N.H. Admin. Code § Acp 705.04

Current through Register No. 50, December 12, 2024

Section Acp 705.04 - Board-Approved Training Curriculum Requirements

The training curriculum shall include, but need not be limited to, the following subject matter:

(a) The history of acupuncture detoxification;

(b) Acupuncture detoxification point locations and descriptions, ear anatomy, identification of "active area" by changes in color, texture, etc.;

(c) Infectious disease, safety, and clean needle technique training as outlined in the NADA Acupuncture Detoxification Specialist Training Manual, effective July 1, 2017, available as noted in Appendix II;

(d) Needling technique, needle angle of insertion and insertion depth, needle removal, needle accountability, and disposal of needles;

(e) Breathing technique, body positioning, minimizing discomfort, clinical concerns, and complications with needling;

(f) Client communication including bedside manner, obtaining informed consent, developing and presenting information about acupuncture detoxification services, and addressing client fear and resistance to treatment;

(g) The communal treatment approach and effect, the in nature of treatment, and non-verbal communication;

(h) Oriental medicine concepts as they relate to ADS, and the concept of empty fire;

(i) Trial treatments including explanation of what happens during treatment, addressing trainee fear of inflicting pain, practice on class members and inanimate objects, and client treatments in existing acupuncture detoxification service settings;

(j) Maintaining boundaries, safe touch, recognizing and supporting the client's safe space, and observation and modification of treatment as needed in response to the needs of the client;

(k) Partnership with clients through the provision of acupuncture detoxification services, understanding that healing is within the client, supporting and endorsing other recovery processes, minimization of self and avoiding controlling behavior, and empowering the client's choice to receive acupuncture detoxification services;

(l) ADS self-care including stress management, burnout prevention, receiving acupuncture detoxification treatments, attending Al-anon or other mutual help fellowships, and recognizing and validating the subjective experience;

(m) Client management issues and strategies, including how to maintain order in a room while providing acupuncture detoxification services to at least 5 clients, sensitivity to issues of racism, sexism, and homophobia in treatment, cultural sensitivity, psychosocial issues affecting clients' recovery, and review of case studies;

(n) Discussion of unique needs and the role of acupuncture detoxification with special populations, including:

(1) Persons with HIV/AIDS;

(2) Persons who are or have been in the criminal justice system;

(3) Men;

(4) Women;

(5) Expecting or new mothers;

(6) Persons with co-existing mental health disorders;

(7) Persons who are or have experienced domestic violence or street violence;

(8) Persons who are homeless or who have experienced homelessness;

(9) Veterans;

(10) Persons experiencing Post Traumatic Stress Disorder or acute and chronic traumatic stress;

(11) Youth;

(12) Elderly;

(13) Persons who identify as gay, lesbian, bisexual, transsexual, etc.;

(14) Persons within specific ethnic or cultural groups; or

(15) Methadone assisted clients;

(o) The requirements for a peaceful and successful treatment environment, including the physical set up and aesthetics of the room, furniture, lighting, sound, relation with program staff, and interaction with individual clients;

(p) Documentation and charting procedures including subjective objective assessment plans (SOAP), narrative and other note formats, documentation specific to facility, agency or location, minimum requirements for notes to include date of service, status, treatment delivered, client response, and signature;

(q) Outcome data collection methods including symptom checklists and client surveys;

(r) Acupuncture detoxification related research, design and methodology, placebo trials, and the historical difficulties of research;

(s) The nature of addiction and recovery, including the disease concept, recovery, social, and brain model of addiction, review of substances of abuse and related client profiles, and the use of acupuncture detoxification with these populations, the psycho-spiritual nature of acupuncture detoxification, the role of shame and denial, recovery as a lifelong, individual, and intrinsic transformation, and mutual support fellowships;

(t) Stages of the recovery process and ADS treatment at each stage, including withdrawal, early recovery, sobriety maintenance, longer term recovery, and relapse prevention;

(u) 12-step recovery and mutual support fellowships including alcoholics anonymous (AA), narcotics anonymous (NA), Al-Anon, and Nar-Anon, program specific philosophy, the 12 steps and traditions, support groups and sponsorship, the requirement for ADS trainees without prior exposure to attend meetings; the role of 12- step programs in recovery, and alternatives to 12- step programs;

(v) Integration within the treatment milieu and limited scope of practice for an ADS and with other treatment interventions, treatment planning, group process, the adjunctive role of acupuncture detoxification services in conjunction with medical, psychological, and pharmacological intervention and with didactic, psycho-educational, individual, and family counseling, and collaboration and communication with the treatment team;

(w) Relation to other interventions and logistics of integration with other treatment interventions, including timing, availability, atmosphere, space, and setting, and necessary compliance with agency, facility specific, local, or state policies, procedures, laws, or rules;

(x) Appropriate referral and crisis management for addiction, mental health, and medical evaluation and care, referral for treatment of non-crisis and non-emergency needs, and the necessity of working openly and respectfully with other agencies;

(y) The existence of drug courts, family courts, veteran courts, and mental health courts as a means to better serve specialized populations; and

(z) Legal and ethical considerations related to performing acupuncture detoxification, including the requirement of supervision by a licensed acupuncturist, scope of practice and typical temptations to work outside scope of practice, board-approved ethics pledge, confidentiality, HIPAA regulation, federal law governing clients with substance abuse disorders and addiction, insurance coverage of acupuncture detoxification, RSA 328-G, and Acp 100-700.

N.H. Admin. Code § Acp 705.04

Derived from Volume XXXVIII Number 32, Filed August 9, 2018, Proposed by #12575, Effective 7/20/2018, Expires 7/20/2028.