Veterans Affairs Medical Center Substance Use Disorders Services

Veterans Affairs Medical Center Substance Use Disorders Services

Services:
Assessment/Pre-treatment
• Screening for tobacco use
• Screening for substance use
• Professional interventionist/educational consultant
• Interim services for clients
• Outreach to persons in the community
• Comprehensive mental health assessment
• Comprehensive substance use assessment

Recovery Support Services

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

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

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

Testing

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

Facility Vaping Policy

• Vaping not permitted

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Facility Smoking Policy

• Smoking not permitted

Ancillary Services

• Suicide prevention services
• Early intervention for HIV
• Acupuncture
• Mental health services
• Case management service
• Integrated primary care services
• Transportation assistance

Medical Services

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

Age Groups Accepted

• Young Adults
• Adults

Type of Opioid Treatment

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

Transitional Services

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

Detoxification (medical withdrawal) Services

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

Pharmacotherapies

• Acamprosate (Campral®)
• Naltrexone (extended-release, injectable)
• Disulfiram
• Nicotine replacement
• Medication for mental disorders
• Clonidine
• Non-nicotine smoking/tobacco cessation
• Naltrexone (oral)
• Buprenorphine with naloxone
• Methadone

Treatment Approaches

• Matrix Model
• Contingency management/motivational incentives
• Motivational interviewing
• Cognitive behavioral therapy
• Relapse prevention
• 12-step facilitation
• Substance use disorder counseling
• Brief intervention
• Telemedicine/telehealth therapy

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Hospitals

• General Hospital (including VA hospital)

Education and Counseling Services

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

Payment/Insurance/Funding Accepted

• Cash or self-payment
• Private health insurance
• Federal military insurance (e.g., TRICARE)
• Federal, or any government funding for substance use treatment programs

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

Gender Accepted

• Female
• Male

Special Programs/Groups Offered

• Clients with HIV or AIDS
• Clients who have experienced trauma
• Clients with co-occurring mental and substance use disorders
• Veterans
• Clients with co-occurring pain and substance use disorders

Opioid Medications used in Treatment

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

License/Certification/Accreditation

• SAMHSA certification for opioid treatment program (OTP)
• National Committee for Quality Assurance (NCQA)
• Council on Accreditation (COA)
• State Substance use treatment agency
• Commission on Accreditation of Rehabilitation Facilities (CARF)
• Drug Enforcement Agency (DEA)
• Federally Qualified Health Center
• Hospital licensing authority
• The Joint Commission

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

• Short-term residential
• Outpatient day treatment or partial hospitalization
• Outpatient methadone/buprenorphine or naltrexone treatment
• Outpatient
• Intensive outpatient treatment
• Residential/24-hour residential
• Residential detoxification
• Regular outpatient treatment
• Hospital inpatient/24-hour hospital inpatient