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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. Use methadone/buprenorphine for pain management or emergency dosing
5. 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/.
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 (oral)
2. Naltrexone (extended-release, injectable)
3. Methadone
4. 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.
5. 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.
6. 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.
7. Medications for HIV treatment
8. Medications for Hepatitis C treatment
9. Medication for mental disorders
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. Trauma-related counseling
Multiple types of therapy designed to treat clients suffering from a traumatic event(s).
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. Contingency management/motivational incentives
A treatment approach for drug and alcohol use. This approach uses a positive-reinforcement treatment method in which patients are given rewards for constructive actions taken toward their recovery.
6. 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.
7. 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.
8. 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.
9. Community reinforcement plus vouchers
An intensive outpatient therapy in which individuals focus on improving family relations, receive vocational training, and learn a variety of skills to minimize drug dependency. Vouchers are part of an incentive program which enables individuals to earn points in exchangeable for retail items. This program is used to encourage individuals to remain abstinent and in treatment.
10. 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. 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. Tribal government
A governing body of a group of Native American Indians or Alaska Natives that qualifies as an Indian tribal government determined by the Internal Revenue Services.
1. State Substance use treatment agency
Government organization responsible for planning, organizing, delivering, and monitoring substance use disorder services in their respective state.
2. SAMHSA certification for opioid treatment program (OTP)
3. 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. Federal military insurance (e.g., TRICARE)
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. 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.
1. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
2. Adult women
Facility has a program or group specifically tailored for adult women.
3. Adult men
Facility has a program or group specifically tailored for adult men.
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. Integrated primary care services
These services address the general health care needs of persons with mental and substance use disorders. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, care coordination with staff, and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.
3. 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.
4. Child care for clients' children
A treatment program that offers child care for children while their parents are in treatment.
5. Domestic violence services, including family or partner
Provide safety assistance to victims of domestic violence.
6. Early intervention for HIV
Early detection and treatment of HIV, which can help prevent the onset of AIDS and other opportunistic infections.
7. 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.
8. Social skills development
9. Transportation assistance
1. Mentoring/peer support
2. Housing services
Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
3. Employment counseling or training
Advises, coaches, provides information to and supports people who are planning, seeking and managing their life/work direction.
4. 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. Professional interventionist/educational consultant
9. 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. 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. 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. Metabolic syndrome monitoring
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. Does not treat alcohol use disorder
1. Hepatitis A (HAV) vaccination
2. Hepatitis B (HBV) vaccination
1. Opioid use disorder clients only
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
