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 this to secure their dose.
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
Uncontrolled participation in reward seeking behavior to cope with emotional intolerance is a definition of ____________.
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 drug use is how to meet this requirement.
Abstinence
__ on ____. If you are late you may not be permitted in group.
Be on time
Requests for guest dosing or Exceptions for Take Home Medication must be completed with counselor __ ______ prior to the date you are intending to leave.
2 Weeks
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
Name 1 of 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
__________ UA's will result in moving up in Step Care and suspension of take-home medication.
Positive
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
All ________ groups must be attended; any absences must be made up before moving in Step Care.
Assigned
or
Referred
Failure to provide a ___ when requested will result in no dose for that day.
UA
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
Patients must see a counselor to request a dose ______ or ______.
Increase
or
Decrease
In order to receive take-home medication you must be present with an approved ____ ___, and it MUST be yours.
Lock Box