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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. Prescribes buprenorphine
5. Prescribes naltrexone
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. Methadone
3. 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.
4. 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.
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. Brief intervention
A short-term intervention, usually one to five sessions, for substance abusers who are not yet dependent.
6. 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.
7. 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.
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 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. 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. Commission on Accreditation of Rehabilitation Facilities (CARF)
An independent non-profit accreditor of health and human services.
5. SAMHSA certification for opioid treatment program (OTP)
6. 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.
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. Veterans
Facility has a program or group specifically tailored for Veterans.
4. Members of military families
Facility has a program or group specifically tailored for Military families.
5. Criminal justice (other than DUI/DWI)/Forensic clients
Facility has a program or group specifically tailored for clients referred from the court/judicial system.
6. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
7. Pregnant/postpartum women
Facility has a program or group specifically tailored for Pregnant/postpartum women.
8. Adult women
Facility has a program or group specifically tailored for adult women.
9. Adult men
Facility has a program or group specifically tailored for adult men.
10. Clients with HIV or AIDS
Facility has a program or group specifically tailored for persons with HIV or AIDS.
11. Clients who have experienced trauma
Facility has a program or group specifically tailored for persons who have experienced trauma.
12. Clients who have experienced sexual abuse
Facility has a program or group specifically tailored for persons who have experienced sexual abuse.
13. 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.
14. Clients with co-occurring pain and substance use disorders
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. Transportation assistance
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. Screening for mental disorders
Test to determine whether a person is experiencing symptoms of mental health conditions and needs treatment.
5. Screening for substance use
Test to determine whether a person is experiencing symptoms of substance use and needs treatment.
6. Professional interventionist/educational consultant
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. Family counseling
A type of psychological counseling (psychotherapy) that can help family members improve communication and resolve conflicts.
5. Marital/couples counseling
6. 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.
7. 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.
8. Substance use disorder education
9. 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. STD testing
Testing to determine the type of sexually transmitted disease a person may be carrying.
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. Metabolic syndrome monitoring
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 permitted in designated area
1. Opioid use disorder clients only
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
