Current through Reg. 50, No. 187; September 24, 2024
(1)
Operating Procedures. Providers shall demonstrate organizational capability
required by Section 397.403(1),
F.S., through a written, indexed system of policies and procedures that are
descriptive of services, and the population served. Administrative and clinical
services must align with current best practices as defined in subsection
65D-30.002(7),
F.A.C. All staff shall have a working knowledge of the operating procedures.
These operating procedures shall be submitted with new applications and
applications for new components to be available for review by the Department at
any time.
(2) Quality Improvement.
Providers shall have a quality improvement program which complies with the
requirements established in Section
397.4103, F.S., and which
ensures the use of a continuous quality improvement process.
(3) Provider Governance and Management.
(a) Governing Board. Any provider that
applies for a license, shall be a legally constituted entity. Providers that
are government-based and providers that are for-profit and not-for-profit, as
defined in Section 397.311, F.S., shall have a
governing board that shall set policy for the provider. The governing board
shall maintain a record of all meetings where business is conducted relative to
provider operations. These records shall be available for review by the
Department.
(b) Insurance Coverage.
Regarding to liability insurance coverage, providers shall assess the potential
risks associated with the delivery of services to determine the amount of
coverage necessary and shall purchase policies accordingly.
(c) Chief Executive Officer. A chief
executive officer shall be appointed. If the entity is operated by a governing
board, the governing board shall appoint a chief executive officer. The
qualifications and experience required for the position of chief executive
officer shall be defined in the provider's operating procedures. Documentation
shall be available from the governing board providing evidence that a
background screening has been completed in accordance with Chapters 397 and
435, F.S., and there is no evidence of a disqualifying offense. Providers shall
notify the regional office in writing within 24 hours when a new chief
executive officer is appointed.
(d)
Inmate Substance Abuse Programs operated by or under contract with the
Department of Corrections, or the Department of Management Services and
Juvenile Justice Commitment Programs and detention facilities operated by the
Department of Juvenile Justice, are exempt from the requirements of subsection
(3).
(4) Personnel
Policies. Personnel policies shall clearly address recruitment and selection of
prospective employees, promotion and termination of staff, code of ethical
conduct, sexual harassment, confidentiality of individual records, attendance
and leave, employee grievance, non-discrimination, abuse reporting procedures,
and the orientation of staff to the agency's universal infection control
procedures. The code of ethical conduct shall prohibit employees and volunteers
from engaging in sexual activity with individuals receiving services for a
minimum of two (2) years after the last professional contact with the
individual. Providers shall also have a drug-free workplace policy for
employees and prospective employees.
(a)
Personnel Records. Records on all personnel shall be maintained. Each personnel
record shall contain:
1. The individual's
current job description with minimum qualifications for the position and
documentation that the staff meets the minimum qualifications outlined in the
job description;
2. The employment
application or resume;
3. The
employee's annual performance appraisal;
4. A document signed and dated by the
employee indicating that the employee received new staff orientation and
understand the personnel policies and the programs operating policies and
procedures;
5. A verified or
certified copy of degrees, licenses, or certificates of each
employee;
6. Documentation of
employee screening as required in paragraph (b); and
7. Documentation of required staff
training.
8. Inmate Substance Abuse
Programs operated by or under contract with the Department of Corrections, or
the Department of Management Services, and Juvenile Justice Commitment Programs
and detention facilities operated by the Department of Juvenile Justice, are
exempt from the requirements of subparagraph (a)7.
(b) Background Screening Requirements.
1. Providers shall ensure compliance with
background screening in accordance with Section
397.4073, F.S.
2. Providers shall ensure that peer
specialists are screened in accordance with Section
397.417, F.S.
3. Individuals subject to screening in this
subsection shall be re-screened within five (5) years from the date of their
last screening results and every five (5) years thereafter. At the time of the
initial screening, and with every re-screening, an Affidavit of Good Moral
Character, form CF 1649, (April 2021), which is incorporated by reference and
available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-15275,
shall be submitted by individuals who are subject to level 2 background
screenings.
4. Inmate Substance
Abuse Programs operated by or under contract with the Department of
Corrections, or the Department of Management Services, and Juvenile Justice
Commitment Programs and detention facilities operated by the Department of
Juvenile Justice, are exempt from the requirements of subparagraph 3., unless
the service provider personnel have direct contact with unmarried inmates under
the age of 18 or with inmates who are intellectually disabled, pursuant to
Section 397.4073(1)(e),
F.S.
(c) A person who is
disqualified pursuant to the background screening conducted in paragraph (4)(b)
of this rule may request an exemption from disqualification pursuant to Section
435.07, F.S. or, if applicable,
Section 397.4073(4)(b),
F.S.
(d) Employment History and
Reference Checks. The chief executive officer or designee, such as human
resources staff, shall assess employment history and reference checks for each
employee who has direct contact with children receiving services or
intellectually disabled adults receiving services.
(5) Standards of Conduct. Providers shall
establish written rules of conduct for individuals. Each individual receiving
services shall be given rules of conduct during orientation to be reviewed,
signed and dated.
(6) Medical
Director. Providers licensed to operate addictions receiving facilities,
detoxification, intensive inpatient treatment, residential treatment, and
methadone and medication-assisted treatment for opioid use disorder shall have
a medical director. Providers shall designate a medical director who shall
oversee all medical services. The medical director's responsibilities shall be
clearly described.
(a) The Medical Director
shall have overall responsibility for the following:
1. Medical services provided by the
program;
2. Oversight of the
development and revision of medical policies, including:
a. The means for the detection and referral
of health problems through medical surveillance and regular
examination;
b. Implementation of
medical orders regarding treatment of medical conditions;
c. Reporting of communicable diseases and
infections in accordance with federal and state laws;
d. Procedures and ongoing training for
routine medical care, specialized services, specialized medications, and
medical and psychiatric emergency care;
3. Collaborative supervision with the
clinical supervisor of non-medical staff in the provision of substance use
disorder services; and
4.
Supervision of medical staff in the performance of medical
services.
(b) The Medical
Director must meet at least twice a year with the risk management and quality
assurance program of the facility to review incident reports, grievances, and
complaints to identify and implement processes to reduce clinical risks and
safety hazards. This process shall be documented in the risk management and
quality assurance committee meeting minutes. When the Medical Director is the
attending physician of an individual receiving services, they shall participate
in the development of the treatment plan.
(c) The Department shall utilize the
following methodology for determining the maximum number of individuals a
medical director may serve pursuant to Section 397.410(1)(c)5., F.S.:
|
Component
|
Average Length of Stay (LOS) in
Days
|
Total Service Time over LOS
|
Work Days
|
Work Days per LOS
|
Hours worked per LOS (Work Days x Work Days per
LOS)
|
Calculation (Time in LOS/Total Service
Time)
|
Total Case Load
|
|
Inpatient Detoxification
|
4 days
|
1.0 hour*
|
8 hours
|
4 days
|
32 hours
|
32 /1 hour
|
32 individuals
|
|
Outpatient Detoxification
|
5 days
|
1.2 hours*
|
8 hours
|
5 days
|
40 hours
|
40/1.2 hours
|
33 individuals
|
|
Residential Level I
|
19 days
|
1 hour**
|
8 hours
|
15 days
|
120 hours
|
120/1 hour
|
120 individuals
|
|
Residential Level II
|
41 days
|
1.75 hours**
|
8 hours
|
30 days
|
240 hours
|
240/1.75
|
137 individuals
|
|
Residential Level III
|
54 days
|
2.25 hours**
|
8 hours
|
40 days
|
320 hours
|
320/2.25
|
142 individuals
|
|
Residential Level IV
|
42 days
|
1.75 hours**
|
8 hours
|
30 days
|
240 hours
|
240/1.75
|
137 individuals
|
|
Medication and Methadone Maintenance
|
1, 030 days
|
3.25 hours***
|
8 hours
|
709 days
|
5, 672 hours
|
5, 672/3.25
|
1, 745 individuals
|
*Service Times: New Patient Visit (30 minutes), Daily
Follow-up (10 minutes)
**Service Times: New Patient Visit (30 minutes), Weekly
Follow-up (15 minutes)
***Service Times: New Patient Visit (30 minutes), Quarterly
Follow-up (15 minutes)
(d) A
medical director may not serve in that capacity for more than a maximum of the
indicated number of individuals for the treatment types listed below:
1. Addiction receiving facilities, inpatient
detoxification, and intensive impatient providers - a cumulative total of 32
individuals at any given time.
2.
Outpatient detoxification - a cumulative total of 33 individuals at any given
time.
3. Residential treatment
(level 1) - a cumulative total of 120 individuals at any given time.
4. Residential treatment (level 2) - a
cumulative total of 137 individuals at any given time.
5. Residential treatment (level 3) - a
cumulative total of 142 individuals at any given time.
6. Residential treatment (level 4) - a
cumulative total of 137 individuals at any given time.
7. Methadone medication-assisted treatment
for opioid use disorder - a cumulative total of 1, 745 individuals at any given
time.
(e) Providers
licensed for multiple service components shall ensure compliance with this
medical director standard by applying the percentage of time dedicated to each
service component to the Department's methodology for maximum individuals
served. This information shall be submitted with the application for licensure
and updated at the time of any licensure renewal. The provider shall be
responsible for providing documentation to support the case load maximum upon
request.
(f) A provider may not
operate without a medical director on staff at any time. When a medical
director is not available, the medical director shall ensure that a qualified
physician who is available is designated. Upon the departure of a medical
director, an interim medical director shall be appointed. The provider shall
notify the regional office in writing within 24 hours when there is a change in
the medical director, provide proof that the new or interim medical director
holds a current license in the state of Florida, and is free of administrative
action(s) against their license.
(g) In cases where a provider operates
treatment components that are not identified in this subsection, the provider
shall have access to a physician, physician assistant, or APRN through a
written agreement who will be available to consult on any medical services
required by individuals involved in those components. Physicians, physician
assistants, or APRN's serving as a medical consultant shall adhere to all
requirements and restrictions as described for medical directors in this
chapter.
(h) A medical director or
medical consultant in violation of any of the requirements set forth in Chapter
65D-30, F.A.C., or Chapter 397, F.S., is permanently barred from being employed
by or contracting with a service provider licensed under Chapter 65D-30,
F.A.C.
(7) Medical
Services.
(a) Written Medical Provisions. For
components identified in subsection
65D-30.004(6),
F.A.C., each physician working with a provider shall establish written
protocols for the provision of medical services pursuant to Chapters 458 and
459, F.S., and for managing medication according to medical and pharmacy
standards, pursuant to Chapter 465, F.S. Such protocols will be implemented
only after written approval by the chief executive officer and medical
director.
(b) The medical protocols
shall also include:
1. The manner in which
certain medical functions may be delegated to appropriate licensed
practitioners in those instances where these practitioners are utilized as part
of the clinical staff;
2. Issuing
orders; and
3. Signing and
countersigning results of physical health assessments;
4. Procedures shall be documented for the
administration of medication by a qualified medical professional as authorized
by their scope of practice.
(c) Supervision of self-administration of
medication may be provided, including at the community housing location, under
the following conditions:
1. A secure, locked
storage for medications must be maintained;
2. Individuals must receive prescription
medication in accordance to the prescriptions of appropriate licensed
practitioners, as required by law;
3. Supervision of self-administration of
medication must be provided by trained personnel in accordance with paragraph
65D-30.0046(1)(f),
F.A.C. of this chapter.
4. A record
of all instances of supervision of self-administration of medication shall be
maintained in a medication observation record, to include the date, time, and
dosage in accordance to the prescription. The personnel who witnessed the
self-administration of the medication shall sign and date the medication
observation record.
(d)
All medical protocols shall be reviewed and approved by the medical director
and chief executive officer on an annual basis and shall be available for
review by the Department.
(e)
Emergency Medical Services. All licensed providers shall describe the manner in
which medical emergencies shall be addressed.
(f) Inmate Substance Abuse Programs operated
by or under contract with the Department of Corrections, or the Department of
Management Services, and Juvenile Justice Commitment Programs and detention
facilities operated by the Department of Juvenile Justice, are exempt from the
requirements of subsection (7).
(8) State Approval Regarding Prescription
Medication. In instances where the provider utilizes prescription medication,
medications shall be purchased, handled, dispensed, administered, and stored in
compliance with the State of Florida Board of Pharmacy requirements for
facilities which hold Modified Class II Institutional Permits and in accordance
with Chapter 465, F.S. This shall be implemented in consultation with a
state-licensed consultant pharmacist and approved by the medical director. The
provider shall ensure that policies implementing this subsection are reviewed
and signed and dated annually by a state-licensed consultant pharmacist.
(a) All providers purchasing, dispensing,
handling, administering, storing, or observing self-administration of
medications shall adhere to best practices, state and federal
regulations.
(b) Inmate Substance
Abuse Programs operated by or under contract with the Department of
Corrections, or the Department of Management Services, and Juvenile Justice
Commitment Programs and detention facilities operated by the Department of
Juvenile Justice, are exempt from the requirements of subsection
(8).
(9) Universal
Infection Control. Providers licensed to operate addictions receiving
facilities, detoxification, intensive inpatient treatment, residential
treatment, day or night treatment with community housing, day or night
treatment, intensive outpatient treatment, outpatient treatment, and
medicationassisted treatment for opioid addiction shall implement an exposure
control plan and universal infection control services.
(a) Plan for Exposure Control.
1. A written plan for exposure control
regarding infectious diseases shall be developed and shall apply to all staff,
volunteers, and individuals receiving services. The plan shall be initially
approved and reviewed annually by the medical director or consulting physician.
The plan shall be in compliance with Chapters 381 and 384, F.S., and in
accordance with the Department of Health's requirements as stated in Chapters
64D-2 and 64D-3, F.A.C. The plan shall be signed and dated by the medical
director or consulting physician as required by this paragraph.
2. The plan shall be consistent with the
protocols and facility standards published in the Federal Centers for Disease
Control and Prevention Guidelines and Recommendations for Infectious
Diseases.
(b) Required
Services. The following Universal Infection Control Services shall be provided:
1. Risk assessment and screening individuals
for both high-risk behavior and symptoms of communicable disease as well as
actions to be taken on behalf of individuals identified as high-risk and
individuals known to have an infectious disease;
2. HIV and TB testing and HIV pre-test and
post-test counseling to high-risk individuals, provided directly or through
referral to other healthcare providers which can offer the services;
and
3. Reporting of communicable
diseases to the Department of Health in accordance with Sections
381.0031 and
384.25, F.S.
(c) Inmate Substance Abuse Programs operated
by or under contract with the Department of Corrections, or the Department of
Management Services, and Juvenile Justice Commitment Programs and detention
facilities operated by the Department of Juvenile Justice, are exempt from the
requirements of subsection (9).
(10) Universal Infection Control Education
Requirements for Employees and Individuals. Providers shall meet the
educational requirements for HIV and AIDS pursuant to Section
381.0035, F.S., and all
infection prevention and control educational activities shall be documented.
Inmate Substance Abuse Programs operated by or under contract with the
Department of Corrections, or the Department of Management Services, and
Juvenile Justice Commitment Programs and detention facilities operated by the
Department of Juvenile Justice, are exempt from the requirements of this
subsection.
(11) Meals. Providers
licensed to operate addictions receiving facilities, inpatient detoxification,
intensive inpatient treatment, and residential treatment shall provide at least
three (3) meals per calendar day. In addition, at least one (1) snack shall be
provided each day. Providers licensed to operate day or night treatment with
community housing and day or night treatment, the provider shall make
arrangements to serve a meal to individuals involved in services a minimum of
five (5) hours at any one time. Individuals with special dietary needs shall be
reasonably accommodated. Under no circumstances may food be withheld for
disciplinary reasons. The provider shall document and ensure that nutrition and
dietary plans are reviewed and approved by a dietitian/nutritionist licensed
under Section 468.509, F.S., at least
annually. If the provider contracts with a third party for food services, a
copy of the provider's contract with the company and the company's current
health inspection shall be provided to the Department upon application and
renewal. Inmate Substance Abuse Programs operated by or under contract with the
Department of Corrections, the Department of Juvenile Justice, or the
Department of Management Services are exempt from the requirements of this
subsection but shall provide such services as required in the policies,
standards, and contractual conditions established by the respective
department.
(12) Verbal
De-escalation. Providers licensed to operate all components except for
universal direct prevention services shall have written policies and procedures
of the specific verbal de-escalation technique(s) to be used. Direct care staff
shall be trained in verbal de-escalation techniques as required in paragraph
65D-30.0046(1)(b),
F.A.C. The provider shall provide proof to the Department that affected staff
have completed training in those techniques.
(13) Compulsory School Attendance for Minors.
Providers which admit juveniles between the ages of 6 and 16 shall comply with
Chapter 1003, Part III, F.S., entitled School Attendance.
(14) Data. Providers shall report data to the
department pursuant to Section
397.321(3)(c),
F.S.
(15) Special In-Residence
Requirements. Service providers housing individuals for treatment shall only
furnish beds to individuals admitted for substance use treatment for the
specific level of care for which the individuals meet criteria. Providers that
house males and females together within the same facility shall provide
separate sleeping arrangements for these individuals and must have at least one
staff member present at all times. Providers which serve adults in the same
facility as persons under 18 years of age shall ensure individual safety with
one-on-one supervision, separate bedrooms, and programming according to age.
Providers, aside from Juvenile Justice Commitment Programs and detention
facilities operated by or under contract with the Department of Juvenile
Justice, shall not collocate children or adolescents with adults. Admitted
seventeen-year-olds who turn 18 while completing treatment shall be allowed to
stay only if it is clinically indicated, there is one-on-one supervision, and
they have separate bedrooms.
(16)
Reporting of Abuse, Neglect, and Deaths. Providers shall adhere to the
statutory requirements for reporting abuse, neglect, and deaths of children
under Chapter 39, F.S., and of adults under Sections
415.1034 and
397.501(7)(c),
F.S.
(17) Critical Incident
Reporting pursuant to Section
397.4103(2)(f),
F.S.
(a) Every provider shall develop policies
and procedures for submitting critical incidents into the Department's
statewide designated electronic system specific to critical incident
reporting.
(b) Every provider shall
report the following critical incidents within 24 hours of the incident
occurring.
1. Adult Death. An individual 18
years old or older whose life terminates:
a.
While receiving services; or
b.
When it is known that an adult died within thirty (30) days of discharge from a
program.
c. The final
classification of an adult's death is determined by the medical examiner. In
the interim, the manner of death shall be reported as one of the following:
(I) Accident. A death due to the unintended
actions of one's self or another.
(II) Homicide. A death due to the deliberate
actions of another.
(III) Natural
Expected. A death that occurs, because of, or from complications of, a
diagnosed illness for which the prognosis is terminal.
(IV) Natural Unexpected. A sudden death that
was not anticipated and is attributed to an underlying disease either known or
unknown prior to the death.
(V)
Suicide. The intentional and voluntary taking of one's own life.
(VI) Undetermined. The manner of death has
not yet been determined.
(VII)
Unknown. The manner of death was not identified or made
known.
2.
Adolescent Arrest. The arrest of an adolescent.
3. Adolescent Death. An individual who is
less than 18 years of age whose life terminates:
a. While receiving services; or
b. When it is known that an adolescent died
within 30 days of discharge from a program;
c. The final classification of an
adolescent's death is determined by the medical examiner. In the interim, the
manner of death will be reported as one of the following:
(I) Accident. A death due to the unintended
actions of one's self or another.
(II) Homicide. A death due to the deliberate
actions of another.
(III) Natural
Expected. A death that occurs, because of, or from complications of, a
diagnosed illness for which the prognosis is terminal.
(IV) Natural Unexpected. A sudden death that
was not anticipated and is attributed to an underlying disease either known or
unknown prior to the death.
(V)
Suicide. The intentional and voluntary taking of one's own life.
(VI) Undetermined. The manner of death has
not yet been determined.
(VII)
Unknown. The manner of death was not identified or made
known.
4.
Adolescent-on-Adolescent Sexual Abuse. Any sexual behavior between adolescents
less than 18 years of age which occurs without consent, without equality, or
because of coercion.
5. Elopement.
An unauthorized absence of any individual.
6. Employee Arrest. The arrest of an employee
for a civil or criminal offense.
7.
Employee Misconduct. Work-related conduct or activity of an employee that
results in potential liability for the Department; death or harm to an
individual receiving services; abuse, neglect or exploitation of a vulnerable
adult; or which results in a violation of statute, rule, regulation, or policy.
This includes falsification of records; failure to report suspected abuse,
neglect, or abandonment of a child; contract mismanagement; or improper
commitment or expenditure of state funds.
8. Missing Adolescent. When the whereabouts
of an adolescent in the custody of the Department are unknown and attempts to
locate the adolescent have been unsuccessful.
9. Security Incident - Unintentional. An
unintentional action or event that results in compromised data confidentiality,
a danger to the physical safety of personnel, property, or technology
resources; misuse of state property or technology resources; or, denial of use
of property or technology resources. This excludes instances of compromised
information of individuals in treatment.
10. Sexual Abuse/Sexual Battery. Any
unsolicited or non-consensual sexual activity by one individual receiving
services to another individual receiving services; or, sexual activity by a
service provider employee or other person to an individual receiving services,
or an individual receiving services to an employee regardless of the consent of
the individual receiving services. This may include sexual battery, as defined
in Chapter 794, F.S.
11.
Significant Injury to Individuals in Treatment. Any severe bodily trauma
received by an individual in a program that requires immediate medical or
surgical evaluation or treatment in a hospital emergency department to address
and prevent permanent damage or loss of life.
12. Significant Injury to Staff. Any serious
bodily trauma received by a staff member as result of a work-related activity
that requires immediate medical or surgical evaluation or treatment in a
hospital emergency department to prevent permanent damage or loss of
life.
13. Suicide Attempt. A
potentially lethal act which reflects an attempt by an individual to cause his
or her own death as determined by a licensed mental health professional or
other licensed healthcare professional.
14. Other. Any major event not previously
identified as a reportable critical incident but has, or is likely to have, a
significant impact on individuals receiving services, on the Department, such
as:
a. Human acts that jeopardize the health,
safety, or welfare of individuals receiving services, such as kidnapping, riot,
or hostage situation;
b. Bomb or
biological/chemical threat of harm to personnel or property involving an
explosive device or biological/chemical agent received in person, by telephone,
in writing, via mail, electronically, or otherwise;
c. Theft, vandalism, damage, fire, sabotage,
or destruction of state or private property of significant value or
importance;
d. Death of an employee
or visitor while on the grounds of the facility;
e. Significant injury of a visitor while on
the grounds of the facility that requires immediate medical or surgical
evaluation or treatment in a hospital emergency department to prevent permanent
damage or loss of life; or
f.
Events regarding individuals receiving services or providers that have led to
or may lead to media reports.
(18) Confidentiality. Providers shall comply
with Title 42, Code of Federal Regulations, Part 2, titled "Confidentiality of
Alcohol and Drug Abuse Patient Records, " and with Sections
397.501(7) and
397.752, F.S., regarding
confidential individual information.
(19) Certified Recovery Residence Referrals.
Providers shall comply with the statutory requirements established in Sections
397.4104 and
397.4873, F.S., regarding
referrals to and admissions from certified recovery residences.
(a) Pursuant to Section
397.4873, F.S., all providers
shall maintain an active referral log of each individual referred to a recovery
residence. The log shall include the individual's name being referred or
accepted, name and address of the certified recovery residence, signature of
the employee making the referral, and date of the referral. The log shall be
made available for review by the Department. Service Providers under contract
with the Managing Entities are exempt from this requirement.
(b) Pursuant to Section
397.4104(1),
F.S., all providers shall maintain an updated record of recovery residence
referrals in the Department's statewide electronic system specific to
licensure.
(20)
Telehealth Services.
(a) Providers shall
maintain policies and procedures outlining how they will provide services
through telehealth as described in subsection
65D-30.003(1),
F.A.C.
(b) Providers delivering
services through telehealth shall provide the service to the same extent the
service would be delivered if provided through an in-person service delivery
with a provider.
(c) Providers
delivering any services by telehealth are responsible for the quality of the
equipment and technology employed. Providers are responsible for its safe use.
Providers utilizing telehealth equipment and technology must be able meet or
exceed the prevailing standard of care. Service providers must meet the
following additional requirements:
(d) Must be capable of two (2)-way, real-time
electronic communication, and the security of the technology must be in
accordance with applicable federal confidentiality regulations 45 CFR §
164.312;
(e) The interactive
telecommunication equipment must include audio and high-resolution video
equipment which allows the staff providing the service to clearly understand
and view the individual receiving services;
(21) Group Counseling. The maximum number of
individuals allowed in a group session is 15.
(22) Overdose Prevention.
(a) All providers must develop overdose
prevention plans. All staff must have a working knowledge of the overdose
prevention plan. Overdose prevention plans shall include:
1. Education about the risks of overdose,
including having a lower tolerance for opioids if the individual is
participating in an abstinence-based treatment program or is being discharged
from a medication-assisted treatment program.
2. Information about Naloxone, the medication
that reverses opioid overdose, including how to use Naloxone and where and how
to access it.
(b)
Providers who maintain an emergency overdose prevention kit must develop and
implement a plan to train staff in the prescribed use and the availability of
the kit for use during all program hours of operation.
(c) Overdose prevention information, as
described in subparagraphs (22)(a)1. and 2. of this rule, must be shared with
individuals upon admission.
(d)
Providers must offer overdose prevention information, as described in
subparagraphs (22)(a)1. and 2. of this rule, to individuals placed on a
waitlist to receive treatment services.
Rulemaking Authority
397.321 (5),
397.4014,
397.410(1) FS.
Law Implemented 397.321,
397.4014,
397.4073,
397.4075,
397.410,
397.4103,
397.4104,
397.411 FS.
New 5-25-00, Amended 4-3-03, 12-12-05, 8-29-19,
5-10-23.
