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Wisconsin Opioid Treatment Program Patient Reference Handbook

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Wisconsin Opioid Treatment Program Patient Reference Handbook WISCONSIN Opioid Treatment Program PATIENT REFERENCE HANDBOOK Department of Health Services Division of Care and Treatment Services Bureau of Prevention Treatment and Recovery P-23048 (09/2016) WELCOME Congratulations on taking the first step into treatment and long-term recovery from your addiction! At this point, you may be unsure of how treatment works and what to expect. This book is designed to provide you and your loved ones answers to questions you may have concerning treatment. Please note that this book is a reference tool to use. If you have questions after reading this handbook, please make sure to ask a staff person. The information that is provided in this handbook should be seen as guidelines for narcotic treatment clients. This handbook provides guidance of often difficult to understand state and federal regulations. Further, this guidance should not be construed as providing rigid answers, except in those areas where state or federal laws exist. Please refer to individual clinic policies and procedures if you have questions or are unsure of the rules when it comes to medication-assisted treatment. Life is very interesting...in the end, some of your greatest pains become your greatest strengths. Drew Barrymore Quote for Overcoming Addiction Wisconsin Department of Health Services Division of Care and Treatment Services Bureau of Prevention Treatment and Recovery State Opioid Treatment Authority 1 West Wilson Street Room 850 Madison WI 53703 October 2011 Revised September 2016 OPIOID TREATMENT SERVICE – PATIENT REFERENCE HANDBOOK I. INTRODUCTION ........................................................................................................................................ 1 Admission .................................................................................................................................................. 1 Benefits of Medication-Assisted Treatment ................................................................................................ 1 Stages of Medication-Assisted Treatment .................................................................................................. 2 Stage 1: Acute / Induction “Start Low and Go Slow” ................................................................................... 2 Stage 2: Rehabilitative and Maintenance Phases ....................................................................................... 2 Stage 3: Tapering....................................................................................................................................... 3 Service Activities ........................................................................................................................................ 3 II. MEDICATIONS USED IN TREATMENT .................................................................................................... 5 A. Methadone ......................................................................................................................................................5 Possible Adverse Effects and Side Effects of Methadone ................................................................... 5 B. Suboxone ........................................................................................................................................................6 Possible Adverse Reactions and Side Effects to Suboxone ................................................................ 6 C. Vivitrol ..............................................................................................................................................................7 Possible Adverse Reactions and Side Effects of Vivitrol ..................................................................... 7 III. TREATMENT REQUIREMENTS ................................................................................................................ 8 A. Clinical ................................................................................................................................................ 8 B. Drug Screens ...................................................................................................................................... 8 C. Medication ........................................................................................................................................... 9 IV. Take-Home Doses ................................................................................................................................... 10 A. Methadone and Suboxone ................................................................................................................ 10 B. State and Federal Requirements to Verify Granting Take-Home Doses ........................................... 10 C. Phases of Methadone Treatment ...................................................................................................... 11 D. Phases of Suboxone Treatment ........................................................................................................ 11 Extra Take-Home Doses ................................................................................................................... 12 Empty Take-Home Bottles ................................................................................................................ 12 Storing Medication (Take-Home) Doses ........................................................................................... 12 Lost or Stolen Take-Home Dose ....................................................................................................... 12 V. PREGNANCY AND METHADONE........................................................................................................... 13 Pregnancy ................................................................................................................................................ 13 Benefits of Methadone Treatment During Pregnancy ............................................................................... 13 Neonatal Abstinence Syndrome ............................................................................................................... 13 Neonatal Treatment ................................................................................................................................. 14 VI. TREATMENT COMPLETION AND RECOVERY ...................................................................................... 15 Post Treatment Care ................................................................................................................................ 15 VII. ADMINISTRATIVE ................................................................................................................................... 16 A. Confidentiality of Patient Records ..................................................................................................... 16 B. Patient Rights.................................................................................................................................... 16 C. Nondiscrimination.............................................................................................................................. 17 D. Laws, Rules and Regulations ............................................................................................................ 17 E. Counselor Conduct ........................................................................................................................... 17 F. Transfer Procedures ......................................................................................................................... 17 G. Travel ................................................................................................................................................ 17 H. Absences .......................................................................................................................................... 18 I. Arrest ................................................................................................................................................ 18 J. Grounds for Dismissal from the Service / Involuntary Discharge ....................................................... 18 K. Nausea / Sickness ............................................................................................................................ 19 L. Pain Management ............................................................................................................................. 19 M. Prescriptions ..................................................................................................................................... 20 N. Hepatitis C / HIV / AIDS Risk Assessment ........................................................................................ 20 VIII. FREQUENTLY ASKED QUESTIONS ...................................................................................................... 21 APPENDIX A PATIENT RIGHTS STATEMENT .............................................................................................. 24 APPENDIX B ACCESS TO MEDICAL RECORDS .......................................................................................... 25 SIGNATURE PAGE ......................................................................................................................................... 26 I. INTRODUCTION Admission An opioid treatment program (hereafter referred to as “clinic”) provides medication and counseling to an individual addicted to an opiate, such as OxyContin, heroin or
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