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Addiction Treatment Laws And Regulations In Ohio

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Accreditation And Deemed Status In Ohio

Once a provider has achieved accreditation with a behavioral health accreditation organization, they may apply to be Certified With Deemed Status as a substance use disorder facility in Ohio. “Deemed status” means the treatment center is compliant with clinical standards.

Accrediting bodies that can qualify a program or facility for certification with deemed status include:

  • the Commission on Accreditation of Rehabilitation Facilities (CARF)
  • the Joint Commission (TJC) and/or Council on Accreditation for Children and Family Services (COA)
  • DNV GL Healthcare
  • the Healthcare Facilities Accreditation Program (HFAP)

Programs that include hospitalization and medical monitoring, including detox programs, may also obtain accreditation from the above agencies. 

According to the Ohio state code governing substance use and mental health services, “No person shall keep or maintain a hospital for the care or treatment of mentally ill persons unless it is licensed by the department of mental health and addiction services, as provided by section 5119.33 of the Revised Code.”

Ohio’s Certification Process For Opioid Treatment

Ohio maintains a separate certification process for opioid treatment licensing. As of September 29, 2019, all residential drug and alcohol treatment and withdrawal management programs in Ohio are prohibited from providing services until they have obtained certification for opioid treatment. 

Residential opioid use disorder providers can apply for certification of residential programs and withdrawal management programs. Outpatient rehabs in Ohio must also apply for and obtain certification for opioid treatment unless they operate as part of an accredited hospital outpatient clinic.

ADAMH Boards In Ohio

The state of Ohio provides funding for local alcohol, drug, and mental health (ADAMH) boards in 50 counties. The ADAMH boards plan, manage, coordinate, fund, and evaluate drug and alcohol prevention, treatment, and recovery services in their area. They also coordinate annual conferences on opiate use, drug and alcohol recovery, and behavioral health issues.

Medical Marijuana Policy In Ohio

Ohio has permitted medical marijuana since September 2016. Ohio’s medical marijuana program was anticipated to become fully operational as of September 2018. 

As of 2020, Ohio had 50 operating medical marijuana dispensaries. Certified physicians could recommend medical marijuana treatment for 21 conditions, ranging from HIV/AIDS to glaucoma, Parkinson’s disease, and post-traumatic stress disorder.

Opioid Prescribing Rules In Ohio

According to the National Institute on Drug Abuse, Ohio had the second-highest rate of opioid-related death in the nation in 2017, with nearly 1,000 deaths attributed to prescription opioids in 2017 alone. 

As a result, many of the state’s drug policies and programs have been implemented to combat opioid overdoses and addiction.

As of February 22, 2019, Ohio physicians received new guidelines and limits for prescribing opiates for acute pain (not chronic pain). Opioid prescribing rules and limits for acute pain patients in Ohio include:

  • No more than seven days of opioids for adults
  • No more than five days of opioids for minors, with written parent or guardian permission
  • Any prescriptions in excess of the limits must have a written reason provided in the patient’s medical record

The rules do not apply to inpatient prescriptions, or for patients in hospice care or medication-assisted treatment (MAT) programs for opioid use disorders.

Drug And Alcohol Patient Rights In Ohio

Ohio’s state code Title 51 (Public Welfare) Chapter 5119 governs patient rights in drug and alcohol treatment programs. The code specifies that “any person treated under this chapter or rules adopted under it shall retain the person’s civil rights and liberties,” including the right to:

  • not be experimented on without full informed consent
  • confidential health and medical records
  • receive adequate and appropriate treatment
  • vote

Ohio’s state code specifies that all facilities providing mental health and addiction services must meet standards established by The Joint Commission or the Federal Social Security Act.

 

Sources:

National Institute on Drug Abuse—Ohio Opioid Summary 

Ohio Association of Behavioral Health Authorities—About Us 

Ohio Association of Behavioral Health Authorities—Medical Marijuana Policy Information

Ohio Department of Mental Health & Addiction Services—Community Funding  

Ohio Department of Mental Health & Addiction Services—Licensure and Certification 

State of Ohio Board of Pharmacy—For Prescribers – New Limits on Prescription Opioids for Acute Pain