Treatment is intended to improve social functioning through complete abstinence from alcohol and drugs for individuals diagnosed with chemical dependency. Treatment is the use of any planned, intentional intervention in the health, behavior, personal and/or family life of an individual suffering from substance abuse/dependency and is designed to help that person achieve and maintain sobriety, physical and mental health and a maximum functional ability.
All publicly funded Comprehensive Behavioral Health Centers with Grant Agreements with the BBHHF are encouraged to embrace NiaTx Principles. Levels of service are determined by credentialed staff utilizing Diagnostic and Statistical Manual IV (DSM IV) and American Society of Addiction Medicine (ASAM) criteria constituting the most comprehensive framework and specific descriptors for matching the patient's multidimensional clinical severity to a referral into the most appropriate level of care. They embody important concepts that promote individualized, cost effective, trauma informed care. These concepts include the need for a broad coninuum of care and for comprehensive assessment and treatment to address patients' physical, psychological, and social needs. Cultural competence, care coordination and family centered practice are included as tenants of effective service delivery. These best practice criteria are included in all Grant Agreements as well as required participation in the independent peer review process promoting continuous quality improvement.
Out-patient Substance Abuse Services:
- Are understood to be provided by a professional
- Can include interventions as brief as one 15 minute psycho-educational talk with an individual misusing substances.
- Can be a formal counseling "program" where an individual is seen by a professional bi-weekly, weekly, semi-weekly or monthly
- The frequency and duration of the service is dictated by how advanced the substance abuse problem is
Intensive Out-Patient (IOP) Substance Abuse Services:
- Are services that are provided in a far more structured fashion
- They require five day a week attendance, a robust program of substance abuse group therapy as well as other types of group therapy (parenting, anger management. etc.)
- It is understood to provide essentially the same services as residential treatment, but the client remains living outside of the service provider's location.
- This type of service is appropriate for someone who needs intensive, concentrated services but has a safe environment to reside in during treatment.
Residential Substance Abuse Services:
- Are identical to IOP, but the individual actually lives in the treatment center for up to 28 days. Stays can be longer or shorter, but rarely exceed 45 days.
- Individuals appropriate for residential services are those who need to be away from their home environment for a short period of time and be "flooded" with addiction and recovery education, coping skills training, etc. These individuals have substance abuse issues that are equal in severity to those engaged in IOP.
- American Society of Addiction Medicine (ASAM) guidelines are used in WV to guide admission.
- ASAM guidelines specify what level of change readiness someone should be in before making a good candidate for residential treatment.
- ASAM guidelines are intended to establish that individuals being considered for admission to residential treatment be a place were they are ABLE to succeed in establishing sobriety.