• The relationship between the prescriber and dispenser of methadone requires ongoing communication to ensure consistency in the overall treatment program. This communication can be facilitated by the development of coordinated care plans.
  • The prescriber and dispenser and other members of the therapeutic team have a duty of care to the patient that may necessitate sharing of information despite professional obligations to maintain patient confidentiality.
  • The dispenser is legally required to assess whether a dose of methadone is appropriate and can withhold treatment if necessary.
  • There are jurisdictional requirements regarding child protection and notification of at risk children. Occasionally staff may experience a conflict between their duty of care to the patient and their jurisdictional responsibilities.