N.J. Admin. Code § 10:161B-12.4

Current through Register Vol. 56, No. 8, April 15, 2024

Section 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.

N.J. Admin. Code § 10:161B-12.4

Amended by 48 N.J.R. 2791(a), effective 12/19/2016