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1. Substance use treatment
Refers to a range of services, including problem identification and diagnosis, brief interventions, assessment of substance use and related problems, treatment planning, counseling, medical services, psychiatric services, psychological services, social services, and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).
2. Transitional housing, halfway house, or sober home
Housing for individuals recovering from substance abuse that is designed to provide a drug and alcohol-free living environment and appropriate support services to facilitate movement to independent living. Such housing includes transitional living, sober houses, sober living, recovery houses, and 3/4 houses.
3. Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Refers to treatment services intended to help their clients’ ability to function as a result of substance use and/or mental disorders. By definition, serious mental illness is someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. For people under the age of 18, the term ‟Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities.
1. Accepts clients using MAT but prescribed elsewhere
1. Cognitive behavioral therapy
Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.
2. Substance use disorder counseling
A short-term treatment that has been generalized for a variety of disorders including opiate drug dependence and cocaine abuse. The therapy includes supportive techniques which encourage the patient to discuss personal experiences, and expressive techniques, which enable the patient to work through interpersonal relationship issues and gain greater self-understanding.
3. 12-step facilitation
A 12-step program is a support group made up of people who share the same addiction. The "12 steps" refer to the steps recovering addicts must take to overcome their addiction as part of this program. Attendees at group meetings share their experiences, challenges, successes and failures, and provide peer support for each other.
4. Brief intervention
A short-term intervention, usually one to five sessions, for substance abusers who are not yet dependent.
5. Motivational interviewing
A counseling approach which acknowledges that many people experience ambivalence when deciding to make changes. The aim is not to focus immediately on the action of changing, but to work to enhance motivation to change.
6. Anger management
Uses strategies to address the anger cycle, conflict resolution, assertiveness skills, and anger-control plans. The goal of anger management is to reduce both emotional feelings and the physiological arousal that anger causes.
7. Relapse prevention
A cognitive behavioral therapy developed for the treatment of problem drinking and adapted later for treatment of cocaine addiction. Individuals learn to identify and correct problematic behaviors. Relapse prevention encompasses several cognitive behavioral strategies that facilitate abstinence as well as provide help for people who experience relapse.
1. Smoking permitted in designated area
A designated area in which smoking is permitted.
1. Residential/24-hour residential
2. Long-term residential
1. State Substance use treatment agency
Government organization responsible for planning, organizing, delivering, and monitoring substance use disorder services in their respective state.
2. State mental health department
Government organization responsible for planning, organizing, delivering, and monitoring critical mental health services in their respective state.
3. State department of health
4. Federally Qualified Health Center
An entity may qualify as a FQHC if it meets one of these requirements (CMS, 2017): Is receiving a grant under Section 330 of the Public Health Service (PHS) Act or is receiving funding from such a grant and meets other requirements; Is not receiving a grant under Section 330 of the PHS Act, but is determined by the Secretary of the Department of Health and Human Services (HHS) to meet the requirements for receiving such a grant (i.e., qualifies as a FQHC "look-alike") based on the recommendation of the Health Resources and Services Administration (HRSA); Was treated by the Secretary of the Department of HHS for purposes of Medicare Part B as a comprehensive Federally-funded health center as of January 1, 1990; Is operating as an outpatient health program or facility of a tribe or tribal organization under the Indian Self-Determination Act or as an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act as of October 1, 1991.
1. Cash or self-payment
Payment for treatment is made by the person directly, through cash or other means, rather than using health insurance.
2. State-financed health insurance plan other than Medicaid
3. Federal, or any government funding for substance use treatment programs
Financial assistance provided by the federal, state, or local government for substance use treatment.
1. Sliding fee scale (fee is based on income and other factors)
Variable prices for services based on a person’s ability to pay.
1. Clients with co-occurring mental and substance use disorders
Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.
2. Criminal justice (other than DUI/DWI)/Forensic clients
Facility has a program or group specifically tailored for clients referred from the court/judicial system.
3. Adult women
Facility has a program or group specifically tailored for adult women.
4. Clients with HIV or AIDS
Facility has a program or group specifically tailored for persons with HIV or AIDS.
5. Clients who have experienced sexual abuse
Facility has a program or group specifically tailored for persons who have experienced sexual abuse.
6. Clients who have experienced intimate partner violence, domestic violence
Facility has a program or group specifically tailored for persons who have experienced domestic violence or sexual abuse.
1. Case management service
Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.
2. Mental health services
Assessment, diagnosis, treatment or counseling in a professional relationship to assist an individual or group in alleviating mental or emotional illness, symptoms, conditions or disorders.
3. Social skills development
4. Transportation assistance
1. Housing services
Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
2. Self-help groups
Groups in which members share the same issue, condition, or situation and thus are in a position to provide help and support to each other.
1. Screening for tobacco use
Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.
2. Comprehensive mental health assessment
An examination used to determine if a patient is functioning on a healthy psychological, social, or developmental level. It can also be used to aid diagnosis of some neurological disorders, specific diseases, or possible drug abuse.
3. Comprehensive substance use assessment
4. Interim services for clients
5. Outreach to persons in the community
6. Screening for mental disorders
Test to determine whether a person is experiencing symptoms of mental health conditions and needs treatment.
7. Screening for substance use
Test to determine whether a person is experiencing symptoms of substance use and needs treatment.
8. Complete medical history/physical exam
1. Smoking/vaping/tobacco cessation counseling
Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.
2. Individual counseling
Process through which clients work one-on-one with a trained mental health clinician in a safe, caring, and confidential environment.
3. Group counseling
Form of therapy where people with similar experiences/issues come together with a professional therapist.
4. Family counseling
A type of psychological counseling (psychotherapy) that can help family members improve communication and resolve conflicts.
5. HIV or AIDS education, counseling, or support
Access to education, counseling, and support groups to ‘at risk’ individuals and also individuals who have been infected with the virus.
6. Health education services other than HIV/AIDS or hepatitis
Any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes.
7. Substance use disorder education
8. Hepatitis education, counseling, or support
Provides education, counseling, and guidance and support for individuals who are at risk for or potentially infected with the hepatitis virus.
1. Young Adults
Facility accepts young adults (18-25) for treatment.
2. Adults
Facility accepts adults (26-64) for treatment.
1. Female
Female
1. Breathalyzer or blood alcohol testing
A device for estimating blood alcohol content (BAC) from a breath sample.
2. Drug or alcohol urine screening
Analyzes your urine for the presence of certain illegal drugs and prescription medications.
3. HIV testing
Determines whether you are infected with HIV, a virus that weakens the immune system and can lead to acquired immunodeficiency syndrome.
4. TB screening
Skin tests that are used to screen people who are at high risk for TB exposure such as people with diseases or conditions that weaken their immune system.
5. Drug and alcohol oral fluid testing
1. Discharge Planning
A process that aims to improve the coordination of services after discharge from the hospital by considering the patient’s needs in the community.
2. Naloxone and overdose education
3. Outcome follow-up after discharge
1. Private for-profit organization
A business or other organization whose primary goal is making money (a profit).
1. Other contracted prescribing entity
1. Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
1. Other contracted prescribing entity
1. Medication for mental disorders
1. Vaping not permitted
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
