All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
Procedures need strengthening; or
With few exceptions, procedures are understood by staff and are being used; or
For the most part, established timeframes are met; or
Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
Procedures and/or case record documentation need significant strengthening; or
Procedures are not well-understood or used appropriately; or
Timeframes are often missed; or
Several client records are missing important information; or
Client participation is inconsistent.
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
No written procedures, or procedures are clearly inadequate or not being used; or
Documentation is routinely incomplete and/or missing.
Procedures for interim maintenance treatment
Criteria for transferring persons from interim to comprehensive maintenance treatment
Procedures for notifying state health officer when a person’s maintenance status changes
No On-Site Evidence
Interviews may include:
Review case records
The program administrator or sponsor places a person in an interim maintenance treatment program:
when the person cannot be placed in a comprehensive treatment program within 14 days of application;
within a reasonable geographic area; and
for a maximum of 120 days in any 12 month period.
The organization establishes written criteria for transferring persons served from interim maintenance to comprehensive maintenance treatment.
The organization notifies the state health officer when a person begins interim maintenance treatment, leaves interim maintenance treatment, or is transferred to comprehensive maintenance treatment.
In interim maintenance treatment programs, medication is administered daily under observation.
In interim maintenance treatment programs take-home medication is not permitted; service plans, rehabilitative, educational, and other counseling services are not required; and persons served are not assigned a primary counselor.