New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES › Subchapter 12 - DETOXIFICATION SERVICES › Section 10:161B-12.4 - Required services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All outpatient programs providing
				detoxification services shall, at a minimum, provide the following services:
1. Biopsychosocial assessment, including
				physical examination upon admission, meeting the criteria at
				10:161B-9.1(a) and
				(b), using a recognized assessment instrument
				and level of care determination to ensure appropriateness of a client to
				receive detoxification services in an outpatient setting, including the
				availability of emotional support, transportation and a supportive home
				environment. Women of childbearing age shall receive a pregnancy test as part
				of admission testing;
2. Clients
				requiring extended on-site monitoring shall participate in the intensive
				outpatient or partial care programs as soon as medically able. Participation in
				the intensive outpatient programs or partial care and other appropriate
				aftercare services shall be included as part of the client treatment agreement
				for outpatient detoxification services. The program shall make every effort to
				engage clients in continued services following discharge from, or completion
				of, detoxification. Such efforts shall be clearly documented in the client's
				clinical record;
3. Clients
				receiving outpatient detoxification services without extended on-site
				monitoring shall participate in a treatment activity such as individual, group
				or family counseling, educational sessions or self-help meetings during each
				day of the detoxification. Participation in these services and other
				appropriate aftercare services shall be included as part of the client
				treatment agreement for outpatient detoxification services. The program shall
				make every effort to engage clients in continued treatment services following
				discharge from or completion of detoxification. Such efforts shall be clearly
				documented in the client's clinical record;
4. Referral and linkages with other providers
				and services as indicated;
5.
				Twenty-four (24) hour access to a nurse on call for clients and
				family;
6. Treatment services shall
				be under the direction of a director of substance abuse counseling who meets
				the requirements of
				10:161B-1.8;
7. Daily medical supervision of withdrawal,
				including monitoring of withdrawal symptoms and vital signs, shall be provided
				by the program nurse, physician, advanced practice nurse or physician
				assistant;
8. Clients shall receive
				or be prescribed only a one-day supply of medication for detoxification unless
				there is a documented medical or other reason why a second day of medication is
				prescribed or dispensed, except in the case of opiate detoxification using
				methadone where no take-home medication is permitted;
9. Programs approved to provide outpatient
				detoxification services should be operational every day of the week during
				which clients are receiving detoxification services;
10. Programs shall strongly encourage the
				participation of clients in self-help groups such as Alcoholics Anonymous (AA)
				and Narcotics Anonymous (NA);
11.
				The outpatient detoxification program shall be in compliance with all
				applicable standards in this chapter; and
12. Drug screening shall be conducted at
				least weekly during the detoxification period in addition to the admission
				screening.