N.J. Admin. Code § 8:111-1.3
The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise:
"ABAM" means the American Board of Addiction Medicine, for which the contact information is 8735 W. Higgins Rd., Ste. 300, Chicago, IL 60631, telephone (301) 656-3378, and website www.abam.net.
"Accrediting agencies" means those organizations recognized nationally that set standards and review providers based on these standards. These organizations provide their endorsement in the form of accreditation: Joint Commission, http://www.jointcommission.org; Commission on Accreditation of Rehabilitation Facilities (CARF), http://www.carf.org.
"Administrator" means an individual appointed by the governing authority to provide administrative oversight for all licensed facilities and individual sites within a licensed facility.
"Admitted" means accepted for treatment at a residential substance use disorders treatment facility.
"Adolescent" means a person between the ages of 12 up to and including the 18th birthday.
"Adolescent residential substance use disorders treatment facility" means a free-standing residential facility or a distinct part of a facility where care is provided to two or more adolescent clients for the treatment and prevention of substance dependence, under supervision for more than 24 consecutive hours.
"ASAM" means the American Society of Addiction Medicine, for which the contact information is 11400 Rockville Pike, Suite 200, Rockville, MD 20852, telephone (301) 656-3920, www.asam.org.
"ASAM Criteria" means the criteria developed by the American Society of Addiction Medicine, contained in ASAM, The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, 3d Edition (2013), incorporated herein by reference, as amended and supplemented, which can be obtained from ASAM.
"ASI" means the Research and Evaluation Group of the Public Health Management Corporation (REG-PHMC), Addiction Severity Index, 5th Edition (1990), incorporated herein by reference, as amended and supplemented, which is an instrument designed to provide important information about aspects of a client's life that may contribute to his or her substance use disorder, available from the REG-PHC, for which the contact information is Centre Square East, 1500 Market Street, Suite 1500, Philadelphia, PA 19102, telephone (215) 985-2500, website http://research.phmc.org.
"Available" means, for individuals employed by or under contract with a residential substance use disorders treatment facility, capable of being reached and able to be present in the facility within 30 minutes.
"Bylaws" means a set of rules adopted by the facility for governing its operation. A charter, articles of incorporation or a statement of policies and objectives, is an acceptable equivalent.
"CDC" means the Federal government agency, Centers for Disease Control and Prevention, http://www.cdc.gov.
"CSAT" means the Federal Center for Substance Abuse Treatment within the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, http://www.samhsa.gov/about/csat.aspx.
"Center for Substance Abuse Treatment" or "CSAT" means the Center for Substance Abuse Treatment within the Substance Abuse and Mental Health Services Administration of the United States Department of Health and Human Services, for which the contact information is 5600 Fishers Lane, Rockville, MD 20857, telephone (240) 276-1660, website http://www.samhsa.gov/about-us/who-we-are/offices-centers/csat.
"Certificate of occupancy" means a certificate issued by a local authority indicating that a building meets building code requirements.
"Certified Alcohol and Drug Counselor" or "CADC" means a person who holds a current, valid certificate issued by the New Jersey State Board of Marriage and Family Therapy Examiners, as recommended by the Alcohol and Drug Committee, pursuant to N.J.S.A. 42:2D-5 and N.J.A.C. 13:34C-2.3, for which the contact information is PO Box 45040, Newark, NJ 07101, telephone (973) 504-6369, website: http://www.njconsumeraffairs.gov/adc/Pages/default.aspx.
"Clear floor area" means room space exclusive of toilet rooms, fixed closets, fixed wardrobes, alcoves or vestibules.
"Client" means any individual who has applied for or been given a diagnosis or treatment for alcohol or drug abuse at a licensed program under this chapter and includes any individual who, after arrest on a criminal charge, is identified as an alcohol or drug abuser in order to determine that individual's eligibility to participate in a program. In the context of this chapter, client is synonymous with patient or resident.
"Clinical note" means a written, signed and dated notation made by a licensed or credentialed professional, an approved counselor-in-training (pursuant to 10:161A-1.9(a)2) or other authorized representative of the facility who renders a service to the client or records observations of the client's progress in treatment. The notes shall include medication prescription and monitoring; session start and stop times; modalities and frequencies of treatment; results of clinical tests; summary of any of the following; and diagnosis, functional status, treatment plan, symptoms, prognosis and progress.
"Clinical supervision" means the ongoing process of direct review of a supervisee for the purpose of accountability, teaching, administering or clinical review by a qualified clinical supervisor from the same area of specialized practice providing regular consultation, guidance and instruction to the supervisee.
"Commissioner" means the Commissioner of the New Jersey Department of Health.
"Communicable disease" means an illness due to a specific infectious agent or its toxic products, which occurs through transmission of that agent or its products from a reservoir to a susceptible host.
"Communication access" means the provision of communication access services or accommodations (either through direct provision or by way of referral) provided to clients with visual impairment or a hearing loss and/or a different linguistic background to fully participate and benefit from substance use disorders treatment services; examples may include assistive listening devices/systems, CART realtime captioning, sign language interpreters.
"Conditional license" means a license pursuant to N.J.A.C. 8:111-2.7. A conditional license requires the licensee to comply with all specific conditions imposed by the Division of Certificate of Need and Licensing, in addition to the licensure requirements in this chapter.
"Confidentiality" means the protection of individually identifiable information as required by State and Federal legal requirements as specified in HIPAA.
"Conspicuously posted" means information placed at a location within the facility accessible to and seen by clients and the public.
"Construction guidelines" means the model building code of the International Code Council, 2018, New Jersey Edition, for which the contact information is 4051 W. Flossmoor Road, Country Club Hills, IL 60477-5795, http://www.ICCsafe.org, (888) 422-7233.
"Contamination" means the presence of an infectious or toxic agent in the air, on a body surface or on/in clothes, bedding, instruments or dressings or other inanimate articles or substances, including water, milk and food.
"Continuum of Care Plan" means a written plan initiated at the time of the client's admission, and regularly updated during the course of treatment that addresses the needs of the client after discharge; may be referred to as a Discharge Plan.
"Controlled dangerous substances" or "controlled substances" means drugs subject to the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Title 11, Public Law 91-513, 21 U.S.C. §§ 801 et seq.), the New Jersey Controlled Dangerous Substances Act, N.J.S.A. 24:21-1 et seq., and the Controlled Dangerous Substances rules, N.J.A.C. 13:45H.
"Co-occurring disorder" (COD) means the co-occurrence of substance-related and mental disorders as described by the Diagnostic and Statistical Manual of Mental Disorders, DSM-IV-TR, in which the substance abuse and mental health disorders are primary.
"Co-occurring disorder assessment" means an assessment, which includes a full mental status evaluation, a detailed history of psychiatric symptoms, a review of and, if necessary, expansion of, the information collected while completing the ASI and reviewing the previous treatment records.
"Counseling" means the utilization of special skills and evidence-based practices to assist individuals, families, significant others and/or groups to identify and change patterns of behavior relating to substance use disorders that are maladaptive, destructive and/or injurious to health through the provision of individual, group and/or family therapy by licensed or certified professionals or approved counselors-intern. Counseling does not include self-help support groups, such as Alcoholics Anonymous, Narcotics Anonymous or similar 12-step facilities.
"Counselor-intern" shall mean either a "credentialed intern" or an "alcohol and drug counselor intern," as defined at 13:34C-6.1.
"Curtailment" means an order of the Department that requires a licensed substance use disorders treatment facility to cease and desist all admissions and readmissions of clients to the facility or affected service.
"DCF" means the New Jersey Department of Children and Families.
"DMHAS" means the Division of Mental Health and Addiction Services, the single State agency for substance abuse issues in the State of New Jersey, and is a division within the New Jersey Department of Health, http://www.state.nj.us/humanservices/divisions/dmhas.
"Daily census" means the number of clients residing in the facility on any given day.
"Deficiency" means a determination by the Division of Certificate of Need and Licensing of one or more instances in which a State licensing rule or a Federal certification regulation has been violated.
"Department" means the New Jersey Department of Health.
"Dependence" means physical and/or psychological dependence on a substance resulting from the chronic or habitual use of alcohol, tobacco, any kind of controlled substance, narcotic drug or other prescription or non-prescription drug.
"Designated person" means, in the context of client care, the person designated in writing by the client to be notified if the client sustains an injury requiring medical care; if an accident or incident occurs; if there is deterioration in the client's physical or mental condition; if the client is transferred to another facility; or if the client is discharged or dies while in treatment.
"Detoxification" means the provision of care, short-term and/or long-term, prescribed by a physician and conducted under medical supervision, for the purpose of withdrawing a person from a specific psychoactive substance in a safe and effective manner according to established written medical protocols.
"Didactic session" means a structured treatment intervention designed to instruct or teach clients about topics related to substance use disorders and treatment related issues.
"Disclosure" means the release, transfer, provision of, access to, confirmation of or communication in any manner of information identifying a past or present client or an applicant for services or verifying another person's disclosure, which identifies an individual as a client or the communication of any other information from the record of a client who has been identified. As used in this definition, "applicant for services" shall mean an individual who has applied for diagnosis of treatment at a licensed substance use disorder facility.
"Division of Certificate of Need and Licensing" or "Division" means the Division of Certificate of Need and Licensing within the Health Services Branch of the Department, for which the contact information is Division of Certificate of Need and Licensing, New Jersey Department of Health, PO Box 358, Trenton, NJ 08625-0358.
"Dosage" means, in the context of administering medication in prescribed amounts, the quantity of a drug to be taken or applied all at one time or in fractional amounts within a given period of time.
"Drug" means any article recognized in the United States Pharmacopoeia-National Formulary, USP-NF Online, a regularly updated web-based publication that is accessible at http://www.uspnf.com, or the Homeopathic Pharmacopoeia Convention of the United States (HPCUS), Homeopathic Pharmacopoeia of the United States (HPUS), a regularly updated web-based publication that is accessible at http://www.hpus.com, both of which are incorporated herein by reference, as amended and supplemented, including, but not limited to, a controlled substance, a prescription legend drug, an over-the-counter preparation, a vitamin or food supplement or any compounded combination of any of the above or transdermal patch or strip, intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease or medical condition in humans/animals or intended to affect the structure or function of the human body.
"Drug screening test negative" means a urine or other Department-approved specimen from a client that tests negative for drugs of abuse, except that for a client in an opioid treatment facility, the specimen is negative for drugs of abuse and shows the presence of methadone.
"Drug screening test positive" means a urine or other Department-approved specimen from a client that tests positive for illegal substances or pharmaceuticals other than those prescribed for the client by a licensed practitioner.
"DSM" means the American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders (DSM-5 <(R)> ), Fifth Edition (2013), incorporated herein by reference, as amended and supplemented, available from the American Psychiatric Association, for which the contact information is 800 Maine Avenue, S.W., Suite 900, Washington, DC 20024, telephone (800) 3685777 and (202) 459-9722, website http://www.psychiatry.org.
"Evidence-based practices" means interventions and approaches supported through empirical or peer-reviewed research and evaluation. Evidence-based practices are to be distinguished from best practices, which are interventions and approaches more likely to yield desired results, based on indicative studies or judgment/consensus of experts.
"Extended care facility" means a residential substance use disorders treatment facility in which treatment primarily is designed to help clients overcome denial of addiction, enhance treatment acceptance and motivation, prevent relapse, promote reintegration into the community and generally approximates the ASAM PPC, Level III.3 (medium intensity) treatment modality.
"Facility" means a residential substance use disorders treatment facility and/or program licensed to provide treatment services for substance use disorders by the Department pursuant to State statute and this chapter. These facilities include halfway houses, extended care facilities, long-term residential facilities, short-term residential facilities and any similar facility in which care is provided through a structured recovery environment involving professional clinical services and/or specific services for detoxification within hospital-based facilities.
"Family" means those persons having a commitment and/or personal significance to the client.
"Floor stock" means medications from a pharmacist in a labeled container in limited quantities that are not necessarily prescribed for one or more specific individuals.
"Governing authority" means the organization, person or persons or the board of directors/trustees in a for-profit or non-profit corporation designated to assume legal responsibility for the management, operation and financial viability of the facility.
"HIPAA" means the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations at 45 CFR Parts 162 and 164.
"HIV" means human immunodeficiency virus.
"Halfway house" means a residential substance use disorders treatment facility, operating in a physically separate location, in which the halfway house treatment modality is programmatically separate and distinct from short-term substance use disorders residential services or long-term substance use disorders residential services. A halfway house provides substance use disorders treatment designed to assist clients in adjusting to regular patterns of living, engaging in occupational training, obtaining gainful employment, and independent self-monitoring and otherwise generally approximates the ASAM PPC, Level III.1 (low intensity) treatment modality.
"Health care" means care, services or supplies related to the health of an individual. Health care includes, but is not limited to, the following; preventative, diagnostic, therapeutic, rehabilitative, maintenance or palliative care and counseling, service, assessment or procedure with respect to the physical or mental condition, or functional status, of an individual or that affects the structure or function of the body, and sale or dispensing of a drug, device, equipment or other item in accordance with a prescription.
"Health care facility" means a general hospital, comprehensive rehabilitation hospital, nursing home, or other health care facility licensed pursuant to P.L. 1971, c. 136 (N.J.S.A. 26:2H-1 et seq.), and a State psychiatric hospital operated by the Department of Health and listed at N.J.S.A. 30:1-7.
"Health information" means any information, whether oral or recorded in any form or medium, that is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university or health care clearinghouse; and relates to the past, present or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present or future payment for the provision of health care to an individual.
"Hospital-based (medical) detoxification" means a residential substance abuse treatment facility operated as a distinct part or unit of an acute care hospital (separately and concurrently licensed by DOH) designed primarily to provide short-term care prescribed by a physician and conducted under medical supervision to treat a client's physical symptoms caused by addictions, according to medical protocols to each type of addiction, and generally approximates ASAM PPC, Level IVD (medically managed intensive inpatient detoxification) treatment modality.
"Immediate and serious threat" means a deficiency or violation that has caused or will imminently cause at any time serious injury, harm, impairment or even death to clients of the facility and therefore requires immediate corrective action.
"Incapacitated" means that a person, as a result of the use of alcohol or other drugs, is unconscious or has his or her judgment so impaired that he or she is incapable of realizing and making a rational decision with respect to his or her need for treatment even though he or she is in need of substantial medical attention.
"Individual" means the person who is the subject of protected health information.
"Interpreter services" means communication access services provided to or arranged for a client and/or family member unable to comprehend and/or communicate in substance use disorders treatment without the assistance of such services.
"Job description" means written specifications developed for each position in the facility, containing the qualifications, duties and responsibilities and accountability required of employees in that position.
"License" means a certificate of approval pursuant to 26:2G-21 et seq., and/or a license pursuant to 26:2B-7 et seq.
"Licensed Clinical Alcohol and Drug Counselor" or "LCADC" means a person who holds a current, valid license issued pursuant to N.J.S.A. 45:2D-4 and 45:2D-16 and N.J.A.C. 13:34C-2.2 and 2.19(c).
"Long-term residential substance use disorders treatment facility" or "long-term residential facility" means a residential substance use disorders facility in which treatment is primarily designed to foster personal growth and social skills development, with intervention focused on reintegrating the client into the greater community, and where education and vocational development are emphasized and generally approximates ASAM PPC, Level III.5 (high intensity, clinically-managed) treatment modality.
"Medical liaison" means a designated staff member in a residential substance use disorders treatment facility responsible for ensuring that all medical information is entered into the client's clinical records.
"Medication" means a drug or medicine as defined by the New Jersey State Board of Pharmacy rules, as set forth in N.J.A.C. 13:39, which is accessible at http://www.njconsumeraffairs.gov/pharm/phar_rules.htm.
"Medication administration" means a procedure in which a prescribed medication is given to a client by an authorized person in accordance with all laws and rules governing such procedures. The complete procedure of administration includes removing an individual dose from a previously dispensed, properly labeled container (including a unit dose container), verifying it with the prescriber's orders, giving the individual dose to the client, observing that the client has taken the medication, orally, by way of injecting, topically or insertion and verifying recording the required information, including the method of administration.
"Medication dispensing" means a procedure entailing the interpretation of the original or direct copy of the prescriber's order for a medication or a biological and, pursuant to that order, the proper selection, measuring, labeling, packaging and issuance of the drug or biological to a client or a service unit of the facility, in conformance with the rules of the New Jersey Board of Pharmacy at N.J.A.C. 13:39.
"Multidisciplinary team" means those persons, representing different professions, disciplines and service areas, who work together to provide treatment planning and care to the client.
"NIDA" means National Institute on Drug Abuse, within the National Institutes of Health, http://www.nida.nih.gov.
"New Jersey Substance Abuse Monitoring System" or "NJSAMS" means the client data collection information system required by DMHAS to be used by all New Jersey substance use disorders treatment facilities to record and report all client data including, but not limited to, admission, status, services, discharge, and such other information as DMHAS may require, at: http:// njsams.rutgers.edu/njsams.
"Non-hospital-based (medical) detoxification" means a residential substance use disorders treatment facility designed primarily to provide short-term care prescribed by a physician and conducted under medical supervision to treat a client's physical symptoms caused by addictions, according to medical protocols appropriate to each type of addiction, and generally approximates ASAM PPC, Level III.7D (medically monitored intensive inpatient detoxification) treatment modality.
"Non-hospital-based (medical) detoxification/enhanced" means an organized service delivered by medical and nursing professionals, which provides 24-hour medically supervised evaluation and withdrawal management in a permanent facility with inpatient beds. Services are delivered under a defined set of physician-approved policies and physician-monitored procedures for clinical protocols. This care approximates ASAM PPC Level III.7D care but enhances that level to include the ability to treat the following:
1. Individuals with co-occurring disorders;
2. Pregnant women;
3. Poly-addicted persons including those addicted to benzodiazepines;
4. Individuals who may or may not be on opiate replacement therapy; and
5. Clients with non-life-threatening medical condition(s) that do not require the services of an acute care hospital.
"Nosocomial infection" means an infection acquired by a client while in the residential substance use disorders treatment facility.
"Opiate" means any preparation or derivative of opium.
"Opioid" means both opiates and synthetic narcotics.
"Outcomes" means the level of functioning of a client on specific criteria post-treatment as compared with their level of functioning at intake. These criteria include drug and alcohol use, employability, criminal activity and homelessness, consistent with the 2007 SAMHSA National Outcome Measures, accessible at http://www.samhsa.gov/dataOutcomes/, which are incorporated herein by reference, as amended and supplemented.
"Per diem rate" means the daily charge to the client or other funding source for services rendered by the facility.
"Plan of correction" means a plan developed by the facility and reviewed and approved by the Division, which describes the actions the facility will take to correct deficiencies and specifies the timeframe in which those deficiencies will be corrected.
"Practitioner" means a person licensed to practice medicine or surgery in accordance with 45:9-1 et seq. and N.J.A.C. 13:35 or a medical resident or intern, or a podiatrist licensed pursuant to 45:5-1 et seq. and N.J.A.C. 13:35.
"Progress note" means a written, signed with original signature and dated notation by a member of the multidisciplinary team or approved staff summarizing facts about care and the client's response to care during a given period of time.
"Protected health information" means individually identifiable health information, except as provided in paragraph (2) of the definition as defined in HIPAA, 42 CFR 160.103(C)(5), that is transmitted by electronic media, maintained in electronic media or transmitted or maintained in any other form or medium, protected health information excludes individually identifiable health information in education records covered by the Family Educational Rights and Privacy Act, as amended, 20 U.S.C. § 1232g; records described at 20 U.S.C. § 1232g(a)(4)(B)(iv); and employment records held by a covered entity in its role as employer.
"Provisional license" means a license that has been reduced because the facility is not in full compliance with all licensing rules in this chapter. A provisional license holder is subject to oversight from the Division until it comes into full compliance with this chapter.
"Reasonable efforts" means an inquiry on the employment application, reference checks and/or criminal background checks where indicated or necessary.
"Record" means any item, collection or grouping of information that includes protected health information and is maintained, collected, used or disseminated by or for a covered entity.
"Residential substance use disorders treatment facility or program" means a facility, or a distinct part of a facility, that provides care for the treatment of substance use disorders, for 24 or more consecutive hours to two or more clients who are not related to the governing authority or its members by marriage, blood, or adoption. The term "residential substance use disorders treatment facility includes facilities that provide residential substance use disorders treatment services to adolescents, women with dependent children, and adult males and/or females. These facilities include halfway houses, extended care facilities, long-term residential facilities, and short-term residential facilities; and any similar facility providing substance use disorders treatment services including hospital-based and non-hospital-based detoxification through a structured recovery environment involving professional clinical services, generally approximating ASAM PPC Level III.
"SAMHSA" means the Substance Abuse and Mental Health Services Administration within the United States Department of Health and Human Services, http://www.samhsa.gov.
"Self-administration" means a procedure in which medication is taken orally, injected, inserted or topically or otherwise administered by a client to himself or herself. The complete self-administration procedure includes the client removing their own individual dose from a previously dispensed, properly labeled container (including a unit dose container), verifying of the dose with the prescriber's orders, the client taking their own individual dose, staff observing that the client has taken their own medication orally, by way of injection, topically or insertion and staff recording the required information in the client's record and medication administration record. All steps in the self-administration procedure are under the supervision of staff trained and authorized to provide oversight of self-administration.
"Short-term residential substance use disorders treatment facility" or "short-term residential facility" means a substance use disorders treatment facility in which treatment is designed primarily to address specific addiction and living skills problems through a prescribed 24-hour per day activity regimen on a short-term basis, and generally approximates ASAM PPC, Level III.7 (medically monitored intensive inpatient treatment) treatment services.
"Signature" means at least the first initial and full surname and title (for example, RN, LPN, DDS, MD, DO, CADC) of a person, legibly written, with his or her own hand. If electronic signatures are used, they shall be used in accordance with N.J.A.C. 8:111-19.4(b)1.
"Spiritual assessment" means the process by which a substance abuse provider can identify a client's spiritual needs pertaining to their recovery. The determination of spiritual needs and resources, evaluation of their impact on recovery decisions and discovery of barriers to using spiritual resources are all outcomes of a thorough spiritual assessment.
"Staff education plan" means a written plan, which describes a coordinated program for staff education, including in-service facilities and on-the-job training.
"Staff orientation plan" means a written plan for the orientation of each new employee to the duties and responsibilities of the position as defined in the job description, as well as to other policies of the facility.
"Substance abuse/dependence" means a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances including alcohol, tobacco, and other drugs. There may be repeated failure to fulfill major role obligations, repeated use in situations in which it is physically hazardous, multiple legal problems, and recurrent social and interpersonal problems. For the purpose of this chapter, substance abuse and substance dependence also means other substance-use related disorders as defined in the DSM.
"Supervision (direct)" means supervision of clients provided on the premises within view or through the implementation of policies and procedures that may include electronic monitoring, to provide for the safety and the accountability of clients by staff.
"Survey" means the evaluation of the quality of care and/or the fitness of the premises, staff, and services provided by a facility as conducted by the Division to determine compliance or non-compliance with this chapter and other applicable State licensing rules or statutes.
"Therapeutic diet" means a diet prescribed by a physician, which may include modifications in nutrient content, caloric value, consistency, methods of food preparation, content of specific foods or a combination of these modifications.
"Tobacco products" means any manufactured nicotine delivery article that contains tobacco or reconstituted tobacco.
"Treatment" means the broad range of primary and supportive services, including identification, assessment, diagnosis, counseling, medical services, psychological services and follow-up, provided to persons with alcohol, tobacco and other drug problems. The overall goal of treatment is to reduce or eliminate the use of alcohol and/or other drugs as a contributing factor to physical, psychological and social dysfunction and to arrest, retard or reverse progress of associated problems.
"Treatment plan" means a written plan that has measurable goals, is outcome-based, and identifies the coordination of the projected series and sequence of treatment procedures and services based on an individualized evaluation of what is needed to restore or improve the health and function of the client. The treatment plan is developed by the facility's treatment teams in conjunction with the client.
"Unit dose distribution system" means a system in which medications are delivered to the client areas in single unit packaging.
"Universally accepted practices" means treatment measures not currently proven through empirical data or research but recognized by authorities (that is, SAMHSA, CSAT, NIDA, and the National Institute on Alcohol Abuse and Alcoholism, http://www.niaaa.nih.gov) for substance use disorders treatment.
"Volunteer" means an individual, who is neither a client or a paid staff member, who works at the facility on a non-reimbursed basis, and is under the supervision of an appropriately licensed, certified or experienced paid staff member.
"Waiver" means a written approval by the Division, following a written request from a facility, to allow an alternative to any rule or regulation in this chapter, provided that the alternative (s) proposed would not endanger the life, safety, or health of clients or the public. Any approvals of waivers shall be given by the Division, in writing, as described below at N.J.A.C. 8:111-2.13, and are time-limited.
N.J. Admin. Code § 8:111-1.3