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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. Does not use MAT for opioid use disorders
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. 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. 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. Intensive outpatient 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. 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.
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. State-financed health insurance plan other than Medicaid
4. Private health insurance
5. Federal, or any government funding for substance use treatment programs
Financial assistance provided by the federal, state, or local government for substance use treatment.
1. Sliding fee scale (fee is based on income and other factors)
Variable prices for services based on a person’s ability to pay.
1. Spanish
Staff counselors provide treatment in Spanish.
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. Early intervention for HIV
Early detection and treatment of HIV, which can help prevent the onset of AIDS and other opportunistic infections.
4. 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.
5. Social skills development
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 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.
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. 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.
4. 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.
5. Substance use disorder education
6. 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. Children/Adolescents
Facility accepts children/adolescents (17 or younger) 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.
1. Drug or alcohol urine screening
Analyzes your urine for the presence of certain illegal drugs and prescription medications.
2. 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.
3. 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. Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
1. No formal relationship with prescribing entity
1. Vaping permitted in designated area
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
