Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 25 - Bureau of Alcohol and Drug Abuse Prevention › Rule 007.25.93-001 - Rules and Regulations for Methadone Treatment Program Standards

Current through Register Vol. 49, No. 6, June, 2024
§ I.
			 INTRODUCTION
The Bureau of Alcohol and Drug Abuse Prevention (ADAP) has
				developed standards for the administration of Methadone Treatment Programs in
				Arkansas.
The goal of methadone treatment is total rehabilitation of the
				patient. While eventual withdrawal from the use of drugs, including methadone,
				may be an appropriate treatment goal, some patients may remain on methadone
				maintenance for relatively long periods of time. Periodic consideration of
				withdrawing from methadone maintenance is appropriate only if it is in the
				individual patient's interest. Such considerations are between the patient and
				the treatment facility.
The Program shall be progressive in nature, addressing the
				patient's individual needs with methadone as only one component of
				comprehensive treatment services.
§
			 II. REGULATORY AUTHORITY
The authority for these rules is A.C.A. §§
									20-64-602,
				20-64-704,
				and
				20-64-903.
Persons, partnerships, associations or corporations applying
				for approval as a treatment program providing methadone services shall meet the
				requirements of these Standards. In addition, the Bureau of Alcohol and Drug
				Abuse Prevention shall accredit Arkansas programs providing methadone services
				in accordance with A.C.A. §
									20-64-901, et
				seq.
The treatment program providing methadone services, hereinafter
				referred to as "Program," shall comply with applicable federal, state and local
				laws and regulations including those under the jurisdiction of the Food and
				Drug Administration, the Drug Enforcement Administration and the State
				Authority, as well as laws and regulations governing equal employment
				opportunity and non-discrimination of patients.
§ III.
DEFINITIONS:
The following definitions apply to Programs.
A.
Accreditation
Accreditation is the process by which the the Bureau of Alcohol
				and Drug Abuse Prevention determines if a person, partnership, association, or
				corporation may operate an alcohol and drug abuse treatment program as provided
				by A.C.A. §
										20-64-901, et
				seq.
B.
Accreditation Standards for Alcohol and Other Drug Abuse Treatment
			 Programs
Accreditation Standards for Alcohol and Drug Abuse Treatment
				Programs are the standards developed by the Bureau of Alcohol and Drug Abuse
				Prevention which accredited treatment programs shall meet.
C.
Administrative
			 Detoxification
Administrative Detoxification is the gradual, medically
				controlled withdrawal of methadone from a patient for violation or infraction
				of a Program policy.
D.
Applicant
Screening
Applicant Screening is the act of determining eligibility for
				treatment.
E. Alcohol
and
Drug
Management
Information System (ADMIS)
Alcohol and Drug Management Information System (ADMIS) is the
				management information system for the collection and reporting of patient
				related data prescribed by the State Authority.
F. Counselor
A Counselor is one of the following:
1) A Certified Substance Abuse Counselor
			 recognized by the Arkansas Substance Abuse Certification Board;
2) A Social Worker licensed by the State of
			 Arkansas, and who by virtue of education, training or experience, provides
			 treatment, which includes advice, opinion, or instruction to an individual or
			 in a group setting to allow opportunity for a person to explore his or her
			 problems related directiy or indirectly to alcohol and or other drug abuse or
			 dependence;
3) An individual who has
			 at least a Bachelor's Degree in a behavioral science, and who by virtue of
			 education, training or experience, provides treatment, which includes advice,
			 opinion, or instruction to an individual or in a group setting to allow
			 opportunity for a person to explore his or her problems related directly or
			 indirectly to alcohol and or other drug abuse or dependence.
G.
Definitive
			 Laboratory Results
Definitive Laboratory Results are confirmatory tests done by a
				National Institute of Drug Abuse (NIDA) certified laboratory.
H.
Detoxification Treatment
Detoxification Treatment means the dispensing of a narcotic
				drug in decreasing doses to an individual to alleviate adverse physiological or
				psychological effects incident to withdrawal from the continuous or sustained
				use of a narcotic drug and as a method of bringing the individual to a narcotic
				drug-free state within such period.
I.
Family
Family means individuals who claim relationship to others
				either by heredity or by law.
J.
Medical Director
A Medical Director is a physician licensed to practice medicine
				in the State of Arkansas who assumes responsibility for the administration of
				medical services performed by the Program, including ensuring that the Program
				is in compliance with federal, state and local laws and regulations regarding
				the medical treatment of narcotic addiction with a narcotic drug.
K. Methadone Maintenance
Methadone Maintenance means the dispensing of methadone for
				more than 180 days in the treatment of an individual for dependence on heroin
				or other morphine-like drug.
L.
Narcotic Dependent
A Narcotic Dependent is an individual who physiologically needs
				heroin or a morphine-like drug to prevent the onset of signs of
				withdrawal.
M.
Presumptive Laboratory Results
Presumptive Laboratory Results are screening test results that
				have not been confirmed by a National Institute of Drug Abuse (NIDA) certified
				laboratory.
N.
Program
A Program is an entity that:
1) Administers or dispenses an approved
			 narcotic drug to a narcotic addict for maintenance or detoxification treatment;
			 and
2) Provides a comprehensive
			 range of medical and rehabilitative services; and
3) Is approved by the State Authority and the
			 Food and Drug Administration; and
4) Is registered with the Drug Enforcement
			 Administration to use a narcotic, drug for the treatment of narcotic addiction;
			 and
5) Is open at least six (6)
			 days a week.
O.
Program Sponsor
A Program Sponsor is a person (or representative of an
				organization) who is responsible for the operation of a Program and who assumes
				responsibility for its employees, including practitioners, agents or other
				persons providing services at the Program (including its medication units) and
				is knowledgeable of substance abuse treatment issues.
P. Services
Services are program components rendered to patients which
				shall include, but are not limited to:
1) Medical evaluations; and
2) Counseling; and
3) Rehabilitative and other social programs
			 (e.g., vocational and educational guidance, employment placement) which shall
			 help the patient become a productive member of society.
Q.
Significant Other
A Significant Other is an individual who has an intimate
				relationship with another, but who is not related by heredity or law.
R.
State Authority
State Authority means the Director, or designee, of the
				Arkansas Department of Health - Bureau of Alcohol and Drug Abuse Prevention, or
				its successor.
S.
Take-Home Medication
Take-Home Medication refers to those doses of methadone
				consumed by the patient under conditions of no direct observation by a medical
				provider.