Treatment Options
For most people, “treatment” conjures images of detox or a residential rehab facility. In reality, detox (detoxification) is not treatment — it only addresses the physical symptoms of withdrawal — and a residential program is just one of a variety of options. Treatment for substance use disorder can take place in different settings (inpatient or outpatient) and at different degrees of intensity. Typically, one’s treatment plan is designed to address their physical, psychological, emotional and social issues, in addition to their substance use. It addresses the type of substance too, as in the case of medications for opioid use disorders. Before you make any decisions, take time to understand what treatment is, what it isn’t, and the options available.-Partnership to End Addiction
Inpatient Detoxification Service
Drug cravings are common during detox and can be difficult to overcome, often leading to relapse. Detoxification is a twenty-four hour medically-managed evaluation and treatment which takes place in a hospital setting. Constant medical care provided during inpatient treatment helps guard against relapse. Clinicians can provide necessary medicine and medical expertise to lessen cravings and withdrawals.
Acute Treatment Service (ATS)
ATS is a medically-monitored detoxification service for adults (18+) providing twenty-four hour nursing care under the consultation of a medical director to monitor an individual’s withdrawal from alcohol and/or other drugs and alleviates withdrawal symptoms.
Clinical Stabilization Service (CSS)
Clinical Stabilization Units (CSS) are designed to stabilize patients and increase their chances for success after completing a detoxification program. A CSS can act as a bridge between detox and a residential recovery (sober living) home. A stay at a CSS program typically lasts between 14 and 30 days and provides individual counseling, group therapy, and behavioral health educational groups.
Transitional Support Service (TSS) is a twenty-four hour structured supportive, short-term residential service for adults (18+) that provides intensive case management and psychoeducation for individuals who need further stabilization after treatment in an ATS or CSS, or for homeless individuals in publicly-funded shelters who were recently discharged from an ATS or CSS.
Sober Living Homes
Sober living homes are a crucial step in achieving lifelong success in recovery. Breaking an addiction to opioids is difficult for anyone, especially for substance users who are homeless and it is a proven fact that stable housing during and after treatment decrease the risk of relapse. A safe and supportive environment is essential to a successful treatment for those seeking recovery from opioid use.
Structured Outpatient Addiction Program (SOAP) consists of short-term, clinically intensive, structured, day and/or evening substance use disorder services. These programs are used as a transition service in the continuum of care for: Members being discharged from an Acute Treatment Services (ATS) for Substance Use Disorders Level III.7; Members, including those who are pregnant, who need outpatient services, but would also benefit from more intensive structured outpatient treatment for substance use disorders; and Members being stepped down from Clinical Stabilization Services (CSS).
Medication Assisted Treatment - treatment for opioid and alcohol use disorders that includes medication (i.e. methadone, buprenorphine and naltrexone) approved by the U.S Food and Drug Administration (FDA) for detoxification or maintenance treatment. MAT combines behavioral therapy and medications to treat substance use disorders and may be provided in an opioid treatment program, physician’s office or other health care settings.
Drug cravings are common during detox and can be difficult to overcome, often leading to relapse. Detoxification is a twenty-four hour medically-managed evaluation and treatment which takes place in a hospital setting. Constant medical care provided during inpatient treatment helps guard against relapse. Clinicians can provide necessary medicine and medical expertise to lessen cravings and withdrawals.
Acute Treatment Service (ATS)
ATS is a medically-monitored detoxification service for adults (18+) providing twenty-four hour nursing care under the consultation of a medical director to monitor an individual’s withdrawal from alcohol and/or other drugs and alleviates withdrawal symptoms.
Clinical Stabilization Service (CSS)
Clinical Stabilization Units (CSS) are designed to stabilize patients and increase their chances for success after completing a detoxification program. A CSS can act as a bridge between detox and a residential recovery (sober living) home. A stay at a CSS program typically lasts between 14 and 30 days and provides individual counseling, group therapy, and behavioral health educational groups.
Transitional Support Service (TSS) is a twenty-four hour structured supportive, short-term residential service for adults (18+) that provides intensive case management and psychoeducation for individuals who need further stabilization after treatment in an ATS or CSS, or for homeless individuals in publicly-funded shelters who were recently discharged from an ATS or CSS.
Sober Living Homes
Sober living homes are a crucial step in achieving lifelong success in recovery. Breaking an addiction to opioids is difficult for anyone, especially for substance users who are homeless and it is a proven fact that stable housing during and after treatment decrease the risk of relapse. A safe and supportive environment is essential to a successful treatment for those seeking recovery from opioid use.
Structured Outpatient Addiction Program (SOAP) consists of short-term, clinically intensive, structured, day and/or evening substance use disorder services. These programs are used as a transition service in the continuum of care for: Members being discharged from an Acute Treatment Services (ATS) for Substance Use Disorders Level III.7; Members, including those who are pregnant, who need outpatient services, but would also benefit from more intensive structured outpatient treatment for substance use disorders; and Members being stepped down from Clinical Stabilization Services (CSS).
Medication Assisted Treatment - treatment for opioid and alcohol use disorders that includes medication (i.e. methadone, buprenorphine and naltrexone) approved by the U.S Food and Drug Administration (FDA) for detoxification or maintenance treatment. MAT combines behavioral therapy and medications to treat substance use disorders and may be provided in an opioid treatment program, physician’s office or other health care settings.
- Methadone Treatment is the medically monitored administration of methadone to individuals with an opioid addiction, coupled with counseling, in conformance with FDA regulations.
- Buprenorphine (suboxone) is used to help individuals reduce and stop their use of opiates such as pain relievers or heroin. Treatment can be provided in various settings (including a physician’s office, community hospital or health center) in combination with counseling and behavioral therapies. To locate a provider, search: SAMHSA.gov or contact the Substance Abuse Information and Education Helpline at 800-327-5050 or help-online.com
- Naltrexone (vivitrol) is a medication that is used to treat opioid use disorders and alcohol use disorders. To locate a provider, search: vivitrol.com or contact the Substance Abuse Information and Education Helpline at 800-327-5050 or help-online.com
Seeking Drug Abuse Treatment-Know What to Ask from NIDA
www.drugabuse.gov/sites/default/files/treatmentbrochure_web.pdf
www.drugabuse.gov/sites/default/files/treatmentbrochure_web.pdf