New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES
Subchapter 11 - OPIOID TREATMENT SERVICES
Section 10:161B-11.6 - Admissions and assessment
Current through Register Vol. 56, No. 18, September 16, 2024
(a) In addition to meeting the eligibility criteria for admission, a client admitted to an opioid treatment program shall receive a biopsychosocial assessment in accordance with 10:161B-9.1(a).
(b) Drug screening shall be analyzed, at a minimum, for opioids, methadone, cocaine, amphetamines, and benzodiazepines, and, as appropriate, for drugs of choice as evidenced in evaluation and/or intake assessment. Screening for alcohol, marijuana and other drugs shall be conducted based on individual and/or community drug use patterns in accordance with program policy established by the multidisciplinary team. Positive drug screens for other substances shall be documented in the client's case record and an appropriate clinical intervention will occur.
(c) An opioid treatment program shall conduct a complete physical examination, a medical history including drug use and current medications, treatment history and personal history before dispensing or administering medication. A program physician or other licensed independent practitioner authorized under New Jersey statutes shall conduct a complete physical examination at admission and shall include testing for the following:
(d) If the client submits documentation of the testing in (c) above performed within 30 days of admission, those tests need not be repeated with the exception of the drug screening and pregnancy testing.
(e) Clients re-entering an opioid treatment program after discharge shall be examined by the physician, screened for drugs and pregnancy, tested for tuberculosis (if it has been 12 or more months since the previous test), and offered HIV counseling and testing.
(f) The client assessment shall include information on the client's educational and vocational needs. Unemployed persons and others determined to be in need of educational and/or vocational assistance shall be provided services in the opioid treatment program, or shall be referred to appropriate resources within the community. Such referrals shall be documented in the client record and addressed in the treatment plan.
(g) Clients shall receive education and counseling regarding the behavioral risk factors for transmission of HIV and hepatitis B and C, screening tests and available treatment.
(h) If the opioid treatment program does not provide primary medical care services to its clients including prenatal care, it shall ensure that appropriate referrals are made for prenatal care, other medical and mental health services. This shall be based on findings of the physical examination or as identified during the course of maintenance treatment. Documentation of referrals, follow up, and coordination of care shall be contained in the client record.