VA Caribbean Healthcare System

VA Caribbean Healthcare System

Services:
Detoxification (medical withdrawal) Services
• Cocaine Detoxification
• Methamphetamines detoxification
• Medication routinely used during detoxification
• Benzodiazepines Detoxification
• Alcohol Detoxification
• Opioids detoxification

Testing

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

Other Services

• Treatment for other addiction disorder

Education and Counseling Services

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

Opioid Medications used in Treatment

• Buprenorphine used in Treatment
• Naltrexone used in Treatment

License/Certification/Accreditation

• Hospital licensing authority
• The Joint Commission

Treatment Approaches

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

Ancillary Services

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

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

Pharmacotherapies

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

Facility Smoking Policy

• Smoking not permitted

Type of Opioid Treatment

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

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

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

Special Programs/Groups Offered

• Active duty military
• Clients who have experienced sexual abuse
• Clients who have experienced intimate partner violence, domestic violence
• Clients who have experienced trauma
• Clients with co-occurring pain and substance use disorders
• Veterans
• Clients with co-occurring mental and substance use disorders
• Adult women

Gender Accepted

• Male
• Female

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

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

External Opioid Medications Source

• Other contracted prescribing entity
• No formal relationship with prescribing entity
• In-network prescribing entity

Transitional Services

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

Facility Vaping Policy

• Vaping not permitted

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity
• No formal relationship with prescribing entity
• Other contracted prescribing entity

Recovery Support Services

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

Language Services

• Spanish

Medical Services

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

Assessment/Pre-treatment

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

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

Hospitals

• General Hospital (including VA hospital)

Age Groups Accepted

• Adults
• Young Adults

Payment/Insurance/Funding Accepted

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