RESIDENTIAL TREATMENT OF SUBSTANCE USE DISORDERS
|
|
- Marylou Perry
- 8 years ago
- Views:
Transcription
1 RESIDENTIAL TREATMENT OF SUBSTANCE USE DISORDERS Core Therapeutic Elements and Their Relationship to Effectiveness Practice Committee Consensus Report April 2013
2 Executive Summary The Affordable Care Act (ACA) requires coverage of substance use disorder (SUD) care, identifying SUD services as one of the law s Essential Health Benefits (EHB). As more discretion has been given by the Department of Health and Human Services (HHS) to states to define the EHB, it will be most important to work at the state level to ensure that individuals with mental illness and substance use disorders receive quality care within a full continuum of evidenced-based care. Addiction is a chronic health condition and can be successfully managed over time like other chronic conditions. Residential treatment is a more intense service within the continuum of care with levels responsive to the conditions of the patient. The described core elements and therapeutic processes presented in this paper, together with the Patient Placement Criteria developed by the American Society of Addiction Medicine (ASAM) are the basis of the following description of residential treatment: Residential Treatment is a normative, pervasive environment supporting a 24 hour-per-day culture and milieu of beliefs and ideology, which value respect for the inherent goodness of the individual, the capacity to change, personal responsibility, and the reliance on the treatment community as a therapeutic agent. Core Elements 1. Structure and stability 2. Safety and separateness 3. Therapeutic conditions and processes Central to the continuing evolution of residential treatment is a commitment to the principles of selfmanagement of a chronic health condition. Within the normative pervasive environment of the residential setting the community is a therapeutic agent where patients are empowered to manage their health. Disease control and outcomes depend on patients using effective self-management. Support includes acknowledging the patients' role in their care, fostering a sense of responsibility for their health, using proven programs that provide emotional support and strategies for living with chronic illness. Providers and patients work collaboratively to define barriers, set priorities, establish goals, create treatment plans, and solve problems. Goals include sustaining abstinence, preparing for triggers, improving personal health and social functioning, and engaging in continuing care. Conclusions 1. The effectiveness of residential treatment is embedded in how the core elements of this safe, separate, secure, and stable environment respond to the needs of individuals with deficits in cognitive, social, interpersonal, emotional, and/or coping skills. 2. These individuals come from environments that are unstable, chaotic, abusive, and/or toxic, and need a regimented, supportive, stable environment to habilitate or rehabilitate. 3. Individuals with more severe dysfunctions exhibit impulsivity, deficient anger management, hostile/violent acting out, and/or resistance/antagonism to limits. They need an environment which manifests respect, capacity to change, and personal responsibility within a communal setting. The communal setting represents a microcosmic representation of the larger society and provides the social context to alter thinking, feelings, and behaviors. 4. Treatment interventions are matched to a person s readiness to change and it is critical that this individualized treatment matching occurs to assure that residential treatment is not under-utilized or over-utilized. 1
3 Residential Treatment of Substance Use Disorders Core Therapeutic Elements and Their Relationship to Effectiveness Introduction Alignment with Health Care Reform The Affordable Care Act (ACA) requires coverage of substance use disorder (SUD) care, identifying SUD services as one of the law s Essential Health Benefits (EHB). With the ACA s strong coverage provisions, millions more Americans will have better access to the SUD care and supports they need to become and remain well. Work to define which services are covered in each of the EHB categories continues at the federal level and in the states. As a field we are moving forward to assure full coverage for mental illness and substance use disorders. We have seen, so far, the strong commitment from the federal Department of Health and Human Services (HHS) to make mental health (MH) and SUD care a top priority. As more discretion has been given by HHS to states to define the EHB, it will be most important to work at the state level to ensure that individuals with mental illness and substance use disorders receive quality care within a full continuum of evidenced based care. To support this inclusion there is significant evidence of the effectiveness of residential treatment which is compiled by the report Adult Residential Treatment for Substance Use Disorders: Summary of the Evidence (Reif et al, Institute for Behavioral Health, Brandies, 2010). There is also support of the effectiveness of residential treatment in the extensive seminal research completed in 1974 by Sells and Simpson (Sells and Simpson 1980) and follow- up studies (Simpson and Sells 1982). There also seems to be, in the professional literature, an identification of the core elements of residential treatment that correlate with its effectiveness. However, it is less clear how and why these core elements are effective and why they need to occur for some individuals in the environment of a residential setting. This report will summarize these core elements and some correlation to their possible therapeutic effectiveness. There is still work to do to support the inclusion of residential treatment in the EHB. It is in this context that the Practice Committee was given the charge to compile a consensus report for SAAS on the how and why of residential treatment s effectiveness, which would further support its inclusion as a part of the continuum of care for the treatment of substance use disorders. The intention of this report is to gain a consensus that supports the evidence base of the core set of services and structured activities which have been described in the good and modern adult residential treatment setting (SAMSHA, O Brien 2010). This report also emphasizes that addiction is a chronic health condition which can be successfully managed over time like other chronic health conditions. Residential treatment is a level of more intense care within the continuum of care with 2 the Practice Committee was given the charge to compile a consensus report for SAAS on the how and why of residential treatment s effectiveness, which would further support its inclusion as a part of the continuum of care for the treatment of substance use disorders.
4 levels of intensity responsive to the conditions of the patient. The report will also strongly urge the field to arrive at a consensus in which there is a standardization of the levels of care which balance: the need to individualize care to the needs, strengths, severity of brain dysregulation and resulting functional deficits of the individual, their status within the progression and/or remission of the chronic conditions the matched intensity and frequency of the essential care services and structured activities (the dosage) the required credentials and ratio of staff to the patient population. The confirmation of evidenced based practices of the core services and the balanced standardization of the levels of care are necessary to support a reasoned and consistent payment structure. Definitions and Terminology This report primarily uses the definitions and description of both the ASAM Patient Placement Criteria and the NIDA Principles of Drug Addiction Treatment as sources for defining residential treatment. We limited our focus to ASAM s Level III (non-hospital residential). Level III programs offer organized treatment services that feature a planned regimen of care in a 24 hour residential setting. Treatment services adhere to defined policies, procedures, and clinical protocols. The defining characteristics of all Level III programs is that they serve individuals who, because of their specific functional deficits, need safe and stable living environments in order to develop their recovery skills (ASAM PPC -2R) The National Institute of Drug Abuse (NIDA) Principles of Drug Addiction Treatment defines residential treatment as follows: Short-term residential programs provide 24 hour per day intensive but relatively brief treatment typically based on a modified 12-step approach. Long-term residential treatment provides care 24 hours a day, generally in non-hospital settings. Addiction is viewed in the context of an individual's social and psychological deficits, and treatment focuses on developing personal accountability and responsibility as well as socially productive lives. Treatment is highly structured. with activities designed to help residents examine damaging beliefs, self-concepts, and destructive patterns of behavior and adopt new, more harmonious and constructive ways to interact with others. There is significant confusion about the language used to distinguish between clinical residential treatment and other supportive forms of residential housing which provide an important part of the continuum of care supporting some individuals needs for a stage of their recovery. Some authors have suggested clarifying terminology for clinical residential treatment as non-hospital inpatient services. This report is concerned that this new terminology will only add further confusion with the mix of another term for clinical residential treatment as distinct from a supportive form of housing. Therefore throughout this study we will continue to use the terminology residential treatment of substance use disorders. 3
5 Scope of Consensus Report and Method of Study The committee completed a limited survey of the literature to identify the core elements of residential treatment which seem to correlate to its effectiveness. In our survey the core elements are foundational to a residential treatment environment. They are foundational in the sense that they are the necessary and sufficient conditions of the residential environment, which are responsive to the needs and functional deficits identified in the ASAM Patient Placement Criteria for residential levels of care for both adults and adolescents. They are also the necessary and sufficient conditions for the various therapeutic processes and outcomes to occur. Those foundational core elements are: Safety and Separateness, Structure and Stability. The next section summarizes the characteristics of the core elements and the therapeutic process that occur with the environment that these core elements support. Core Elements Structure and stability are supported by an environment which includes the following major characteristics: Daily regimen of scheduled and structured activities: Group therapy Reflective time Individual therapy Community meetings Didactics Recreational/physical activities Meals Defined policies, procedures and clinical protocols Specified roles for staff, residents, and family members Predictable times to practice recovery and coping skills Safety and separateness are supported by an environment which provides: Safety from: Alcohol and other drugs Dominant drug culture Drug places Chaos Safety to: Practice recovery and coping skills Controlled experiential community environment separate from larger society and from the drug using culture to which many patients belong Microcosmic representation of a larger society providing a social and interactive context to alter thinking, feelings, and behaviors 4
6 Therapeutic conditions and processes that occur within the residential environment that seem to correlate to its effectiveness include: Structures and regimens that support a recovery environment and related behaviors and skills Sufficient stability to prevent and minimize relapse Treatment and community structure to practice and integrate recovery and coping skills Community and treatment settings built upon residents imitative tendencies to learn through reciprocal role modeling by both peers and staff An environment built upon the social nature of persons Encouragement of progress which is dependent on reciprocal interaction in a safe and separate community setting A separate community as a means of personal, and in some cases spiritual, transformation which requires a shift from the self-centeredness of one s personal identity, which is characterized by addiction thinking, feeling, and behaving, to letting go to a power greater than oneself Healing not in isolation, but in communion with others Residential treatment is intended to be individualized though varied levels of care and intensity to the functional deficits identified in the ASAM Patient Placement Criteria. The core elements and therapeutic processes described above are responsive to the functional deficits for patients who meet the ASAM Level III placement criteria. These deficits cumulatively support the need for a safe and separate environment which has structure, stability and a degree of predictability. Throughout a review of these functional deficits are clear indications of the need for a separate environment, stronger and consistent structure to support the application and practice of recovery skills. While all levels of treatment do respond to the dysregulation of brain systems caused by addiction to psychoactive substances, the characteristic of this dysregulation, and 5 In the residential treatment environment an individual s functional cognitive deficits require treatment that is primarily slower paced, more concrete and repetitive in nature. resulting functional deficits, is more intense and continual in individuals who need a separate environment to develop and practice their recovery skills. Therefore, in the residential treatment environment an individual s functional cognitive deficits require treatment that is primarily slower paced, more concrete and repetitive in nature. The daily regimens, the structured patterns of activities, are intended to restore cognitive functioning and build behavioral patterns within a community. In addition to cognitive functional deficits this safe and stable environment with the community as a therapeutic agent is also responsive to emotional, social, and interpersonal deficits identified in these criteria. Some of these deficits are the results of trauma which require competencies of trauma informed care in both individual and focused group interventions. Structured group activities and communal living provide the opportunity for learning and practicing new skills in all these areas of significant dysfunction. Social learning within the normative environment occurs through modeling new skills and the practicing of new skills which is responsive to the individual s chaotic environment and often isolated self-centeredness.
7 ASAM Patient Placement Criteria: Level Functional deficits and needs include: Problems in the application of recovery skills Lack of connectivity to the world of work, education, and family life Person in pre-contemplation who is living in an environment too toxic to permit treatment in an outpatient basis Need a supportive environment for receiving discovery rather than recovery services. Level III.3 Functional deficits and needs include: Person for whom the effects of substance use disorders is so significant that he/she results in a level of impairment for which outpatient services are not feasible or effective Functional deficits are primarily cognitive and can be temporary or permanent which require treatment at a slower pace, more concrete and repetitive until cognitive impairment subsides Responsive to a person with such severe deficits in interpersonal and coping skills that treatment focuses more on habilitation rather than rehabilitation Level III.5 Functional deficits and needs include: Person with significant social and psychological problems who can benefit from the treatment community as a therapeutic agent Functional deficits: chaotic, often abusive, non supportive interpersonal relationships More serious or lengthy criminal history Limited or significantly sporadic work and educational history Treatment interventions are matched to a person s readiness to change: For some it is discovery For some it may focus on maintaining abstinence and preventing relapse For some it is preventing a return to antisocial behavior For some it is developing a sense of personal responsibility and positive character change For some it is habilitative For some it is rehabilitative Anti-social value systems characterized by: Impulsivity, deficient anger management skills Hostile or violent acting out Resistance and antagonism to limits or problems with authority Hyperactivity and distractibility (ASAM PPC-2R). (2001) The above core elements and therapeutic processes lead the committee to the following description of residential treatment: Residential Treatment is a normative, pervasive environment supporting a 24 hour-per-day culture and milieu of beliefs and ideology, which value respect for the inherent goodness of the individual, the capacity to change, personal responsibility, and the reliance on the treatment community as a therapeutic agent. 6
8 Conclusions 5. The effectiveness of residential treatment for both adults and adolescents is embedded in how the very characteristics of core elements of this safe, separate, secure, and stable environment respond to the needs of individuals with significant functional deficits in their cognitive, social and interpersonal, and emotional functioning and coping functions. The functional deficits are identified by ASAM Patient Placement Criteria. 6. These individuals more often come from environments that are unstable, chaotic, abusive and toxic, and therefore they need a regimented, supportive, stable environment in which to learn and practice through interventions that habilitate or rehabilitate. 7. Individuals with more severe dysfunctions often exhibit impulsivity, deficient anger management, hostile and violent acting out, and resistance and antagonism to limits. These individuals need a normative, pervasive environment which manifests respect, the capacity to change and personal responsibility within a communal setting. It is this communal setting that represents a microcosmic representation of the larger society that provides the social context to alter thinking, feelings, and behaviors. 8. Treatment interventions are matched to a person s readiness to change and it is critical that this individualized treatment matching occurs to assure that residential treatment is not underutilized or over utilized. This is consistent with The Six Aims of High-Quality Health Care from the Institute of Medicine: Safe - avoiding injuries to patients from the care that is intended to help them. Effective - providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively). Patient-centered - providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions. Timely - reducing waits and sometimes harmful delays for both those who receive and those who give care. Efficient - avoiding waste, including waste of equipment, supplies, ideas, and energy. Equitable - providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status. IOM, 2001:5 6. The duration of care is dependent on the individual progress and any of the following needs of the patient: For some it is discovery For some it may focus on maintaining abstinence and preventing relapse For some it is preventing a return to antisocial behavior For some it is developing a sense of personal responsibility and positive character change For some it is habilitative For some it is rehabilitative 7
9 Central to the continuing evolution of residential treatment will be a commitment in practice to the principles of selfmanagement of a chronic health condition. Within the normative pervasive environment of the residential setting the treatment community becomes a therapeutic agent through which patients are empowered and prepared to manage their health and health care. As such, treatment must: Emphasize the patient's central role in managing their health Use effective self-management support strategies that include assessment, goal-setting, action planning, problem-solving and follow-up Organize internal and community resources to provide ongoing self-management support to patients All patients with chronic illness make decisions and engage in behaviors that affect their health (self-management). Disease control and outcomes depend to a significant degree on the effectiveness of self-management. Effective self-management support means more than telling patients what to do. It means acknowledging the patients' central role in their care, one that fosters a sense of responsibility for their own health. It includes the use of proven programs that provide basic information, emotional support, and strategies for living with chronic illness. Self-management support can't begin and end with a class. Using a collaborative approach, providers and patients work together to define problems, set priorities, establish goals, create treatment plans and solve problems along the way. The therapeutic goals are to sustain abstinence, understand and prepare for triggers, improve personal health, improve social functioning, and as needed engage in continuing care as needed in outpatient treatment, recovery housing, recovery management and support services. NIDA in its Principles of Drug Addiction Treatment clearly states the need for integration of care for persons with substance use conditions. In 2006 the Institute of Medicine (IOM) published the third report of the Quality Chasm Series, Improving the Quality of Health Care for Mental and Substance Abuse Conditions (National Academies Press 2006). In this report they strongly recommend the integration of care for mental and substance use problems with other general co-occurring health care conditions and illnesses. The IOM report s recommendation for the coordination and integration of care is foundational to understanding and improving the quality of health care. Mental and substance use problems rarely occur in isolation Mental, substance use and general health problems and illnesses are frequently intertwined Coordination of all these types of health care is essential to improved health outcomes, especially for chronic illnesses (IOM 2007) 8 Effective treatment attends to multiple needs of the individual, not just his or her drug abuse. To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual's age, gender, ethnicity, and culture. NIDA 2009 Principles of Drug Addiction Treatment: A Research Based Guide
10 None of the findings of this report are new. They do however strongly support why residential treatment is effective for those who have more severe functional deficits and require a safe and secure environment in which to learn and practice recovery skills. There is strong evidence that treatment within this level of care can be individualized to the needs, strengths, social supports systems and recovery progress of the patient. Appendix Bibliography ASAM Placement Criteria and Matching Patients to Treatment. (2010) David Mee-Lee, MD and Gerald D. Shulman MA, MAC, FACATA(ASAM, Principles of Addiction Medicine, Chapter 27). DeLeon, G., Recent Research Into Therapeutic Communities,, Principles of Addiction Medicine, 3 rd edition, (2003), Chevy Chase, Maryland: American Society of Addiction Medicine. Drug and Alcohol Service Providers Organization of Pennsylvania, Legal Brief: Inpatient Non-Hospital Addiction Treatment and the Affordable Care Act, Heller, G. December Garnick, D.W., Horgan, C., Acevedo, A., McCorry, F., and Weis-ner, C. Performance Measures for Substance Use Disorders What Research is Needed? Addiction Science and Clinical Prac-tice. (2012). Published online at Institute of Medicine (2006), Improving the Quality of Health Care for Mental and Substance-Use Condition: Quality Chasm Series. Washington DC: National Academy Press. Kurth, D.J., Therapeutic Communities, Features of a Modern Therapeutic Community, Principles of Addiction Medicine, 3 rd edition, (2003), Chevy Chase, Maryland: American Society of Addiction Medicine. McLellan A.T., McKay, J.R. (2009). Evidenced Based Clinical Practices Within and Across Continuum of Addiction Treatment (ASAM Principles of Addiction Medicine, Chapter 25). Mee-Lee D, Shulman, G.D., Fishaman, M, et al., ASAM Patient Placement criteria for the Treatment of Substance Use Disorders, 2 nd Edition-revised (ASAM PPC-2R). (2001) Chevy Chase Maryland: American Society of Addiction Medicine. NIDA: Principles of Effective Treatment, NIH Pub Number: Published: October 1999, Revised: December O Brien, W.B., Perfas, F.B., The Therapeutic Community, Lowinson, J. H., Ruiz, P., Millman, R. B., and Langrod, J. C. (Eds.). (2004). Substance Abuse: A comprehensive textbook. Baltimore, MD: Lippincott Williams & Wilkins. 9
11 Reif, S., Horgan, C.M., Quinnn, A.E., Granick, D.W., Hodgkin, D. Adult Residential Treatment for Substance Use Disorders: Summary of the Evidence, (2010) Brandeis University. S. B. Sells & D. D. Simpson (Eds.). (1976). The Effectiveness of Drug Abuse Treatment: Vols Cambridge, MA: Ballinger. S. B. Sells & D. D. Simpson, The Case for Drug Abuse Treatment Effectiveness, Based on the DARP Research Program, British journal of Addiction 75 (1980) SAMSHA, Models of Adult Residential Substance use Disorder Treatment, 2010 (Paper prepared as summary of Adult Residential Treatment Expert Panel Convened in August 2010). SAMSHA. O Brien J (Draft 2010): Description of a Good and Modern Addiction and Mental Health Service System which can be accessed at the following website: Simpson, D.D., Sells, S.B., Effectiveness of Treatment for Drug Abuse: An Overview of the DARP Research Program, Advances in Alcohol and substance Abuse, (1982). Willenbring MD. (2009) Spectrum of Alcohol Use Disorders Continuum of Care (ASAM, Principles of Addiction Medicine, Chapter 23). Committee Members Michael Reagan, Chair, Chief External Relations Officer, Cherry Street Health Services, MI Susan Blacksher, MSW, MCA, Executive Director CA Association of Addiction Recovery Resources Charles Bush, Program Manager, Clearview Recovery Center, MS Cinda Cash, former Executive Director, Connecticut Women's Consortium, Inc. John Coppola, MSW, Executive Director, NY Association of Alcoholism and Substance Abuse Providers, Inc. John Daigle, Consultant, FL Dick Dillon, CEO, Innovaision, LLC, MO Sheila North, M.A., M.F.T., Executive Director, DePaul Treatment Centers, OR Constance Peters, MSPA, VP for Addiction Services, Association for Behavioral Health MA Art Schut, CEO, Arapahoe House Inc., CO Bill Stauffer, LSW, CADC, Executive Director, PRO-A, PA For more information on this report or other SAAS documents: Go to the SAAS website Contact Becky Vaughn, CEO at bvaughn@saasnet.org or
12 Core Therapeutic Elements of Residential Treatment of Substance Use Disorders Residential Treatment is a normative pervasive environment supporting a 24 hour-per-day culture and milieu of beliefs and ideology which values respect for the inherent goodness of the individual, the capacity to change, personal responsibility and the reliance on the treatment community as a therapeutic agent. The following four core elements are identified in the literature and correlated with its effectiveness although is less clear how and why they are effective. Varied Levels of Care and Intensity Responsive to Persons with the Following Needs and Functional Deficits (ASAM Patient Placement Criteria) Level Functional deficits and needs include: - Problems in the application of recovery skills -Lack of connectivity to the world od work, education, family life - Person in "pre-contemplation" who are living in an environment "too toxic" to permit treatment in an outpatient basis Level Functional deficits and needs include: - Person for whom the effects of substance use disorders are so significant that they result in a level of impairment for which outpatient services are not feasible or effective - Functional deficits are primarily cognitive and can be temporary or permanent which require treatment at a slower pace, more concrete and repetitive until cognitive impairment subsides - Responsive to person with such severe deficits in interpersonal and coping skills that treatment focuses more on "habilitation " rather than "rehabilitation" Level Functional deficits and needs include: - Responsive to needs of persons with significant social and psychological problems who can benefit from the treatment community as a therapeutic agent - Functional deficits : chaotic, often abusive, non-supportive interpersonal relationships - More serious or lengthy criminal history - Limited or significantly sporadic work and educational history -Treatment interventions are matched to person's readiness to change : For some it is "discovery" For some it may focus on maintaining abstinence and preventing relapse For some preventing a return to antisocial behavior For some it is developing a sense of personal responsibility and positive character change For some it is "habilitative" For some it is "rehabilitative" -Anti-social value systems characterized by: Impulsivity, deficient anger management skills Hostile or violent acting out, Resistance and antagonism to limits, problems with authority Hyperactivity and distractibility Structure and Stability Daily regimen of scheduled activities: Meals Community meetings Didactics Recreational/physical Reflective time Group therapy Individual therapy Defined policies procedures and clinical protocols Specified roles for staff, residents and family Predictable times to practice recovery and coping skills Safety and Separateness Safety from: Alcohol and other drugs Dominate drug culture Drug places Chaos Safety to: Practice recovery and coping skills Controlled experiential community environment separate from larger society Microcosmic representation of larger society providing a social context to alter thinking, feelings, behaviors Therapeutic Processes and Outcomes -Structured recovery environment -Provides sufficient stability to prevent and minimize relapse -Provide treatment and community structure to practice and integrate recovery and coping skills -Community and treatment settings build upon residents imitative tendencies to learn through role modeling -Build upon the social nature of persons (Social Learning, Social control, Stress and Coping, Theories) -Development is dependent on reciprocal interaction in a safe and separate community setting. -The use of a separate community as a means of personal and spiritual transformation requires a shift from the self-centeredness of the personal identity, which characterizes addiction thinking, feeling and behaving to "letting go" to a power greater than oneself -The resident finds healing not isolation but in communion with others 11
TREATMENT POLICY #10. Residential Treatment Continuum of Services
Michigan Department of Community Health, Behavioral Health and Developmental Disabilities Administration BUREAU OF SUBSTANCE ABUSE AND ADDICTION SERVICES TREATMENT POLICY #10 SUBJECT: Residential Treatment
More informationWCHO PIHP/CA POLICY for the LIVINGSTON- WASHTENAW COORDINATING AGENCY Department: Coordinating Agency Author: Marci Scalera Approval Date 4/17/12
WCHO PIHP/CA POLICY for the LIVINGSTON- WASHTENAW COORDINATING AGENCY Department: Coordinating Agency Author: Marci Scalera Approval Date 4/17/12 Policy and Procedure Residential Treatment Services Policy
More informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
More informationPERFORMANCE MEASURES FOR SUBSTANCE USE DISORDERS: CURRENT KNOWLEDGE AND KEY QUESTIONS
PERFORMANCE MEASURES FOR SUBSTANCE USE DISORDERS: CURRENT KNOWLEDGE AND KEY QUESTIONS Deborah Garnick Constance Horgan Andrea Acevedo, The Heller School for Social Policy and Management, Brandeis University
More informationHow To Know If You Can Get Help For An Addiction
2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA Overview Psychcare strives to provide quality care in the least restrictive environment. An
More informationAppendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines
Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding
More informationLEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)
LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Parity in Benefit Coverage: A Joint Statement by ASAM and AMBHA The American Managed Behavioral Healthcare Association (AMBHA) and the
More informationtreatment effectiveness and, in most instances, to result in successful treatment outcomes.
Key Elements of Treatment Planning for Clients with Co Occurring Substance Abuse and Mental Health Disorders (COD) [Treatment Improvement Protocol, TIP 42: SAMHSA/CSAT] For purposes of this TIP, co occurring
More informationTREATMENT MODALITIES. May, 2013
TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.
More informationYouth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD
Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness
More informationAlcoholism and Substance Abuse
State of Illinois Department of Human Services Division of Alcoholism and Substance Abuse OVERVIEW The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA) is the
More informationUNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
More informationINSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF CASE MANAGEMENT SERVICES FOR INDIVIDUALS AND FAMILIES WITH SUBSTANCE USE DISORDERS
201 Mulholland Bay City, MI 48708 P 989-497-1344 F 989-497-1348 www.riverhaven-ca.org Title: Case Management Protocol Original Date: March 30, 2009 Latest Revision Date: August 6, 2013 Approval/Release
More informationMOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT
MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT June, 2014 Dean L. Babcock, LCAC, LCSW Associate Vice President Eskenazi Health Midtown Community Mental Health Centers Why is Evidence-Based
More informationEvidence Based Approaches to Addiction and Mental Illness Treatment for Adults
Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.
More informationStandards for the School Counselor [23.110]
II. STANDARDS FOR THE SCHOOL SERVICE PERSONNEL CERTIFICATE Standards for the School Counselor [23.110] STANDARD 1 - Academic Development Domain The competent school counselor understands the learning process
More informationAddiction: Disease or Choice?
Addiction: Disease or Choice? Presented by Michael Coughlin RN October 18, 2012 Introduced by Melanie Willows B.Sc. M.D. C.C.F.P. C.A.S.A.M. C.C.S.A.M. Assistant Professor University Of Ottawa Clinical
More informationAN INTRODUCTION ASAM
AN INTRODUCTION ASAM 2013 Ray Caesar LPC, LADC-MH Director of Addiction Specialty Programs ODMHSAS (405)522-3870 rcaesar@odmhsas.org AMERICAN SOCIETY OF ADDICTON MEDICINE ASAM ASAM is a professional organization
More informationTREATING ADOLESCENTS
TREATING ADOLESCENTS A focus on adolescent substance abuse and addiction Center for Youth, Family, and Community Partnerships Presentation developed by: Christopher Townsend MA, LPC, LCAS,CCS, NCC Learning
More informationProcedure/ Revenue Code. Billing NPI Required. Rendering NPI Required. Service/Revenue Code Description. Yes No No
Procedure/ Revenue Code Service/Revenue Code Description Billing NPI Rendering NPI Attending/ Admitting NPI 0100 Inpatient Services Yes No Yes 0114 Room & Board - private psychiatric Yes No Yes 0124 Room
More informationMinnesota Co-occurring Mental Health & Substance Disorders Competencies:
Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held
More informationTHE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES
THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES PURPOSE: The goal of this document is to describe the
More informationTN No: 09-024 Supersedes Approval Date:01-27-10 Effective Date: 10/01/09 TN No: 08-011
Page 15a.2 (iii) Community Support - (adults) (CS) North Carolina is revising the State Plan to facilitate phase out of the Community Support - Adults service, which will end effective July 1, 2010. Beginning
More informationCOUNSELOR COMPETENCY DESCRIPTION. ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor)
COUNSELOR COMPETENCY DESCRIPTION ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor) NOTE: The following material on substance abuse counselor competency has been developed from
More informationThe Department of Children and Families Substance Abuse Program
The Department of Children and Families Substance Abuse Program Florida Supplement To the American Society of Addiction Medicine Patient Placement Criteria For the Treatment of Substance-Related Disorders
More informationADDICTION COUNSELOR COMPETENCIES Addiction Counseling Practice Domains
2014 Georgia Certified Addiction Counselor 180-Hour Preparation Course COURSE DESCRIPTION: This education program is designed to provide the coursework necessary for those seeking the certification as
More informationLEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult
LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American
More informationClinical Skills for Evidence-Based Substance Abuse Treatment Practices with Offenders. Treatment of Co-Occurring Disorders
Clinical Skills for Evidence-Based Substance Abuse Treatment Practices with Offenders Treatment of Co-Occurring Disorders National TASC Conference, Columbus, Ohio; May 8, 2013 Roger H. Peters, Ph.D., University
More informationHow To Deliver A Substance Use Treatment
DMHAS ASAM SERVICE DESCRIPTIONS Please carefully review the Service Descriptions that are included in the DMHAS FFS Initiatives in this Annex A1 contract section. Initial the boxes below to identify the
More informationMental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005
Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005 By April 1, 2006, the Department, in conjunction with the Department of Corrections, shall report the following
More informationCo-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs
Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and
More informationTreating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services
Treating Co-Occurring Disorders Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Implementing SAMHSA Evidence-Based Practice Toolkits Integrated Dual Diagnosis Treatment (IDDT) Target group:
More informationWhat is Addiction Treatment?
What is Addiction Treatment? During 2000, almost 300,000 people entered addiction treatment services in New York State. On any given day, about 110,000 individuals are enrolled in New York State programs,
More informationConceptual Models of Substance Use
Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes
More informationAccessing Substance Abuse Treatment in Iowa
Accessing Substance Abuse Treatment in Iowa Panel Discussion: Steve Estes, Fonda Frazier (MECCA) Lowell Yoder (UIHC) Overview What kinds of Substance Abuse treatment are available? How do we know who needs
More informationSEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK
National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal
More informationTABLE OF CONTENTS 2 10 QUESTIONS TO ASK
TABLE OF CONTENTS Do You Offer Treatment Programs for People Who Have a Dual-Diagnosis Disorder? What Role Will My Family Play in the Rehabilitative Process? Do You Have Medical Personnel Available to
More informationWORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL
WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL General Guidelines for Treatment of Compensable Injuries Patient must have a diagnosed mental illness as defined by DSM-5
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Core Benefit for Primary Care and Specialty Treatment and Prevention of Alcohol, Nicotine and Other Drug PREFACE Statement of the Problem:
More informationPHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES
PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES Program Description Guidelines I. Introduction A. Name of the Program Please give the name of the program you plan to operate.
More informationAmerican Society of Addiction Medicine
American Society Medicine Public Policy Statement on Parity in Publicly Funded Health Insurance Benefits for Treatment 1 Background The American Society Medicine has well-established policy affirming that
More informationBehavioral Health Centers of Excellence & the Future of Health
Behavioral Health Centers of Excellence & the Future of Health -draft concept paper- Healthcare reform is creating tremendous disruption in nearly all aspects of healthcare. As many industries have already
More informationWhat is Addiction? DSM-IV-TR Substance Abuse Criteria
Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.
More informationSubstance Abuse Treatment: Group Therapy
Substance Abuse Treatment: Group Therapy Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Chapter 1 This natural propensity in humans makes group therapy
More informationTreatment for Co occurring Disorders
Wisconsin Public Psychiatry Network Teleconference (WPPNT) This teleconference is brought to you by the Wisconsin Department of Health Services (DHS) Bureau of Prevention, Treatment, and Recovery and the
More informationBuilding the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA
Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA 1 THE AFFORDABLE CARE ACT The Patient Protection and Affordable Care Act (ACA) aims to expand
More informationAcquired Brain Injury & Substance Misuse
Acquired Brain Injury & Substance Misuse A Need for a Paradigm Shift? Dr Oliver Aldridge MBBCh, DRCOG, MRCGP Certificant of the International Society of Addiction Medicine Challenges Integration of services
More informationBehavioral Health Provider Implementation of Whole Health Integrative Treatment Services
Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Maryland Integrative Learning Community Lynn H Albizo, Director of Public Affairs Maryland Addictions Directors
More informationFairfax-Falls Church Community Services Board
LOB #267: ADULT RESIDENTIAL TREATMENT SERVICES Purpose Adult Residential Treatment Services provides residential treatment programs for adults with severe substance use disorders and/or co occurring mental
More informationOUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE Brief Coverage Statement Outpatient Substance Use Disorder (SUD) Fee-For-Service (FFS) Treatment Services are available for the treatment of substance
More informationDIVISION OF BEHAVIORAL HEALTH SERVICES SUBSTANCE ABUSE TREATMENT SERVICES PLAN
DIVISION OF BEHAVIORAL HEALTH SERVICES SUBSTANCE ABUSE TREATMENT SERVICES PLAN NOVEMBER 2009 SUBSTANCE ABUSE TREATMENT SERVICES PLAN November 2009 Salt Lake County Department of Human Services Division
More informationAMERICAN SOCIETY OF ADDICTION MEDICINE Patient Placement Criteria for the Treatment of Substance-Related Disorders (Second Edition-Revised) 2001
AMERICAN SOCIETY OF ADDICTION MEDICINE Patient Placement Criteria for the Treatment of Substance-Related Disorders (Second Edition-Revised) 2001 LME Utilization Review Training LEARNING GOALS: By the end
More informationSubstance Abuse Treatment Record Review Presentation
Substance Abuse Treatment Record Review Presentation January 15, 2015 Presented by Melissa Reagan, M.S.W., L.S.W., Quality Management Specialist & Rebecca Rager, M.S.W., Quality Management Specialist Please
More informationHow To Treat A Mental Illness At Riveredge Hospital
ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive
More informationClinical Teaching. Didactic Sessions. Therapy Sessions. Self Directed Reading Clinical Teaching. Didactic Sessions.
Rotation: Addiction Medicine Subspecialty Elective Goals: 1) Introduce residents to the neurobiology and pathology underlying addiction. 2) Provide Internal Medicine residents with the knowledge necessary
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)
More informationHow To Know If You Should Be Treated
Comprehensive ehavioral Care, Inc. delivery system that does not include sufficient alternatives to a particular LOC and a particular patient. Therefore, CompCare considers at least the following factors
More informationAttachment EE - Grant Application RSAT Aftercare
Attachment EE - Grant Application RSAT Aftercare Residential Substance Abuse Treatment (RSAT) for State Prisoners Program CFDA #16.593 Statement of the Problem The Maryland Department of Public Safety
More informationMay 21, 2015 Joint Committee on Finance Paper #352
Legislative Fiscal Bureau One East Main, Suite 301 Madison, WI 53703 (608) 266-3847 Fax: (608) 267-6873 Email: fiscal.bureau@legis.wisconsin.gov Website: http://legis.wisconsin.gov/lfb May 21, 2015 Joint
More informationPresented by. 13 Principles 10/27/09. Principles of Drug Addiction Treatment: A Research Based Guide
Presented by Principles of Drug Addiction Treatment: A Research Based Guide Rick Moldenhauer, MS, LADC, ICADC, LPC Treatment Services Consultant, Alcohol and Drug Abuse Division PO Box 64977, St Paul,
More informationCourse Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES
Course Description SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES At the end of this course participants will be able to: Define and distinguish between substance use, abuse and dependence
More informationCSAT s Knowledge Application Program. KAP Keys. For Clinicians
The Role and Current Status of Patient Placement Criteria in the Treatment of Substance Use Disorders CSAT s Knowledge Application Program KAP Keys For Clinicians Based on TIP 13 The Role and Current Status
More information2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS
2015 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid T reatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3
More informationPERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM. Final Updated 04/17/03
PERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM Final Updated 04/17/03 Community Care is committed to developing performance standards for specific levels of care in an effort to
More informationHow Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
More informationSaving Lives Through Recovery
Saving Lives Through Recovery You or someone you love is abusing drugs or alcohol. You know it and you may be scared. You are not alone. Life does not have to continue this way. The fighting and uncertainty
More informationSEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK
National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal
More informationBehavioral Health Forum 2014 Description of 4 Mental Health Service areas
Behavioral Health Forum 2014 Description of 4 Mental Health Service areas Terri Timberlake, Ph.D. Director, Adult Mental Health Department of Behavioral Health and Developmental Disabilities Core Eligibility
More informationOpioid Treatment Services, Office-Based Opioid Treatment
Optum 1 By United Behavioral Health U.S. Behavioral Health Plan, California Doing Business as OptumHealth Behavioral Solutions of California ( OHBS-CA ) 2015 Level of Care Guidelines Opioid Treatment Services,
More informationOverview of the ASAM Patient Placement Criteria, Second Edition Revised (ASAM PPC-2R)
SAMHSA s Co-occurring Center for Excellence (COCE) Overview of the ASAM Patient Placement Criteria, Second Edition Revised (ASAM PPC-2R) David Mee-Lee, M.D. Chief Editor, ASAM PPC-2R www.dmlmd.com June
More information9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders
Integrated Dual Disorder Treatment and Co-occurring Disorders RANDI TOLLIVER, PHD HEARTLAND HEALTH OUTREACH, INC. ILLINOIS ASSOCIATION OF PROBLEM-SOLVING COURTS OCTOBER 8, 2015 SPRINGFIELD, IL Parallels
More informationPsychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions 2013 1
Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment 1 Presentation Objectives Attendees will have a thorough understanding of Psychiatric Residential
More informationOPERATING GUIDELINES FOR CHEMICAL DEPENDENCE SERVICES OPERATED BY THE NEW YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION
OPERATING GUIDELINES FOR CHEMICAL DEPENDENCE SERVICES OPERATED BY THE NEW YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION BACKGROUND INFORMATION The New York State Department of Corrections
More informationChildren, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting.
Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families June, 2008 This document is adapted from The Vermont Practice
More informationDepartment of Mental Health and Addiction Services 17a-453a-1 2
17a-453a-1 2 DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES General Assistance Behavioral Health Program The Regulations of Connecticut State Agencies are amended by adding sections 17a-453a-1 to 17a-453a-19,
More informationAgency of Human Services
Agency of Human Services Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families The Vermont Practice Guidelines
More informationCIGNA MEDICAL NECESSITY CRITERIA
CIGNA MEDICAL NECESSITY CRITERIA for Treatment of Behavioral Health and Substance Use Disorders 839233 a 11/12 Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance
More informationBEST PRACTICES. Dual Diagnosis Capability: Moving from Concept to Implementation
BEST PRACTICES Dual Diagnosis Capability: Moving from Concept to Implementation Kenneth Minkoff, MD Christie A. Cline, MD, MBA What is dual diagnosis capability (DDC)? As mental health and substance abuse
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call
More informationREVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003
REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,
More informationUnforeseen Benefits: Addiction Treatment Reduces Health Care Costs CLOSING THE ADDICTION TREATMENT GAP
Unforeseen Benefits: Addiction Treatment Reduces Health Care Costs CLOSING THE ADDICTION TREATMENT GAP Executive Summary Improving America s health care system, creating a healthier country, and containing
More informationRehab and Recovery in Allegheny County
September 2013 Rehab and Recovery in Allegheny County Allegheny HealthChoices, Inc. (AHCI) is an innovative non-profit agency dedicated to supporting the provision of high-quality mental health and substance
More informationPhoenix Houses of California Adult Residential & Outpatient Services
s of California s of Los Angeles, Venice - Outpatient - Outpatient 1207 E. Fruit Street s of Los Angeles, Venice - Residential Santa Fe Springs - Residential 11015 South Bloomfield - Residential 1207 E.
More informationWITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider.
WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. Our highly trained and dedicated team of counselors and physicians
More informationHow To Know What You Use For Treatment Of Substance Abuse
National Survey of Substance Abuse Treatment Services The N-SSATS Report October 14, 010 Clinical or Therapeutic Approaches Used by Substance Abuse Treatment Facilities In Brief In 009, the majority of
More informationAddiction takes a toll not only on the
FAMILY PROGRAM Addiction takes a toll not only on the individual, but on the family, as well. When using, addicts are selfish and selfcentered; their wants and needs are placed ahead of the ones they love.
More informationPhoenix House Services for Children & Adults in California
Phoenix House Services for Children & Adults in California Call Center: 818 686 3079 (Monday Friday, 8am-5pm) 800 378 4435 (Evenings and Weekends) Phoenix Houses of California, Inc. 11600 Eldridge Ave.
More informationProtection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India -
Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Article 24 of the Convention on the Rights of the Child recognizes
More informationEvidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson
Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed
More informationUsing Washington Circle Measures in State Performance Management
Using Washington Circle Measures in State Performance Management Deborah Garnick Andrea Acevedo Margaret Lee Constance Horgan State Systems Development Conference August 20, 2008 Institute for Behavioral
More informationProfessional Treatment Services in Facility-Based Crisis Program Children and Adolescents
Professional Treatment Services in Facility-Based Crisis Program Children and Adolescents Medicaid and North Carolina Health Choice (NCHC) Billable Service WORKING DRAFT Revision Date: September 11, 2014
More informationHow To Help Someone With A Drug And Alcohol Addiction
Empowering people to improve their lives. Content TOPICS 2 ABOUT US What we do / Who we serve / Services 4 OUR PHILOSOPHY Environment matters / Holistic approach Gender specific 6 ADMISSION Assessment
More informationContents Opioid Treatment Program Core Program Standards... 2
2016 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid Treatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3 Integrated
More informationADOLESCENT CO-OCCURRING DISORDERS: TREATMENT TRENDS AND GUIDELINES AMANDA ALKEMA, LCSW BECKY KING, LCSW ERIC TADEHARA, LCSW
ADOLESCENT CO-OCCURRING DISORDERS: TREATMENT TRENDS AND GUIDELINES AMANDA ALKEMA, LCSW BECKY KING, LCSW ERIC TADEHARA, LCSW INTRODUCTION OBJECTIVES National and Utah Statistics Best Practice Guidelines
More informationTreatment Resources for Substance Use Disorders
Treatment Resources for Substance Use Disorders The treatment of substance use disorders can be very complex; there are many levels of care and the treatment network can be challenging to navigate. Substance
More informationCURRICULUM VITA SHELLEY A. STEENROD. Salem State College Andover, MA 01810 352 Lafayette Street (978) 474-0252
CURRICULUM VITA SHELLEY A. STEENROD Business Address Home Address School of Social Work 9 Garfield Lane East Salem State College Andover, MA 01810 352 Lafayette Street (978) 474-0252 Salem, MA 09170 steenrod@comcast.net
More informationASAM 101: How to complete the ASAM Placement Form
ASAM 101: How to complete the ASAM Placement Form What is the ASAM? The ASAM Placement Form is a document required by contract The ASAM Form is an ASSESSMENT tool as well as a PLACEMENT tool It seeks to
More informationQuestions to Ask Each Rehab Facility. Includes Notes and Recommendations
Questions to Ask Each Rehab Facility Includes Notes and Recommendations Finding the right rehab can be grueling. Admissions personnel are there to convince you that their program is the best. It is your
More information