VA Puget Sound Healthcare System American Lake Division

VA Puget Sound Healthcare System American Lake Division

Services:
Type of Opioid Treatment
• Buprenorphine detoxification
• Maintenance service with medically supervised withdrawal after stabilization
• Federally-certified Opioid Treatment Program
• Relapse prevention with naltrexone
• Methadone maintenance
• Lofexidine or Clonidine detoxification
• Methadone detoxification
• Buprenorphine maintenance
• Prescribes buprenorphine
• Prescribes naltrexone

Transitional Services

• Aftercare/continuing care
• Discharge Planning
• Naloxone and overdose education

Facility Vaping Policy

• Vaping not permitted

Gender Accepted

• Male
• Female

Language Services

• Sign language services for the deaf and hard of hearing

Recovery Support Services

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder
• Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere

Testing

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

Ancillary Services

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

Age Groups Accepted

• Young Adults
• Adults

Special Programs/Groups Offered

• Clients who have experienced trauma
• Adult women
• Clients with co-occurring mental and substance use disorders
• Veterans
• Adult men

Opioid Medications used in Treatment

• Methadone used in Treatment
• Buprenorphine used in Treatment
• Naltrexone used in Treatment

Type of Care

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

Education and Counseling Services

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

Medical Services

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

Detoxification (medical withdrawal) Services

• Cocaine Detoxification
• Opioids detoxification
• Medication routinely used during detoxification
• Methamphetamines detoxification
• Benzodiazepines Detoxification
• Alcohol Detoxification

License/Certification/Accreditation

• Drug Enforcement Agency (DEA)
• The Joint Commission
• Hospital licensing authority
• Commission on Accreditation of Rehabilitation Facilities (CARF)
• State Substance use treatment agency
• SAMHSA certification for opioid treatment program (OTP)
• State mental health department
• State department of health

Pharmacotherapies

• Clonidine
• Buprenorphine with naloxone
• Buprenorphine (extended-release, injectable)
• Naltrexone (oral)
• Nicotine replacement
• Acamprosate (Campral®)
• Medication for mental disorders
• Buprenorphine without naloxone
• Medications for Hepatitis C treatment
• Disulfiram
• Non-nicotine smoking/tobacco cessation
• Methadone
• Medications for HIV treatment
• Naltrexone (extended-release, injectable)

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Facility Smoking Policy

• Smoking not permitted

Payment/Insurance/Funding Accepted

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

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

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

Hospitals

• General Hospital (including VA hospital)

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

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

Treatment Approaches

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

Assessment/Pre-treatment

• Interim services for clients
• Screening for mental disorders
• Screening for tobacco use
• Complete medical history/physical exam
• Comprehensive mental health assessment
• Comprehensive substance use assessment
• Screening for substance use