Substance Abuse

Communicable Disease Policy and Guidelines

It is the policy of the Macomb County Office of Substance Abuse that contract agencies complete a behavioral risk screen on each admitted client, identify high risk behaviors/events for HIV, Hepatitis, Sexually Transmitted Infections (STIs) and Tuberculosis (TB), promote knowledge of high risk behaviors, facilitate voluntary referrals for health screening where applicable and provide case management and follow-up on referrals. (See attachments for the Communicable Disease Risk Screening Form and Instructions.) Furthermore, it is required by the Department that individuals or organizations sub-contracted by MCOSA to provide substance abuse services, either prevention or treatment, are required to demonstrate the minimum knowledge requirements related to HIV/AIDS and Substance Abuse for Level I. If unable to demonstrate the minimum knowledge requirement, they must do so within six months of hire or of agency approval to provide substance abuse treatment within the organization (e.g., via Staff Credentialing or Professional Service Agreements).

Definition of Terms:

High Risk: An individual is deemed at high risk for contracting HIV, Hepatitis, STIs (including Chlamydia, Herpes, Gonorrhea or Syphilis) or TB when he/she engages in any series of behaviors or has been exposed to events or environments that increase the probability of contracting the same.

Risk Reduction: Any increase in the knowledge base about HIV-related disease, Hepatitis, STIs and TB; or transmission of said diseases, which enhances the decision making process and increases the individual's choices, resulting in behavioral change.

Health Screening Referral: A health screening referral is a voluntary referral to a personal physician or Public Health Department for confidential testing for Hepatitis, STIs or TB if an individual requests or is found to be at high risk.

HIV/HVC/TB/STI Testing Referral: A voluntary referral to an anonymous or confidential testing site for individuals identified as high risk or for those who request a testing referral.

LEVEL I Competency: Level I is related to education regard Communicable Diseases and Substance Abuse for all staff. Per the Michigan Department of Community Health Office of Drug Control Policy, the minimum knowledge regarding communicable diseases includes: HIV/AIDS, TB, Hepatitis (especially A, B and C) and STDs (here STIs) as they relate to the agency target populations; modes of transmission (risk factors, myths and facts, etc.), linkages between substance abuse and these communicable diseases, overview of treatment possibilities, local resources available for further information/screening and universal precaution procedures, or basic knowledge of universal precautions for blood/air-born and body fluid transmission of pathogens. This basic knowledge should be updated every two years.

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