SECTION 450:70-6-6. Administrative withdrawal

(a)   The OTP shall have written policy and procedure stating an infraction of program rules by a patient may result in administrative medical withdrawal from methadone or buprenorphine and termination from treatment services. All patients will be notified of this policy. The program shall develop specific program requirements to address noncompliance with program rules resulting in termination. The violation or noncompliance with rules shall be limited to;

(1)   Threats of violence or actual bodily harm to staff or another patient, including abusive language or behavior;

(2)   Disruptive behavior, loitering;

(3)   Diversion of methadone, selling, distributing, using, or otherwise "dealing" in any illicit drug or chemical, including positive urine tests for non-prescribed medications and drugs;

(4)   Continued unexcused absences from therapy/rehabilitation services and other support services;

(5)   Involvement in criminal activities;

(6)   Any other serious rule violations; and

(7)   Non-payment of fees.

(b)   The OTP shall ensure administrative medical withdrawal shall be scheduled in such a way as to minimize the psychological and physical effects of such withdrawal.

(1)   Administrative medical withdrawal shall be completed in a manner appropriate to the client's level of medication and the circumstances justifying such action;

(2)   Programs may facilitate a transfer to another program or referral to a medical facility in lieu of administrative medical withdrawal; and

(3)   Administrative withdrawal resulting from non-payment of fees cannot be accomplished in less than fifteen (15) days.

(c)   The OTP shall have written policy and procedure stating a patient experiencing administrative withdrawal shall be referred or transferred to an agency that is capable of, or more suitable for, meeting the patient's needs. The referral or transfer is documented in the patient record and the following information is documented in the patient record:

(1)   The reason that the patient sought medical withdrawal or was placed on administrative withdrawal; and

(2)   The information and assistance provided to the patient in managed withdrawal, medical withdrawal or administrative withdrawal.

(d)   Compliance with 450:70-6-6 may be determined by:

(1)   A review of policies and procedures,

(3)   Treatment records,

(4)   Critical incident reports,

(5)   Interviews with staff, and

(6)   Other facility documentation.

[Source: Added at 24 Ok Reg 2634, eff 7-12-07; Amended at 30 Ok Reg 1425, eff 7-1-13; Amended at 34 Ok Reg 1830, eff 10-1-17; Amended at 36 Ok Reg 1164, eff 11-1-19]