State Requlations
How many drug screens are required per month?
Minimum of One drug screen.
What criteria are we using to diagnose someone who needs OTP treatment?
DSM-IV for Opioid Use Disorders
Every new patient has to undergo what relapse prevention based program?
Pathways to Recovery
3 positive drug screens within 90 days = take home level suspension (level 1)
What are the counseling requirements for patients?
In Tx less than one year = 2x per month.
In Tx more than one year - 1x per month.
How many years do we need to be able to document that a person has been addicted before treatment?
One year.
that the person is currently addicted to an opioid drug, and that the person became addicted at least 1 year before admission for treatment
A new patient must meet with their counselor how many times per week and for how long?
one time per week for the first 30 days.
After four years of continuous treatment and a minimum of three years of continuous program compliance
Level 7 Criteria
6
Intake Labs must be completed within how many days
14
A patient will be reassessed every ____ days for the first year in treatment.
90 days
After 180 days of continuous treatment and a minimum of 90 days of continuous program compliance at level 2,
Level 3 Criteria
North Carolina State Authority for Opioid Treatment or also known as NCSOTA.
What are the exceptions to the admission criteria?
If clinically appropriate, the program physician may waive the requirement of a 1-year history of addiction under paragraph (e)(1) of this section, for patients released from penal institutions with a documented history of opioid use disorder (within 6 months after release), for pregnant patients (program physician must certify pregnancy), and for previously treated patients (up to 2 years after discharge).
If a patient is determined to be at risk for suicide what is the first step according to CTC P&P:
After 364 days of continuous treatment and a minimum of 180 days of continuous program compliance,
Level 5 Criteria
According to 10A NCAC 27G .3604 Regulations for Opioid Treatment Porgrams, you must be compliant with which two government bodies in order to operate a(n) OTP.
SAMSHA/CSAT and The DEA
2
Patients with two or more unsuccessful detoxification episodes within a 12-month period must be assessed by the OTP physician for other forms of treatment. A program shall not admit a patient for more than two detoxification treatment episodes in one year.
there is an indication that the risk posed by a patient is greater than the benefit maintaining that patient in treatment,
What are exceptions to Take-Home Eligibility:
illness, personal or family crisis, travel or other hardship may be permitted a temporarily reduced schedule by the State authority, provided she or he is also found to be responsible in handling opioid drugs.