Phases of Treatment
What is the Primary Function of the Phase of Treatment? List the 5 Phases and length of each phase.
1. Phase of Treatment drives the frequency of treatment.
Orientation Phase- 30 days
Stabilization, Early Recovery, Middle Recovery and Late Recovery- 90 days
What days do we complete Intakes for each Program?
MAT, Mental Health, SAS, IOP, DUI
Mondays and Fridays for MAT
Wednesday's for SAS
What is the latest time a client can arrive for daily dosing?
11:50 am
What is required before each client is allowed to enter the office?
Temperature Check and Must Be Wearing a Mask
What are the 5 Special Phases of Treatment?
1. Individual Enhancement Phase
2. Second Enhancement Phase
3. Intensive Enhancement Phase
4. Harm Reduction Phase
5. IOP
What steps need to be completed before a client can be dosed on Intake day?
1. UDS (Instant)
2. Physical Exam with Pryor
3. Assessment with Counselor
4. Nurse's Assessment
5. Doctor's Appointment for Dosing Order
Back to the front desk for check in
Where and when do client's dose if they are waiting for COVID results?
On the Mental Health side after dosing hours or at a specific time identified by nursing staff.
How many clean UDS does a client on subutex need to have before they can switch to subutex?
4 consecutive negative drug screens
How Long does Harm Reduction Phase Last? How does one get placed in Harm Reduction Phase of Treatment? Hint: There are 2 ways.
1. Harm Reduction Phase last for 60 days with the option to add 30 additional days if needed.
2. One can be placed in Harm Reduction Phase if he/she test positive for alcohol/benzos 3 times in 90 days. Test positive for non prescribed substances 2 out of 3 months while in Intensive Enhancement Phase of tx. (compliance with tx is a factor)
Does a client need to report back to the front desk after completing a UDS? What is required before dosing.
A client can report directly to the dosing window and must present slip confirming completion of UDS unless he/she is flagged to complete other services before dosing.
If a client is currently prescribed 95 mg of Methadone and is requesting an increase, what procedure is required first?
A Peak and Trough
During an episode of treatment, which phases can a client not be placed in more than once?
Orientation Phase and Stabilization Phases
What Phase will a client remain in if they maintain abstinence from all non prescribed drugs except marijuana?
Early Recovery Phase of Treatment
Describe the Take Home Agreement due to COVID
Due to COVID, some client's will be eligible for take homes on one of the following schedules:
-every other day dosing schedule
-weekly schedule (6 take homes)
-bi-weekly schedule (13 take homes)
At what dose is recommended/required for a client to switch from Subutex to Suboxone?
12 mg of Subutex