New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:111-1.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this chapter, shall
				  have the following meanings, unless the context clearly indicates otherwise:
"ABAM" means the American Board of Addiction Medicine, for which
				  the contact information is 8735 W. Higgins Rd., Ste. 300, Chicago, IL 60631,
				  telephone (301) 656-3378, and website
www.abam.net
.
"Accrediting agencies" means those organizations recognized
				  nationally that set standards and review providers based on these standards. These
				  organizations provide their endorsement in the form of accreditation: Joint
				  Commission,
http://www.jointcommission.org
;
				  Commission on Accreditation of Rehabilitation Facilities (CARF),
http://www.carf.org
.
"Administrator" means an individual appointed by the governing
				  authority to provide administrative oversight for all licensed facilities and
				  individual sites within a licensed facility.
"Admitted" means accepted for treatment at a residential substance
				  use disorders treatment facility.
"Adolescent" means a person between the ages of 12 up to and
				  including the 18th birthday.
"Adolescent residential substance use disorders treatment
				  facility" means a free-standing residential facility or a distinct part of a
				  facility where care is provided to two or more adolescent clients for the treatment
				  and prevention of substance dependence, under supervision for more than 24
				  consecutive hours.
"ASAM" means the American Society of Addiction Medicine, for which
				  the contact information is 11400 Rockville Pike, Suite 200, Rockville, MD 20852,
				  telephone (301) 656-3920,
www.asam.org
.
"ASAM Criteria" means the criteria developed by the American
				  Society of Addiction Medicine, contained in ASAM, The ASAM Criteria: Treatment
				  Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, 3d Edition
				  (2013), incorporated herein by reference, as amended and supplemented, which can be
				  obtained from ASAM.
"ASI" means the Research and Evaluation Group of the Public Health
				  Management Corporation (REG-PHMC), Addiction Severity Index, 5th Edition (1990),
				  incorporated herein by reference, as amended and supplemented, which is an
				  instrument designed to provide important information about aspects of a client's
				  life that may contribute to his or her substance use disorder, available from the
				  REG-PHC, for which the contact information is Centre Square East, 1500 Market
				  Street, Suite 1500, Philadelphia, PA 19102, telephone (215) 985-2500, website
http://research.phmc.org
.
"Available" means, for individuals employed by or under contract
				  with a residential substance use disorders treatment facility, capable of being
				  reached and able to be present in the facility within 30 minutes.
"Bylaws" means a set of rules adopted by the facility for
				  governing its operation. A charter, articles of incorporation or a statement of
				  policies and objectives, is an acceptable equivalent.
"CDC" means the Federal government agency, Centers for Disease
				  Control and Prevention,
http://www.cdc.gov
.
"CSAT" means the Federal Center for Substance Abuse Treatment
				  within the Department of Health and Human Services, Substance Abuse and Mental
				  Health Services Administration,
http://www.samhsa.gov/about/csat.aspx
.
"Center for Substance Abuse Treatment" or "CSAT" means the Center
				  for Substance Abuse Treatment within the Substance Abuse and Mental Health Services
				  Administration of the United States Department of Health and Human Services, for
				  which the contact information is 5600 Fishers Lane, Rockville, MD 20857, telephone
				  (240) 276-1660, website
http://www.samhsa.gov/about-us/who-we-are/offices-centers/csat
.
"Certificate of occupancy" means a certificate issued by a local
				  authority indicating that a building meets building code requirements.
"Certified Alcohol and Drug Counselor" or "CADC" means a person
				  who holds a current, valid certificate issued by the New Jersey State Board of
				  Marriage and Family Therapy Examiners, as recommended by the Alcohol and Drug
				  Committee, pursuant to N.J.S.A. 42:2D-5 and
				  N.J.A.C.
				  13:34C-2.3, for which the contact information is
				  PO Box 45040, Newark, NJ 07101, telephone (973) 504-6369, website:
http://www.njconsumeraffairs.gov/adc/Pages/default.aspx
.
"Clear floor area" means room space exclusive of toilet rooms,
				  fixed closets, fixed wardrobes, alcoves or vestibules.
"Client" means any individual who has applied for or been given a
				  diagnosis or treatment for alcohol or drug abuse at a licensed program under this
				  chapter and includes any individual who, after arrest on a criminal charge, is
				  identified as an alcohol or drug abuser in order to determine that individual's
				  eligibility to participate in a program. In the context of this chapter, client is
				  synonymous with patient or resident.
"Clinical note" means a written, signed and dated notation made by
				  a licensed or credentialed professional, an approved counselor-in-training (pursuant
				  to 10:161A-1.9(a)2) or other authorized representative of the facility who renders a
				  service to the client or records observations of the client's progress in treatment.
				  The notes shall include medication prescription and monitoring; session start and
				  stop times; modalities and frequencies of treatment; results of clinical tests;
				  summary of any of the following; and diagnosis, functional status, treatment plan,
				  symptoms, prognosis and progress.
"Clinical supervision" means the ongoing process of direct review
				  of a supervisee for the purpose of accountability, teaching, administering or
				  clinical review by a qualified clinical supervisor from the same area of specialized
				  practice providing regular consultation, guidance and instruction to the
				  supervisee.
"Commissioner" means the Commissioner of the New Jersey Department
				  of Health.
"Communicable disease" means an illness due to a specific
				  infectious agent or its toxic products, which occurs through transmission of that
				  agent or its products from a reservoir to a susceptible host.
"Communication access" means the provision of communication access
				  services or accommodations (either through direct provision or by way of referral)
				  provided to clients with visual impairment or a hearing loss and/or a different
				  linguistic background to fully participate and benefit from substance use disorders
				  treatment services; examples may include assistive listening devices/systems, CART
				  realtime captioning, sign language interpreters.
"Conditional license" means a license pursuant to N.J.A.C.
				  8:111-2.7. A conditional license requires the licensee to comply with all specific
				  conditions imposed by the Division of Certificate of Need and Licensing, in addition
				  to the licensure requirements in this chapter.
"Confidentiality" means the protection of individually
				  identifiable information as required by State and Federal legal requirements as
				  specified in HIPAA.
"Conspicuously posted" means information placed at a location
				  within the facility accessible to and seen by clients and the public.
"Construction guidelines" means the model building code of the
				  International Code Council, 2018, New Jersey Edition, for which the contact
				  information is 4051 W. Flossmoor Road, Country Club Hills, IL 60477-5795,
http://www.ICCsafe.org
, (888)
				  422-7233.
"Contamination" means the presence of an infectious or toxic agent
				  in the air, on a body surface or on/in clothes, bedding, instruments or dressings or
				  other inanimate articles or substances, including water, milk and food.
"Continuum of Care Plan" means a written plan initiated at the
				  time of the client's admission, and regularly updated during the course of treatment
				  that addresses the needs of the client after discharge; may be referred to as a
				  Discharge Plan.
"Controlled dangerous substances" or "controlled substances" means
				  drugs subject to the Comprehensive Drug Abuse Prevention and Control Act of 1970
				  (Title 11, Public Law 91-513,
				  21 U.S.C.
				  §§
										801 et seq.), the New Jersey
				  Controlled Dangerous Substances Act, N.J.S.A. 24:21-1 et seq., and the Controlled
				  Dangerous Substances rules, N.J.A.C. 13:45H.
"Co-occurring disorder" (COD) means the co-occurrence of
				  substance-related and mental disorders as described by the Diagnostic and
				  Statistical Manual of Mental Disorders, DSM-IV-TR, in which the substance abuse and
				  mental health disorders are primary.
"Co-occurring disorder assessment" means an assessment, which
				  includes a full mental status evaluation, a detailed history of psychiatric
				  symptoms, a review of and, if necessary, expansion of, the information collected
				  while completing the ASI and reviewing the previous treatment records.
"Counseling" means the utilization of special skills and
				  evidence-based practices to assist individuals, families, significant others and/or
				  groups to identify and change patterns of behavior relating to substance use
				  disorders that are maladaptive, destructive and/or injurious to health through the
				  provision of individual, group and/or family therapy by licensed or certified
				  professionals or approved counselors-intern. Counseling does not include self-help
				  support groups, such as Alcoholics Anonymous, Narcotics Anonymous or similar 12-step
				  facilities.
"Counselor-intern" shall mean either a "credentialed intern" or an
				  "alcohol and drug counselor intern," as defined at 13:34C-6.1.
"Curtailment" means an order of the Department that requires a
				  licensed substance use disorders treatment facility to cease and desist all
				  admissions and readmissions of clients to the facility or affected service.
"DCF" means the New Jersey Department of Children and
				  Families.
"DMHAS" means the Division of Mental Health and Addiction
				  Services, the single State agency for substance abuse issues in the State of New
				  Jersey, and is a division within the New Jersey Department of Health,
http://www.state.nj.us/humanservices/divisions/dmhas
.
"Daily census" means the number of clients residing in the
				  facility on any given day.
"Deficiency" means a determination by the Division of Certificate
				  of Need and Licensing of one or more instances in which a State licensing rule or a
				  Federal certification regulation has been violated.
"Department" means the New Jersey Department of Health.
"Dependence" means physical and/or psychological dependence on a
				  substance resulting from the chronic or habitual use of alcohol, tobacco, any kind
				  of controlled substance, narcotic drug or other prescription or non-prescription
				  drug.
"Designated person" means, in the context of client care, the
				  person designated in writing by the client to be notified if the client sustains an
				  injury requiring medical care; if an accident or incident occurs; if there is
				  deterioration in the client's physical or mental condition; if the client is
				  transferred to another facility; or if the client is discharged or dies while in
				  treatment.
"Detoxification" means the provision of care, short-term and/or
				  long-term, prescribed by a physician and conducted under medical supervision, for
				  the purpose of withdrawing a person from a specific psychoactive substance in a safe
				  and effective manner according to established written medical protocols.
"Didactic session" means a structured treatment intervention
				  designed to instruct or teach clients about topics related to substance use
				  disorders and treatment related issues.
"Disclosure" means the release, transfer, provision of, access to,
				  confirmation of or communication in any manner of information identifying a past or
				  present client or an applicant for services or verifying another person's
				  disclosure, which identifies an individual as a client or the communication of any
				  other information from the record of a client who has been identified. As used in
				  this definition, "applicant for services" shall mean an individual who has applied
				  for diagnosis of treatment at a licensed substance use disorder facility.
"Division of Certificate of Need and Licensing" or "Division"
				  means the Division of Certificate of Need and Licensing within the Health Services
				  Branch of the Department, for which the contact information is Division of
				  Certificate of Need and Licensing, New Jersey Department of Health, PO Box 358,
				  Trenton, NJ 08625-0358.
"Dosage" means, in the context of administering medication in
				  prescribed amounts, the quantity of a drug to be taken or applied all at one time or
				  in fractional amounts within a given period of time.
"Drug" means any article recognized in the United States
				  Pharmacopoeia-National Formulary, USP-NF Online, a regularly updated web-based
				  publication that is accessible at
http://www.uspnf.com
, or the Homeopathic
				  Pharmacopoeia Convention of the United States (HPCUS), Homeopathic Pharmacopoeia of
				  the United States (HPUS), a regularly updated web-based publication that is
				  accessible at
http://www.hpus.com
, both of
				  which are incorporated herein by reference, as amended and supplemented, including,
				  but not limited to, a controlled substance, a prescription legend drug, an
				  over-the-counter preparation, a vitamin or food supplement or any compounded
				  combination of any of the above or transdermal patch or strip, intended for use in
				  the diagnosis, cure, mitigation, treatment, or prevention of disease or medical
				  condition in humans/animals or intended to affect the structure or function of the
				  human body.
"Drug screening test negative" means a urine or other
				  Department-approved specimen from a client that tests negative for drugs of abuse,
				  except that for a client in an opioid treatment facility, the specimen is negative
				  for drugs of abuse and shows the presence of methadone.
"Drug screening test positive" means a urine or other
				  Department-approved specimen from a client that tests positive for illegal
				  substances or pharmaceuticals other than those prescribed for the client by a
				  licensed practitioner.
"DSM" means the American Psychiatric Association, Diagnostic and
				  Statistical Manual of Mental Disorders (DSM-5 <(R)> ), Fifth Edition (2013),
				  incorporated herein by reference, as amended and supplemented, available from the
				  American Psychiatric Association, for which the contact information is 800 Maine
				  Avenue, S.W., Suite 900, Washington, DC 20024, telephone (800) 3685777 and (202)
				  459-9722, website
http://www.psychiatry.org
.
"Evidence-based practices" means interventions and approaches
				  supported through empirical or peer-reviewed research and evaluation. Evidence-based
				  practices are to be distinguished from best practices, which are interventions and
				  approaches more likely to yield desired results, based on indicative studies or
				  judgment/consensus of experts.
"Extended care facility" means a residential substance use
				  disorders treatment facility in which treatment primarily is designed to help
				  clients overcome denial of addiction, enhance treatment acceptance and motivation,
				  prevent relapse, promote reintegration into the community and generally approximates
				  the ASAM PPC, Level III.3 (medium intensity) treatment modality.
"Facility" means a residential substance use disorders treatment
				  facility and/or program licensed to provide treatment services for substance use
				  disorders by the Department pursuant to State statute and this chapter. These
				  facilities include halfway houses, extended care facilities, long-term residential
				  facilities, short-term residential facilities and any similar facility in which care
				  is provided through a structured recovery environment involving professional
				  clinical services and/or specific services for detoxification within hospital-based
				  facilities.
"Family" means those persons having a commitment and/or personal
				  significance to the client.
"Floor stock" means medications from a pharmacist in a labeled
				  container in limited quantities that are not necessarily prescribed for one or more
				  specific individuals.
"Governing authority" means the organization, person or persons or
				  the board of directors/trustees in a for-profit or non-profit corporation designated
				  to assume legal responsibility for the management, operation and financial viability
				  of the facility.
"HIPAA" means the Health Insurance Portability and Accountability
				  Act of 1996 and its implementing regulations at 45 CFR Parts 162 and 164.
"HIV" means human immunodeficiency virus.
"Halfway house" means a residential substance use disorders
				  treatment facility, operating in a physically separate location, in which the
				  halfway house treatment modality is programmatically separate and distinct from
				  short-term substance use disorders residential services or long-term substance use
				  disorders residential services. A halfway house provides substance use disorders
				  treatment designed to assist clients in adjusting to regular patterns of living,
				  engaging in occupational training, obtaining gainful employment, and independent
				  self-monitoring and otherwise generally approximates the ASAM PPC, Level III.1 (low
				  intensity) treatment modality.
"Health care" means care, services or supplies related to the
				  health of an individual. Health care includes, but is not limited to, the following;
				  preventative, diagnostic, therapeutic, rehabilitative, maintenance or palliative
				  care and counseling, service, assessment or procedure with respect to the physical
				  or mental condition, or functional status, of an individual or that affects the
				  structure or function of the body, and sale or dispensing of a drug, device,
				  equipment or other item in accordance with a prescription.
"Health care facility" means a general hospital, comprehensive
				  rehabilitation hospital, nursing home, or other health care facility licensed
				  pursuant to P.L. 1971, c. 136 (N.J.S.A. 26:2H-1 et seq.), and a State psychiatric
				  hospital operated by the Department of Health and listed at N.J.S.A. 30:1-7.
"Health information" means any information, whether oral or
				  recorded in any form or medium, that is created or received by a health care
				  provider, health plan, public health authority, employer, life insurer, school or
				  university or health care clearinghouse; and relates to the past, present or future
				  physical or mental health or condition of an individual; the provision of health
				  care to an individual; or the past, present or future payment for the provision of
				  health care to an individual.
"Hospital-based (medical) detoxification" means a residential
				  substance abuse treatment facility operated as a distinct part or unit of an acute
				  care hospital (separately and concurrently licensed by DOH) designed primarily to
				  provide short-term care prescribed by a physician and conducted under medical
				  supervision to treat a client's physical symptoms caused by addictions, according to
				  medical protocols to each type of addiction, and generally approximates ASAM PPC,
				  Level IVD (medically managed intensive inpatient detoxification) treatment
				  modality.
"Immediate and serious threat" means a deficiency or violation
				  that has caused or will imminently cause at any time serious injury, harm,
				  impairment or even death to clients of the facility and therefore requires immediate
				  corrective action.
"Incapacitated" means that a person, as a result of the use of
				  alcohol or other drugs, is unconscious or has his or her judgment so impaired that
				  he or she is incapable of realizing and making a rational decision with respect to
				  his or her need for treatment even though he or she is in need of substantial
				  medical attention.
"Individual" means the person who is the subject of protected
				  health information.
"Interpreter services" means communication access services
				  provided to or arranged for a client and/or family member unable to comprehend
				  and/or communicate in substance use disorders treatment without the assistance of
				  such services.
"Job description" means written specifications developed for each
				  position in the facility, containing the qualifications, duties and responsibilities
				  and accountability required of employees in that position.
"License" means a certificate of approval pursuant to 26:2G-21 et
				  seq., and/or a license pursuant to 26:2B-7 et seq.
"Licensed Clinical Alcohol and Drug Counselor" or "LCADC" means a
				  person who holds a current, valid license issued pursuant to N.J.S.A. 45:2D-4 and
				  45:2D-16 and
				  N.J.A.C.
				  13:34C-2.2 and 2.19(c).
"Long-term residential substance use disorders treatment facility"
				  or "long-term residential facility" means a residential substance use disorders
				  facility in which treatment is primarily designed to foster personal growth and
				  social skills development, with intervention focused on reintegrating the client
				  into the greater community, and where education and vocational development are
				  emphasized and generally approximates ASAM PPC, Level III.5 (high intensity,
				  clinically-managed) treatment modality.
"Medical liaison" means a designated staff member in a residential
				  substance use disorders treatment facility responsible for ensuring that all medical
				  information is entered into the client's clinical records.
"Medication" means a drug or medicine as defined by the New Jersey
				  State Board of Pharmacy rules, as set forth in N.J.A.C. 13:39, which is accessible
				  at
http://www.njconsumeraffairs.gov/pharm/phar_rules.htm
.
"Medication administration" means a procedure in which a
				  prescribed medication is given to a client by an authorized person in accordance
				  with all laws and rules governing such procedures. The complete procedure of
				  administration includes removing an individual dose from a previously dispensed,
				  properly labeled container (including a unit dose container), verifying it with the
				  prescriber's orders, giving the individual dose to the client, observing that the
				  client has taken the medication, orally, by way of injecting, topically or insertion
				  and verifying recording the required information, including the method of
				  administration.
"Medication dispensing" means a procedure entailing the
				  interpretation of the original or direct copy of the prescriber's order for a
				  medication or a biological and, pursuant to that order, the proper selection,
				  measuring, labeling, packaging and issuance of the drug or biological to a client or
				  a service unit of the facility, in conformance with the rules of the New Jersey
				  Board of Pharmacy at N.J.A.C. 13:39.
"Multidisciplinary team" means those persons, representing
				  different professions, disciplines and service areas, who work together to provide
				  treatment planning and care to the client.
"NIDA" means National Institute on Drug Abuse, within the National
				  Institutes of Health,
http://www.nida.nih.gov
.
"New Jersey Substance Abuse Monitoring System" or "NJSAMS" means
				  the client data collection information system required by DMHAS to be used by all
				  New Jersey substance use disorders treatment facilities to record and report all
				  client data including, but not limited to, admission, status, services, discharge,
				  and such other information as DMHAS may require, at:
http://
				  njsams.rutgers.edu/njsams
.
"Non-hospital-based (medical) detoxification" means a residential
				  substance use disorders treatment facility designed primarily to provide short-term
				  care prescribed by a physician and conducted under medical supervision to treat a
				  client's physical symptoms caused by addictions, according to medical protocols
				  appropriate to each type of addiction, and generally approximates ASAM PPC, Level
				  III.7D (medically monitored intensive inpatient detoxification) treatment
				  modality.
"Non-hospital-based (medical) detoxification/enhanced" means an
				  organized service delivered by medical and nursing professionals, which provides
				  24-hour medically supervised evaluation and withdrawal management in a permanent
				  facility with inpatient beds. Services are delivered under a defined set of
				  physician-approved policies and physician-monitored procedures for clinical
				  protocols. This care approximates ASAM PPC Level III.7D care but enhances that level
				  to include the ability to treat the following:
1. Individuals with co-occurring disorders;
2. Pregnant women;
3. Poly-addicted persons including those addicted to
				  benzodiazepines;
4. Individuals who may or may not be on opiate replacement
				  therapy; and
5. Clients with non-life-threatening medical condition(s) that do
				  not require the services of an acute care hospital.
"Nosocomial infection" means an infection acquired by a client
				  while in the residential substance use disorders treatment facility.
"Opiate" means any preparation or derivative of opium.
"Opioid" means both opiates and synthetic narcotics.
"Outcomes" means the level of functioning of a client on specific
				  criteria post-treatment as compared with their level of functioning at intake. These
				  criteria include drug and alcohol use, employability, criminal activity and
				  homelessness, consistent with the 2007 SAMHSA National Outcome Measures, accessible
				  at
http://www.samhsa.gov/dataOutcomes/
,
				  which are incorporated herein by reference, as amended and supplemented.
"Per diem rate" means the daily charge to the client or other
				  funding source for services rendered by the facility.
"Plan of correction" means a plan developed by the facility and
				  reviewed and approved by the Division, which describes the actions the facility will
				  take to correct deficiencies and specifies the timeframe in which those deficiencies
				  will be corrected.
"Practitioner" means a person licensed to practice medicine or
				  surgery in accordance with 45:9-1 et seq. and N.J.A.C. 13:35 or a medical resident
				  or intern, or a podiatrist licensed pursuant to 45:5-1 et seq. and N.J.A.C.
				  13:35.
"Progress note" means a written, signed with original signature
				  and dated notation by a member of the multidisciplinary team or approved staff
				  summarizing facts about care and the client's response to care during a given period
				  of time.
"Protected health information" means individually identifiable
				  health information, except as provided in paragraph (2) of the definition as defined
				  in HIPAA, 42 CFR 160.103(C)(5), that is transmitted by electronic media, maintained
				  in electronic media or transmitted or maintained in any other form or medium,
				  protected health information excludes individually identifiable health information
				  in education records covered by the Family Educational Rights and Privacy Act, as
				  amended,
				  20 U.S.C. §
										1232g; records described at
				  20 U.S.C. §
										1232g(a)(4)(B)(iv); and
				  employment records held by a covered entity in its role as employer.
"Provisional license" means a license that has been reduced
				  because the facility is not in full compliance with all licensing rules in this
				  chapter. A provisional license holder is subject to oversight from the Division
				  until it comes into full compliance with this chapter.
"Reasonable efforts" means an inquiry on the employment
				  application, reference checks and/or criminal background checks where indicated or
				  necessary.
"Record" means any item, collection or grouping of information
				  that includes protected health information and is maintained, collected, used or
				  disseminated by or for a covered entity.
"Residential substance use disorders treatment facility or
				  program" means a facility, or a distinct part of a facility, that provides care for
				  the treatment of substance use disorders, for 24 or more consecutive hours to two or
				  more clients who are not related to the governing authority or its members by
				  marriage, blood, or adoption. The term "residential substance use disorders
				  treatment facility includes facilities that provide residential substance use
				  disorders treatment services to adolescents, women with dependent children, and
				  adult males and/or females. These facilities include halfway houses, extended care
				  facilities, long-term residential facilities, and short-term residential facilities;
				  and any similar facility providing substance use disorders treatment services
				  including hospital-based and non-hospital-based detoxification through a structured
				  recovery environment involving professional clinical services, generally
				  approximating ASAM PPC Level III.
"SAMHSA" means the Substance Abuse and Mental Health Services
				  Administration within the United States Department of Health and Human Services,
http://www.samhsa.gov
.
"Self-administration" means a procedure in which medication is
				  taken orally, injected, inserted or topically or otherwise administered by a client
				  to himself or herself. The complete self-administration procedure includes the
				  client removing their own individual dose from a previously dispensed, properly
				  labeled container (including a unit dose container), verifying of the dose with the
				  prescriber's orders, the client taking their own individual dose, staff observing
				  that the client has taken their own medication orally, by way of injection,
				  topically or insertion and staff recording the required information in the client's
				  record and medication administration record. All steps in the self-administration
				  procedure are under the supervision of staff trained and authorized to provide
				  oversight of self-administration.
"Short-term residential substance use disorders treatment
				  facility" or "short-term residential facility" means a substance use disorders
				  treatment facility in which treatment is designed primarily to address specific
				  addiction and living skills problems through a prescribed 24-hour per day activity
				  regimen on a short-term basis, and generally approximates ASAM PPC, Level III.7
				  (medically monitored intensive inpatient treatment) treatment services.
"Signature" means at least the first initial and full surname and
				  title (for example, RN, LPN, DDS, MD, DO, CADC) of a person, legibly written, with
				  his or her own hand. If electronic signatures are used, they shall be used in
				  accordance with N.J.A.C. 8:111-19.4(b)1.
"Spiritual assessment" means the process by which a substance
				  abuse provider can identify a client's spiritual needs pertaining to their recovery.
				  The determination of spiritual needs and resources, evaluation of their impact on
				  recovery decisions and discovery of barriers to using spiritual resources are all
				  outcomes of a thorough spiritual assessment.
"Staff education plan" means a written plan, which describes a
				  coordinated program for staff education, including in-service facilities and
				  on-the-job training.
"Staff orientation plan" means a written plan for the orientation
				  of each new employee to the duties and responsibilities of the position as defined
				  in the job description, as well as to other policies of the facility.
"Substance abuse/dependence" means a maladaptive pattern of
				  substance use manifested by recurrent and significant adverse consequences related
				  to the repeated use of substances including alcohol, tobacco, and other drugs. There
				  may be repeated failure to fulfill major role obligations, repeated use in
				  situations in which it is physically hazardous, multiple legal problems, and
				  recurrent social and interpersonal problems. For the purpose of this chapter,
				  substance abuse and substance dependence also means other substance-use related
				  disorders as defined in the DSM.
"Supervision (direct)" means supervision of clients provided on
				  the premises within view or through the implementation of policies and procedures
				  that may include electronic monitoring, to provide for the safety and the
				  accountability of clients by staff.
"Survey" means the evaluation of the quality of care and/or the
				  fitness of the premises, staff, and services provided by a facility as conducted by
				  the Division to determine compliance or non-compliance with this chapter and other
				  applicable State licensing rules or statutes.
"Therapeutic diet" means a diet prescribed by a physician, which
				  may include modifications in nutrient content, caloric value, consistency, methods
				  of food preparation, content of specific foods or a combination of these
				  modifications.
"Tobacco products" means any manufactured nicotine delivery
				  article that contains tobacco or reconstituted tobacco.
"Treatment" means the broad range of primary and supportive
				  services, including identification, assessment, diagnosis, counseling, medical
				  services, psychological services and follow-up, provided to persons with alcohol,
				  tobacco and other drug problems. The overall goal of treatment is to reduce or
				  eliminate the use of alcohol and/or other drugs as a contributing factor to
				  physical, psychological and social dysfunction and to arrest, retard or reverse
				  progress of associated problems.
"Treatment plan" means a written plan that has measurable goals,
				  is outcome-based, and identifies the coordination of the projected series and
				  sequence of treatment procedures and services based on an individualized evaluation
				  of what is needed to restore or improve the health and function of the client. The
				  treatment plan is developed by the facility's treatment teams in conjunction with
				  the client.
"Unit dose distribution system" means a system in which
				  medications are delivered to the client areas in single unit packaging.
"Universally accepted practices" means treatment measures not
				  currently proven through empirical data or research but recognized by authorities
				  (that is, SAMHSA, CSAT, NIDA, and the National Institute on Alcohol Abuse and
				  Alcoholism,
http://www.niaaa.nih.gov
)
				  for substance use disorders treatment.
"Volunteer" means an individual, who is neither a client or a paid
				  staff member, who works at the facility on a non-reimbursed basis, and is under the
				  supervision of an appropriately licensed, certified or experienced paid staff
				  member.
"Waiver" means a written approval by the Division, following a
				  written request from a facility, to allow an alternative to any rule or regulation
				  in this chapter, provided that the alternative (s) proposed would not endanger the
				  life, safety, or health of clients or the public. Any approvals of waivers shall be
				  given by the Division, in writing, as described below at N.J.A.C. 8:111-2.13, and
				  are time-limited.