PCSS Half and Half MAT Waiver Training 2021-2022-Module 3: Clinical Management

Module 3: Clinical Management

Pdf Summary

The document provides training on clinical management in the context of waiver eligibility. The objectives of the training include listing topics to address during follow-up medication for addiction treatment (MAT) visits, understanding key elements of clinical documentation and record-keeping practices, and describing strategies to support recovery.<br /><br />During follow-up MAT visits, it is important to provide encouragement and empathy to patients, while using a motivational interviewing approach. Emphasizing the importance of retention in treatment and active involvement in community support for recovery is crucial. Efforts should be made to contact patients who drop out and encourage them to reengage in treatment.<br /><br />The document highlights the importance of using non-stigmatizing language when referring to individuals with substance use disorders. Stigmatizing language can negatively affect the quality of care and treatment outcomes. Respectful, non-judgmental, honest, clear, and supportive language should be used.<br /><br />The training also covers key elements of clinical documentation, such as risk assessment and management. Providers should screen patients with opioid use disorders for suicidal behavior or ideation and have appropriate management plans in place. The document also discusses the importance of complying with federal confidentiality regulations and provides information on the storage of medical records.<br /><br />In terms of buprenorphine prescription requirements, providers should include identifying information for the patient, medication details, and their DEA registration number and DATA 2000 identification number on the prescription. Providers who dispense buprenorphine on-site must maintain records of inventories, theft or loss, destruction of controlled drugs, and dispensing for two years.<br /><br />Supporting recovery involves using good prescribing and monitoring techniques to reduce diversion, maintaining a patient-centered approach, and encouraging the use of community resources. Clear clinic policies, good documentation, and record-keeping are essential for effective office-based opioid treatment.<br /><br />Overall, the training emphasizes the chronic nature of substance use disorders and the importance of treatment adherence. It also highlights the necessity of clear clinic policies, good documentation, and a patient-centered approach in supporting recovery.

Keywords

clinical management

waiver eligibility

MAT visits

clinical documentation

record-keeping practices

recovery support

non-stigmatizing language

risk assessment

buprenorphine prescription

patient-centered approach