1. (a) The OTP shall have written policy and procedure stating that unsupervised take-home use shall be determined by the medical director. In determining which persons served may be permitted unsupervised take-home use, the medical director shall consider the following criteria in determining whether a person served is responsible in handling opioid medications. The same criteria shall be considered when receiving a person served from a transferring program verifying the amount of time the person served has spent satisfactorily adhering to the criteria found below. This information will be used to determine if the person served shall be allowed to continue the same frequency of clinic attendance permitted at the former program immediately before transferring to the new program. Criteria include but are not limited to:

   1. (1) Absence of active substance use disorders, other physical or behavioral health conditions that increase the risk of patient harm as it relates to the potential for overdose, or the ability to function safely;
   2. (2) Regular clinic attendance;
   3. (3) Absence of serious behavioral problems at the clinic;
   4. (4) Absence of known recent criminal activity, e.g., drug dealing;
   5. (5) Whether the take-home medication can be safely transported and stored;
   6. (6) Length of time in comprehensive maintenance treatment;
   7. (7) Whether the rehabilitative benefit the person served derived from decreasing the frequency of clinic attendance outweighs the potential risks of diversion; and
   8. (8) The current phase in treatment of the person served.
2. (b) Such determinations and the basis for such determinations consistent with the criteria above shall be documented in the clinical record.
3. (c) The medical director, using reasonable judgment, may deny or rescind the take-home medication privileges of a person served.

4. (d) Compliance with 450:70-4-8.3 may be determined by:

   1. (1) A review of policies and procedures,
   2. (2) Treatment records,
   3. (3) Interviews with staff,
   4. (4) Incident reports, and
   5. (5) Other facility documentation.

Added at 30 Ok Reg 1425, eff 7-1-13

Amended at 34 Ok Reg 1830, eff 10-1-17

Amended at 40 Ok Reg 1079, eff 9-15-23

Amended at 42 Ok Reg, Number 20, effective 9-1-25