Standards for private organizations

2020 Edition

Opioid Treatment (OTP) 17: Diversion Control

The organization implements mechanisms to support diversion control and demonstrate accountability to persons served and the community.
2020 Edition

Currently viewing: OPIOID TREATMENT (OTP)

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Purpose

Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.
1
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.
2
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.
3
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. 
4
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.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Diversion control plan
  • Loitering policy
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
  • Observe the security system

OTP 17.01

Medical and administrative personnel implement a plan to reduce the risk of diversion of controlled substances from legitimate treatment use that addresses:
  1. measures to reduce the possibility of diversion of controlled substances; 
  2. specific responsibilities assigned to personnel for plan implementation; 
  3. mechanisms for surveillance and continuous monitoring; and 
  4. a process for corrective action when problems are identified.

OTP 17.02

The organization prevents loitering by persons served and maintains a well-managed and fully operational security system.