West Virginia Code of State Rules › Agency 69 - Health And Human Resources › Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 69-07 - Regulations of Opioid Treatment Programs › Section 69-7-34 - Individualized Treatment Plan of Care

Current through Register Vol. XLI, No. 28, July 12, 2024
34.1. Within thirty days after admission of a
				patient, the opioid treatment program shall develop a more comprehensive
				individualized treatment plan of care and attach it to the patient's chart no
				later than five days after the plan is developed. The individualized treatment
				plan of care shall be developed pursuant to the guidelines and protocols
				established by American Society of Addiction Medicine (ASAM), the Center for
				Substance Abuse Treatment (CSAT) and the National Institute on Drug Abuse
				(NIDA), the American Association for the Treatment of Opioid Dependence
				(AATOD), or such other nationally recognized authority approved by the
				secretary. The individualized treatment plan of care shall include a recovery
				model based upon the approved guidelines and protocols.
34.2. The individualized treatment plan of
				care of care shall be reviewed by the patient and staff at least each ninety
				days. Reviews shall be written and detailed. The quarterly review shall address
				each of the objectives identified on the initial individualized treatment plan
				of care; document all treatment, counseling, medications and other services
				rendered to the patient; and document the patient's progress towards
				recovery.
34.3. The initial and
				quarterly individualized treatment plans of care shall be developed by the
				patient and the patient's counselor, with input as appropriate from medical
				staff. The individualized treatment plan of care shall be drafted to meet the
				specific needs of the patient. After the individualized treatment plan of care
				of care is developed and approved by the patient, the plan of care shall be
				placed in the patient's chart within five days of development. The patient
				shall receive a copy of all of his or her individualized treatment plans of
				care.
34.4. All individualized
				treatment plans of care shall include, at a minimum:
34.4.a. Documentation of the patient's
				diagnoses; the proposed medical treatment and counseling; medication dosages
				and administration;
34.4.b. A
				requirement that the patient regularly attend and participate in the opioid
				treatment program, both medical and counseling aspects, as determined necessary
				by the staff and patient;
34.4.c.
				The identification of "triggers" for misuse of substances;
34.4.d. The development and use of coping
				strategies for each "trigger";
34.4.e. The development of a detailed relapse
				prevention plan;
34.4.f. Meaningful
				follow-up on any identified behavioral health issues;
34.4.g. Follow-up on medical or physical
				issues as necessary;
34.4.h. A
				vocational evaluation, formal or informal;
34.4.i. A plan to achieve financial stability
				and independence;
34.4.j. A
				requirement that the patient abstain from use of illicit substances or abuse of
				prescription substances;
34.4.k.
				Documentation of other individual or familial issues as relevant and
				appropriate and the proposed means of addressing such issues;
34.4.l. The success of the patient's
				treatment, initiatives and goals;
34.4.m. The results from initial, monthly and
				random drug tests;
34.4.n. Such
				other information as recommended by the guidelines and recovery model utilized
				for the patient.