N.J. Admin. Code § 10:161B-12.4 - Required services
(a) All outpatient programs providing
detoxification services shall, at a minimum, provide the following services:
1. Biopsychosocial assessment, including physical examination upon
admission, meeting the criteria at 10:161B-9.1(a) and (b), using a recognized
assessment instrument and level of care determination to ensure appropriateness of a client to receive
detoxification services in an outpatient setting, including the availability of emotional support,
transportation and a supportive home environment. Women of childbearing age shall receive a pregnancy test as
part of admission testing;
2. Clients requiring extended on-site
monitoring shall participate in the intensive outpatient or partial care programs as soon as medically able.
Participation in the intensive outpatient programs or partial care and other appropriate aftercare services
shall be included as part of the client treatment agreement for outpatient detoxification services. The
program shall make every effort to engage clients in continued services following discharge from, or
completion of, detoxification. Such efforts shall be clearly documented in the client's clinical
record;
3. Clients receiving outpatient detoxification services
without extended on-site monitoring shall participate in a treatment activity such as individual, group or
family counseling, educational sessions or self-help meetings during each day of the detoxification.
Participation in these services and other appropriate aftercare services shall be included as part of the
client treatment agreement for outpatient detoxification services. The program shall make every effort to
engage clients in continued treatment services following discharge from or completion of detoxification. Such
efforts shall be clearly documented in the client's clinical record;
4. Referral and linkages with other providers and services as
indicated;
5. Twenty-four (24) hour access to a nurse on call for
clients and family;
6. Treatment services shall be under the
direction of a director of substance abuse counseling who meets the requirements of
10:161B-1.8;
7.
Daily medical supervision of withdrawal, including monitoring of withdrawal symptoms and vital signs, shall
be provided by the program nurse, physician, advanced practice nurse or physician assistant;
8. Clients shall receive or be prescribed only a one-day supply of
medication for detoxification unless there is a documented medical or other reason why a second day of
medication is prescribed or dispensed, except in the case of opiate detoxification using methadone where no
take-home medication is permitted;
9. Programs approved to
provide outpatient detoxification services should be operational every day of the week during which clients
are receiving detoxification services;
10. Programs shall
strongly encourage the participation of clients in self-help groups such as Alcoholics Anonymous (AA) and
Narcotics Anonymous (NA);
11. The outpatient detoxification
program shall be in compliance with all applicable standards in this chapter; and
12. Drug screening shall be conducted at least weekly during the
detoxification period in addition to the admission screening.
(b) DHS does not sanction or condone the use of ultra rapid opioid
detoxification and rapid opioid detoxification as a means for detoxification from opioids or other
substances.
Notes
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