PROGRAM

A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.		  
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  SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.		  
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  REFERRALS

Resource suggestions provided to consumers to address problems or needs that are beyond the scope of the organization's mission.		  
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  MEDICATION

A prescribed or over-the-counter drug that is injected, taken orally, applied topically, or otherwise administered.		  
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  PROCEDURES

Written instructions that outline the steps for performing a task(s) or operationalizing an administrative or service delivery process. A procedure can be written as a step-by-step set of instructions or as a narrative description of a process. A procedure tells someone how to do something not just what to do.

Unlike policies, procedures do not need to be approved or reviewed by the governing body, and need not be associated with a specific policy. For example, whereas a broad anti-discrimination policy requires grievance or other procedures in order to be operationalized within an organization, assessment procedures do not require a governing body approved assessment policy.

Note: Procedures are sometimes referred to as administrative policies.

  
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  ADMINISTRATION

The personnel responsible for management functions of the organization, including fiscal management, human resources, and service delivery. Such personnel determine organizational goals, acquire and allocate resources to carry out a program, coordinate activities toward goal achievement, and monitor, evaluate, and make needed changes in processes and procedures to improve the likelihood of goal achievement. The term is synonymously used with MANAGEMENT.		  
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  COMMUNITY

A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.		  
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Opioid Treatment
  
Private Org Public Agency  

PA-OTP 8: Medical Services

 
Medical services are provided, directly or by referral, according to individual needs.

PA-OTP 8.01

 
The agency provides or makes referrals to medical and psychiatric services for necessary screening and follow-up.

PA-OTP 8.02

 
The agency obtains medication blood levels and conducts other medical and diagnostic procedures when clinically indicated.

PA-OTP 8.03

 
The agency uses opioid treatment medications approved by the U.S. Food and Drug Administration in the treatment of opioid addiction.
Interpretation: As of 2003, methadone, levo-acetyl-methadol (LAAM), buprenorphine, and burprenorphine combination are approved as opioid treatment medications in the United States.

PA-OTP 8.04

 
Individuals are maintained on opioid treatment medication as long as they desire, and derive benefit from, treatment.

PA-OTP 8.05

 
The agency makes referrals for consultation with a specialist in pain medicine for individuals with chronic pain disorder.
LAST UPDATED 11/05/07
Interpretation: Generally, individuals with chronic pain disorder are not admitted to receive opioids only for pain, but there are exceptions if the program is the only available resource in the community. Individuals with both chronic pain and addiction should receive integrated treatment from appropriate medical specialists.
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PURPOSE: Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.
 
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