BRIGHTON CENTER FOR RECOVERY
Policy and Procedure Manual
CHAPTER: All Areas
Title: Medical Marijuana
Author: Charles Gehrke M.D. Reviewed by: Administrative Team
Initial Administrative Approval: 9/2011 Next Review Date: 9/2013
Brighton Center for Recovery (BCR) is an abstinence based chemical dependency treatment facility, which does not allow patients to use marijuana for any purpose while in treatment at any level of care. If a patient’s Medical Marijuana Program Card (MMPC) was issued for the treatment of chronic nonmalignant pain, the patient will have a pain management consultation completed. Depending on the patient’s clinical condition, the consultation will be completed prior to or during their hospitalization or arrangements will be made for the consultation to be completed as soon as possible following discharge. During hospitalization at BCR, patients will receive other pain management modalities including non-addictive medications. Patients who had their MMPC issued for treatment of other diagnoses will receive alternative treatment for their symptoms, including non-addictive medications.
|Customer Service Representative (CSR)||At the time of requesting admission to BCR for treatment, the individual will be asked by the CSR if they possess a MMPC. If they do, they will be told to bring their card with them to admission. They will be informed by the CSR that the admission staff will ask them to destroy the card and explain the reason to them for this request. Persons with MMPC’s will be informed that they may not bring marijuana on the premises and if any marijuana is found, it will be destroyed.
The CSR will document in the initial contact screen that the patient possesses a MMPC and has been asked to bring the card to the admission interview.
|Clinic Nurse||Will request the card upon arrival to the clinic. Will monitor the destruction of the card, pieces to be discarded in the Shred-it box. Nurse will document destruction of the card. If the person refuses to destroy the card, the Nurse will notify the Admitting Physician, who will intervene.|
|Admitting Physician||Will then discuss with the person why the destruction of the card is necessary.
If the person continues to refuse to destroy the MMPC, their admission will be denied. The physician or their designee will provide alternative recommendations for care based on their clinical needs.
If the person agrees to destruction of the card, the card will be destroyed and the person will be admitted. If the card was issued as treatment for chronic nonmalignant pain, the physician will make certain the chart contains the diagnosis of Chronic Pain Syndrome, if appropriate, and that the patient is identified for consideration for inclusion into the Chronic Pain Treatment Group or will document that the chronic nonmalignant pain will receive further evaluation soon after discharge. They will assure the individual their pain will be treated during their stay, but with non-addicting medications and other treatment modalities as available.
|Clinic Assessment Staff||Will request a medical release of information to be signed to the individual’s treating physician so the physician may be included and/or informed about any decisions made during treatment at BCR regarding the treatment of the patient’s chronic non-malignant pain.|
|Unit Nursing Staff||Will monitor the need for pain management therapy during the patient’s stay in treatment.|
Confiscate any marijuana found and assist in determining to whom the drug belonged. The drug will be destroyed according to policy. The clinical team will re-assess the disposition of the patient possessing the drug with the team’s decision noted in the electronic medical record.
|9/11: Dr. Gehrke|
|6/13: J. Berger M.D.|