Effective Medical Treatment of Opiate Addiction Practice Guideline Audit Tool

Topic Criteria Yes No
Consequences of Opiate Dependence
Illicit drug use The program assesses to what extent treatment services reduce the use of other illicit drugs, including cocaine and marijuana, and in the abuse of alcohol, benzodiazepines, barbiturates, and amphetamines.    
Criminal activity The program assesses the extent to which treatment services reduce criminal activity (crimes against people and property, stealing to support a drug habit).    
Medical status The program assesses the physical status of clients, including determining the presence of bacterial infections (endocarditis, thrombophlebitis), and skin and soft tissue infections; tuberculosis; hepatitis B and C; AIDS and sexually transmitted diseases; and alcohol abuse.    
  The program refers clients to medical providers when medical issues are identified.
   
Employment The program assesses job status and provides employment services or employment referral services.    
Pregnant women The program assesses the needs of pregnant women, especially those with co-morbid medical illness (HIV/AIDS) and/or other substance abuse issues.    
Treatment Modalities
Non-pharmacologic treatment In addition to medication-assisted treatment, the program offers non-pharmacologic supportive services, including vocational rehabilitation, or refers clients to these programs.    
Counseling and psychotherapy The program provides counseling and other psychotherapy services.    
Access The program provides unrestricted access to services.    
  The program attempts to expand the population that could benefit from treatment by exploring funding sources (public and private insurance programs, including managed care).    
Community
Consumer input Patients, underrepresented minorities, and consumers are included in the policy development process that guides opiate dependence treatment.    
Health policy The program participates in regional and national policy development related to opioid dependence treatment (including parity legislation).    
Cultural sensitivity Treatment services are culturally sensitive and cater to the target populations (especially African American and Hispanic communities).    
Training The program provides education and training to other healthcare professionals regarding the identification and treatment of opioid dependence.    
TOTALS    

Summary of Findings (summarize areas where adherence criteria were not met):

 

 

 

Opportunities for Improvement (summarize opportunities for improvement, including corrective action steps, accountability, and target completion dates):

 

 

Person Submitting Report: ____________________________________

Date Findings Reported to Quality Committee: __________________