What is the maximum unsupervised allowance for Opioid Treatment Program patients in their first 90 days?

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For patients in an Opioid Treatment Program (OTP), the regulations set forth in federal guidelines provide specific allowances regarding unsupervised dosing during the critical early stages of treatment. In the first 90 days of treatment, patients are generally in a phase where careful monitoring and support are essential to ensure proper adherence and to adjust the treatment as needed.

The allowance of one dose per week recognizes the need for a balance between providing patients with sufficient access to their medication while also maintaining the necessary oversight that is paramount during the initial treatment phase. This frequency promotes safety and efficacy, aiming to reduce the risk of misuse while still facilitating the stabilization of patients as they begin their recovery journey.

Lower or higher allowances could compromise patient safety or limit their access to treatment needed for recovery and stabilization work. Therefore, the decision to allow one dose per week during the first 90 days serves as a critical guideline to ensure effective management of opioid use disorder while safeguarding patient well-being.

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