Ohio Administrative Code
Title 4729:4 - Probation
Chapter 4729:4-1 - Probation Committee
Section 4729:4-1-04 - Monitoring contracts
Universal Citation: OH Admin Code 4729:4-1-04
Current through all regulations passed and filed through September 16, 2024
(A) Within one week of completing treatment, in the absence of extenuating circumstances, the licensee or registrant shall enter into a monitoring contract with an approved monitoring program regardless of whether the licensee or registrant is under a period of suspension or probation.
(B) The monitoring program contract shall include all of the following requirements, unless otherwise approved by the board or its probation committee:
(1) Group therapy, support
groups, or, when appropriate, individual counseling, or a combination
thereof.
(2) Periodic, random,
unannounced blood and/or urine screens at a frequency of at least monthly and
sixteen times per year for the length of the contract, unless otherwise
approved by the board or the board's probation committee and to provide
additional random, observed urine and/or blood samples as may be requested by
the intervenor or designated person.
(a) The
urine sample must be given within twelve hours of notification.
(b) The dilution standard will be creatinine
clearance and/or specific gravity.
(c) Results of all drug screens must be
negative and the refusal of a drug screen or a diluted drug screen is
equivalent to a positive result. Any positive results, including those which
may have resulted from ingestion of food but excluding false positives which
resulted from medication legitimately prescribed, indicates a violation of the
contract and shall be reported to the board or the board's probation
committee.
(d) In the event of a
negative diluted screen, a hair sample test must be completed at the cost of
the probationer in a time frame consistent with the drug laboratory's
recommended policy, but in any event no later than twelve days after the
negative diluted screen.
(3) Mandatory participation in alcoholics
anonymous, narcotics anonymous, or a similar twelve-step program, or its
equivalent, as set forth in rule
4729:4-1-01 of the
Administrative Code.
(a) To obtain the
signatures of either the secretary or chairperson of the meeting for attendance
verification or, in the absence of both, a meeting representative.
(b) To be responsible for keeping a personal
record of names and phone numbers of the persons signing attendance
verification at meetings.
(c) To
record meeting attendance dates in a chronological order and collect the
attendance verification signatures at the meeting.
(d) To attend another meeting that same week
in order to meet the quota of meetings for the week if attendance verification
is not obtained.
(e) To obtain a
sponsor and home group in a twelve-step program, or its equivalent, as set
forth in rule
4729:4-1-01 of the
Administrative Code that is not a representative of the monitoring program by a
date specified by the approved monitor.
(4) Abstinence from use of alcohol and from
use of drugs, except those prescribed, administered or personally furnished by
a licensed prescriber who has knowledge of the patient's history and of the
disease of addiction, or those administered by another person so authorized by
law during a medical emergency.
(a) To notify
the intervenor or designated person in advance and provide documentation of the
need for any medication (to include a copy of the prescription or note from the
prescriber) within forty eight hours of receipt of treatment, if any mood
altering and/or potentially addictive medications are required or recommended
by the prescriber.
(b) To renew
verification with the intervenor or designated person every ninety days if the
need for medication is ongoing.
(c)
To update medication list with the intervenor or designated person any time a
new prescription or over-the-counter medication is added.
(d) To abstain from dispensing own
prescriptions.
(e) To avoid
exposure to anything that may cause drug screen tests to be positive, including
"hemp oil," "hemp products," "coca tea," and
poppy seeds.
(f) To abstain from
using ethyl alcohol in any form including, but not limited to, the following:
(i) Alcohol free wine or beer;
(ii) Over-the-counter drugs containing
alcohol, cough syrups or their similar drugs or supplements;
(iii) Mouthwash or other hygiene products
containing ethanol, including sanitizing hand or body gels;
(iv) Foods or beverages containing alcohol;
and
(v) Any other form of ethyl
alcohol.
(5)
Acknowledgment of the relinquishment of the right to self-medicate other than
use of single entity over-the-counter non-steroidal anti-inflammatories or
acetaminophen.
(6) Regular contact
with a licensed chemical dependency counselor, or with a physician qualified by
training or experience, or both, to treat chemically dependent persons, who
assumes responsibility for monitoring defined aspects of aftercare contract
compliance, and who agrees to:
(a) Report any
noncompliance to the approved monitoring program; and
(b) Report any relapse to the approved
monitoring program and the board.
(7) A length of contract specified with a
minimum of at least five years and at least fifty-two weekly aftercare
sessions, with missed sessions to be made up.
(8) Professional therapy, where indicated, to
resolve family and work-related issues.
(9) Treatment of any ongoing medical problems
to be managed by a licensed prescriber. Treatment of any conditions requiring
the use of a mind-altering, mood-changing substance shall require consultation
with a physician qualified by training or experience, or both, to provide
medical care to chemically dependent persons.
(a) Agreement to identify a single primary
care physician and utilize that physician (or physician to whom referred)
exclusively for all medical care for the duration of the contract.
(b) Agreement for identified physician to
share with approved monitor information on any drugs prescribed or, if
over-the-counter drugs, approved, and the information pertinent to recovery
and/or compliance with the contract.
(c) Intervenor or designated person approved
surgery packet prior to any non-emergency medical procedures.
(10) Referral to other forms of
extended care, when indicated.
(11)
Any required supervision or restrictions of practice during
aftercare.
(12) Personal contact
with the assigned intervenor once a week, leaving a message shall not meet the
personal contact requirement.
(13)
An agreement to attend the pharmacist peer assistance group meetings each month
for the duration of the contract, unless otherwise excused by the designated
person or the designated person's designee.
(14)
A restriction on
the hours able to be worked in a facility licensed by the board to no more than
forty hours in one week and/or no more than eighty hours in a two-week
timeframe.
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