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A stable residential setting with services and supports for those with a substance use or co-occurring condition to help reach recovery goals and reintegration into the community.
ACT (Assertive Community Treatment) Teams serve people who have a severe and persistent mental illness (SPMI), which seriously impairs their functioning and tenure in the community. The ACT staff members work collaboratively with an individual and their family along with natural supports in the community. Services provided include medication management, case management, peer support, employment support, and counseling. Clients must be eligible for DSAMH PROMISE services.
ICM (Intensive Care Management) Teams serve people who have severe and persistent mental illness (SPMI), which significantly impair their function and tenure in the community. The ICM staff members work collaboratively with an individual and their family along with natural supports in the community. Services provided include, medication management, case management, peer support, and employment support. Clients must be eligible for DSAMH PROMISE services.
CRISP (Community Reintegrated Support Program) serves people who have severe and persistent mental illness (SPMI). These individuals may have also experienced repeated arrests for low level crimes, repeated trips to local emergency departments for mental health/medical issues due to a lack of engagement in treatment, are a danger to themselves or others due to violent or erratic behavior, and/or their mental health symptoms are disabling to the point that the individual is unable to care for themselves without intensive support and encouragement. Clients must be eligible for DSAMH PROMISE services.
Group Homes are residences that provide 24/7 care to individuals with a severe and persistent mental illness (SPMI) and have at least 2 activities of daily living (ADL) deficiencies. In addition, the individual may have a history of dangerousness to themselves or others on a daily basis requiring constant supervision exceeding the capability of a provider at a lower level of care. Services provided include medication management, care management, ADL support, transportation to medical appointments, and engagement in social activities. Clients must be eligible for DSAMH PROMISE services.
Peer Support and Wellness Recovery Services provide assist in recovery by providing mutual support, hope, reassurance and advocacy. They assist the client in identifying and effectively responding to triggers, setting and meeting life goals, and help clients take a proactive role in their own treatment. Clients must be eligible for DSAMH PROMISE services.
Inpatient Withdrawal Management
Medical detoxification usually takes place in a hospital or clinical setting and involves receiving medication and close supervision by physicians, nurses, or other trained healthcare professionals. Non-medical detoxification is different in that no medication is administered during the detoxification process unless previously prescribed and verified. Inpatient treatment is the preferred option for those looking to get away from their current temptations and focus completely on sobriety with no distractions. Inpatient is very similar to short-term residential treatment, but usually takes place in a clinical or hospital setting, and care is provided by more clinicians and healthcare professionals.
Detoxification and treatment is provided in an inpatient setting as described about. These facilities have a broader behavioral health focus and treat individuals with co-occurring mental health conditions.
Substance Use Treatment
Focus on helping individuals change their behaviors in a highly structured setting. Short-term treatment is considered to be any length of time less than 90 days and can be as little as a few weeks. Shorter term residential treatment is more common, and typically has a focus on detoxification (also known as medically managed withdrawal) as well as providing initial intensive treatment, and preparation for a return to community-based settings. Longer-term residential treatment has lengths of stay that can be as long as six to twelve months and is uncommon.
Intensive Outpatient Treatment
An alternative to inpatient or residential treatment is intensive outpatient treatment. People attend very intensive and regular treatment sessions multiple times a week early in their treatment for an initial period. Individuals can continue to work and live at home. After completing intensive outpatient treatment, individuals often step down into regular outpatient treatment which meets less frequently and for fewer hours per week to help sustain their recovery.
An alternative to inpatient or residential treatment is partial hospitalization. This service provides intensive and structured individual and group substance use disorder treatment for individuals with substance use and moderate to severe co-occurring mental health disorders. Patients must receive at least 20 hours per week of clinically directed services. After completing partial hospitalization, individuals often step down into regular outpatient treatment which meets less frequently and for fewer hours per week to help sustain their recovery.
Counseling can be provided at the individual or group level. Individual counseling focuses on reducing or stopping substance use, skill building, adherence to a recovery plan, and social, family, and professional/educational outcomes. Group counseling is often used in addition to individual counseling to provide social reinforcement for pursuit of recovery.
Medication-Assisted Treatment: OTP (opioid treatment program) and non-OTP
Includes medication prescription and management for the treatment of substance use disorders in conjunction with counseling or other treatment services. Common medications include buprenorphine (e.g. Suboxone, Subutex), methadone, naltrexone (e.g. Vivitrol), Campral and disulfiram. MAT can also be used in withdrawal management. These services can be provided on an outpatient basis by a primary care physician. Medications reduce the cravings and other symptoms associated with withdrawal from a substance by occupying receptors in the brain associated with using that drug (agonists or partial agonists), block the rewarding sensation that comes with using a substance (antagonists), or induce negative feelings when a substance is taken.
Recovery Housing refers to safe, healthy, and substance-free living environments that support individuals in recovery from addiction. While recovery residences vary widely in structure, all are centered on peer support and a connection to services that promote long-term recovery. Recovery housing benefits individuals in recovery by reinforcing a substance-free lifestyle and providing direct connections to other peers in recovery and recovery services and supports. Many residents live in recovery housing during and/or after outpatient addiction treatment. Length of stay is self-determined and can last for several months to years.
Recovery Support Services
Services provided to an individual and/or their families to help stabilize and support recovery. Supportive services may include employment services, anger management classes, recovery mentoring/relapse prevention management, peer recovery coaching, care coordination, access to childcare, transportation, sober housing, and other support.
Variable Stay Detox—
24/7 Detox service that provides intensive level of care to achieve stabilization and supported transition to less intensive levels of care
23 Hour Detox Observation—
Outpatient service which provides medically supervised evaluation, withdrawal management, and referral services for up to 23 hours.
Outpatient service which provides medically supervised evaluation, withdrawal management and referral to services. This level of care has continual availability.
Programs offering inpatient support through a combination of clinical and recovery-focused services to individuals experiencing cognitive impairment due to a co-occurring (mental health and substance abuse) disorder.
Residential Young Adult—
Program supports young men and women in a residential setting that is a drug free communal atmosphere.
Residential treatment program for adults with co-occurring disorders.