S.C. Code Regs. § § 61-93.700.702

Current through Register Vol. 48, 12, December 27, 2024

Section 61-93.700.702 - Screening (I)

A. The Facility shall have written protocols for screening individuals presenting for admission. The Facility shall maintain documentation of the rationale for the denial of admission and referral of the individual as applicable.

B. All screening shall be documented for each individual presenting to the Facility.

C. For Facilities providing a Medical Withdrawal Management Program, the Intake screening shall be conducted by a Physician or other Authorized Healthcare Provider to determine the need for medical services or referral for serious medical complications.

D. For Facilities providing Social Withdrawal Management, the Intake screening shall be provided by Staff or Volunteers trained to monitor the Patient's physical condition.

E. For Facilities providing an Opioid Treatment Program, screening shall include:

1. Evidence of tolerance to an opioid;

2. History of physiological dependence for at least one (1) year prior to admission. The Opioid Treatment Program Physician may waive the one (1)-year history of dependence when the Patient seeking admission meets one (1) of the following criteria:

a. The Patient has been recently released from a penal or chronic care Facility with a high risk of relapse;

b. The Patient has been previously treated and is at risk of relapse;

c. The Patient is pregnant and does not exhibit objective signs of opioid withdrawal or physiological dependence;

3. Evidence of multiple and daily self-administration of an opioid;

4. Reasonable attempts to confirm that the applicant is not enrolled in one (1) or more other Opioid Treatments Programs;

5. Controlled Substance history to determine dependence on opium, morphine, heroin, or any derivative or synthetic controlled substance of that group. The substance history shall include:

a. Controlled Substance(s) utilized;

b. Frequency of use;

c. Amount utilized;

d. Duration of use;

e. Age when first utilized;

f. Route of administration;

g. Previous treatment(s);

h. Unsuccessful efforts to control use; and

i. Inappropriate use of prescribed opioids.

S.C. Code Regs. § 61-93.700.702

Added by State Register Volume 44, Issue No. 06, eff. 6/26/2020.