Today s Topics. Session 2: Introduction to Drug Treatment. Treatment matching. Guidelines: where should a client go for treatment?
|
|
- Dominick French
- 8 years ago
- Views:
Transcription
1 Session 2: Introduction to Drug Treatment Today s Topics Level of care determination How to know when treatment works What does treatment include Description of treatment modalities Naomi Weinstein, MPH Director, Center on Addiction and the Family (COAF) Phoenix House nweinstein@phoenixhouse.org Guidelines: where should a client go for treatment? Person in need of chemical dependency services should be in the least restrictive, most clinically appropriate level of care available. Requires treatment matching (including Level of care determination) Treatment matching the science and art of placing people in the appropriate level of care, with consideration to the person s specific needs, issues, and concerns (i.e., geography or family issues) Services can be stepped up (when there is no improvement and all interventions have failed) or stepped down, given progress Level of care determination NYS ASAM (American Society of Addiction Medicine) Patient Placement Criteria LOCADTR Level of Care for Alcohol and Drug Treatment Referral (NYS) 1
2 ASAM Patient Placement Criteria Acute intoxication and/or withdrawal potential Biomedical conditions and complications Emotional/Behavioral conditions and complications Treatment acceptance/resistance Relapse potential Recovery environment LOCADTR New York State system for treatment matching Decision tree Must be completed, and documented Qualified Health Professional (QHP) in a OASAS facility New York State says Level of care determination is a clinical procedure provided by an OASAS licensed treatment provider All patients must have a chemical dependency or chemical abuse diagnosis to be admitted to services. Treatment today More emphasis on the science Developments in understanding pharmacology Pressure from insurance and other payers Increase in research NIDA TIPS, manualized approaches, etc. Future of treatment Research/evidence-based treatment Use of medications (craving, withdrawal) Multiple needs mental health, physical health, spirituality, case management Treatment protocols 2
3 Objectives of drug treatment Elimination of drug/alcohol misuse Desire for and appreciation of healthy lifestyle Learn skills to participate in recovery Learn skills to avoid relapse Put new skills into practice in supportive environment Ensuring a supportive environment Principles of effective drug treatment (NIDA) No one-size-fits all Needs to be readily available Multiple needs Regular update treatment/service plan Minimum three months Counseling and other behavioral therapies are critical Medications can be important Treat co-occurring in integrated way Detox is only first stage Can by mandated to be successful Ongoing monitoring of drug use Need to assess for HIV/AIDS, Hep B and C, TB Recovery is long-term and may require several treatment episodes Components of comprehensive treatment Counseling and other behavioral therapies Replace drug using activities Drug resistance skills Motivation Problem solving skills Interpersonal relationships Self-help and drug addiction treatment Complements and extends treatment efforts Most commonly used models include 12-step (AA, NA), and Smart Recovery Most treatment programs encourage self-help participation during/after treatment Groups as treatment tool Mutual support Reduce isolation Rebuild social skills Identify with others Learn not alone with problem Recognize ability to contribute 3
4 When treatment works Clean urinalysis Resolve legal problems Reconnect with family/friends Positive social network Not isolate Healthy recreation Improved health Improved parenting and coping skills Productive member of society Mismatch Goal appropriate level of care within the least restrictive setting Undertreatment Relapse Critical issues unaddressed Overtreatment Relapse may leave treatment if too intense OASAS audit Medicaid disallowances Cost inefficient When treatment level is not appropriate Failure to comply with tx plan (i.e., non-participation) Continued use Continued legal issues Health problems related to use Family discord and stress No healthy social networks Continuing breaking of rules/illegal behavior Toxicology reports Details needed May be taking medications (i.e., anxiety) Marijuana can stay in blood stream for up to 30 days May take a while for methadone dosage to be stabilized Need to look at pattern, not individual events UA results don t indicate safety Types of treatment Typical treatment services Detox (precursor to treatment) Outpatient Residential Replacement therapy (methadone) Special programs MICA Parent/child Crisis intervention Education Group work Individual counseling Medication management and detoxification Medical, psychiatric, dental consultation Recreation Vocation/education training Housing assistance Case management Family work multisystemic: structure, support, education Special services (i.e., child care, acupuncture) Life skills 4
5 Detox programs Purpose medical supervision during detox Manage withdrawal symptoms Engage in idea of treatment Length 3 7 days (avg.) Often leave detox still in active withdrawal Target population alcohol, benzodiazepines, opiates Next steps go to treatment Problems use of detox as treatment, with revolving door mentality Detox: typical day Detox is not Monitor vital signs treatment! Given medications to manage: Withdrawal symptoms (ie: prevent seizures) Cope with cravings Meals Ideal program: Educational seminars Group counseling Individual counseling On-site NA/AA meetings Morning/Evening meetings Outpatient programs Attend program but live at home Clients: more stable home environment, lower relapse potential, family support Time commitment: depends on intensity Frequent, random drug testing Can be step-down after residential Typical components: outpatient 1 2 visits per week Groups Process groups (how are things going) Special topics (family violence, relationships, relapse prevention) Education Referrals Family services Individual counseling (min 1x/month) Outpatient: intensive outpatient (IOP) and day treatment Clients: less stable home environment, moderate relapse potential, willing to show up Time commitment: IOP hours/week, day treatment 15+ hours Highly structured Need more habilitation services Typical Components: IOP/day treatment Meals (breakfast and lunch) Morning meeting Recreational therapy Individual counseling Educational seminars Group work (process and educational) Family work Special services (i.e., child care, Reiki) 5
6 Pharmacological approaches Goals: Relief from withdrawal symptoms Prevent drugs from working Reduce cravings Aversive reactions Some medication options Methadone opiates, reduces cravings, withdrawal symptoms Buprenorphine opiates, like methadone Acamposate alcohol, reduces cravings Antabuse adverse reaction to alcohol Naltrexone stops opiates from using, changes alcohol action for some Neurontin helps with insomnia in early recovery Clonidine reduce withdrawal, cravings Baclofen reduction in cocaine cravings Replacement therapy (methadone and suboxone) Methadone or Buprenorphine (suboxone) For opiate addicts who have used for 1+ years When other treatment options don t work Purpose: eliminate withdrawal symptoms, reduce opiate craving, and allow normalization of the body's function (dose dependent) Some get long-term prescriptions (i.e., 28 days between appointments) Political issue Dosage Is it acceptable drug treatment Long-term nature (replacement therapy) Service Components: replacement therapy Methadone programs offer: Health care Crisis intervention Case management Social and human services Mental health services Voc/Ed Services Family support and education HIV/AIDS casework Buprenorphine fewer services Residential options Short-term (inpatient rehab) Long-term (intensive rehab) Therapeutic communities Halfway house (Community residence) Supportive living Life skills Relapse prevention Residential treatment: short-term (inpatient rehab) Duration: up to 30 days typically Similar to day treatment Very structured Many aligned with 12-step programs 6
7 Residential components: short term (inpatient rehab) Room and board House meetings evening and morning Education and process groups Individual counseling Recreational therapy Homework independent work Special events Family program Residential treatment: Longterm/therapeutic community Clients: Need habilitation Minimal home support Long-term drug users Few economic or other resources Often alternative to incarceration Special features: Highly structured, rules Community as method Job functions Every interaction is a clinical tool Long-term (up to 2 yrs) Residential components: therapeutic community House meetings Job responsibilities Structure and rules Encounter groups Recreational therapy Life skills Educational seminars Vocational/Education Services Medical, psychiatric and dental services Family services Individual and group counseling Adolescents: Add on formal school attendance, intensified family component Special programs: MICA/Mental Health Can be outpatient or residential Mental illness (primary or secondary diagnosis, contributor or sequelae) More severe mental illness Difficulty in everyday functioning Special groups focused on mental health Medication management Rehabilitation programming Special Programs: parent/child Usually residential Usually for mothers Typical: 1 parent/1 child, 0-3 yrs Parenting education General have beds available More sensitive to gender and parenting issues Child development focus Close links with child welfare, kinship care, etc. Continuing care At least 90 days post-graduation On-going check-ins Components: Employment and education guidance Housing referrals/sober living Family relationships Relapse prevention 7
8 Effectiveness of treatment Goal of treatment to return to productive functioning Treatment reduced drug use by 40-60% Treatment reduces crime 40-60% Treatment increases employment prospects by 40% Drug treatment is as successful as treatment of diabetes, asthma, and hypertension 8
Appendix 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 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 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 informationAN OVERVIEW OF TREATMENT MODELS
AN OVERVIEW OF TREATMENT MODELS The 12-step Programs: Self-led groups that focus on the individual s achievement of sobriety. These groups are independent, self-supported, and are not aligned with any
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 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 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 informationNew York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery
New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification
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 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 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 informationAlcohol intervention programs in other countries
Alcohol intervention programs in other countries Assist. Prof. Dr. Suttiporn Janenawasin Siriraj Hosp. Mahidol Univ. A Major Task for Drug Treatment is Changing Brains Back! The Most Effective Treatment
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 informationResidential Sub-Acute Detoxification Guidelines
I. Background Information A. Definition of Detoxification Residential Sub-Acute Detoxification Guidelines SAMSA s TIP #45, Detoxification and Substance Abuse Treatment: Treatment Improvement Protocols
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 informationDepartment of Social and Health Services Division of Alcohol and Substance Abuse. WAC 388-805 Revision Recommendations Patient Placement Criteria
Department of Social and Health Services Division of Alcohol and Substance Abuse WAC 388-805 Revision Recommendations Patient Placement Criteria April 2003 WAC 388-805 WAC 388-805-005 What definitions
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 informationOregon Health Plan - Fee-For-Service Outpatient & Opioid Replacement
Oregon Health Plan - Fee-For-Service Outpatient & Opioid Replacement H0001 H0002T Alcohol and/or Drug Assessment $139.70 One assessment equals one unit of service. Service frequency limitation is based
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 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 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 informationLEVEL II.1 SA: INTENSIVE OUTPATIENT - Adult
LEVEL II.1 SA: INTENSIVE OUTPATIENT - 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 Society
More informationMaryland Medicaid HealthChoice Substance Use Disorder Form Instructions
Maryland Medicaid HealthChoice Substance Use Disorder Form Instructions Form Instructions for the following Community-Based Substance Use Disorder Services: Individual Outpatient Therapy, Group Outpatient
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 informationNYS Chemical Dependence Services and Detoxification Reform
NYS Chemical Dependence Services and Detoxification Reform Presentation to the Commission on Health Care Facilities in the 21 st Century Shari Noonan, Acting Commissioner, NYS OASAS July 20, 2006 Chemical
More informationCorl Kerry - Referral and Assessment for Residential Treatment (Tier 4) Introduction Types of Tier 4 Services Services provided at Tier 4
Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) This document seeks to name the criteria that can guide referrals to residential tier 4 facilities (Part A). It provides guidance
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 informationANCILLARY STABILIZATION AND WITHDRAWAL. The Why And How Of Stabilizing The Patient In A Comprehensive Treatment Setting
ANCILLARY STABILIZATION AND WITHDRAWAL The Why And How Of Stabilizing The Patient In A Comprehensive Treatment Setting About CASAColumbia A science-based, multidisciplinary organization Focused on transforming
More informationBehavioral Health Medical Necessity Criteria
Behavioral Health Medical Necessity Criteria Revised: 7/14/05 2 nd Revision: 9/14/06 3 rd Revision: 8/23/07 4 th Revision: 8/28/08; 11/20/08 5 th Revision: 8/27/09 Anthem Blue Cross and Blue Shield 2 Gannett
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 informationOpiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1
Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Disclosure Statement Prevalence of Opioid Addiction 100 Individuals Die Every
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 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 informationNeurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011
Neurobiology and Treatment of Opioid Dependence Nebraska MAT Training September 29, 2011 Top 5 primary illegal drugs for persons age 18 29 entering treatment, % 30 25 20 15 10 Heroin or Prescription Opioids
More informationopiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
More informationFrequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations
Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations From The National Institute on Drug Abuse (NIDA) 2. Why should drug abuse treatment be provided to offenders?
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 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 informationGroup Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder
County Public Health ADDICTION RECOVERY CENTERS (ARC) www.countyarc.org We offer some of the best evidence-based outpatient treatment services for men, women, and teens in the State of Colorado. We offer
More informationAlcohol and Drug Treatment Beds by a Non- State Entity. HHS LOC Mental Health Subcommittee. February 24, 2013
Alcohol and Drug Treatment Beds by a Non- State Entity HHS LOC Mental Health Subcommittee February 24, 2013 Billy R. West, Jr., MSW, LCSW Executive Director About DAYMARK Our Mission: Daymark Recovery
More informationCurrent Model of Drug Care. Components of a Full Drug Care Service
Current Model of Drug Care Treatment Detox Rehab Components of a Full Drug Care Service (1) (2) (3) (4) (5) (6) (7) (8) (9) Community Preparation Treatment Detox Rehab Community Community Prison work Halfway
More informationIntake Consultation and Assessment Before Detox. What Happens During Drug Detox?
What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient
More informationVarious therapies are used in the
National Survey of Substance Abuse Treatment Services The N-SSATS Report January 28, 2010 Overview of Opioid Treatment Programs within the United States: 2008 In Brief In 2008, a total of 1,132 (8 of all
More informationACUTE TREATMENT SERVICES (ATS) FOR SUBSTANCE USE DISORDERS LEVEL III.7
ACUTE TREATMENT SERVICES (ATS) FOR SUBSTANCE USE DISORDERS LEVEL III.7 Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance
More informationTopics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC
Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions
More informationMaryland Medicaid HealthChoice Use Form Instructions
Maryland Medicaid HealthChoice Use Form Instructions Form Instructions for the following Community-Based Substance Use Disorder Services: Individual Outpatient Therapy, Group Outpatient Therapy, Intensive
More informationDivision of Behavioral Health. Detoxification Services
Division of Behavioral Health Detoxification Services 1 Detoxification Level Differences Ambulatory with extended on-site monitoring Level II-D Clinically-Managed Residential Level III.2-D Medically Monitored
More informationAlcohol and Chemical Dependency Inpatient Treatment Programs
Alcohol and Chemical Dependency Inpatient Treatment Programs Road to Recovery For the treatment of alcohol or chemical dependency, Marworth s specialized programs incorporate a person s unique lifestyle,
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 informationNew Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE
I. DEFINITION OF SERVICE New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE CORE MEDICAL SERVICE Support for Substance Abuse Treatment Services-Outpatient,
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 informationOASAS (Office of Alcoholism and Substance Abuse Services) Prevention and Treatment Services in Albany County. Albany County OASAS Prevention Providers
OASAS (Office of Alcoholism and Substance Abuse Services) Prevention and Treatment Services in Albany County Albany County OASAS Prevention Providers The Addiction Care Center (ACCA) -Prevention and Community
More informationBuilding on a century of compassionate care, shaping the future of behavioral health.
Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has
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 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 informationHow To Get Counseling In Ohio
Attachment 1 Ohio Administrative Code» 3793:2 Program Standards» Chapter 3793:2-1 Alcohol and Drug Addiction Programs 3793:2-1-08 Treatment services. (A) The purpose of this rule is to define alcohol and
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 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 informationHOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910
HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for
More informationHOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910
HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for
More informationDrugFacts: Treatment Approaches for Drug Addiction
DrugFacts: 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
More informationDepartment of Health Services. Alcohol and Other Drug Services Division
Department of Health Services Alcohol and Other Drug Services Division Summary of Programs and Services Rita Scardaci, MPH, Health Services Director Gino Giannavola, AODS Division Director Alcohol and
More informationResidential Substance Abuse Treatment: Impact of Concurrent Utilization Review
Report to The Vermont Legislature Residential Substance Abuse Treatment: Impact of Concurrent Utilization Review In Accordance with Act 179 (2014), Section E.300.2, An Act Relating to Making Appropriations
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 the
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 informationOUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE BRIEF COVERAGE STATEMENT This benefit coverage standard describes outpatient Substance Use Disorder services (known as SUD Fee-For-Service (FFS)
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 informationSUBSTANCE ABUSE ENCOUNTER REPORTING: HCPCS and Revenue Codes Overview of Updates for Fiscal Year 2008
SUBSTANCE ABUSE ENCOUNTER REPORTING: HCPCS and Overview of Updates for Fiscal Year 2008 This encounter code and modifier chart, effective 10/1/2007, describes how submitted encounter codes and modifiers
More informationAlcohol and Drug Abuse Treatment Centers
Division of State Operated Healthcare Facilities Alcohol and Drug Abuse Treatment Centers Jenny Wood Interim ADATC Team Leader HHS LOC Mental Health Subcommittee February 24, 2014 ADATC Locations R.J.
More informationAmbulatory Patient Groups (APG) Policy and Medicaid Billing Guidance OASAS Certified Outpatient Chemical Dependence Programs
Ambulatory Patient Groups (APG) Policy and Medicaid Billing Guidance OASAS Certified Outpatient Chemical Dependence Programs www.oasas.ny.gov TABLE OF CONTENTS SECTION: PAGE 1. Background and Introduction
More informationConcurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention
Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention Presented by: Kristin Falconer, Gillian Hutton & Stacey Whitman November 12, 2015 Disclosure Statement We have not received
More informationCounselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com
Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Believe Again in Life. In The future. In Yourself. At The Watershed, our passion is helping addicts and alcoholics
More informationCare Management Council submission date: August 2013. Contact Information
Clinical Practice Approval Form Clinical Practice Title: Acute use of Buprenorphine for the Treatment of Opioid Dependence and Detoxification Type of Review: New Clinical Practice Revisions of Existing
More informationDoc Dial-in Discussion Series
Doc 2 Doc Dial-in Discussion Series Session 4: Detox: What it is, What it isn t, and the Role of Primary Care Learning Objectives Learn how to conduct a differential evaluation to know when specialized
More informationLevels of Care Guide
Levels of Care Guide What Type of Drug Rehab Is Right for You? A Guide to Understanding Levels of Care in Addiction Treatment Looking for help for yourself or a loved one? Congratulations! You are on the
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 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 informationDRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES
01736 850006 www.bosencefarm.co.uk DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES An environment for change Boswyns provides medically-led drug and alcohol assessment, detoxification and stabilisation.
More informationMcLean Ambulatory Treatment Center Adult Partial Hospital and Residential Program for Alcohol and Drug Abuse 11 Mill Street Belmont, MA 02478-9106
Program Description Staffed by highly experienced psychiatrists, psychologists, social workers, nurses and addiction specialists, we are committed to working collaboratively with referring providers. Program
More informationPerformance Standards
Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
More informationSUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]
SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual
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 informationPrescription Drug Abuse
Prescription Drug Abuse Introduction Most people take medicines only for the reasons their health care providers prescribe them. But millions of people around the world have used prescription drugs for
More informationUTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS
UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) Program Name Reviewer Name Date(s) of Review GENERAL PROGRAM REQUIREMENTS 2014 Division
More informationOutline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction
Outline Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction About Substance Abuse The Cost of Chemical Abuse/Addiction Society's Response The Continuum of Chemical Use Definitions of Terms
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 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 informationPhoenix House. Outpatient Treatment Services for Adults in Los Angeles and Orange Counties
Phoenix House Outpatient Treatment Services for Adults in Los Angeles and Orange Counties Phoenix House s outpatient programs offer comprehensive and professional clinical services that include intervention,
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 informationFRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma
FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents
More informationa five-day medically supervised residential detoxification programme
Substance PICU and Acute Misuse and Services Detox Services Psychiatric Cygnet Hospital Intensive Harrogate Care and Acute services a five-day medically supervised residential detoxification programme
More informationCHEMICAL DEPENDENCE INPATIENT REHABILITATION SERVICES. [Statutory Authority: Mental Hygiene Law Sections 19.07(e), 19.09(b), 19.40, 32.01, 32.
PART 818 CHEMICAL DEPENDENCE INPATIENT REHABILITATION SERVICES [Statutory Authority: Mental Hygiene Law Sections 19.07(e), 19.09(b), 19.40, 32.01, 32.07(a)] Notice: The following regulations are provided
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 informationRe-Considering Addiction Treatment. Have We Been Thinking Correctly?
Re-Considering Addiction Treatment Have We Been Thinking Correctly? Part I FDA standards of effectiveness Do substance abuse treatments meet those standards? An FDA Perspective A Drug is Approved for An
More informationEugenia Cash LSW, MSSA, CDCA William M. Denihan Board Chair Chief Executive Officer SERVICES DIRECTORY Published July 2015
Eugenia Cash LSW, MSSA, CDCA Board Chair William M. Denihan Chief Executive Officer SERVICES DIRECTORY Published July 2015 EMERGENCY RESOURCES FOR ADULTS AND CHILDREN 24-HOUR ALCOHOL AND/OR OTHER DRUG
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 informationOpioid overdose can occur when a patient misunderstands the directions
Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription
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 informationFlorida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014
Florida Alcohol and Drug Abuse Association Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Founded in 1981 Currently has
More informationINSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF MEDICATION-ASSISTED TREATMENT FOR OPIOID/OPIATE DEPENDENCE
201 Mulholland Bay City, MI 48708 P 989-497-1344 F 989-497-1348 www.riverhaven-ca.org Title: MAT Protocol Original Date: March 30, 2009 Latest Revision Date: December 16, 2013 Approval/Release Date: January
More information