Step Care Model
In this Step patients are required to attend 1 group & 1 individual session per week and provide a UA negative of illicit drug use.
Step 1
Each patient is required to have their own ____ to secure any take home dose(s).
Lock Box
Group is __________. Who you see, and what you hear in group stays in group.
Confidential
Attendance to ______, _____, and ________ are very strong keys to success in OTP.
Dosing
Groups
1 on 1's / Individual Counseling
In order to receive take-home medication you must be present with an approved ____ ___, and it MUST be yours
Lock Box
In this Step patients are: getting introduced to the program; having their dose titrate up; and we don't "Keep Score" on program requirements.
Induction
Providing UA's negative of illicit drugs is how to meet this requirement.
Abstinence
Be ___ ____. If you are late, you may not be permitted in group.
Be on time
Choosing to not provide a ___ when requested will result in no dose for that day.
UA
Patients may not move to Maintenance until _________ group is completed.
OTP Success
In this Step patients are required to attend 3 groups per week & 2 individual counseling sessions per month. Also, must provide a negative UA.
Step 3
Patients must demonstrate ______________ behavior.
Positive
____ ______ must be silenced and not used during group unless you have facilitator's permission.
Cell phones
Patients must see a counselor to request a dose ______ or ______.
Increase
or
Decrease
OTP combines medication and ____ for the best chance at a successful recovery
Counseling
In this Step patients are required to attend 2 groups per week & 2 individual counseling sessions per month. Also provide a negative UA.
Step 2
______________ to dosing, groups, and individual counseling sessions.
Attendance
Group participation is _______, but you have the right to pass. Support each other along the way.
Encouraged
Requests for guest dosing or Exceptions for Take Home Medication must be completed with counselor ______ prior to the date you are intending to leave.
10 working days
Selling, trading, or taking your dose not as directed is considered _____
Diverting Medication
The Mandatory Taper step can be reversed by:
Meeting Step 3 attendance requirements for 1 week.
Patients must demonstrate ____________ in their home environment and social relationships.
Stability
___ person speaks at a time. No side conversations or crosstalk.
One
Name 2 out of the 4 behaviors that are completely unacceptable and can result in immediate discharge from the program.
1. Dealing drugs on or near OTP or to OTP patients.
2. Using drugs on or near OTP or to OTP patients.
3. Diverting Medication
4. Threats or acts of violence
A biopsychosocial disorder characterized by compulsive engagement in rewarding stimuli despite adverse consequences
Addiction