Tennessee Laws

Requirements for Licensure and Operations of Medications for Opioid Use Disorder Treatment

Question:

What types of services is an OTP required to provide?

Answer:
  • Behavioral health
  • Counseling
  • Job training
  • Education
  • HIV screening
  • Disease screening
  • Referral to legal services
  • Housing assistance
This answer is derived from 8 section of law
Citation:
  • citation 1: see full citation
    (i)    A full toxicology screen to identify use of drugs including, but not limited to, opioids, methadone, amphetamines, cocaine, barbiturates, benzodiazepines and THC; see full law
  • citation 2: see full citation
    (j)    A tuberculosis screen; see full law
  • citation 3: see full citation
    (l)    Other tests as necessary or appropriate (e.g., CBC, EKG, chest x-ray, hepatitis B surface antigen and hepatitis B antibody, HIV testing). Tests not directly conducted by the Facility at admission shall be conducted within seven days after admission. The Facility is responsible for obtaining and maintaining documentation of required laboratory tests performed by an alternative provider. Alternative providers may not supply toxicology screens unless they meet the required quality guidelines, content and timelines. see full law
  • citation 4: see full citation
    (7)    All service recipients shall receive HIV and hepatitis risk reduction education appropriate to their needs. see full law
  • citation 5: see full citation
    (6)    As part of the rehabilitative services provided by the Facility, each service recipient shall be provided with individual and group counseling appropriate to his/her needs. The frequency and duration of counseling provided to service recipients shall be in conformity with 0940-05- 42-.14 and be consistent with the Individualized Program Plan. Individualized Program Plans shall indicate a specific level of counseling services needed by the service recipient as part  of the rehabilitative process. see full law
  • citation 6: see full citation
    (8)    When appropriate, each service recipient shall be enrolled in an education program, or be engaged in vocational activity (vocational evaluation, education or skill training) or make documented efforts to seek gainful employment. Deviations from compliance with these requirements shall be explained in the service recipient’s record. Each Facility shall take steps to ensure that a comprehensive range of rehabilitative services, including vocational, educational, legal, mental health, alcoholism and social services, are made available to the service recipients who demonstrate a need for such services. The Facility can fulfill this responsibility by providing support services directly or by appropriate referral. Support  service recommended and utilized shall be documented in the service recipient’s record. Each Facility shall have policies for matching service recipient’s needs to treatment. see full law
  • citation 7: see full citation
    (1)    In addition to the alcohol and drug treatment service provided, the Facility shall provide a continuum of services to service recipients to address the needs as indicated in the assessment and history in the areas of social, family and peer interactions; employment and educational needs; financial status; emotional and psychological health; physical health; legal issues; and community living skills and housing needs. Such services may be provided directly by the agency or indirectly by referral to other service providers. Referral agreements with frequently used providers shall be documented. The provision of such services to individual service recipients must be documented in the service recipient record. see full law
  • citation 8: see full citation
    (1)    Counseling is essential to promote and guide the service recipient to a more productive life style of abstinence from illicit medications or drugs due to so many opioid addicted service recipients also abusing other illicit or prescription substances. The primary counselor is responsible for developing and implementing the service recipient’s plan of care, in coordination with the medical staff. The plan of care shall address the social, environmental, psychological and familial issues maintaining the service recipient’s maladaptive patterns of drug consumption and other high risk and/or destructive behaviors. The counselor is responsible for assisting the service recipient to alter life styles and patterns of behavior in order to improve the service recipient’s ability to function adaptively in his or her family and community. see full law