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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 21 / 21

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OPIOID MAINTENANCE THERAPY (OMT)

DIMENSION 1: ACUTE INTOXICATION/WITHDRAWAL

Status is characterized by any of the following:

a.

Physician determines the individual has been physiologically dependent upon an opiate drug for at least a year,  and dependence is confirmed by physical signs; OR

b.

The individual has been incarcerated or in a chronic care setting, but would have been eligible for OMT prior to incarceration; OR

c.

The program physician certifies that a female is pregnant and finds OMT medically justified; OR

d.

Documented prior methadone treatment of 6 months or more and the program physician judges OMT to be medically indicated.

DIMENSION 2: BIOMEDICAL CONDITIONS AND COMPLICATIONS

Status is characterized by any of the following:

a.

Mets biomedical criteria for opioid dependence and requires outpatient medical monitoring; OR

b.

Biomedical illness or pregnancy can be treated on an outpatient basis with minimal daily monitoring; OR

c.

If present, biomedical problems can be monitored on a outpatient basis.

DIMENSION 3: EMOTIONAL, BEHAVIORAL, OR COGNITIVE CONDITIONS AND COMPLICATIONS

Status is characterized by any of the following

a.

Problems, if present, are manageable in an outpatient structured environment; OR

b.

Outpatient treatment is required for educe the risk of further deterioration; OR

c.

Stable condition requires monitoring, management, or medication due to risk of distracting patient from treatment; OR

d.

Mild risk of harm to self or others can be managed safely in a structured outpatient environment; OR

e.

Despite demonstrated stability, requires continued pharmacotherapy to prevent relapse to opiate use.

DIMENSION 4: READINESS TO CHANGE

Status is characterized by any of the following:

a.

Requires structured therapy, pharmacotherapy, and programmatic milieu to promote progress and recovery; OR

b.

Attributed problems to persons or external events, but resistance is low enough so that treatment may be effective but requires clinically directed and repeated structured motivational interventions.

DIMENSION 5: RELAPSE, CONTINUED USE, OR CONTINUED PROBLEM POTENTIAL

Status is characterized by any of the following

a.

Requires structured therapy, pharmacotherapy, and programmatic milieu due to physiologic craving or perceived need for opiates; OR

b.

Without provision of OMT, there is an intensification of addiction symptoms, high risk behaviors, or deteriorating functioning despite revisions of treatment plan; OR

c.

High risk for relapse without OMT due to lack of awareness of relapse triggers, difficulty in postponing gratification, or ambivalence or resistance toward treatment.

DIMENSION 6: RECOVERY ENVIRONMENT

Status is characterized by any of the following:

a.

Sufficiently supportive environment to make OMT feasible; OR

b.

Family members and/or significant others are supportive but require professional assistance to improve likelihood or success; OR

c.

Does not have a positive social support system, but has demonstrated notification to obtain such support or an appropriate living environment; OR

d.

Has experienced traumatic events or has manifested the effects of emotional, behavioral, or cognitive problems in the environment, but they are manageable on an outpatient basis.

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