Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 25 - Bureau of Alcohol and Drug Abuse Prevention › Rule 007.25.96-002 - Revisions to the Methadone/LAAM Treatment Program Standards and the Licensure Standards Manual for Substance Abuse/Addiction Treatment Programs

Current through Register Vol. 49, No. 6, June, 2024
Attachment for Item 12
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METHADONE/LAAM TREATMENT PROGRAM STANDARDS
I. INTRODUCTION
The Bureau of Alcohol and Drug Abuse Prevention (ADAP) has
				developed standards for the administration of Methadone/LAAM Treatment Programs
				in Arkansas.
The goal of methadone/LAAM treatment is total rehabilitation of
				the patient. While eventual withdrawal from the use of drugs, including
				methadone/LAAM, may be an appropriate treatment goal, some patients may remain
				on methadone/LAAM maintenance for relatively long periods of time. Periodic
				consideration of withdrawing from methadone/LAAM 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 need with methadone/LAAM 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/LAAM services shall
				meet the requirements of these standards. In addition, the Bureau of Alcohol
				and Drug Abuse Prevention shall license Arkansas programs providing
				methadone/LAAM services in accordance with A.C.A.
				20-64-901, et
				seq.
The treatment program providing methadone/LAAM 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 nondiscrimination of patients.
The ADAP shall refuse licensure to any new applicant that
				cannot provide a valid needs assessment using epidemiological evidence, and
				which the ADAP agrees, proves the need for Methadone/LAAM services in the
				geographic area in which it intends to operate. Furthermore, the ADAP shall
				refuse or revoke the licensure of any program that cannot provide adequate
				financial support to initiate and/or continue operation. Also, the ADAP shall
				refuse or revoke the licensure of any
METHADONE/LAAM TREATMENT PROGRAM STANDARDS
I. INTRODUCTION
The Bureau of Alcohol and Drug Abuse Prevention (ADAP) has
				developed standards for the administration ofMethadone/LAAM Treatment Programs
				in Arkansas.
The goal of methadone/LAAM treatment is total rehabilitation of
				the patient. While eventual withdrawal from the use of drugs, including
				methadone/LAAM, may be an appropriate treatment goal, some patients may remain
				on methadone/LAAM maintenance for relatively long periods of time. Periodic
				consideration of withdrawing from methadone/LAAM 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 need with methadone/LAAM 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/LAAM services shall
				meet the requirements of these standards. In addition, the Bureau of Alcohol
				and Drug Abuse Prevention shall accredit Arkansas programs providing
				methadone/LAAM services in accordance with A.C.A.
				20-64-901, et
				seq.
The treatment program providing methadone/LAAM 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 nondiscrimination of patients.
The ADAP shall refuse licensure to any new applicant that
				cannot provide a valid needs assessment using epidemiological evidence, and
				which the ADAP agrees, proves the need for Methadone/LAAM services in the
				geographic area in which it intends to operate. Furthermore, the ADAP shall
				refuse or revoke the licensure of any program that cannot provide adequate
				financial support to initiate and/or continue operation. Also, the ADAP shall
				refuse or revoke the licensure of any program involved in any legal procedures
				or investigations Telated to the violation of any local, state or federal
				alcohol or drug law or code.
Applications for Methadone/LAAM licensure will not be accepted
				for any program that intends to operate within one hundred (100) miles of any
				(including out of state) existing Methadone program. This includes Satellite or
				branch sites of existing Methadone/LAAM programs.
III. DEFINITIONS:
The following definitions apply to Programs:
A. Licensure
Licensure is the process by which the Bureau of Alcohol and
				Drug Abuse Prevention determines if a person, partnership, association or
				coiporation may operate an alcohol and drug abuse treatment program.
B. Licensure Standards for Alcohol
			 and Other Drug Abuse Treatment Programs
Licensure Standards for Alcohol and Drug Abuse Treatment
				Programs are the standards developed by the Bureau of Alcohol and Drug Abuse
				Prevention which accredited treatment program shall meet.
C. Administrative Detoxification
Administrative Detoxification is the gradual, medically
				controlled withdrawal of methadone/LAAM 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(ADIMIS)
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 advise, 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;
(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 advise,
			 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 brining 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/LAAM
			 Maintenance
Methadone/LAAM 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 drugs.
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 confinned 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 unites) 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 Medications refers to those doses of methadone
				consumed by the patient under conditions of no direct observation by a medical
				provider.