Acronyms for the Prevention and Treatment of Substance Use Disorders. Prepared by Mental Health Legal Advisors Committee November 2015

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1 s for the Prevention and Treatment of Substance Use Disorders Prepared by Mental Health Legal Advisors Committee November 2015 Acro ABH ACA A- CRA ACC Association A statewide association ABH of Behavioral representing over eighty Health community-based mental health and addiction treatment provider organizations. ABH members are the primary providers of publicly-funded behavioral healthcare services in the Affordable Care Act Adolescent Community Reinforcemen t Approach Assertive Continuing Care Commonwealth, Federal law on health care insurance with provisions relevant to SUD treatment Clinical case management service Federal law 1

2 ADF AOD ATS ASA M BSA S Alcohol and other dependence Acute Treatment American Society of Addiction Medicine Bureau of Substance Abuse A type of treatment Short term treatment including detox Developed a widely recognized and utilized set of criteria to determine medical necessity Bureau within DPH which licenses substance abuse treatment programs (e.g., day treatment, methadone programs). Directly funds a continuum of substance abuse treatment services including detox, step downs, residential rehabilitation, outpatient counseling, medication assisted treatment and community-based recovery support. Alcohol and Housing term They may self Drug Free identify with. See s.gov/eohhs/gov /departments/dp h/programs/sub stanceabuse/addiction s/drugs-andalcohol/resident ialfacilities/adfhousing- registry/. Insurance coverage term ADF Housing, also known as sober housing or sober homes, are not regulated, license, or funded by BSAS Length of stay averages 1 week. ASAM 2

3 CAR F CAS CBT CHN A COD CRA CRA FFT CSP Commission on Accreditation of Rehabilitation Facilities Certified Addiction Specialist Cognitive behavioral therappy Community DPH program Health Network Area) Co-occurring disorder Child Replaces CHINS Legislation Requiring regarding DCF Assistance a mnemonic acro Community Support Programs A behavioral health screening tool for use with children under the age of 21 MassHealth funded programs which provide community-based supports to help individuals transition to community services after acute residential treatment, with a focus on people who have had relapses MassHealth 3

4 CSS DEA DFC DHC Q DPH Clinical Treatment offered in Stabilization highly structured residential settings. include nursing, intensive education and counseling regarding addiction and its consequences, relapse prevention and aftercare Drug Enforcement Agency Drug Free Communities Division of Health Care Quality Department of Public Health planning. agency responsible for enforcing the controlled substances laws and regulations of the United States Federally supported Drug-Free Communities (DFC) grants supply up to $125,000 per year for up to ten years, Licenses general hospitals and outpatient clinics, some of which provide substance abuse treatment services Federal agency division. Mass. agency May follow detox. Length of stay is approximately days. BSAS standards allow for stays up to 30 days. Covered by some insurance plans including MassHealth. BSAS pays for uninsured individuals. Physicians with DEA waivers can provide MAT to up to 30 patients the first year and 100 patients thereafter in a physician s office The DFC Program is overseen by ONDCP, with day-to-day management conducted by Project Officers (Center for Substance Abuse Prevention/CSAP) and Grants Management Specialists (Division of Grants Management/DGM) at the U.S. Department of Health and Human (HHS), Substance Abuse and Mental Health Administration (SAMHSA). 4

5 DVS E- ATS EBP EHR EMR FDA IOPs IVD U LAD C-1 Mass TAP P Department of Veterans Enhanced Acute Treatment Evidence based practice Electronic health record Electronic medical record Federal Drug Administratio n Intensive Outpatient Providers Intravenous drug user Licensed Alcohol and Drug Counselors I Massachusett s Technical Assistance Partnership for Prevention For individuals with Cooccurring Mental Health and Substance Use Disorders, E-ATS provide diversionary and/or step-down services for those in need of acute, 24-hour substance use disorder treatment, as well as psychiatric treatment and stabilization. Approves medications, including those for treatment of opioid dependence. MassTAPP provides technical assistance to substance abuse coalitions across the state. Mass. Behavioral Health Partnership service Federal agency Funded by BSAS of DPH. See hip.com/pdf/e_atsfina LJul2014.pdf 5

6 MAT MOA PC MOA R NID A OBO T OPP Medication Treatment used in Assisted detoxification process Treatment and to help maintain individuals in recovery. Massachusett s Opioid Abuse Prevention Collaborative Mass. Organization for Addiction Recovery National Institute on Drug Abuse Office-Based Opioid Treatment programs Office of Patient Protection OTPs Opioid Treatment Programs OYY AS PDA PDM P Office of Youth and Young Adults Percent days abstinent Prescription Drug Monitoring Program Advocacy organization BSAS funds these programs, which are located in health centers. SAMHSA certified and accredited programs following federal regulations. Coalitions of contiguous communities funded by DPH MOAR Mass. Health Policy Commission SAMHSA, BSAS There are 3 FDA approved medications for treatment of opioid dependence: methadone, buprenorphine (Buprenex, Suboxone, Subutex ) and naltrexone (Vivitrol). Suboxone, contains both buprenorphine and the opiate antagonist naloxone. These provide Buprenorphine. Methadone programs are OTPs. 6

7 PDP R PFC PMP RCH C RHS RSC Post Detox- PDPR is a HUD-funded Pre-Recovery transitional supportive Programs housing program that provides subsidized rooms with some case management services to individuals in early recovery, primarily after detoxification. The intent is to bridge, in the short term, the time between discharge from detox and admission into residential treatment, transitional or permanent housing. Prefrontal cortex Prescription Monitoring Program Regional Centers for Healthy Communities Recovery High Schools Recovery homes Recovery Support Centers Program to monitor prescriptions of controlled substances RCHCs help build healthier communities by addressing alcohol, tobacco, and other drug abuse prevention and youth development issues at the local level. DPH funded service providing a structured school environment for high school aged youth in recovery Recovery Homes provide a structured, sober environment for individuals recovering from addiction to alcohol and/or other drugs Centers offering supports run by peers to attain and maintain recovery. Funded by BSAS, DPH. 7

8 SAD D SAM HSA SAP C SASI SAV E Residential Rehabilitation Students Against Destructive Decisions Substance Abuse and Mental Health Administratio n Massachusett s Substance Abuse Prevention Collaborative Substance Abuse Shelters for Individuals Statewide Advocacy for Veterans Empowermen t SASIs provide shelter for substance abusing homeless individuals whose behavior is difficult to manage and less appropriate for shelter in the general shelter system due to their current substance use. The SASI shelters also maintain a number of stabilization beds for those who seek a referral for substance abuse treatment and demonstrate a desire to remain substance free. Federal government Funded by DVS and DPH This is a service providing 2341 beds in 2014, mostly for single adults but also serving 117 families. BSAS funds this service. 8

9 SBI SBIR T SOA P SRW SUD TSS Screening and Brief Intervention Screening, Screening tool to SAMHSA Brief promote early detection promoted intervention, and intervention and Referral to Treatment Structured Outpatient Addiction Program Sober Homes Specialized Residential for Women Substance use disorder Transitional Support DPH funded service providing recovery support through a group home environment. These programs provide a safe and structured therapeutic environment where women may obtain residential substance abuse treatment services while still maintaining custody and care of their children. When recurrent use of alcohol and/or drugs causes significant impairment including health problems, disability, and failure to meet major responsibilities at work, school, home Defined as 24-hour short term residential treatment of up to 30 days, providing nursing, case management, psycho-educational programming and aftercare planning. SAMHSA are provided to bridge the gap between ATS and residential rehabilitation. BSAS is the primary payer for TSS services. 9

10 YRB S Youth Risk Behavior Survey 10

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