T18 – Methadone treatment specialist service attendances Keywords HISO PRIMHD description Additional comments Service users of OST Treatment or counselling services The intent of T18 is to record all activity (not simply prescribing activity) related to a service user in an AOD provided by staff from an alcohol and opioid substitution treatment (OST) service. Direct contact drug treatment provider or facility for People who are receiving services for OST will have received, or will be receiving, drugs prescribed under Community based people receiving Opioid substitution the Misuse of Drugs Act 1975 under special authority. (eg, Methadone or Suboxone This code is not for use in inpatient or residential team settings. [Buprenorphine]) under specialist A&D This relaters to community-based alcohol and other drug (AOD) teams and co-existing problems (CEP) service case management (excludes teams only. whaiora/consumers of tāngata authorised GPs). Is the service user example Case scenario PRIMHD activity Relevant business rules or a direct recipient? type code rationale Activity purpose Attendance at service Yes CM The service user attends a 3-monthly care plan review. T18 Must not be GP prescribed. Group attendance, OST Yes CM The service user attends a mindfulness group with T18 Related to treatment within an service other OST service users. OST setting. Text conversations between Yes SM The service treatment plan includes weekly text T18 Texts relate to OST treatment. user’s OST service staff and conversations with their OST clinician relating to their service users relating to their treatment, goals, etc. treatment Group attendance, non-OST Yes CM The service user attends a 1-week impaired driving service course run by an NGO service provider (not an OST service) with service users who are not OST. Methadone prescription Yes CM A visitor from another region walks into a community Use T01– Crisis attendance request mental health service and asks for a methadone because the contact is just ran out of meds yesterday and unplanned, immediate, urgent prescription: ‘I had a dose for 24 and aimed at mitigating risk. haven’t hours’. Contact would be made with the issuing provider of the script to see if a replacement is possible and referred to a local AOD team.
T18 – Methadone treatment specialist service attendances Keywords HISO PRIMHD description Additional comments Service users of OST Direct contact Community based Treatment or counselling services provided by staff from an alcohol and drug treatment provider or facility for people receiving Opioid substitution (eg, Methadone or Suboxone [Buprenorphine]) under specialist A&D service case management (excludes tāngata whaiora/consumers of authorised GPs). The intent of T18 is to record all activity (not simply prescribing activity) related to a service user in an AOD opioid substitution treatment (OST) service. People who are receiving services for OST will have received, or will be receiving, drugs prescribed under the Misuse of Drugs Act 1975 under special authority. This code is not for use in inpatient or residential team settings. This relaters to community-based alcohol and other drug (AOD) teams and co-existing problems (CEP) teams only. Activity purpose Is the service user a direct recipient? example Case scenario PRIMHD activity type code Relevant business rules or rationale Attendance at service Yes CM The service user attends a 3-monthly care plan review. T18 Must not be GP prescribed. Group attendance, OST service Yes CM The service user attends a mindfulness group with other OST service users. T18 Related to treatment within an OST setting. Text conversations between OST service staff and service users relating to their treatment Yes SM The service user’s treatment plan includes weekly text conversations with their OST clinician relating to their treatment, goals, etc. T18 Texts relate to OST treatment. Group attendance, non-OST service Yes CM The service user attends a 1-week impaired driving course run by an NGO service provider (not an OST service) with service users who are not OST. Methadone prescription request Yes CM A visitor from another region walks into a community mental health service and asks for a methadone prescription: ‘I just ran out of meds yesterday and haven’t had a dose for 24 hours’. Use T01– Crisis attendance because the contact is unplanned, immediate, urgent and aimed at mitigating risk. Contact would be made with the issuing provider of the script to see if a replacement is possible and referred to a local AOD team.
guide-primhd-activity-collection-use-feb16-v2.docx