Bless you! I am RN in Alcohol/ Drug outpatient full for profit setting Manhattan /Quince NY
We are doing outpatient detox for Alcohol and non IV users "non- complex" cases, sent by union, ACS,TASK, Federal probation, HR and Self referrals. My primary job is health assessment and "pre psych assessment", referrals to XRAY for "TB clearance" /PPD testing/infection control "collaboration " with Health department regarding TB/smoking sensations /education/referrals to acute care settings/ first help and Vivitrol administration. All our staff got Narcan training by NY education department in 2015 .
Program participants can bring in their used works and needles for safe disposal (keep those needles off the sidewalks!) but we will not exchange them for sterile. The policy is education regarding immediate detox/rehab and Vivitrol/ methadone/suboxone .
Patient could get a referral for HEP C/B HIV follow up- we "collaborate" with www.ryan
I understand "harm reduction" policy in Health Department, but our private owners decide what is mandatory by OASIS and we do what they decide for us.
In order to help the clients, it is better to meet with private owners of "OASIS" programs in you area, so you could provide real help and education.