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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).
1. Methadone maintenance
Comprehensive treatment program that involves the long-term prescribing of methadone as an alternative to the opioid on which the client was dependent.
2. Buprenorphine maintenance
3. Relapse prevention with naltrexone
Program or group specifically tailored for relapse prevention from Naltrexone which helps people retrain their minds and behaviors to avoid alcohol as a solution to emotional or psychological triggers.
4. Federally-certified Opioid Treatment Program
The process by which the SAMHSA Center for Substance Abuse Treatment, Division of Pharmacologic Therapies determines that an OTP is qualified to provide opioid treatment under 42 CFR Part 8. For additional information on the OTP certification process, see http://www.samhsa.gov/medication-assisted-treatment/opioid-treatment-programs/.
5. Prescribes buprenorphine
6. Prescribes naltrexone
7. Maintenance service with medically supervised withdrawal after stabilization
1. Buprenorphine used in Treatment
Buprenorphine is used in medication-assisted treatment (MAT) to help people reduce or quit their use of heroin or other opiates.
2. Naltrexone used in Treatment
3. Methadone used in Treatment
1. Naltrexone (extended-release, injectable)
2. Methadone
3. Nicotine replacement
Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.
4. Non-nicotine smoking/tobacco cessation
Medications that do not contain nicotine but are designed to reduce a person's craving for tobacco. Some common examples are Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)
5. Acamprosate (Campral®)
6. Disulfiram
7. Buprenorphine sub-dermal implant
A subdermal (just below the skin) implant consisting of four small devices, about the size of a matchstick, surgically placed under the skin in the patient’s upper arm. The device releases a steady, measured dose of buprenorphine for six months.
8. Buprenorphine with naloxone
A prescription medication that combines buprenorphine (which helps relieve symptoms of opiate withdrawal) and naloxone (reverse the effects of narcotics) used to treat opioid addiction.
9. Buprenorphine without naloxone
An opioid used to treat opioid addiction by relieving the symptoms of withdrawal. It can be used under the tongue, by injection, as a skin patch, or as an implant.
10. Buprenorphine (extended-release, injectable)
An injection used to treat moderate to severe opioid use disorder. This is for adults who received a prescribed or illegal oral transmucosal (used under the tongue or inside the cheek) buprenorphine-containing medicine at a dose that controls withdrawal symptoms for a minimum of 7 days.
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. Telemedicine/telehealth therapy
The ability for healthcare providers, working remotely and using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided.
3. 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.
4. Trauma-related counseling
Multiple types of therapy designed to treat clients suffering from a traumatic event(s).
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. Matrix Model
Provides a framework for substance abuse users to obtain the ability to cease drug use, stay in treatment, and participate in an educational program on addiction and relapse. Users are provided with direction and support from a trained therapist and are introduced to self-help programs.
8. 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 not permitted
Smoking is not allowed.
1. Outpatient
Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
2. Outpatient methadone/buprenorphine or naltrexone treatment
3. Regular outpatient treatment
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 department of health
3. The Joint Commission
An independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations.
4. SAMHSA certification for opioid treatment program (OTP)
5. Drug Enforcement Agency (DEA)
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. Medicaid
A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
3. Medicare
The federal health insurance program for people age 65 and older and people with disabilities.
4. State-financed health insurance plan other than Medicaid
5. Private health insurance
6. Federal, or any government funding for substance use treatment programs
Financial assistance provided by the federal, state, or local government for substance use treatment.
7. SAMHSA funding/block grants
1. Sign language services for the deaf and hard of hearing
Service provided for persons who are deaf and hard of hearing.
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. Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
Facility has a program or group specifically tailored for LGBT clients.
3. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
4. Pregnant/postpartum women
Facility has a program or group specifically tailored for Pregnant/postpartum women.
5. Adult women
Facility has a program or group specifically tailored for adult women.
6. Adult men
Facility has a program or group specifically tailored for adult men.
7. Clients who have experienced trauma
Facility has a program or group specifically tailored for persons who have experienced trauma.
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. Suicide prevention services
Services include identifying risk factors; educating staff on the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.
3. Acupuncture
An alternative medicine treatment option that relies on stimulating various points on the body, most often with needles, to relieve pain or treat other physical, mental and emotional conditions.
4. Social skills development
5. Transportation assistance
1. Mentoring/peer support
2. Housing services
Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
3. 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 substance use assessment
3. Interim services for clients
4. Outreach to persons in the community
5. Screening for mental disorders
Test to determine whether a person is experiencing symptoms of mental health conditions and needs treatment.
6. Screening for substance use
Test to determine whether a person is experiencing symptoms of substance use and needs treatment.
7. 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. 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.
5. 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.
6. Substance use disorder education
7. 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
2. Male
Male
1. Aftercare/continuing care
2. 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.
3. Naloxone and overdose education
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. STD testing
Testing to determine the type of sexually transmitted disease a person may be carrying.
5. 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.
6. Drug and alcohol oral fluid testing
7. Testing for Hepatitis B (HBV)
Involves blood test that measure HBV (Hepatitis B virus) antigens and antibodies.
8. Testing for Hepatitis C (HCV)
Test for Hepatitis C, which is usually done and recommended for persons currently injecting drugs, ever injected drugs, were prior recipients of transfusions or organ transplants, or have certain medical conditions, including persons: 1. who received clotting factor concentrates produced before 1987 2. who were ever on long-term hemodialysis 3. with persistently abnormal alanine aminotransferase levels (ALT) 4. who have HIV infection
1. Private non-profit organization
A charitable organization that does not qualify as a public charity.
1. This facility administers/prescribes medication for alcohol use disorder
1. Other contracted prescribing entity
2. No formal relationship with prescribing entity
1. Vaping not permitted
1. Opioid use disorder clients only
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
