Veterans Affairs Medical Center Alcohol and Drug Treatment Program

Veterans Affairs Medical Center Alcohol and Drug Treatment Program

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

Opioid Medications used in Treatment

• Naltrexone used in Treatment
• Buprenorphine used in Treatment

External Opioid Medications Source

• Other contracted prescribing entity

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

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

Ancillary Services

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

Facility Vaping Policy

• Vaping not permitted

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

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

Testing

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

Treatment Approaches

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

Type of Care

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

Education and Counseling Services

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

Medical Services

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

Recovery Support Services

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Detoxification (medical withdrawal) Services

• Opioids detoxification
• Alcohol Detoxification
• Medication routinely used during detoxification

Assessment/Pre-treatment

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

Gender Accepted

• Male
• Female

Transitional Services

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

License/Certification/Accreditation

• Commission on Accreditation of Rehabilitation Facilities (CARF)
• The Joint Commission

Facility Smoking Policy

• Smoking not permitted

Payment/Insurance/Funding Accepted

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

Type of Opioid Treatment

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

Special Programs/Groups Offered

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

External Source of Medications Used for Alcohol Use Disorder Treatment

• Other contracted prescribing entity

Hospitals

• General Hospital (including VA hospital)