MANUAL OF

OPERATIONS

FOR THE

ACCREDITATION OF

DRUG ABUSE

TREATMENT AND

REHABILITATION

CENTERS

1 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
This Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers shall
serve as standard reference material to aid administrators and practitioners in the
management and operations of the different drug treatment and rehabilitation centers in
the Philippines. This Manual presents the minimum standards for personnel
complement, physical plant, equipment and instruments, and service capability
recommended by the Department of Health (DOH). These same standards shall serve as
guide of DOH in accrediting Drug Abuse Treatment and Rehabilitation Centers in the
Country.

Department of Health
2018

2 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

TABLE OF CONTENTS

TITLE PAGE
1 Legal Basis 5
General Objective
Specific Objectives
Application
2 ORGANIZATION AND PERSONNEL 6 – 13
Organization
Classification of Drug Abuse Treatment and
Rehabilitation Centers
Personnel Requirement
Qualifications of Personnel
Duties and Responsibilities
3 EQUIPMENT AND PHYSICAL PLANT 14 - 23
Equipment/Instruments
Physical Plant
Guidelines in Planning and Design of Treatment
and Rehabilitation Facilities
4 ADMINISTRATIVE AND OTHER SUPPORT 24 - 27
SERVICES GUIDELINES
Human Resource Management and Development
Records Management
Quality Improvement Activities
Fiscal Management
Training Program
Dietary Management
Maintenance Program
Security
Information Management
5 CLINICAL OPERATIONS, PRESCRIBED 28 - 32
SERVICES AND TREATMENT
APPROACHES/MODALITIES
Clinical Guidelines
Prescribed Services
Support Services
Recommended Treatment Approaches/Modalities
Recommended Therapeutic Activities
6 PATIENT’S RIGHTS 33 - 34
Patient’s Rights during Treatment and
Rehabilitation
Cultural Safety
Confidentiality
Informed Choice and Informed Consent
Physical Privacy
Disciplinary Measures
7 PROCEDURAL GUIDELINES FOR 35 – 37
CERTIFICATE OF ACCREDITATION
Issuance of Permit to Construct for Non-
Residential and Residential DATRCs

3 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 Issuance of Certificate of Accreditation
Renewal of Certificate of Accreditation
Terms and Conditions of Accreditation
8 ANNEXES
Annex A – Preventive and Corrective
Maintenance of Equipment
Annex B – Maintenance and Monitoring of
Physical Facility
Annex C – Drug Dependency Examination Form

4 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

Legal Basis:
Republic Act 9165, otherwise known as “Comprehensive Dangerous Drug Act of 2002”,
and its Implementing Rules and Regulations mandate the Department of Health to
regulate, oversee and monitor the integration, coordination and supervision of all drug
rehabilitation, intervention, aftercare and follow-up programs, projects and activities as
well as the establishment, operations, maintenance and management of Drug Abuse
Treatment and Rehabilitation Centers. This is in consonance with the applicable Board
Regulation, which sets the guidelines or procedures in applying for accreditation of
DATRC.

General Objective:
To ensure efficient and effective delivery of treatment and rehabilitation services for drug
dependents with patients’ rights based approach premised on the principles and values of
accessibility, appropriateness, affordability, acceptability, equity and quality.

Specific Objectives:
1. To establish and maintain acceptable standards for the operations of Drug Abuse
Treatment and Rehabilitation Centers.

2. To provide useful information for decision-making, administrative planning and

development in the provision of drug abuse treatment and rehabilitation services.

3. To provide standards and guidelines for the accreditation of drug abuse treatment
and rehabilitation services for drug dependents in the country.

Application:
This Manual shall be used by all Drug Abuse Treatment and Rehabilitation Centers in the
Philippines owned and operated by government and private entities or agencies. For the
DOH to issue a Certificate of Accreditation, compliance with the standards and
guidelines embodied in this Manual is required. Higher levels or quality of care shall be
acceptable only if the recommended minimum standards presented in this Manual are
met.

A Drug Abuse Treatment and Rehabilitation Center shall be exclusively for the treatment
and rehabilitation of drug dependents. The Center shall not provide services to patients
with primary psychotic behavior. Patients with manifestations of psychosis, as a result or
consequence of dangerous drug use, shall be referred to a psychiatric facility. A clearance
from a psychiatrist, certifying that the patient is free from psychosis, shall be presented to
the center’s management before his/her admission to a drug abuse treatment and
rehabilitation center.

5 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 ORGANIZATION AND PERSONNEL

Organization:

The facility shall be a legally constituted entity. For a single proprietorship, it must be
registered with the Department of Trade and Industry and for a corporate entity, it must
be registered with the Securities and Exchange Commission. For government owned-
center, Enabling Act or Board Resolution is required.

Its organization and structure shall contribute effectively to the goals of Republic Act
9165. It shall develop broad community and professional acceptance in order to
implement the goals effectively.

The organization shall clearly define the purpose, scope, direction and goals of the
Center. It shall document and disseminate the Center’s core values, vision statement,
mission and philosophy.

The health facility shall have an adequate number of qualified, trained and competent
staff to ensure sufficient and effective delivery of quality services.

Classification of Drug Abuse Treatment and Rehabilitation Centers:

1. Ownership
1.1 Government: operated and maintained by the national, provincial, city or
municipal government, or any other government agency
1.2 Private: owned, established and operated with funds through donation,
principal, investment or other means, by any individual, corporation,
association or organization.

2. Institutional Character
2.1 Institution-based: a Center that operates within the premises and as part of an
institution.
2.2 Freestanding: a Center that operates separately from any other institution.

3. Service Capability
3.1 Non-residential Treatment and Rehabilitation Center (Outpatient Center): a
health facility that provides diagnosis, treatment and management of drug
dependents on an outpatient basis. It may be a drop-in/walk-in center,
recovery clinic, or any other facility with consultation and counselling as the
main services provided, or may be an aftercare service facility. From time to
time, it may provide temporary shelter for patients in crisis for not more than
twenty-four (24) hours.

3.2 Residential Treatment and Rehabilitation Center (Inpatient Center): a health

facility that provides comprehensive rehabilitation services, including
aftercare and follow-up program, utilizing any of the accepted modalities as
described in this Manual towards the rehabilitation of a drug dependent.

6 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 3.3 Residential Treatment and Rehabilitation Center with Outpatient Service
Capability: a health facility that provides both outpatient and inpatient
services.

Personnel Requirements:

General Qualifications of Personnel

1. Clean and drug free life for at least three (3) years except for the center/program
director/administrator, which is five (5) years
2. With no prior conviction
3. Morally, mentally, and physically fit
4. For a foreigner, with a working permit issued by the Bureau of Immigration and
Deportation is required.
5. With required professional licenses /registration

A. Non-Residential Treatment and Rehabilitation Center

Position Qualifications Duties and Responsibilities

One (1) Center - A college graduate  Oversees the entire
Director/ Program - Minimum of three rehabilitation program;
Director/ (3) years experience  Provides policy direction for the
Administrator as a rehabilitation center.
(full-time) worker;  Takes direct responsibility for
-Adequate training not the day-to-day activities and
only on the modality needs of the center;
being utilized but also  Coordinates all medical, social,
other relevant psychological and spiritual
trainings pertinent to services of the center;
treatment and  Responsible for the
rehabilitation; management of center
-If a former drug personnel;
dependent, he/she  Performs other duties and
must be clean and functions relevant to the
sober for at least five position.
(5) years.
-DOH accredited
rehabilitation
practitioner
Physician - Licensed by PRC  Conducts drug dependency
(part-time) - DOH-accredited examination and treatment of
drug dependents;
 Supervises the aftercare and
follow-up of recovering drug
dependent;
 Makes the necessary referral;
 May supervise all personnel
(nurses, social worker,

7 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 psychologist, health
information management
officer/clerk);
 Ensures adequate and accurate,
timeliness of reports;
 Performs other duties and
functions relevant to the
position.
One (1) Nurse - Licensed by PRC  Provides appropriate nursing
(full-time) - with relevant care to all patients;
trainings  Assists the physician in the
- with at least 6 treatment process;
months of work  Conducts lectures/ sessions on
experience in handling health related topics;
drug dependents  Prepares and accomplishes
patient chart
 Administers medication as
prescribed by the physician;
 Performs other duties and
functions relevant to the
position.
One (1) Social - Registered by PRC  Assists the physician in the
Worker - with at least 6 formulation of treatment plan
(part-time) months work and aftercare and follow-up
experience in handling program;
drug dependents  Does home visitation to
patients as the need arises;
 Provides psycho-social
activities to patients and their
co-dependents;
 Conducts social case study to
all patients and prepares
subsequent report.
 Performs other duties and
functions relevant to the
position.
One (1) - Registered by PRC  Conducts psychological testing
Psychologist - with relevant and evaluation;
(part-time) training  Assists the physician in the
- with at least 6 formulation of treatment plan
months work and aftercare and follow-up
experience handling program;
drug dependents  Provides psycho-social
activities to patients and their
co-dependents;
 May conduct home visitation
as the need arises;
 Performs other duties and
functions relevant to the
position.

8 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 One (1) Health - preferably college  Gathers pertinent data of
Information graduate patients and conducts intake
Management/ - must undergo interview;
Administrative training in health  Acts as authorized personnel
Officer information for information system
(full-time) management management
- must have computer  Collates, consolidates and
knowledge analyzes patients’ records
 Ensures accurate, complete,
timely and availability of
patients’ records at all times.
 Ensures confidentiality and
safety of all records of patients;
 Performs other duties and
functions relevant to the
position.

B. Residential Treatment and Rehabilitation Center

Position Qualifications Duties and Responsibilities

One (1) Center/ - A college graduate  Oversees the entire
Program Director/ - Minimum of three rehabilitation program;
Administrator (3) years experience  Provides policy direction for the
(full-time) as a rehabilitation center.
worker;  Takes direct responsibility for
-Adequate training not the day-to-day activities and
only on the modality needs of the center;
being utilized but also  Coordinates all medical, social,
other relevant psychological and spiritual
trainings pertinent to services of the center;
treatment and  Responsible for the
rehabilitation and management of center
background on personnel;
behavioral sciences;  Performs other duties and
-If a former drug functions relevant to the
dependent, he/she position.
must be clean and
sober for at least five
(5) years.
One (1) Physician - Licensed by PRC  Conducts drug dependency
(on-call for less - DOH-accredited examination (DDE) and
than 100; full time treatment of drug dependents;
for 300)  Supervises the aftercare and
follow-up of recovering drug
dependent;
 Orders diagnostic tests/
procedures, medications, the
discharge, transfer or referral of

9 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 patients;
 Supervises all clinical personnel
(nurses, social worker,
psychologist);
 Ensures adequate and accurate,
timeliness of reports;
 Performs other duties and
functions relevant to the
position.
One (1) Dentist -Licensed by PRC  Attends to all dental referrals;
(part-time or may  Performs other duties and
be outsourced) functions relevant to the
position.
Nurse - Licensed by PRC  Provides appropriate nursing
(full-time) - with BLS training care to all patients;
1:25 (50) - with at least 6  Assists the physician in the
months work treatment process;
experience handling  Conducts lectures/ sessions on
drug dependents health related topics;
 Prepares and accomplishes
patient chart
 Administers medication as
prescribed by the physician;
 Provides follow-up domiciliary
services to patients;
 Performs other duties and
functions relevant to the
position.
Social Worker - Registered by PRC  Assists the physician in the
(full-time) - with relevant formulation of treatment plan
Recommended training and aftercare and follow-up
1:25 (50) - with at least 6 program;
months work  Conducts home visitation of
experience handling patients as need arises;
drug dependents  Provides counselling to patients
and their co-dependents;
 Conducts social case study to
all patients and prepares
subsequent report.
 Prepares progress report and
other pertinent documents;
 Provides follow-up domiciliary
services to patients;
 Performs other duties and
functions relevant to the
position.
Psychometrician - Registered by PRC  Assists the physician in the
(full-time) - relevant training development of treatment plan
1:25 (50) - with at least 6 and aftercare and follow-up
months work program;

10 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 experience handling  Administers appropriate
drug dependents psychological tests under the
supervision of a Psychologist.
 Provides psycho-social activities
to patients and their co-
dependents;
 Conducts home visitation as the
need arises;
 Prepares progress report and
other pertinent documents;
 Provides follow-up domiciliary
services to patients;
 Performs other duties and
functions relevant to the
position
One (1) - Registered by PRC  Conducts psychological testing
Psychologist (part- - with relevant and evaluation to patients and
time) training applicants for center staff;
- with at least 6  Supervises the psychometrician;
months work  Provides therapeutic activities to
experience handling patients and their co-
drug dependents dependents, e.g., family, group
and individual therapies;
 Participates in the selection
process of center personnel
through evaluation of
psychological testing;
 Performs other duties and
responsibilities that are relevant
to the position.
One (1) Personnel - Graduate of any 4-  Takes responsibility for overall
Officer year course personnel management,
(full-time) - with relevant including selection, hiring,
training orientation, training, education
and performance evaluation of
personnel.
 Performs other duties and
functions relevant to the
position.
One (1) - Licensed by PRC  Directs and supervises the
Nutritionist/ therapeutic aspect of food
Dietitian preparation and serving
(outsource) modified diets to patients.
 Adapts and modifies menus in
accordance to patient needs/
preferences and maintenance or
improvement of nutritional
status.
 Consults with physicians
concerning dietary

11 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 prescriptions.
 Supervises and maintains high
standards of safety practices in
food handling/preparation.
Health Information -preferably college  Gathers pertinent data of
Management/ level patients and conducts intake
Administrative -must undergo interview;
Officer training in medical  Acts as authorized personnel
(full-time) records management for information system
Ratio 1:50 -computer literate management
 Collates, consolidates and
analyzes patients’ records
 Ensures accurate, complete,
timely and availability of
patients’ records at all times.
 Ensures confidentiality and
safety of all records of
patients;
 Performs other duties and
functions relevant to the
position.
Houseparent -a High School  Oversees the domiciliary
(full-time) Graduate activities in accordance to TRC
Ratio - 1:25 -must undergo rules and regulations;
relevant training in  Ensures sanitary services are
handling drug properly conducted;
dependents  Introduces new patients and
orients basic activities/daily
schedules in the dormitory;
 Coordinates with other center
staff in line with domiciliary
activities of patients.
 Conducts periodic maintenance
of physical facility
 Performs other duties and
functions relevant to the
position.
Utility Worker -at least high school  Ensures cleanliness and
(optional) graduate orderliness in the office
 Assists in the conduct of
periodic maintenance of
physical facility
 Performs other duties and
functions relevant to the
position
Security Guard -must undergo  Provides security and
Ratio - 1:25 relevant training in orderliness in the facility;
per shift, may be handling drug  Performs other duties and
outsourced dependents functions relevant to the
position.

12 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

One (1) Driver -must have driver’s  Maintains the facility’s
(full-time) license transport vehicle;
designated -at least high school  Ensures safe transportation of
graduate client and staff
 Performs other duties and
functions relevant to the
position.
One (1) Cook -at least high school  Performs marketing and
(full-time) graduate with preparation of meals.
knowledge in food  Is responsible for upkeep of
preparation kitchen and pantry.
-must undergo  Ensures safety in food handling
relevant training in and preparation.
food handling and  Is responsible for the
sanitation. safekeeping of kitchen utensils
and sharps
 Performs other duties and
functions relevant to the
position.

13 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 EQUIPMENT, INSTRUMENTS AND PHYSICAL PLANT

Equipment/Instruments

The facility shall have available and operational equipment and instruments with the
services it will provide.

There shall be a program for calibration, preventive maintenance and repair of

equipment. Please refer to annex A of this Manual for the sample format of the
Preventive and Corrective Maintenance of Equipment.

A. Non-residential Drug Treatment and Rehabilitation Center

Audio-visual system First Aid Kit

Bench Fire extinguishers
Cabinet with lock Psychological Testing Materials
Clinical weighing scale (original and not outdated)
Computer and internet access preferably Sphygmomanometer (non-mercurial)
within the center premises Stethoscope
Electric fan/s Table and Chairs
Emergency medical cabinet Telephone or any form of
Examining light communication
Examining table Thermometer (non-mercurial)

B, Residential Drug Abuse Treatment and Rehabilitation Center

Audio-visual system First Aid Kit

Beds (single or double decked) Fire extinguishers
Bench/Sofa set Psychological Testing Materials
Cabinet with lock (original and not outdated)
Clinical weighing scale Refrigerator
Computer and internet access preferably Sphygmomanometer (non-mercurial)
within the center premises Stethoscope
Dining Table Table and Chairs
Electric fan/s Telephone or any form of
Emergency medical cabinet communication
Examining light Thermometer (non-mercurial)
Examining table Transport Vehicle

14 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

Physical Plant

The facility shall have physical facilities with adequate areas to safely, efficiently and
effectively provide health services to patients as well as members of the public as
necessary.
1. It shall comply with applicable local and national regulations for the
construction, renovation, maintenance and repair of the facility
2. It shall provide enough space for the conduct of its activities depending on
its workload and the services being given.
3. It shall have an approved DOH-Permit to Construct in accordance with the
planning and design guidelines prepared by the DOH

A. Non-Residential Treatment and Rehabilitation Center

The Center shall have a floor area of at least 60 square meters that can accommodate 20
to 25 patients at a given time.

B. Residential Treatment and Rehabilitation Center

The center shall have at least 420 square meters that can accommodate 30 patients at a
given time.

C. Guidelines in the Planning and Design of Treatment and Rehabilitation

Facilities:

a. The size of the facility must be adequate for the intended use. The building
shall be well-ventilated and spacious for the occupants to be relatively
comfortable, and be ensured of privacy especially during medical treatment,
counselling and group activities. The land area must have enough space for
sports and recreation and learning activities.

b. The building should meet construction and safety standards, as well as fire
regulation, health and sanitation requirements.

c. Bathroom and toilets – There shall be at least one bathroom, one toilet, and
one lavatory in good working conditions for every eight (8) patients. The
bathroom and toilets shall not be provided with locks except those for the
exclusive use of administrative staff.

d. Kitchen shall be clean at all times and shall be equipped with adequate basic
cooking utensils and food storage with provision of locks for all sharp
objects.

e. Dining area shall be clean, well-lighted, protected from insects and vermins,
properly decorated and shall be provided with sufficient number of chairs
and tables.

15 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

f. For residential facilities, bedrooms shall follow the requirements below:

1. The bed shall be placed at least 100 cm. or one (1) meter apart.
2. If a double-decked bed is utilized, this shall have at least one-meter space
from the ceiling and again between the upper and lower beds.
3. The bedroom shall be clean and orderly at all times.

g. Emergency clinic shall accommodate patients who are suffering from mild
infections, such as uncomplicated UTI, coughs, colds, and need simple
wound care such as abraision, minor laceration. It must be well-secured,
spacious enough for at least two patients at a given time and with provision
for their personal hygiene and toilet functions. It must be visibly accessible
to those who are on duty.

h. Adequate water supply and electricity must be available. Safe and potable
water shall be available at all times. It shall be adequate in volume and
pressure. A quarterly conduct of bacteriological water analysis should be
done in a DOH-accredited laboratory for drinking water analysis.

i. There must be a telephone and other means of communication. An internet

access is preferably within the center.

j. There shall be a contingency plan in case of accidents and emergencies

following the guidelines stipulated in DOH Administrative Order No. 2004 –
0168 known as “National Policy on Health Emergencies and Disasters”.

16 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 GUIDELINES IN THE DESIGN OF NON – RESIDENTIAL TREATMENT AND REHABILITATION CENTER
Minimum of Sixty (60) Square Meters in Floor Area
Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Multipurpose  Receiving of  Clerk  Computer  Bench 35.0  immediately
Area that can be clients  Patient  Printer  chair (accommodate accessible to
utilized as the  Psycho-social  Parents/  Telephone and  office table 20-25 persons at a client
reception/waiting activities, guardians other means of given time) 1  located near
area and meeting education and  Physician communication entrance of the
area for group/ therapy  Psychometri-  Wheelchair facility
family  Follow-up and cian,  Electric fan
aftercare Psychologist  Audio-visual
program & Social system
Worker
 Nurse
 Security
Consultation,  drug abuse  Patient  clinical  chair 7.43 2  adjacent to
Examination and assessment  Nurse weighing scale  office table reception/
Treatment Room and  Physician  examining light  lavatory group meeting
management  Psychologist  examining table  medicine area
 emergency  Psychometri-  sphygmomano cabinet
assistance for cian meter
drug  Social Worker  stethoscope
withdrawal  electric fan
and
psychiatric
illness
_____________________________________________
1
Based on 1.40 m2/person (unit area per person occupying the space at one time)
2
Clear foor area per examining table that includes space for passage of equipment

17 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Psychological  Drug Abuse  Patient  Psychological  Arm chairs 7.43  Adjacent to
Testing Room and assessment  Physician testing  Office table the
Counselling Room and  Psychologist materials consultation
management  Psychometri-  Electric fan and treatment
cian room
 Social Worker
Toilet with  Managing of  All personnel  lavatory 2.5  separate toilet
lavatory personal  patients  water closet and hand
hygiene  hand railing washing
for special facility
population  adjacent to
consultation,
examination
and treatment
room
Business Area  Performance  clerk  computer  cabinet 7.433  located near
of personnel,  printer  chair entrance
accounting,  internet  office table
records, connection
supply and  telephone
housekeeping  electric fan

_____________________________________________
3
Work area per staff that includes space for a chair and a desk, space for occasional visitor, and space for aisle.

18 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 GUIDELINES IN THE DESIGN OF RESIDENTIAL TREATMENT AND REHABILITATION CENTER 5
Minimum of Four Hundred Twenty (420) Square Meters in Floor Area
Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Registration  receiving of  Clerk  Computer  Bench 12.00  immediately
Area/Waiting patient  Patient  Printer  chair (accommodate accessible to
Area/ Reception  Parents/  Telephone/any  office table 5 persons at a client
Guardians means of given time)  located near
 Physician communication entrance
 Psychologist  wheelchair
 Social Worker  Electric fan
 Nurse
 Security
Guard
Emergency Clinic  Drug abuse  Patient  clinical  Patient’s bed 9.00  adjacent to
assessment  Physician weighing scale  Lavatory reception area
and  Nurse  examining light  Chairs
management  examining table  Tables
 Provision of  sphygmomano-  Bedside
standard first meter cabinet
aid and  stethoscope
medical  thermometer
emergencies  glucometer
needing basic  Emergency
life support drugs/kit
 Suturing of  Electric fan
minor wounds

19 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Consultation and  drug abuse  patient  Electric fan  chairs 7.43  Adjacent to
Counselling Room assessment  nurse  Office table Intervention
 individual  physician and
counseling, Psychological
education and Evaluation
therapy Testing Room
Intervention and  Drug abuse  Patient  Psychological  Arm chairs 10.00  Adjacent to
Psychological assessment  Physician Testing  Office table/ patient
Evaluation and  Nurse Materials chairs reception area
Testing Room management  Psychologist  Electric fan
 Follow-up and  Psychometri-
aftercare cian
program  Social Worker
Living Quarters  lodging  patient  electric fan  bed 111.45  segregated for
(female) with  storing of  cabinet (accommodate privacy
Toilet personal 15 persons at a
belongings given time) 4
 managing of
personal
hygiene
Living Quarters  lodging  patient  electric fan  bed 111.45  segregated for
(male) with Toilet  storing of  cabinet (accommodate privacy
personal 15 persons at a
belongings given time)4
 managing of
personal
hygiene
_____________________________________________
4
Based on 7.43 m2/bed (clear floor area per bed that includes space for single bed, space for occasional visitor, and toilet)

20 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Dining Area  taking of  patient  electric fan  chairs 42.00  adjacent to
meals  tables (accommodate kitchen
30 persons at a
given time) 5
Kitchen  cold and dry  cook  refrigerator  cabinet 10.00  adjacent to
storage  cooking aide  stove  counter dining area
 food  exhaust fan  sink
preparation
 cooking and
baking
 serving and
food assembly
 washing
Multipurpose  group  patient  electric fan  chair 42.00  accessible
Area/Recreational counseling,  physician  audio-visual  table (accommodate from female
Area education and  psychologist / system 30 persons at a and male ward
therapy psychometri-  recreational given time)
 rehabilitation cian/social equipment
 follow-up and worker
aftercare
program

_____________________________________________
5
Based on 1.40 m2/person (unit area per person occupying the space at one time)

21 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 Area Activity People Equipment Furniture Floor Area Planning
and Fixture in Square Meters Relationship
Outdoor Activity  group  patient  sports  bench 42.00  accessible
Area counseling,  physician equipment (accommodate 30 from female
education and  psychologist/ persons at a given and male ward
therapy psychometric- time)
 rehabilitation cian/social
 follow-up and worker
aftercare
program
Toilet  managing of  all personnel  lavatory 2.5  separate toilet
personal  visitors  water closet and hand
hygiene  patients washing
facility
 accessible
from
consultation,
examination
and treatment
room
 accessible
from
administrative
office
Administrative  performance  administrator  Computer  cabinet 12.0  immediately
Office of personnel,  clerk  Fire  chair accessible to
accounting, extinguisher  office tables patient
records,  Printer  located near
supply and  Telephone/any entrance of the
housekeeping other form of facility
communication
22 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers
Medical Records  records  Health  computer  cabinet 9.0  adjacent to
Room keeping Information  printer  office chairs administrative
 encoding of Management  telephone/any  office tables office
patient profile Officer/clerk other form of
communication
 electric fan
 fire
extinguisher

23 Manual of Operations for Drug Abuse Treatment and Rehabilitation Centers

 ADMINISTRATIVE AND OTHER SUPPORT SERVICES GUIDELINES

The facility shall ensure that the services delivered to patients comply with the
standard quality embodied in the Assessment Tool for accreditation of health
facilities, other policy guidelines and /or related issuances.

1. The facility shall have documented administrative manual of

operations for the provision of its services.
2. It shall have documented technical policies and procedures.
3. It shall have documented policies and procedures on the establishment
of its referral system.

Human Resource Management and Development

The Center must have a sound system of recruitment, selection, promotion and
appointment of personnel to ensure that staff is competent and qualified to perform
the services. There must be a written procedure on appraisal system to monitor,
motivate and support staff performance.

Individual file (201) shall be maintained to include personal data sheet, service
records, credentials, performance evaluation, certificate of training, etc.

There should be a policy/program for continuing education/training of staff. All

clinical staff must undergo relevant training provided by DOH within two (2) years of
practice.

Policy on Staff Protection shall be developed to include programs/activities that shall

prevent any forms of violence against the center staff by a patient or a fellow
employee.

Clinical personnel may also extend technical assistance to other drug abuse treatment
and rehabilitation centers, local government units and other community organizations
pertaining to preventive education and treatment and rehabilitation of drug
dependents.

Records Management

The medical records room shall be secured. Records shall be kept to allow careful and
systematic management. It shall house the information management system as
prescribed by the DDB and DOH. Confidentiality of records shall be maintained at
all times.

Patient files shall include but not limited to the following:

Referral Other forms of misdemeanour
Social case history Outcome of case conference
Home visits Progress notes

24 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 Psychological test evaluation Recommendation of staff
results Discharge order
Laboratory results Aftercare and follow-up releases
Medical/psychiatric evaluation Closure reports
and therapy
Documentation of services as well as incidents of escapes shall be part of Center
record.

There shall be documented policies and procedures on access to and confidentiality of

patient’s information. Likewise, the right of the patient to obtain records of treatment
and other relevant medical information shall be observed.

Retention and disposal of case files and other relevant documents shall be in
accordance with the standards promulgated by DOH.

Administrative files shall include those communications prepared or received, fiscal

and management documents, records of all procurement of supplies, building and
other facilities and the outside environment within the compound.

Personnel file shall likewise be part of the administrative files. It shall include
complete and up to date records of all personnel data, employment agreement, job
description, leaves, periodic performance and evaluation, medical/health certificate,
transfer, retirement and records of administrative charges, if any.

Quality Improvement (QI) Activities

The Center shall establish a system for continuous quality improvement activities.
- The Center shall have policies and procedures on Quality Assurance Program
(QAP) and continuous quality improvement.
- The QAP shall have a written plan and its implementation shall be continuous
with periodic reviews.

Fiscal Management

The Center shall have a sound plan of financing which gives assurance of sufficient
funds to enable it to carry out its defined purpose and provide appropriate services for
drug dependents. A new Center shall have reasonable assurance of sufficient funds to
carry it through the first year of operation. Funds shall be provided for employee
benefits required by law. The Center shall submit their annual financial report.

The parent, spouse, guardian or any relative within the fourth degree of consanguinity
of any person who is confined under the voluntary submission program or compulsory
submission program shall be charged a certain percentage of the cost of his/her
treatment and rehabilitation, following the Department of Social Welfare and
Development’s (DSWD) guidelines taking into consideration the economic status of
the family of the person confined.

25 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
All private residential Centers shall allocate five (5) percent of the total beds for
indigent patients. Government residential centers must not exceed fifty percent of the
total bed allocation for paying patients. Discounted rates shall be based on the
prescribed guidelines by the DSWD. Further, cost sharing in the treatment and
rehabilitation of any dependent shall follow what is prescribed in Section 74 of the
Implementing Rules and Regulations of Republic Act 9165, otherwise known as the
“Comprehensive Dangerous Drugs Act of 2002”.

For a residential Center, service fees shall include fees for board and lodging as well
as materials and supplies.

Training Program

All staff must keep abreast with current trends in treatment and rehabilitation
programs. To ensure the enrichment of knowledge and skills enhancement of staff in
the specialized area of rehabilitation, the Center must have a training program for all
the personnel. The Center must allow attendance of its personnel to appropriate
training programs. The training shall consist of pre-service training for future
members of the staff, continuous in-service or in-house staff training for
administrative and clinical staff.

Dietary Management

Food and drink provided to patients must be good for their health. The diet provided
must be varied and well-balanced. It shall respect the special dietary needs of the
patients with food preference according to religious restrictions, medical conditions,
etc.

The center shall ensure the proper storage of perishable goods to prevent spoilage
(observing FIRST IN, FIRST OUT policy) and contamination. The center shall also
maintain cleanliness and proper sanitation of the area; practicing proper waste
management.

Maintenance Program

The center must have a preventive maintenance plan. Upkeep and maintenance of the
facility and equipment including vehicles shall be regularly conducted.

Security

The Center must be adequately secured to ensure safety and security from outside
intrusion, to prevent escapes of patients and to ensure a drug-free environment. There
must be a fence and plant barriers around the area. Visitors shall be properly screened
and controlled. A system of searching for dangerous drugs and items must be clearly
documented and implemented.

26 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
Information Management

The facility shall maintain a system of communication, recording and reporting of

results of examinations.

It shall maintain technical records/logbooks on the following, the formats of which

are posted at official website.
1. Results of water analysis (bacteriological) every three (3) months
2. Preventive and Corrective Maintenance of Equipment
3. Maintenance and Monitoring of Physical Facility

Centers shall maintain a reporting system, which is required by the Dangerous Drugs
Board.

27 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 CLINICAL OPERATIONS, PRESCRIBED SERVICES, AND
TREATMENT MODALITIES/APPROACHES

Clinical Guidelines

Non-Residential Treatment and Rehabilitation Center

1. Intake interviews must be accomplished immediately upon contact with patients

and or relative of patients. It must include at least the following information:
general data, presenting problem, referral information and drug inventory.
2. Patient Rights must be read and explained.
3. A DOH-accredited physician must immediately conduct drug dependency
examination.
4. History taking shall be done by a social worker in preparation for a social case
study report.
5. Psychological evaluation reports must be done by a psychologist within two (2)
weeks from admission.
6. All patients requiring medical evaluation and examination must be seen and
examined within three (3) days after the initial intake.
7. The following must be documented and properly filed in the individual case file:
a. Drug Dependency Examination Report
b. Psychological Evaluation Report
c. Social Case Study Report
d. All therapeutics intervention to include among other list of medicines,
dosage/frequency of intake.
e. Progress notes
f. All diagnostic test results like chest x-ray, laboratory examinations, drug
screening test.
g. Court orders, communications and other documents, which may be pertinent
to the patients including family dialogues.
8. Appropriate information referral notes shall be accomplished when referring
patients to other agencies. It must at least include the following: general data,
reasons for referral, actions already taken in the Center.
9. Family recovery and community outreach programs shall be properly documented
and filed in a separate folder.

Residential Treatment and Rehabilitation Center

1. Intake interview must be done immediately upon contact with patient, relative of
patient or referring person. It should include at least the following information:
general data, presenting problem, referral information, and drug inventory.
2. Patient Rights must be read and explained.
3. A DOH-accredited physician must conduct drug dependency examination
immediately.
4. All referrals for medical, surgical, psychiatric problems must be seen by the DOH
accredited physician within twenty-four (24) hours from the time of admission.
5. All medical findings must be documented and properly filed in the individual
patient case folder. Likewise, all medical orders for procedures, medications and
other intervention should be properly documented and filed.

28 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
6. Required laboratory and diagnostic procedures such as chest x-ray, sputum
examination, urinalysis, ECG for patient 45 years old and above, and pregnancy
test for women must be done within 24 hours after admissions. Other laboratory
or diagnostic procedure may be requested by the attending physician.
7. Psychological reports and social case studies must be done within two weeks from
admission. This must be properly filed in the individual patient case folder.
8. All treatment plan/intervention should be properly documented which should
include medications – dose, frequency and duration.
9. Progress notes shall be done for all cases at least once a month.
10. Discharge plan should also be documented.
11. Accidents, incident reports, escape reports shall be accomplished within eight (8)
hours of the event and should include details on the following: who, what, where,
when, actions taken and disposition.
12. All pertinent documents related to patients such as medical reports,
communications, reports submitted to court and court orders shall be properly
filed in each patient’s case folder.
13. Rehabilitation service that includes treatment modalities, psychosocial activities,
recreational program, family program and other services shall be properly
documented.

Prescribed Services:

1. Medical Service provides comprehensive health care services ranging from

routine physical examination and screening procedure for diagnosis,
treatment and follow-up of illnesses and other medical problems.

2. Psychiatric service provides therapy to drug abusers with behavioral and

psychiatric disorders through, among others, pharmacotherapy, individual
and group psychotherapy, family therapy and occupational therapy
conducted by a psychiatric team. A psychiatric team shall include a
psychiatrist, psychologist and social worker. This may include an
occupational therapist and para-professional worker.

3. Psychological service assists the team in the assessment, diagnosis and

management of drugs dependents through psychological testing and
evaluation as well as in conducting therapy/counselling to patients and
their families.

4. Social service assists the drug dependents help themselves cope their
problems, facilitate and/or promote their interpersonal relationship and
adjustment to the demands of a treatment program with the end view of
helping the drug dependents’ physical, social, moral and spiritual
development.

5. Referral service involves the process of identifying accurately the

problems of the client and sending him to the agency that can provide the
appropriate services.

6. Spiritual and religious services include the development of moral and

spiritual values of the drug dependent. It has been noted that the spiritual

29 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 foundation of clients has been very weak that this could not provide
support to them to enable them to cope with their problems and conflicts.
Strengthening the spiritual foundation would involve, among others,
reorientation of moral values, spiritual renewal, bible study and other
charismatic sessions. It aims to bring them closer to God and better relate
to their fellowmen. Various religious and civic organizations can be
contacted to provide services. Spiritual counselling shall be helpful in
aiding and resolution of individual and family problems.

7. Sports and recreation services provide facilities for sports and recreation to
offer patients the opportunity to engage in constructive activities and to
establish peer relationship as an alternative to drug abuse. The emphasis in
all activities should be on developing the discipline necessary to improve
skills and on gaining respect for good physical health.

8. Residential/house care service includes provision of basic foods, clothing

and shelter.

9. Aftercare and follow-up services provided to the patient after the primary
rehabilitation. Aftercare activities can be viewed as the first line of
defence against relapse. The activities include attending self-help
programs like Narcotics Anonymous (NA)/Alcoholic Anonymous (AA)
meetings, regular follow-up at treatment center, individual and group
counselings, sponsor/sponsee meetings, alumni association meetings, etc.
This is for a period not exceeding eighteen (18) months and should be
undertaken by the appropriate Center personnel.

Support Services (Optional)

1. Placement service provides assistance to drug dependents in obtaining

work opportunities through open, self, and/or sheltered employment.

2. Volunteer Service assists the organic staff of the center to perform

rehabilitation treatment services and/or administrative functions but do not
receive compensation. It includes recruitment, selection and appointment
of these individuals and/or organized groups and training on drug abuse
prevention and rehabilitation. The services of volunteers are monitored and
evaluated. Volunteers may include professionals, para-professionals,
parents and youth organizations. They may perform functions which may
include patient management such as case findings, management, medical,
psychiatric, psychological and social services. Paraprofessionals services
include administrative, sports and recreation including spiritual and moral
development services. Organized parents groups may extend peer-parent
counselling or supportive encounters. Youth group’s volunteers may
provide self-help assistance, peer group confrontations and support and/or
peer ministries counselling to drug dependents at the Center.

3. Educational opportunities shall be made available to patients while in the

center for the purpose of improving their skills, interests and capabilities
on a particular vocational field of their choice. This aims to increase their

30 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 self-esteem and their chance for employment. This may improve their
work habits and thus make possible a more satisfactory and rewarding way
of life. The educational opportunities come from a built-in schooling
program and vocational training course that takes into account prevailing
conditions in the local labor market, the economy of the community, the
industrial and commercial needs of the community.

Recommended Treatment Approaches/Modalities:

1. Eclectic Approach aims at applying a holistic approach in the

rehabilitation program. The spiritual and cognitive components of the
Twelve Steps complement the behavioural aspects of the Therapeutic
Community. The skills and services of rehabilitation professionals and
paraprofessionals are made available. In doing so, different personality
aspects of drug dependents are well addressed geared towards their
rehabilitation and recovery.

2. Hazelden-Minnesotta Model views addiction as a disease, an involuntary

condition caused by factors largely outside a person’s control. The
program consists of didactic lectures, cognitive-behavioral psychology,
Alcoholic Anonymous principles / Twelve Steps principles and biblio-
therapy. It aims to treat patients with chemical dependency, endorsing a
set of values and beliefs about the powerlessness of people over drug
taking and turning to a Higher Power to help them combat the disease. In
this modality, counsellors and patients collaborate in defining the path to
recovery.

3. Multidisciplinary Team Approach is a method in the treatment and

rehabilitation of drug dependents which avails of the services and skills of
a team composed of psychiatrist, psychologist, social worker, occupational
therapist and other related disciplines in collaboration with the family and
the drug dependent.

4. Therapeutic Community Approach views addiction as a symptomatic

manifestation of a more complex psychological problem rooted in an
interplay of emotional, social, physical and spiritual values. It is a highly
structured program wherein the community is utilized as the primary
vehicle to foster behavioural and attitudinal change. The patient receives
the information and the impetus to change from being a part of the
community. Role modelling and peer pressure play significant parts in the
program.

The goal of every therapeutic community is to change the patients’ self-

destructive thinking and behavioural pattern, teach them personal
responsibility, positivize their self-image, create a sense of human
community and provide an environment in which human beings can grow
and take responsibility and credit for the growth.

31 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 5. Other accepted approaches approved by the DDB based on the study
recommended by the DOH.

Recommended Therapeutic Activities

1. Psychotherapy is a form of treatment of problems of an emotional nature in

which a trained person deliberately establishes professional relationship with a
patient with object of remedying, modifying or retarding existing symptoms,
mediating disturbed patterns of behaviour, and promoting positive personality
growth and development.
1.1 Individual Therapy involves a one to one relationship between the
counsellor and the patient with the primary aim of helping the client get rid
of a reduce his drug abusing behaviour so that he may be able to get
involved in productive work and develop insights into his conditions.

1.2 Group Therapy is a form of therapy where the individual is help

through group process. Each member of the group receives immediate
feedback from the other members regarding his verbal and other forms of
behaviour. Group support and encouragement are given to the subject on
the premise that these are effective devices, which can produce positive
results toward behavioural modification.

1.3 Family Therapy as a form of intervention is based on the recognition

that the family, as a primary social unit, can be a source of problem
leading to drug use. Family therapy may include restructuring of the
family, environmental manipulation, strengthening of family
communication and discovery of family members to help facilitate the
rehabilitation of the drug dependent.

2. Counselling is a process of assistance extended by eligible/registered

counsellor, psychologist and social worker, in an individual or group situation,
to a needy patient. The process aims at enabling the individual to learn and
pursue more realistic and satisfying solutions to his difficulties. It is problem
oriented and helps the individual understand himself and develop the ability to
take decisions and make choices.

3. Community Outreach Program includes among others, environmental and

energy conservation projects, training in agriculture, tree planting and other
socio-civic religious activities. The participation of patients in community
projects can help them integrate into the local society and can also promote
community understanding of their needs and recognize of their remaining
potential and acceptance.

4. Sheltered Workshop provides training for skills development and employment

with appropriate compensation in a controlled environment to increase self-
esteem and chances for outside placement.

5. Social Reintegration is a process of assisting the patient to become socially

and economically self-sustaining without the use of drugs upon his return to
the community.

32 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 PATIENT RIGHTS

Patient Rights during Treatment and Rehabilitation

1. The center shall comply with Data Privacy Act of 2012.

2. Patients are made aware of their rights. This shall be achieved by but is not
limited to:

2.1 Information is communicated in a way that is readily understood by the

patient and repeated as necessary.
2.2 Information on patient rights is displayed prominently in an appropriate
area within the Center.
2.3 Patients are informed when personal information is collected from them,
why the information is needed and whom it will be disclosed to. Patients
have the right to seek access to and correction of any personal
information about them.

3. Information is provided and communicated in a format best suitable to the

individual patient and their family.

4. The Center shall provide patients and their families accurate and adequate
information about service options to enable them to make an informed
decision.

5. The Center shall define and observe the extent of patient rights to personal
privacy and dignity during treatment and rehabilitation.

Cultural Safety

1. The Center shall identify, prepare for and respond to the culture, values and
beliefs of the patients during their stay in the facility.

2. The Center shall respect the role of the family in maintaining a patient’s
values and beliefs.

Confidentiality

1. The Center shall identify and communicate its obligations to the patient and
family in relation to maintaining confidentiality and defines the situations
where it is necessary to disclose information about the patient.

2. The Center shall have procedures that ensure relevant and necessary
information about the patient is disclosed among service providers, and across
relevant components of in-patient and community services.

3. The Center shall have a system in place which ensures the security of patient
related information.

33 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 4. Copies of the Center’s policies on confidentiality including the process for
dealing with breaches of confidentiality shall be available on request.

5. All staff signs a confidentiality agreement upon employment and shall respect
patient information as confidential.

Informed Choice and Informed Consent

1. The Center shall have policies/procedures for gathering and documenting

informed choice and informed consent from patients and relatives.

2. The Center shall have procedures for gaining informed choice and informed
consent for specific situations.

Physical Privacy

1. The Center shall provide adequate physical privacy.

2. The Center shall ensure that staff respects privacy and personal space of
patients.

3. The Center shall ensure that patients have visual privacy when attending to or
securing assistance with personal hygiene requirements.

4. The Center shall ensure that patients are able to have private interaction with
family members, when appropriate.

5. The Center shall ensure that patients are able to receive telephone calls in
private, when appropriate. In times when for security reasons calls may need
to be monitored, patients are informed on this.

Disciplinary Measures

1. The Center shall ensure that disciplinary measures are humane and safe to the
patients.

2. The Center shall prohibit any form of violence and life threatening
disciplinary measures.

3. The Center shall ensure that use of restraints is covered by doctor’s orders.
No patient is restrained for more than six (6) hours to avoid medical
complications.

34 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 PROCEDURAL GUIDELINES FOR CERTIFICATE OF ACCREDITATION

A. Issuance of Permit to Construct

The applicant shall secure a Permit to Construct from the HFSRB or CHD for
construction of a new facility, alteration, expansion or renovation of an existing health
facility, change in classification or increase in bed capacity. It is a prerequisite for
accreditation.

1. The applicant accomplishes the required documents and submits them to

HFSRB or CHD. Upon filing of application, the applicant pays the
corresponding fees to the Cashier of the DOH/CHD in person, or through
manager’s check or postal money order.

Documentary requirements:

1.1 Letter of application to the HFSRB/CHD Director

1.2 Four (4) sets of Site Development Plan and Floor Plan signed and
sealed by a licensed architect and/or engineer
1.3 DTI/SEC Registration (for private facilities) Enabling Act/Board
Resolution (for government facilities)

2. The HFSRB/CHD reviews the documents and approves/disapproves the

issuance of Permit to Construct.

2.1 If approved, the HFSRB/CHD issues a Permit to Construct to the

applicant.
2.2 If disapproved, the HFSRB/CHD returns the documents, together with
their findings and recommendations to the applicant. Failure to
comply within thirty (30) days shall be a ground for denial of
application. Hence, the applicant has to re-file his application and
pays the required fees.

B. Issuance of Certificate of Accreditation

Prior to the operation of a Center, it must secure a Certificate of Accreditation.

1. The applicant accomplishes the required documents and submits them to

the HFSRB/CHD. Upon filing of application, the applicant pays the
corresponding fees to the Cashier of the DOH in person or through
manager’s check or postal money order.

Documentary requirements:
1.1 HFSRB Application Form filed either at the Bureau/CHD
1.2 Permit to Construct
1.3 List of Personnel
1.4 List of Equipment

35 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
 2. The HFSRB/CHD conducts on site survey to determine compliance with
standards/technical requirements.

3. The HFSRB/CHD approves/disapproves the issuance of Certificate of

Accreditation.

3.1 If approved, the HFSRB/CHD accredits the Center and issues an

initial Certificate of Accreditation to the applicant upon deposit of
thirty thousand pesos (30,000.00) cash bond.
3.2 If disapproved, the HFSRB/CHD sends the findings and
recommendations to the applicant. Failure to comply within thirty
(30) days shall be a ground for denial of the application. Hence, the
applicant has to re-file his application and pay the required
accreditation fees.

C. Renewal of Accreditation

1. Application for the renewal of accreditation shall be filed with the

HFSRB/CHD. The renewal period shall be from October 1 to December
15 of the current year. All applications received after this date shall be
considered lapsed.

2. The procedure for application for renewal of accreditation shall be as

follows:

2.1 Applicant prepares the required documents and submits them to the
HFSRB/CHD. Upon filing the application, the applicant pays the fee
for the renewal of accreditation to the cashier of the DOH in person or
through postal money order.

Documentary Requirements for Certificate of Accreditation:

1. Application for Renewal of Accreditation
2. List of Personnel
3. List of Equipment/Instruments
4. Annual Financial Report for the past three (3) years
5. Annual Program Evaluation Report for the past three (3) years

2.2 The HFSRB/CHD conducts onsite survey within the covered year of
expiry date to determine compliance with standards.

2.3 The HFSRB/CHD approves/disapproves the issuance of accreditation.

2.3.1 If approved, the HFSRB/CHD issues an accreditation to the

applicant.
2.3.2 If disapproved, the HFSRB/CHD sends the findings and
recommendations to the applicant for compliance. Failure to
comply within thirty (30) days shall be a ground for denial of
application. However, applicant may opt to re-file his
application, provided that he shall pay the required
accreditation fee.

36 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents
Terms and Conditions of Accreditation:

1. An accreditation shall be granted in accordance with prescribed accreditation

requirements and on the basis of specific conditions and limitations established
during the survey.
2. An accreditation that is not renewed on the expiry date shall be considered lapsed
and registration shall be cancelled. A new application for registration and issuance
of Certificate of Accreditation shall be required before a Center can be allowed to
operate.
3. The HFSRB/CHD shall be notified of any change in management, name or
ownership. In cases of transfer of location, a new application for registration and
accreditation is required.
4. Failure to report in writing within fifteen (15) days of any substantial change in the
condition of the Center (e.g. changes in physical plant, equipment and personnel)
may be a basis for the suspension or revocation of the accreditation.
5. A separate accreditation shall be required for all Centers maintained in separate
premises but operated under the same management.
6. The Certificate of Accreditation shall be placed in an area readily seen by the
public. A copy of the rules and regulations shall be readily available for guidance
of all personnel of the Center.

37 Manual of Operations for Treatment and Rehabilitation Center for Drug Dependents