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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. 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/.
4. 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. Methadone used in Treatment
1. Methadone
2. 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.
3. 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.
4. 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. 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.
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 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
1. State Substance use treatment agency
Government organization responsible for planning, organizing, delivering, and monitoring substance use disorder services in their respective state.
2. Commission on Accreditation of Rehabilitation Facilities (CARF)
An independent non-profit accreditor of health and human services.
3. 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.
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 military insurance (e.g., TRICARE)
7. Federal, or any government funding for substance use treatment programs
Financial assistance provided by the federal, state, or local government for substance use treatment.
8. IHS/Tribal/Urban (ITU) funds
Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the Indian healthcare system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related services.
9. SAMHSA funding/block grants
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. Pregnant/postpartum women
Facility has a program or group specifically tailored for Pregnant/postpartum women.
4. Adult women
Facility has a program or group specifically tailored for adult women.
5. Adult men
Facility has a program or group specifically tailored for adult men.
6. 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. Social skills development
4. Transportation assistance
1. Mentoring/peer support
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 substance use assessment
3. Outreach to persons in the community
4. Screening for substance use
Test to determine whether a person is experiencing symptoms of substance use and needs treatment.
5. 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
4. Outcome follow-up after discharge
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
6. Testing for Hepatitis B (HBV)
Involves blood test that measure HBV (Hepatitis B virus) antigens and antibodies.
7. 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 for-profit organization
A business or other organization whose primary goal is making money (a profit).
1. Does not treat alcohol use disorder
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
