VA Central California Healthcare Sys Substance Use Disorder Program

VA Central California Healthcare Sys Substance Use Disorder Program

Services:
Type of Opioid Treatment
• Relapse prevention with naltrexone
• Prescribes naltrexone
• Prescribes buprenorphine
• Maintenance service with medically supervised withdrawal after stabilization
• Buprenorphine detoxification
• Lofexidine or Clonidine detoxification
• Buprenorphine maintenance

Hospitals

• General Hospital (including VA hospital)

Testing

• Testing for Hepatitis C (HCV)
• HIV testing
• Testing for Hepatitis B (HBV)
• TB screening
• Metabolic syndrome monitoring
• STD testing
• Drug or alcohol urine screening

Transitional Services

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

Facility Vaping Policy

• Vaping not permitted

Treatment Approaches

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

License/Certification/Accreditation

• Hospital licensing authority
• Federally Qualified Health Center
• Commission on Accreditation of Rehabilitation Facilities (CARF)
• The Joint Commission

Medical Services

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

Age Groups Accepted

• Adults
• Young Adults

Facility Smoking Policy

• Smoking not permitted

Pharmacotherapies

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

Opioid Medications used in Treatment

• Buprenorphine used in Treatment
• Naltrexone used in Treatment

Assessment/Pre-treatment

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

Gender Accepted

• Male
• Female

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

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

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Recovery Support Services

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

Special Programs/Groups Offered

• Veterans
• Clients with co-occurring mental and substance use disorders

Payment/Insurance/Funding Accepted

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

Ancillary Services

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

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

Detoxification (medical withdrawal) Services

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

Education and Counseling Services

• Individual counseling
• Hepatitis education, counseling, or support
• Health education services other than HIV/AIDS or hepatitis
• Group counseling
• Marital/couples counseling
• Family counseling
• Smoking/vaping/tobacco cessation counseling
• HIV or AIDS education, counseling, or support
• Substance use disorder education

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

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