setting Detoxification
The Care Campus offers up to 46 residential detox beds for both adult males and females. Medical supervision is provided by trained nursing staff and emergency medical technicians under the oversight of our medical physician director. Medical referrals can be made to the appropriate medical facilities for acute care of presenting symptoms, possibly medicated, and then returned to our facility for continued monitoring and observation. Collaborative relationships between the Care Campus, Monument Health and Oyate Indian Health Services provides for a cost-effective way to provide adequate care to clients.
Our residential detoxification program provides 24-hour supervision, observation, and support for clients who are intoxicated or experiencing withdrawal. All clients are seen by a chemical dependency counselor to identify and address immediate problems and needs. Care Campus staff members use client-centered approaches in hopes of developing a client-driven treatment plan conducive to positive lifestyle changes. Emphasis is placed on treatment engagement and peer/social supports.
An emergency commitment is a legal document whereby commitment procedures are followed in regards to individuals that are intoxicated, incapacitated, or pregnant substance abusers. If criteria is met and the Emergency Commitment Application is accepted by the designated administration of the facility, the individual may be committed to a designated treatment facility for a period of up to five days, excluding weekends and holidays.
In order for a person to be committed under the Emergency Commitment statute, SDCL 34-20A-63, the applicant must allege that the person whose commitment is sought is an intoxicated person who:
- Has threatened, attempted, or inflicted physical harm on him/herself or on another or is likely to inflict physical harm on him/herself or on another unless committed; or
- Is incapacitated by the effects of alcohol or drugs; or
- Is pregnant and abusing alcohol or drugs.
The application must also contain the specific circumstances requiring emergency commitment, including the applicant’s personal observations and the specific statements of others, if any, which support the alleged grounds for commitment. Thus the application might include:
- Specific facts or incidents at present or in recent past which indicate the individual is abusing alcohol or drugs.
- Specific facts or incidents showing that the abuse of alcohol and/or drugs has led to substantial impairment of mental or physical functioning, inability to care for basic personal needs or safety, danger to self or others, or, if pregnant, is endangering her unborn child by exposure to abusive use.
In most cases, the intoxicated individual is brought to the facility by family, neighbors, friends, or other interested persons. All such transportation options should be explored. A person may be taken into protective custody by law enforcement authorities who have determined that the person is clearly a danger to self or others.
Payment for treatment under emergency commitment may be assessed to the individual committed, to a legally responsible relative or guardian, to the county of residence if indigent, or billed to the South Dakota Division of Social Services Community Behavioral Health through contract with a designated treatment facility.
**Please note that emergency commitments filed at our facility are only available for individuals located within Pennington County. If an individual has been brought to and admitted into Detox, an emergency commitment can be filed at our office.
If you are seeking an emergency commitment for an individual in another county, please contact the State's Attorney in that County for assistance.
The Care Campus counseling staff employ various approaches to brief interventions for substance abuse problems in the Social-Setting Detox Program. These approaches range from unstructured counseling and feedback to more formal structured therapy and have relied heavily on concepts and techniques from the behavioral self-control training literatures. Usually, brief treatment interventions have flexible goals, allowing the individual to choose moderation or abstinence. The typical counseling goal is to motivate the client to change behavior and not to assign self-blame.
If a client is resistant to treatment, these individuals are nonetheless responsible for a disproportionate share of substance-related morbidity, including lowered workforce performance, motor vehicle accidents and other injuries, marital discord, family dysfunction, and medical illness.
At the Care Campus, an in-depth assessment of substance abuse patterns and related problems is used to determine the likelihood of self-harm. Harmful drinking is defined as alcohol use that has already resulted in adverse mental or physical effects. The assessment typically involves obtaining information regarding frequency and quantity of substance abuse, consequences of substance abuse, and related health behaviors and conditions.
The intervention itself is structured and focused on substance abuse. Its primary goals are to raise awareness of problems and then to recommend a specific change or activity (i.e., reduced consumption, accepting a referral, and self-monitoring of substance abuse). Focused applications of therapeutic techniques specifically target a symptom or behavior and orient toward a limited length of treatment.
An involuntary committal is an action through the court in which a client is ordered by the court to attend treatment.
A physical by a medical physician and an evaluation (from a counselor not employed by this facility) are conducted. This information is filed with the petition for an involuntary committal.
The client then has to make an appearance in front of a judge and either admit to or deny the petition. If a client admits to the petition, the judge usually goes along with the recommendation for treatment and orders the client to complete whatever treatment program has been specified in the petition.
If a client denies the petition, a hearing is set for a later date within ten days of the initial court appearance. The state then has to prove that the client is in need of treatment. The examining physician, the counselor who did the evaluation, family members who are interested in getting the client help, and anyone else who is knowledgeable with the case will testify for the commitment. The client is also able to call witnesses on his/her behalf.
If the state proves that the need for the commitment exists, the court then orders the client to treatment. If it is proven that the need does not exist, the case is then dismissed and the client is free to go.
An involuntary committal cannot exceed 90 days from the time the client attends the court hearing.
If you are seeking an Involuntary Committal of an individual not located in Pennington County, please contact the States Attorney's Office in that county for further assistance.
