California Code of Regulations
Title 9 - Rehabilitative and Developmental Services
Division 4 - Department of Alcohol and Drug Programs
Chapter 4 - Narcotic Treatment Programs
Subchapter 5 - Patient Treatment
Article 1 - Patient Selection and Orientation
Section 10280 - Patient Orientation

Universal Citation: 9 CA Code of Regs 10280

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Programs shall advise patients of the nature and purpose of treatment, which shall include, but not be limited to, the following information.

(1) The addicting nature of medications used in replacement narcotic therapy.

(2) The hazards and risks involved in replacement narcotic therapy.

(3) The patient's responsibility to the program.

(4) The program's responsibility to the patient.

(5) The patient's participation in the program is wholly voluntary and the patient may terminate his/her participation in the program at any time without penalty.

(6) The patient will be tested for evidence of use of opioids and other illicit drugs.

(7) The patient's medically determined dosage level may be adjusted without the patient's knowledge, and at some later point the patient's dose may contain no medications used in replacement narcotic therapy.

(8) Take-home medication which may be dispensed to the patient is only for the patient's personal use.

(9) Misuse of medications will result in specified penalties within the program and may also result in criminal prosecution.

(10) The patient has a right to a humane procedure of withdrawal from medications used in replacement narcotic therapy and a procedure for gradual withdrawal is available.

(11) Possible adverse effects of abrupt withdrawal from medications used in replacement narcotic therapy.

(12) Protection under the confidentiality requirements.

(b) Provisions for patient acknowledgement of orientation shall be made in the patient records.

1. Change without regulatory effect renumbering and amending parts of former section 10182 to 10280 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).
2. Amendment of section and NOTE filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section and NOTE refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section and NOTE refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section and NOTE refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section and NOTE filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amending subsection (a)(7) and NOTE filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of subsections (a) and (a)(6) and amendment of NOTE filed 5-7-2020; operative 7-1-2020 (Register 2020, No. 19).

Note: Authority cited: Sections 11750, 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Sections 11839.2, 11839.3 and 11839.20, Health and Safety Code.

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