Opioid treatment program personnel
are trained and competent to carry out tasks related to their positions.
A medical director assumes responsibility for:
- administering medical services; and
- carrying out other duties prescribed by law or regulation to be assumed by a physician in an opioid treatment program.
The medical director and program administrator or sponsor stay current with all applicable federal, state, and local laws and regulations applicable to opioid treatment programs.
team makes level of care, treatment, and termination
-of-service decisions with service recipients
and includes the participation of a physician in the review and decision-making process.
A physician, often in the role of a consultant
, supervises and prescribes
needed medical care or examinations.
and consulting providers are annually screened for tuberculosis and receive a hepatitis B vaccination if they are considered to be at risk for exposure to hepatitis.
Personnel receive ongoing in-service training about:
- the concept of addiction as a disease;
- establishing a working alliance with individuals receiving treatment;
- the goals of opioid treatment in regard to other drug use;
- the latest information, theories, and techniques in identification, diagnosis, and treatment of alcohol and other drug problems, including the harm reduction model; and
- interventions that demonstrate respect for sociocultural values, personal goals, lifestyle choices, and complex family interactions.
There are many factors associated with retention of participants in treatment, including severity of psychiatric symptoms. Research
suggests that a therapeutic alliance is associated with treatment outcomes, and individuals with more severe psychiatric symptoms are more likely to complete treatment if they have a strong alliance with the service provider.
Ongoing in-service training for personnel also addresses:
- relapse prevention;
- recognition of co-occurring health and mental health conditions and integrated services available to meet them;
- management of drug overdose;
- special treatment needs of women;
- criminal justice issues, as appropriate;
- the benefits and limitations of tests that screen for drug use; and
- HIV/AIDS symptoms, risk-reduction and infection control guidelines, testing, and counseling techniques and skills.
Direct service personnel workloads support the achievement of client outcomes, are regularly reviewed, and are based on an assessment of the following:
- the qualifications, competencies, and experience of the worker, including the level of supervision needed;
- the work and time required to accomplish assigned tasks and job responsibilities; and
- service volume, accounting for assessed level of needs of new and current clients and referrals.
Individuals who participate in Opioid Treatment Programs
improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.