Standards for public agencies

2020 Edition

Opioid Treatment (PA-OTP) 3: Access to Service

The agency minimizes barriers to accessing services.
2020 Edition

Currently viewing: OPIOID TREATMENT (PA-OTP)



Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Access procedures
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
  • Review case records

PA-OTP 3.01

The agency provides a welcoming environment that is conducive to rehabilitation, and services are available:
  1. during hours that are based on the needs of the service population; and
  2. 24 hours a day, seven days a week for emergencies.

PA-OTP 3.02

Individuals under 18 years of age are eligible for treatment only if they have experienced two documented, unsuccessful attempts at short-term detoxification or drug-free treatment.
NA The agency does not provide treatment to service recipient under 18 years of age.

PA-OTP 3.03

The agency does not serve individuals receiving services from other OTPs, except in extenuating circumstances, and the case record contains:
  1. results of a review to determine if the person is enrolled in another OTP; and
  2. justification of extenuating circumstances as determined by the medical director or physician, when they exist.

PA-OTP 3.04

At admission, a physician, or another qualified medical practitioner, documents that opioid treatment is medically necessary based on a determination that the individual:
  1. has been dependent on opiates for at least one year before admission, except in extenuating circumstances set forth in federal, state, and local law or regulation; and/or
  2. is physically dependent upon a narcotic drug, using accepted medical criteria, such as those listed in the Diagnostic and Statistical Manual for Mental Disorders.
Examples: Extenuating circumstances may include release from penal institutions, pregnancy, and prior treatment history.

PA-OTP 3.05

A physician assesses each service recipient to ensure that he or she has voluntarily chosen opioid treatment and understands all relevant facts concerning the use of opioid treatment medication.