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  • Methadone patient contract

    After several arguments with methadone patients re incorrect cd scripts I would like to know if anyone who dispenses methadone has a pharmacy/patient contract in place. If so what is contained in the document and can you send me a copy?

  • #2
    Re: Methadone patient contract

    How about this for starters.
    johnep

    Opioid Substitution Programme

    C O N T R A C T


    PATIENT: ____________________________________ PHARMACY:__________________

    We are working with the Drug Action Team to provide a service for people who want help with problem drug use.


    PLEASE READ THIS CONTRACT CAREFULLY AS IT EXPLAINS WHAT WE CAN PROVIDE AND WHAT WE EXPECT FROM YOU


    WHO IS THE SERVICE FOR?

     This service is only for our patients living in our area, if you move away you will need to make alternative arrangements to continue your treatment, either with your new practice or specialist services. Wherever possible, we will help you to do this.
     This service is for people who want to stop using drugs.

    WHAT DO WE OFFER?

     Stopping taking drugs can bring withdrawal problems. We can prescribe medicines, which will allow you to stop using opiates, get your life sorted, and reduce the medication so that you can detox slowly and with more comfort.

    You can only have a prescription when you have signed a contract for treatment and completed a full assessment with a Drug Liaison Worker or GP.

     You will see your Drug Liaison Worker or GP regularly to get your prescription.

    The Drug Liaison Worker can help you to:-
    - Avoid using illegal drugs
    - Cope with the stresses of everyday life without using drugs
    - Set realistic goals for yourself for coming off drugs and leading a healthier lifestyle
    - Join group work programmes/one to one work to address the important issues in your life




     _______________________ will supply your medicine and you will collect your dose daily or at stated intervals, (extra doses only at weekends and bank holidays) and may take it under supervision. When you are stabilised, we may revise these arrangements.
    You should attend between 11am and 5.45pm and not with other patients receiving methadone etc.
     You will receive the same access, confidentiality and considerate treatment as other patients
     We will need to share some information with your drug liaison worker to provide safe and effective treatment. Any confidential information will not be passed on to anyone else without your informed consent unless there is a risk of serious physical harm to you or another adult or where a child is thought to be at risk of sexual abuse, neglect or serious physical or emotional abuse. We also may be contacted by other agencies regarding your medical care, e.g. social services, probation services. You should advise any key workers or other doctors you are seeing that you are on this programme.

    WHAT DO WE EXPECT FROM YOU?

     You will attend regular appointments for your programme. You will need to book your appointment well in advance. You will see a named key worker, except in the case of holiday/sickness when you will be told who to see.
     We cannot provide emergency prescriptions.
     You must go to your review sessions otherwise your prescription will be stopped.
     Assessment will be repeated with urine tests at intervals. If it is agreed that you are not making progress within your treatment plan, you may be asked to leave the programme.
     Please arrive promptly and leave after your appointment. Other patients can also have difficult problems, please treat them with respect.
     You may bring your partner with you if you wish; otherwise we would expect you to come alone.
     When there is a problem with missed appointments or medication, if it is our responsibility we will attempt to correct it and minimise disruption to your treatment. If it is your responsibility, we will do our best to help you but there may be a delay in your treatment.
     If you are under 17 years of age you may wish to bring your parent/guardian.
    BROKEN CONTRACTS

    Continuing illegal drug use, unacceptable behaviour or not keeping appointments may be taken as breaking your contract. This includes events in the pharmacy as well as the practice. Under these circumstances we will feel under no obligation to offer further treatment. However, we understand difficult problems can arise during treatment and we would rather you were honest with us in these situations.
    If the contract is broken the programme may not be restarted for three months and you will have to re-join the waiting list.


    If you are happy with the above conditions and feel you can stick to them please sign the contract below.
    Contract between
    ………………………………………………..

    and

    ………………………………………………..

    for an opioid substitution treatment programme

    I confirm that I am dependent on drugs and I understand that the all substitute medicines used can cause serious harm or death to non-users.
    I consent to my doctor discussing all relevant aspects of my drug use and associated medical problems with my pharmacist and workers at BDP


    ………………………………… (Patient) DATE

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    • #3
      Re: Methadone patient contract

      Thanks Johnep. Will get me started. Any suggestions on how to make it more pharmacy/patient specific. ie missed doses etc

      Comment


      • #4
        Re: Methadone patient contract

        Just add the appropriate wording. To suit the pharmacy.
        johnep

        Comment


        • #5
          Re: Methadone patient contract

          Originally posted by BOBPHARM View Post
          Thanks Johnep. Will get me started. Any suggestions on how to make it more pharmacy/patient specific. ie missed doses etc
          Your local DAT should have a policy on missed doses - just find out what it is and add it to the contract.

          You could also get contact numbers for your clients so that you can remind them if they are approaching a last chance of collection day.

          Jeff

          Comment


          • #6
            Re: Methadone patient contract

            So with regards to Methadone programmes:

            If someone has only just started (and presumably is not yet allowed "take-home" supply for the weekdays) :

            How does the DAT and Pharmacy deal with a service user who happens to not be physically able enough to attend the Pharmacy in order to get their daily dose under supervision? This is presuming there is no-one avaliable on a regular basis to help with transporting the service user to pick up script and get dispensed etc. Given current average social services cuts and referral waiting lists; this is certainly a possible situation.

            Is the person simply excluded from the service as they cannot fulfill the obligation in the contract to be physically present? Or is there some other option given that the DAT's obligation to "Reasonable adjustment" under the DDA? Given the sporadic implementation of the DDA with community services; it stands to reason that there is likely no guaranteed provision unless anyone can advise me otherwise?

            mr_colt.

            mr_colt.

            Comment


            • #7
              Re: Methadone patient contract

              Originally posted by mr_colt View Post
              So with regards to Methadone programmes:

              If someone has only just started (and presumably is not yet allowed "take-home" supply for the weekdays) :

              How does the DAT and Pharmacy deal with a service user who happens to not be physically able enough to attend the Pharmacy in order to get their daily dose under supervision?
              Difficult to answer - however in some real worlds - supervision doesn't need to be by a pharmacist - the dose may be supervised by a carer.

              Jeff

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