Fargo VA Healthcare System Substance Abuse Treatment Program

Fargo VA Healthcare System Substance Abuse Treatment Program

Services:
Testing
• STD testing
• Testing for Hepatitis B (HBV)
• Metabolic syndrome monitoring
• Drug and alcohol oral fluid testing
• Breathalyzer or blood alcohol testing
• HIV testing
• Drug or alcohol urine screening
• Testing for Hepatitis C (HCV)
• TB screening

Facility Vaping Policy

• Vaping not permitted

Recovery Support Services

• Assistance with obtaining social services
• Housing services
• Mentoring/peer support
• Self-help groups
• Employment counseling or training

Type of Care

• Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
• Detoxification
• Substance use treatment

Hospitals

• General Hospital (including VA hospital)

Service Setting (e.g., Outpatient, Residential, Inpatient, etc.)

• Outpatient detoxification
• Outpatient methadone/buprenorphine or naltrexone treatment
• Hospital inpatient detoxification
• Regular outpatient treatment
• Hospital inpatient treatment
• Outpatient
• Hospital inpatient/24-hour hospital inpatient
• Intensive outpatient treatment

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Pharmacotherapies

• Naltrexone (oral)
• Disulfiram
• Naltrexone (extended-release, injectable)
• Medications for Hepatitis C treatment
• Buprenorphine (extended-release, injectable)
• Nicotine replacement
• Medications for HIV treatment
• Buprenorphine with naloxone
• Non-nicotine smoking/tobacco cessation
• Acamprosate (Campral®)
• Clonidine
• Medication for mental disorders
• Buprenorphine without naloxone

Facility Operation (e.g., Private, Public)

• U.S. Department of Veterans Affairs
• Federal Government

Type of Opioid Treatment

• Prescribes naltrexone
• Prescribes buprenorphine
• Relapse prevention with naltrexone
• Accepts clients using MAT but prescribed elsewhere
• Buprenorphine maintenance
• Lofexidine or Clonidine detoxification
• Maintenance service with medically supervised withdrawal after stabilization
• Buprenorphine detoxification

Other Services

• Treatment for other addiction disorder
• Treatment for gambling disorder

Medical Services

• Hepatitis A (HAV) vaccination
• Hepatitis B (HBV) vaccination

Ancillary Services

• Integrated primary care services
• Suicide prevention services
• Acupuncture
• Mental health services
• Case management service
• Domestic violence services, including family or partner
• Transportation assistance
• Social skills development

Treatment Approaches

• Brief intervention
• Contingency management/motivational incentives
• Substance use disorder counseling
• Anger management
• Community reinforcement plus vouchers
• Matrix Model
• Relapse prevention
• Trauma-related counseling
• Cognitive behavioral therapy
• Motivational interviewing
• Telemedicine/telehealth therapy
• 12-step facilitation

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder
• Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere

License/Certification/Accreditation

• State Substance use treatment agency
• The Joint Commission
• State mental health department
• Hospital licensing authority

Education and Counseling Services

• Marital/couples counseling
• Health education services other than HIV/AIDS or hepatitis
• Vocational training or educational support (for example, high school coursework, GED preparation, etc.)
• Substance use disorder education
• Group counseling
• Smoking/vaping/tobacco cessation counseling
• Individual counseling
• HIV or AIDS education, counseling, or support
• Family counseling
• Hepatitis education, counseling, or support

External Opioid Medications Source

• In-network prescribing entity

Opioid Medications used in Treatment

• Buprenorphine used in Treatment
• Naltrexone used in Treatment

Gender Accepted

• Male
• Female

Payment/Insurance/Funding Accepted

• Cash or self-payment
• Federal, or any government funding for substance use treatment programs
• State-financed health insurance plan other than Medicaid
• Private health insurance
• Federal military insurance (e.g., TRICARE)
• Medicaid
• Medicare

Detoxification (medical withdrawal) Services

• Medication routinely used during detoxification
• Methamphetamines detoxification
• Opioids detoxification
• Cocaine Detoxification
• Alcohol Detoxification
• Benzodiazepines Detoxification

Language Services

• Sign language services for the deaf and hard of hearing

Transitional Services

• Naloxone and overdose education
• Outcome follow-up after discharge
• Discharge Planning
• Aftercare/continuing care

Special Programs/Groups Offered

• Clients who have experienced intimate partner violence, domestic violence
• Veterans
• Clients who have experienced trauma
• Pregnant/postpartum women
• Seniors or older adults
• Clients with HIV or AIDS
• Clients with co-occurring mental and substance use disorders
• Adult men
• Clients who have experienced sexual abuse
• Clients with co-occurring pain and substance use disorders
• Adult women
• Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
• Active duty military
• Young adults

Assessment/Pre-treatment

• Screening for tobacco use
• Comprehensive mental health assessment
• Screening for substance use
• Comprehensive substance use assessment
• Screening for mental disorders
• Interim services for clients
• Outreach to persons in the community
• Complete medical history/physical exam

Age Groups Accepted

• Adults
• Young Adults

Facility Smoking Policy

• Smoking not permitted