SAMHSA issues manual on revised OTP regulations

Last week the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a 181‐page description of the rationale behind the new guidelines for opioid treatment programs (OTPs). The new guidelines, which greatly liberalize federal rules regarding take‐homes, eligibility for treatment, and more, were issued in February 2024 (see ADAW https://onlinelibrary.wiley.com/doi/10.1002/adaw.34023 ). The manual issued last week, Federal Guidelines for Opioid Treatment Programs ( https://store.samhsa.gov/sites/default/files/federal‐guidelines‐opioid‐treatment‐pep24‐02‐011.pdf ), noted that Title 42 of the Code of Federal Regulations (42 CFR) part 8 “sets the standards for services” in OTPs, and regulates their certification and accreditation.