VA Puget Sound Healthcare System American Lake Division

VA Puget Sound Healthcare System American Lake Division

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

Testing

• Testing for Hepatitis B (HBV)
• STD testing
• Testing for Hepatitis C (HCV)
• Breathalyzer or blood alcohol testing
• HIV testing
• Drug or alcohol urine screening
• TB screening

Facility Vaping Policy

• Vaping not permitted

Facility Smoking Policy

• Smoking not permitted

Detoxification (medical withdrawal) Services

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

License/Certification/Accreditation

• Drug Enforcement Agency (DEA)
• Hospital licensing authority
• State Substance use treatment agency
• Commission on Accreditation of Rehabilitation Facilities (CARF)
• State mental health department
• The Joint Commission
• SAMHSA certification for opioid treatment program (OTP)
• State department of health

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

• Outpatient
• Short-term residential
• Outpatient methadone/buprenorphine or naltrexone treatment
• Outpatient detoxification
• Intensive outpatient treatment
• Residential/24-hour residential
• Residential detoxification
• Regular outpatient treatment

Assessment/Pre-treatment

• Screening for substance use
• Screening for mental disorders
• Comprehensive substance use assessment
• Complete medical history/physical exam
• Screening for tobacco use
• Comprehensive mental health assessment
• Interim services for clients

Special Programs/Groups Offered

• Veterans
• Clients who have experienced trauma
• Adult women
• Adult men
• Clients with co-occurring mental and substance use disorders

Language Services

• Sign language services for the deaf and hard of hearing

Type of Alcohol Use Disorder Treatment

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

Recovery Support Services

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

Treatment Approaches

• Motivational interviewing
• Telemedicine/telehealth therapy
• Substance use disorder counseling
• Cognitive behavioral therapy
• Brief intervention
• Contingency management/motivational incentives
• Relapse prevention
• Trauma-related counseling

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Gender Accepted

• Female
• Male

Payment/Insurance/Funding Accepted

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

Age Groups Accepted

• Adults
• Young Adults

Medical Services

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

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

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

Education and Counseling Services

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

Type of Opioid Treatment

• Methadone maintenance
• Federally-certified Opioid Treatment Program
• Prescribes buprenorphine
• Buprenorphine maintenance
• Lofexidine or Clonidine detoxification
• Buprenorphine detoxification
• Relapse prevention with naltrexone
• Methadone detoxification
• Prescribes naltrexone
• Maintenance service with medically supervised withdrawal after stabilization

Opioid Medications used in Treatment

• Naltrexone used in Treatment
• Methadone used in Treatment
• Buprenorphine used in Treatment

Transitional Services

• Discharge Planning
• Naloxone and overdose education
• Aftercare/continuing care

Ancillary Services

• Child care for clients’ children
• Early intervention for HIV
• Mental health services
• Suicide prevention services
• Domestic violence services, including family or partner
• Transportation assistance
• Social skills development
• Case management service
• Integrated primary care services

Hospitals

• General Hospital (including VA hospital)

Type of Care

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