Veterans Affairs Medical Center:

Substance use treatment

Refers to a diverse array of activities and services, which encompass identifying the issue (and involving the person in therapy), brief therapeutic approaches, evaluating substance abuse and associated problems, including histories of different forms of abuse, diagnosing the issue(s), and devising a treatment plan in Veterans Affairs Medical Center: that may involve counseling, medical care, psychiatric care, psychological care, social services, and post-treatment support for individuals struggling with alcohol or drug problems in the Washington area (as stated by the Institute of Medicine in 1990).

Detoxification

Therapy provided to individuals struggling with drug or alcohol addiction in Veterans Affairs Medical Center: with the goal of helping them overcome their dependence.

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

The housing provided for individuals in recovery from substance abuse is specifically designed to offer a drug and alcohol-free environment along with appropriate support services, facilitating the transition to independent living. This type of housing can be categorized as transitional living, sober houses, sober living, recovery houses, and 3/4 houses and maybe offered by Veterans Affairs Medical Center: in the Washington area.

Council on Accreditation (COA)

Veterans Affairs Medical Center: may collaborate with human service organizations globally to enhance service delivery results through the creation, implementation, and promotion of accreditation standards.

The Joint Commission

A non-profit, self-governing organization in the US responsible for overseeing the administration of accreditation programs for healthcare facilities and organizations in Washington and throughout the US, on a voluntary basis.

Federally Qualified Health Center

An organization like Veterans Affairs Medical Center: may be considered a Federally Qualified Health Center (FQHC) if it meets one of the following criteria outlined by the Centers for Medicare & Medicaid Services (CMS) in 2017:Receives funding through a grant under Section 330 of the Public Health Service (PHS) Act or is supported by such a grant and meets other necessary requirements. Is not receiving a grant under Section 330 of the PHS Act, but has been deemed eligible for such a grant by the Secretary of the Department of Health and Human Services (HHS) on the recommendation of the Health Resources and Services Administration (HRSA), thus classified as a "look-alike" FQHC. Was recognized by the Secretary of HHS as a comprehensive Federally-funded health center for purposes of Medicare Part B as of January 1, 1990. Operates as an outpatient health program or facility of a tribe or tribal organization under the Indian Self-Determination Act or as an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act as of October 1, 1991.

SAMHSA certification for opioid treatment program (OTP)

Accreditation is a process of peer review that evaluates an Opioid Treatment Program (OTP) based on the guidelines set by the Substance Abuse and Mental Health Services Administration (SAMHSA) for opioid treatment and the requirements established by accrediting bodies that have received SAMHSA's approval. Expert specialists familiar with opioid treatment medications and related therapeutic practices will conduct on-site visits as part of the accreditation process. These visits serve to ensure that OTPs comply with the rigorous, nationally recognized standards for Medication-Assisted Treatment (MAT). Visit the Veterans Affairs Medical Center: website to learn more about their certifications and accredations.

Drug Enforcement Agency (DEA)

A DEA license, certification, or accreditation for drug treatment refers to a designation or approval issued by the Drug Enforcement Administration (DEA) for a drug treatment program, center, or provider like Veterans Affairs Medical Center:. This designation indicates that the program, center, or provider has met certain standards set by the DEA and is authorized to provide drug treatment services, including the prescription and dispensing of controlled substances for medical purposes. The DEA license, certification, or accreditation is a requirement for programs, centers, or providers that deal with controlled substances in the treatment of drug addiction or substance abuse in District of Columbia or any other state.

Comprehensive mental health assessment

A diagnostic tool employed at the Veterans Affairs Medical Center: facility to determine the mental, social, and developmental well-being of a patient. It can also assist in diagnosing certain neurological disorders, particular illnesses, and potential substance abuse.

Comprehensive substance use assessment

The thorough diagnosis and assessment of substance misuse which involves the psychological, social, and physical influences on addiction and recovery.

Outreach to persons in the community

Refers to the process of reaching out to individuals in the Washington District of Columbia community who may be in need of drug treatment services and conducting an assessment of their needs and circumstances.

Complete medical history/physical exam

Refers to a comprehensive evaluation of an individual's medical history and physical condition prior to their admission into the Veterans Affairs Medical Center: drug treatment program. The assessment typically includes a thorough review of the person's medical history, including any past illnesses, surgeries, medications, and substance use history in District of Columbia.

Screening for tobacco use

Assesses a patient's utilization of tobacco products, including cigarettes, cigars, pipe tobacco, and smokeless tobacco. It is standard practice for healthcare providers in District of Columbia or any other state to periodically screen for tobacco use by inquiring about the patient's current and prior tobacco use and exposure to secondhand smoke.

Screening for substance use

An evaluation conducted by Veterans Affairs Medical Center: that identifies if an individual is displaying signs of substance abuse and requires rehabilitation.

Screening for mental disorders

An evaluation that determines if an individual is exhibiting signs of mental health issues and requires therapy.

Professional interventionist/educational consultant

Refers to the involvement of a Veterans Affairs Medical Center: professional interventionist or educational consultant in the pre-treatment assessment process for individuals seeking drug treatment services. The interventionist or consultant works with the individual to assess their substance abuse issues, identify any underlying factors contributing to their substance use, and develop a comprehensive treatment plan in Washington or the area where the treatment will take place.

Hospital inpatient/24-hour hospital inpatient

Healthcare that is administered in a hospital or healthcare facility in Washington and necessitates a minimum of one overnight stay.

Outpatient

Refers to patients who receive healthcare services without having to stay overnight at a hospital or at the Veterans Affairs Medical Center: treatment center.

Hospital inpatient detoxification

Refers to a type of care that is provided to individuals who are seeking treatment for substance abuse involving a hospital-based program in Washington where medical supervision and support is received during the detoxification process.

Hospital inpatient treatment

Refers to a type of care that is provided to individuals who are seeking treatment for substance abuse involving a hospital-based program in Washington where round-the-clock medical supervision and support is recieved during substance abuse treatment.

Outpatient detoxification

Refers to a type of care that is provided to individuals who are seeking treatment for substance abuse that involves medical supervision in Washington and support during the detoxification process, but do not stay overnight at Veterans Affairs Medical Center:. Outpatient detoxification is recommended for individuals who are experiencing mild to moderate withdrawals.

Outpatient day treatment or partial hospitalization

Outpatient day treatment or partial hospitalization is recommended for individuals who are seeking a higher level of care and support than traditional outpatient care, but do not require the level of care provided in an inpatient setting.

Intensive outpatient treatment

A program offered by Veterans Affairs Medical Center: where individuals receive comprehensive treatment and support on a less frequent and less intense basis than inpatient or partial hospitalization treatment.

Outpatient methadone/buprenorphine or naltrexone treatment

Refers to a type of care that is provided to individuals who are seeking treatment for opioid addiction in Washington. It involves a program where individuals receive medication-assisted treatment (MAT) for their addiction, in combination with therapy and other forms of support, on an outpatient basis.MAT involves the use of FDA-approved medications, such as methadone, buprenorphine, or naltrexone, to help individuals overcome their opioid addiction. These medications work by reducing cravings and withdrawal symptoms and helping to stabilize an individual's physical and psychological well-being.

Regular outpatient treatment

Refers to a type of care that is provided to individuals who receive therapy and other forms of support on an outpatient basis.

Alcohol Detoxification

Refer to the medical supervision and support provided to individuals who are experiencing withdrawal symptoms from alcohol use. Alcohol detoxification can be a dangerous process and can cause serious health complications if not properly managed. In Veterans Affairs Medical Center:, medical professionals monitor the patient's vital signs, manage withdrawal symptoms, and provide medications and other treatments as needed to ensure a safe and comfortable detoxification process. The goal of alcohol detoxification services is to stabilize the patient, manage withdrawal symptoms, and prepare them for ongoing substance abuse treatment.

Benzodiazepines Detoxification

Implemented to aid patients in effectively and safely detoxifying from Benzodiazepines, or "Benzos," in order to progress to the subsequent phase of addiction therapy.

Cocaine Detoxification

Specialized care for those with severe cocaine addiction who need a more structured environment to detox. The program provides medical and psychological support, including medication-assisted treatment if needed, to safely help individuals detox from cocaine in Washington.

Methamphetamines detoxification

Medical and psychological support to help individuals safely detoxify from methamphetamine, and may include medication-assisted treatment and other forms of support.

Opioids detoxification

Refers to the process of safely and effectively withdrawing from opioids, such as heroin or prescription painkillers, under medical supervision with the goal of providing a supportive environment where they can receive medical and psychological support and medication-assisted treatment if needed.

Medication routinely used during detoxification

Refers to the use of specific medications during the detoxification process to manage withdrawal symptoms and help individuals safely and effectively overcome their addiction to drugs in Washington. These medications are prescribed and monitored by medical professionals at Veterans Affairs Medical Center: and are used to alleviate physical symptoms, reduce cravings, and stabilize individuals during the detoxification process.

Acupuncture

A form of alternative medicine that maybe offered by Veterans Affairs Medical Center: involvingstimulation of specific points on the body, typically using needles, for the purpose of reducing pain or addressing physical, mental, and emotional conditions.

Case management service

A service that provides assistance to individuals and families in coordinating necessary support and resources through a designated case manager. The case manager assesses the needs of clients and their families and arranges for various services such as mental health care, social work, healthcare, education, employment training, recreational activities, transportation, advocacy, and respite care as needed.

Domestic violence services, including family or partner

Offer support and protection to individuals who have experienced domestic violence.

Mental health services

Psychological services that involve evaluating, diagnosing, treating, or providing counseling to individuals or groups to help relieve mental or emotional illnesses, symptoms, conditions, or disorders.

Transportation assistance

Provides support to clients who may have difficulty accessing the Veterans Affairs Medical Center: facility due to transportation challenges. The service may include arranging transportation for clients to and from the facility, providing public transportation information, or offering financial assistance for transportation costs. This service can be critical in ensuring that clients have regular access to treatment in Washington or the area the individual resides, and can help to reduce barriers to care for individuals who may be unable to attend treatment sessions without support.

Integrated primary care services

Offers comprehensive healthcare services to individuals struggling with mental health and substance abuse issues. The services aim to address chronic health conditions such as hypertension, diabetes, obesity, and cardiovascular disease, which can be exacerbated by unhealthy habits such as lack of physical activity, poor nutrition, and smoking. The program includes screening, coordination between behavioral and medical healthcare providers, and connecting patients to resources to support overall well-being and positive outcomes.

Suicide prevention services

Involve identifying potential warning signs; educating staff on recognizing signs of suicidal behavior and evaluating risk; and managing patients who are at risk of suicide by providing appropriate interventions, such as treating underlying mental health or substance use disorders, administering psychotropic medications, offering supportive services, and providing education. Hotlines also allow individuals to reach the closest suicide prevention mental health provider in Washington for assistance.

Buprenorphine detoxification

Used to help manage opioid withdrawal symptoms and cravings during detoxification from opioids, such as heroin or prescription painkillers in the Veterans Affairs Medical Center: facility.

Buprenorphine maintenance

Individuals who have opioid dependence can benefit from medication-assisted treatment with buprenorphine maintenance therapy (BMT). This treatment approach aims to reduce withdrawal symptoms, suppress the effects of opioids and cravings, and lower the risk of opioid abuse and overdose.

Buprenorphine maintenance for predetermined time

Buprenorphine maintenance involves a patient taking a consistent dose of buprenorphine, and the duration of this phase is individualized for each patient based on their progress.

Federally-certified Opioid Treatment Program

The process by which the SAMHSA Center for Substance Abuse Treatment's Division of Pharmacologic Therapies establishes the eligibility of an Opioid Treatment Program (OTP) to offer opioid treatment services in accordance with 42 CFR Part 8. For more information on the certification process for OTPs, visit the official website at http://www.samhsa.gov/medication-assisted-treatment/opioid-treatment-programs/.

Methadone detoxification

A treatment for managing withdrawal symptoms and cravings during detox from opioid addiction. It involves the use of a long-acting opioid medication, provided under medical supervision in the Veterans Affairs Medical Center: treatment facility, to reduce the risk of relapse.

Methadone maintenance

A comprehensive treatment program that involves the long-term administration of methadone as a substitute for the opioid to which the patient was addicted.

Methadone maintenance for predetermined time

A treatment for opioid addiction that involves the use of methadone for a set period, provided in a drug treatment facility. Methadone is used to manage withdrawal symptoms and reduce the risk of relapse.

Prescribes buprenorphine

A medication that is used to manage withdrawal symptoms and reduce cravings in individuals with opioid dependence, the facility offers buprenorphine a medication-assisted treatment (MAT) to manage individuals symptoms and achieve recovery from opioid addiction.

Prescribes naltrexone

Prescribes naltrexone, an FDA-approved medication used in medication-assisted therapy (MAT) for the treatment of alcohol and opioid use disorders. Naltrexone is available as an injection or tablet.

Relapse prevention with naltrexone

A program or group that focuses on preventing relapse from Naltrexone by teaching individuals to change their thoughts and behaviors and avoid using alcohol as a coping mechanism for emotional or psychological triggers.

Lofexidine/clonidine detoxification

Medications that can be used to manage withdrawal symptoms during detoxification from opioids, such as heroin or prescription painkillers, these medications are not opioids themselves, but they act on the central nervous system to alleviate some of the physical symptoms of opioid withdrawal, such as anxiety, agitation, and sweating. Lofexidine and clonidine detoxification is typically provided under medical supervision in the drug treatment facility and may be accompanied by counseling and other supportive services.

Disulfiram

A medication that is used in the treatment of alcohol use disorder, It works by interfering with the breakdown of alcohol in the body, which can cause unpleasant side effects if alcohol is consumed while taking the medication. By doing so it acts as a deterrent for individuals with alcohol use disorder, as it causes unpleasant side effects when alcohol is consumed.

Methadone

A medication that is primarily used in the treatment of opioid use disorder. It is a synthetic opioid that works by binding to the same receptors in the brain that are targeted by other opioids, such as heroin or prescription pain medications. However, unlike these drugs of abuse, methadone is long-acting and can help to alleviate withdrawal symptoms and cravings without producing the same euphoric effects. One unique feature of Methadone is that it has a long half-life, which means that it remains active in the body for a longer period of time than other opioids. This can be particularly beneficial for individuals with opioid use disorder, as it can help to alleviate cravings and withdrawal symptoms without the need for frequent dosing.

Buprenorphine sub-dermal implant

A small, subdermal implant that is surgically placed under the skin in the patient's upper arm, consisting of four matchstick-sized devices. The implant releases a consistent and controlled dose of buprenorphine for a period of six months.

Buprenorphine with naloxone

A prescription drug that combines buprenorphine and naloxone, used to treat opioid dependency. The buprenorphine component helps alleviate symptoms of withdrawal, while the naloxone component reverses the effects of opioids.

Buprenorphine without naloxone

A medication used to treat opioid addiction by alleviating the withdrawal symptoms, which can be administered orally, through injection, as a transdermal patch, or in the form of an implant.

Buprenorphine (extended-release, injectable)

A shot that is used to treat individuals over 18 years of age who are struggling with moderate to severe opioid dependence, whether it be from prescription or illicit opioids, and who have been taking a buprenorphine-containing medication orally (either under the tongue or inside the cheek) for at least 7 days, which helps to manage their withdrawal symptoms.

Naltrexone (oral)

Primarily used in the treatment of alcohol use disorder and opioid use disorder. It works by blocking the receptors in the brain that are targeted by alcohol or opioids, which can help to reduce the euphoric effects of these drugs.

Naltrexone (extended-release, injectable)

Naltrexone (extended-release, injectable) may be used as a treatment option for individuals with alcohol use disorder or opioid use disorder. The medication is administered as a monthly injection providing long-lasting protection against the effects of alcohol or opioids.

Medications for HIV treatment

Refer to the use of antiretroviral therapy (ART) medications to manage and treat HIV infection in individuals who are also receiving treatment for substance use disorders. HIV treatment pharmacotherapies can be a critical component of drug treatment programs for individuals who are living with HIV and substance use disorders. These medications can help to reduce the viral load in the body and prevent the progression of HIV to AIDS, improving overall health outcomes and quality of life for individuals with HIV.

Clonidine

A medication that is primarily used in the treatment of high blood pressure. However, it is also used off-label to manage withdrawal symptoms associated with opioid use disorder. Clonidine is not a controlled substance, unlike other medications used for withdrawal management, such as methadone or buprenorphine. This can be an advantage in some settings like Veterans Affairs Medical Center:, as it can be prescribed more easily and may be less stigmatizing for individuals seeking treatment.

Medication for mental disorders

Refers to the use of medications to manage and treat various mental health conditions, such as depression, anxiety, bipolar disorder, and schizophrenia. These medications can help to alleviate symptoms, improve quality of life, and increase overall functioning in individuals with mental health conditions.

Nicotine replacement

A form of treatment that delivers nicotine to the body through alternative means, excluding tobacco, and without the presence of harmful chemicals. Nicotine replacement therapy usually takes the form of nicotine patches, gum or lozenges, nasal spray, or inhaler, aimed at curbing cravings and helping a person quit tobacco use.

Anger management

The goal of anger management is to decrease both the emotional and physiological responses that come with anger by employing techniques such as addressing the anger cycle, improving conflict resolution skills, teaching assertiveness, and creating an anger-control plan.

Brief intervention

A brief treatment program, typically lasting between one to five sessions, designed for individuals struggling with substance abuse but have not yet developed a dependency.

Cognitive behavioral therapy

Refers to a form of therapy that focuses on identifying and changing negative thought patterns. Clients work with a therapist, either individually, in a family setting, or in a group setting, to identify and replace unproductive thoughts with more positive and realistic ones. The client is encouraged to be an active participant in the therapy process.

Contingency management/motivational incentives

The positive reinforcement treatment approach, often used in the treatment of drug and alcohol abuse, rewards patients for taking positive steps towards their recovery.

Motivational interviewing

A counseling method that recognizes the common occurrence of hesitation and indecision in making changes. Instead of immediately targeting change, the approach focuses on increasing motivation for change.

Matrix Model

This program aims to help individuals struggling with substance abuse to overcome their addiction and maintain recovery by providing guidance and support from a trained therapist at Veterans Affairs Medical Center: , as well as access to educational resources on addiction and the risk of relapse. The focus is on helping individuals to stop drug use, engage in treatment, and participate in self-help programs.

Relapse prevention

A cognitive behavioral therapy designed to treat individuals with alcohol addiction and later adapted for those struggling with cocaine addiction. This approach is based on the belief that learning processes play a crucial role in the formation of negative behavior patterns. Patients are taught to recognize and change these behaviors. The relapse prevention component involves several cognitive-behavioral strategies aimed at promoting sobriety and providing support in Washington in case of relapse.

Substance use disorder counseling

A brief form of therapy that has been applied to a range of disorders including opioid drug dependence and cocaine addiction. It involves the use of supportive methods, which allow the patient to express their personal experiences, and expressive techniques, which help the patient work through relationship issues and gain a deeper self-awareness.

Trauma-related counseling

A form of therapy that utilizes cognitive and behavioral methods to address the symptoms of post-traumatic stress disorder (PTSD) and the aftermath of abuse and trauma.

Telemedicine/telehealth therapy

The use of telecommunication technology at Veterans Affairs Medical Center: that enables healthcare providers to connect with patients remotely, diagnose conditions, offer treatment, and collaborate with other providers to deliver quality healthcare services is known as telemedicine, teletherapy, telepsychiatry, or e-psychiatry. The facility maf offer it as an option for individuals not located in Washington.

12-step facilitation

A 12-step program is a support group composed of individuals who have a common addiction. The "12 steps" are a set of guidelines that individuals in recovery must follow to overcome their addiction. Participants in these meetings share their personal journeys, challenges, triumphs, and setbacks, offering peer support and encouragement to one another in the Washington area.

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