Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.13 - Individual Treatment Plan

Current through Rules and Regulations filed through June 27, 2024
A program must develop a preliminary individual treatment
				  plan for each patient within 10 days of admission, which includes an initial
				  treatment recommendation. A complete individual treatment plan for each patient
				  must be developed within 30 days of admission. Patients must be involved in the
				  development of their treatment plans. Treatment plans must document a
				  consistent pattern of substance abuse treatment services and medical care
				  appropriate to individual patient needs and must meet the requirements of
				  42 C.F.R. §
										8.12(f)(4).
(a) Medical care, including referral for
				necessary medical service, and evaluation and follow-up of patient complaints
				must be compatible with current and accepted standards of medical practice. All
				patients must receive a physical examination by the medical director, the
				program physician, or an appropriately licensed and qualified member of the
				medical staff at least annually. All other medical procedures performed at the
				time of admission must be reviewed by the medical staff on an annual basis, and
				all clinically indicated tests must be repeated. The medical director or
				program physician shall evaluate the results of this annual medical examination
				and review of patient medical records and document such evaluation in each
				patient's record.
(b) In
				recognition of the varied medical needs of patients, the case history and
				individual treatment plans must be reviewed at least every 90 days for patients
				in treatment less than one year and at least annually for patients in treatment
				more that one year. This review will be conducted by the medical director or
				program physician along with the primary counselor and other appropriate
				members of the treatment team for general quality controls and evaluation of
				the appropriateness of continuing the form of treatment on an ongoing basis.
				This review must also include an assessment of the current dosage and schedule
				and the rehabilitative progress of the patient, as part of determination of
				whether additional medical services are indicated. If such review results in a
				determination that additional or different medical services are indicated, the
				program must ensure that such services are made available to the patient and
				appropriate referrals for additional care are made.
(c) When the program physician prescribes
				other controlled substances to patients in the program, the program physician
				shall ensure that such prescriptions are in accordance with all applicable
				statutes and regulation and with current and accepted standards of medical
				practice. Such prescriptions shall not be issued to any patient unless the
				medical director, the program physician, or a member of the medical staff first
				sees the patient and assesses the patient's potential for abuse of such
				medications.
(d) As part of the
				rehabilitative services provided by the program, each patient must be provided
				with individual or group counseling appropriate to his or her needs. The
				frequency and duration of counseling provided to patients must be determined by
				appropriate program staff and be consistent with the individual treatment plan.
				Individual treatment plans must indicate a specific level of counseling
				services needed by the patient as part of the rehabilitative process.
(e) All patients shall receive HIV risk
				reduction education appropriate to their needs.
(f) When appropriate, each patient must be
				enrolled in an education program, or be engaged in a vocational activity
				(vocational evaluation, education, or skill training), or make documented
				efforts to seek gainful employment. Deviations from compliance with these
				requirements must be explained in the patient's record. Each program shall take
				steps to ensure that a comprehensive range of rehabilitative services,
				including vocational, educational, legal, mental health, alcoholism, and social
				services are made available to patients who demonstrate a need for such
				services. The program can fulfill such responsibility by providing support
				services directly or by appropriate referral. Support services recommended and
				utilized must be documented in the patient record.
(g) All programs will develop and implement
				policies for matching patient needs to treatment and providing treatment in
				accordance with current and accepted standards of medical practice. These
				policies shall include treatment phasing, in which the intensity of medical,
				counseling, and rehabilitative services provided to a patient varies depending
				upon the patient's phase of treatment. Phases of treatment may include
				intensive stabilization for new patients and those in need of acute care,
				graduated rehabilitation phases, and medical maintenance or appropriate
				treatment-tapering phases for long-term stable patients.
O.C.G.A.
				  §§
											26-5-2
et seq.
,
				  31-2-5,
				  31-2-7.