Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 1 - General Provisions › Section 450:70-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this chapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise:
"Accreditation"
means the process of review and
				  acceptance by a nationally recognized accreditation body.
"Accreditation body"
means a body that has been
				  approved by SAMHSA to accredit opioid treatment programs using opioid agonist
				  or partial agonist treatment medications.
"Administer"
means the direct application of a
				  prescription drug by ingestion or any other means to the body of a person
				  served by a licensed practitioner, or the patient at the direction of, or in
				  the presence of, a practitioner.
"Administrative withdrawal"
means medically
				  supervised withdrawal involving the gradual tapering of dose of medication over
				  time, coinciding with the usually involuntary discharge from medication
				  assisted treatment. Administrative withdrawal typically results from
				  non-payment of fees, violent or disruptive behavior, incarceration or other
				  confinement.
"Approved narcotic drug"
means a drug approved
				  by the United States Food and Drug Administration for maintenance and/or
				  detoxification of a person physiologically dependent upon opioid drugs.
"ASAM criteria"
means the most current edition
				  of the American Society of Addiction Medicine's published criteria for
				  admission to treatment, continued services, and discharge.
"Biopsychsocial assessment"
means in-person
				  interviews conducted by a LBHP or Licensure Candidate designed to elicit
				  historical and current information regarding the behavior and experiences of a
				  person served, and are designed to provide sufficient information for problem
				  formulation, intervention planning, case management needs, and formulation of
				  appropriate substance abuse-related treatment and service planning.
"Buprenorphine"
means a partial agonist,
				  Schedule III narcotic approved for use in opioid dependence treatment.
"CARF"
means the Commission on the Accreditation
				  of Rehabilitation Facilities.
"Central registry"
means a document or database
				  to which an OTP shall report identifying information about individuals who are
				  applying for or undergoing medically supervised withdrawal or maintenance
				  treatment on an approved opioid agonist or partial agonist to a central record
				  system approved by the Commissioner or designee.
"Certification"
means the process by which
				  ODMHSAS or SAMHSA determine that an OTP is qualified to provide opioid
				  treatment under applicable State and Federal standards.
"Chain of custody"
means the process of
				  protecting items so that movement, possession and location are secure and
				  documented and there is no possibility for altering or otherwise tampering with
				  the item.
"Chronic pain disorder"
means an ongoing
				  condition or disorder consisting of chronic anxiety, depression, anger and
				  changed lifestyle, all with a variable but significant level of genuine
				  neurologically based pain. The pain becomes the main focus of the person
				  served, and results in significant distress and dysfunction.
"Clinical Opioid Withdrawal Scale"
or
"COWS"
means a well validated, standardized assessment instrument
				  for evaluating the severity of withdrawal through the identification of
				  objective and subjective symptoms and the severity of these symptoms.
"Clinical record"
or
"treatment
				  record"
means the collection of written information about the evaluation
				  or treatment of a person served that includes the intake data, evaluation,
				  service plan, description of services provided, medications as prescribed,
				  continuing care plan, and discharge information.
"Clinical supervision"
means an organized
				  process by which knowledgeable and skilled supervisors systematically and
				  routinely provide ongoing and in-depth review of direct service providers'
				  performance.
"COA"
means the Commission on
				  Accreditation.
"Comprehensive maintenance treatment"
means
				  dispensing or administering an approved opioid agonist or partial agonist
				  medication at stable dosage levels for a period in excess of 21 days for opioid
				  use disorder; and providing medical, clinical and educational services to the
				  person served with opioid use disorder.
"Continuing care plan"
or
"discharge
				  summary"
means a written plan of recommendations and specific referrals
				  for implementation of continuing care services, including medications,
				  developed with the knowledge and cooperation of the person served.
"Co-occurring disorder"
or
"COD"
means any combination of mental health and substance use disorder symptoms or
				  diagnoses as determined by the current Diagnostic and Statistical Manual of
				  Mental Disorders that affect a person served.
"Critical incident"
means an occurrence or set
				  of events inconsistent with the routine operation of a facility, service
				  setting, or otherwise routine care of a person served. Critical incidents
				  specifically include but are not necessarily limited to the following: adverse
				  drug events; self-destructive behavior; deaths and injuries to persons served,
				  staff and visitors; medication errors; persons receiving residential treatment
				  that are absent without leave (AWOL); neglect or abuse of a person served;
				  fire; unauthorized disclosure of information; damage to or theft of property
				  belonging to persons served or the facility; other unexpected occurrences; or
				  events potentially subject to litigation. A critical incident may involve
				  multiple individuals or results.
"Cultural competency"
means the ability to
				  recognize, respect, and address the unique needs, worth, thoughts,
				  communications, actions, customs, beliefs and values that reflect an
				  individual's racial, ethnic, religious, sexual orientation, and/or social
				  group.
"DEA"
means Drug Enforcement Administration.
"Discharge planning"
means the process,
				  beginning at admission of determining a consumer's continued need for treatment
				  services and developing a plan to address ongoing consumer recovery needs.
"Diskette"
means a compressed wafer form of
				  methadone intended to be dissolved in water for consumption.
"Dispense"
means preparing, packaging,
				  compounding and labeling for delivery, a prescription drug in the course of
				  professional practice to an ultimate user by the lawful order of a physician.
"Diversion"
means the unauthorized or illegal
				  transfer of an opioid agonist or partial agonist treatment medication.
"Diversion control plan"
or
"DCP"
means documented procedures to reduce the possibility that controlled
				  substances are used for any purpose other than legitimate use.
"Drug test"
means the assessment of an
				  individual to determine the presence or absence of illicit or non-prescribed
				  drugs or alcohol or to confirm maintenance levels of treatment medication(s),
				  by a methodology approved by the OTP medical director based on informed medical
				  judgment and conforming to State and Federal law. This may include blood
				  testing, oral-fluid and urine testing.
"Exception request process"
means a process
				  recording the justification of the need to make a change in treatment protocol
				  for person receiving medication assisted treatment for opioid use disorder and
				  submitted to SAMHSA using form SMA-168.
"FDA"
means the Federal Food and Drug
				  Administration.
"Federal opioid treatment standards"
means the
				  established standards of SAMHSA, CSAT and the DEA that are used to determine
				  whether an OTP is qualified to engage in medication assisted opioid treatment.
"HIPAA"
means Health Insurance Portability and
				  Accountability Act
"Holiday"
means those days recognized by the
				  State of Oklahoma as holidays.
"Individual Placement and Support"
or
"IPS"
means an evidence based specific type of employment and
				  education service to help people with mental illness, substance use disorders
				  or co-occurring disorders, find and keep competitive employment.
"Individualized service planning"
means the
				  ongoing process by which a clinician and the person served identify and rank
				  problems, establish agreed upon goals, and decide on the treatment process and
				  resources to be utilized.
"Interim maintenance treatment"
means
				  maintenance treatment provided in conjunction with appropriate medical services
				  while a person served is awaiting transfer to a program that provides
				  comprehensive maintenance treatment.
"JC"
or
"TJC"
means the Joint
				  Commission.
"Licensed Behavioral Health Professional"
or
"LBHP"
means:
(A) An
				Allopathic or Osteopathic Physician with a current license and board
				certification in psychiatry or board eligible in the state in which services
				are provided, or a current resident in psychiatry;
(B) An Advanced Practice Registered Nurse
				licensed as a registered nurse with a current certification of recognition from
				the board of nursing in the state in which services are provided and certified
				in a psychiatric mental health specialty;
(C) A Clinical Psychologist who is duly
				licensed to practice by the State Board of Examiners of Psychologists;
(D) A Physician Assistant who is
				licensed in good standing in Oklahoma and has received specific training for
				and is experienced in performing mental health therapeutic, diagnostic, or
				counseling functions;
(E) A
				practitioner with a license to practice in the state in which services are
				provided by one of the following licensing boards:
(i) Social Work (clinical specialty
				only);
(ii) Professional
				Counselor;
(iii) Marriage and
				Family Therapist;
(iv) Behavioral
				Practitioner; or
(v) Alcohol and
				Drug Counselor.