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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. 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. 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/.
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.
1. 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.
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. 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.
4. 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.
5. 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. Commission on Accreditation of Rehabilitation Facilities (CARF)
An independent non-profit accreditor of health and human services.
3. SAMHSA certification for opioid treatment program (OTP)
4. 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. Sliding fee scale (fee is based on income and other factors)
Variable prices for services based on a person’s ability to pay.
2. Payment assistance (check with facility for details)
A program which helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical bills.
1. Spanish
Staff counselors provide treatment in Spanish.
1. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
2. Pregnant/postpartum women
Facility has a program or group specifically tailored for Pregnant/postpartum women.
3. Adult women
Facility has a program or group specifically tailored for adult women.
4. 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.
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. Treatment for gambling disorder
1. Individual counseling
Process through which clients work one-on-one with a trained mental health clinician in a safe, caring, and confidential environment.
2. Group counseling
Form of therapy where people with similar experiences/issues come together with a professional therapist.
3. Substance use disorder education
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. 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.
4. Drug and alcohol oral fluid testing
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
