Diagnosis: Substance Abuse Treatment: Inpatient Admission for Substance Rehabilitation Treatment The insurer denied the coverage. The denial was reversed. This patient is a male was admitted to this inpatient substance rehabilitation treatment for substance rehabilitation treatment. He was using cocaine and cannabis and had a positive toxicology for tetrahydrocannabinol (THC) and cocaine. He was mandated to treatment by his parole officer. His longest reported period of abstinence was lasted for a few years when he was incarcerated. He had past inpatient substance rehabilitation treatments in mid-2018 and late 2018. He was in outpatient substance treatment and had a positive toxicology for THC and cocaine. He lived with family and attended group and individual therapy and was discharged in late 2018. According to the Level of Care for Alcohol and Drug Treatment Referral (LOCADTR), he met criteria for substance residential treatment as he continued to use multiple substances despite past inpatient residential treatment settings and outpatient substance treatment. He was in outpatient substance treatment and had a positive toxicology for THC and cocaine. The patient had legal issues and was mandated to treatment by his parole officer. He was unable to stop substance use without being in this sober and supervised therapeutic residential inpatient setting. Without this structured and supervised therapeutic residential treatment, he likely would have quickly relapsed.
1) The APA Practice Guidelines for the Treatment of Patients with Substance Use Disorders 2) LOCADTR