North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .3600 - OUTPATIENT OPIOID TREATMENT › Section 27G .3602 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to terms defined in
					 G.S.
					 122C-3 and Rule .0103 of this Subchapter, the
					 following definitions shall also apply:
(1) "Capacity management system" is a
				  computerized database, maintained at the Office of the North Carolina State
				  Authority for governing treatment of opioid addiction with an opioid drug,
				  which ensures timely notification of the State whenever a program reaches 90
				  percent of its capacity to treat intravenous drug users, and to make any excess
				  treatment capacity available. The requirement to have a capacity management
				  system in 45 C.F.R. Part 96.126(a), the Substance Abuse Prevention and
				  Treatment Block Grant, is incorporated by reference and includes all subsequent
				  amendments and editions and may be obtained from the Substance Abuse Services
				  Section of DMH/DD/SAS. The computerized system shall ensure that a continuous
				  updated record of all such reports is maintained and that excess capacity
				  information shall be available to all other programs.
(2) "Central registry" is a computerized
				  patient database, maintained at the Office of the North Carolina State
				  Authority for governing treatment of opioid addiction with an opioid drug. The
				  purpose of the database is to prevent multiple methadone treatment program
				  enrollments; thereby lessening the possibility of methadone diversion for
				  illicit use.
(3) "Waiting list
				  management system" is a component of the capacity management system whereby
				  systematic reporting of treatment demand is maintained. The data required for
				  the waiting list management component of the capacity shall include a unique
				  patient identifier for each intravenous drug user seeking treatment, the date
				  initial treatment was requested, and the date the drug user was removed from
				  the waiting list. The waiting list management system requirement in
				  45 CFR
				  96.126(c) is incorporated by
				  reference and includes subsequent amendments and editions of the referenced
				  material. It may be obtained from the Substance Abuse Services Section of
				  DMH/DD/SAS.
(4) "Methadone
				  hydrochloride" (hereafter referred to as methadone) is a synthetic narcotic
				  analgesic with multiple actions quantitatively similar to those of morphine,
				  most prominent of which involves the central nervous system and organs composed
				  of smooth muscle. The principal actions of therapeutic value or analgesia and
				  sedation are detoxification or temporary maintenance in narcotic addiction. The
				  methadone abstinence syndrome, although quantitatively similar to that of
				  morphine differs in that the onset is slower, the course more prolonged, and
				  the symptoms are less severe.
(5)
				  "Other medications approved for use in opioid treatment" are those medications
				  approved by the Food and Drug Administration for use in opioid treatment and
				  also approved for accepted medical uses under the North Carolina Controlled
				  Substances Act.
(6) "Program
				  compliance for purposes of take-home eligibility" is determined by:
(a) absence of recent drug abuse;
(b) clinic attendance;
(c) absence of behavioral problems at the
				  clinic;
(d) stability of the
				  patient's home environment and social relationships;
(e) length of time in comprehensive
				  maintenance treatment;
(f)
				  assurance that take-home medication can be safely stored within the patient's
				  home; and
(g) evidence the
				  rehabilitative benefit the patient derived from decreasing the frequency of
				  clinic attendance outweighs the potential risks of diversion.