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Addiction Recovery

    Results: 37

  • Addictions/Substance Use Disorder Support Groups (3)
    PN-8100.0500

    Addictions/Substance Use Disorder Support Groups

    PN-8100.0500

    Mutual support groups whose members are individuals who have a substance use disorder or any of a number of behavioral addictions which are akin to substance-related disorders in clinical expression, brain origin, comorbidity, physiology and treatment. The groups meet in-person, by telephone or via the Internet; provide emotional support, information and resources to help those who participate modify their behavior; and may include faith-based and secular 12-step groups as well as non-12 step groups.
  • AIDS/HIV Prevention Counseling (2)
    LH-2700.0150

    AIDS/HIV Prevention Counseling

    LH-2700.0150

    Programs that provide counseling services for individuals at risk for contracting or transmitting the HIV virus with the objective of supporting their ability to make behavior changes that will reduce their risk of acquiring or transmitting HIV. Counseling involves a personal risk assessment, development of a personalized action plan and the decision to seek an HIV test. Individuals who have a history of injection drug use, sex with a person with HIV/AIDS, sex with a man who has sex with other men, sex with an injection drug user, a sexually transmitted disease, or exchanging money or drugs for sex are considered to be at high or increased risk and are targets for prevention counseling.
  • Alcohol Detoxification (1)
    RX-1700.0500

    Alcohol Detoxification

    RX-1700.0500

    Programs that provide assistance and support for individuals who are physically dependent on alcohol during the alcohol withdrawal period (usually three to seven days).
  • Assessment for Substance Use Disorders (16)
    RX-0400

    Assessment for Substance Use Disorders

    RX-0400

    Programs that conduct an evaluation to determine whether an individual has a substance use disorder based on a pathological set of behaviors related to use of that substance as well as the nature and extent of the problem. Diagnostic criteria include inability to control or limit the amount taken or the frequency; intense cravings; continuing use despite problems with work, school or family/social obligations or interpersonal problems; risky use, e.g., diving a car or operating machinery while under the influence; or evidence of pharmacological indicators (tolerance and withdrawal symptoms), the adjustment the body makes as it attempts to adapt to the continued and frequent use of a substance.
  • Buprenorphine Based MAT Programs (8)
    RX-8450.5000-100

    Buprenorphine Based MAT Programs

    RX-8450.5000-100

    Medication assisted treatment (MAT) programs that use buprenorphin to help people with an opioid use disorder abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycondin or morphine). Buprenorphine produces a weaker version of effects (including euphoria and respiratory depression) that are associated with full drugs such as heroin and methadone. The effects increase with each dose until at moderate doses they level off, lowering the risk of misuse, dependency and side effects. Treatment occurs in three phases: a medically monitored start-up phase when the patient is in early stages of withdrawal; a stabilization phase after a patient has discontinued or greatly reduced their misuse of the problem drug, no longer has cravings, and experiences few, if any, side effects; and a maintenance phase when a patient is doing well on a steady dose of buprenorphine. The length of time of the maintenance phase is tailored to each patient and could be indefinite. Once an individual is stabilized, an alternative approach would be to go into a medically supervised withdrawal, which makes the transition from a physically dependent state smoother. People then can engage in further rehabilitation—with or without MAT—to prevent a possible relapse. Ideal candidates for opioid dependency treatment with buprenorphine have an opioid use disorder diagnosis, are willing to follow safety precautions for the treatment, have been cleared of any health conflicts with using the drug and have reviewed other treatment options before agreeing to buprenorphine treatment.
  • Career Counseling (2)
    ND-2000.1500-160

    Career Counseling

    ND-2000.1500-160

    Programs that provide information and guidance for people who need to evaluate their aptitude, abilities and interests in order to choose a vocation or career and select the type of training that will enable them to obtain and progress in positions in the public or private sector that are productive and fulfilling.
  • Comprehensive Outpatient Substance Use Disorder Treatment (9)
    RX-8450.1150

    Comprehensive Outpatient Substance Use Disorder Treatment

    RX-8450.1150

    Supervised, structured programs that offer a wide range of outpatient services which may be coordinated by a case manager and may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, a program for family members, relapse prevention services, a continuing care program and supportive services (such as child care, transportation and parenting skills development) for individuals who have problems related to excessive use of alcohol and/or use of other drugs and need access to treatment to maintain their individual recovery plans but do not require the intensity of a day treatment program or 24-hour hospital care. Participants attend the program on a regularly scheduled basis at least once a month but usually more frequently depending on their individual needs. Intensive outpatient programs are usually available three or four days per week for three or four hours per day.
  • Detoxification (6)
    RX-1700

    Detoxification

    RX-1700

    Programs that provide assistance and support for individuals who are physically dependent on substances of any kind during the withdrawal period. Detoxification is a medical regimen aimed at managing acute intoxication and withdrawal by systematically reducing the amount of the addictive substance in a patient’s body, providing reasonable control of active withdrawal symptoms and/or averting a life-threatening medical crisis related to the substance. Detoxification in generally conducted under the supervision of a physician, can take place in a wide variety of settings and at a number of levels of intensity within these settings and has three stages: evaluation, stabilization and fostering patient readiness for and entry into treatment.
  • Drug Detoxification (1)
    RX-1700.1700

    Drug Detoxification

    RX-1700.1700

    Programs that provide assistance and support for individuals who exhibit pharmacological and other indicators of a drug use disorder (including those related to prescription medication), during the withdrawal period.
  • Drug Use Disorder Education/Prevention (11)
    RX-8250.1700

    Drug Use Disorder Education/Prevention

    RX-8250.1700

    Programs that provide information about drug use (including the drugs most commonly used and their effects, the symptoms of related disorders, screening and diagnostic procedures and methods of treatment) and/or offer any of a variety of services that focus on drug use prevention for people of all ages who are at risk (i.e., who are currently in the light or experimental stage of using drugs; who are members of a drug using sibling, peer or family group; and/or who have behavioral and/or emotional problems at home, in school, in the community or with the criminal justice system). Included may be printed materials or videos that address the subject; psycho-educational and skill building activities; structured groups which focus on family dynamics, problem-solving, self-esteem and similar issues; and presentations in schools and agencies and to family groups regarding the dangers of drug use, the signs of related disorders, the legal consequences of drug use and how to get help.
  • Drug/Alcohol Testing (9)
    RX-0400.1850

    Drug/Alcohol Testing

    RX-0400.1850

    Programs that administer blood, urine or breath tests or utilize other screening techniques to determine whether an individual has alcohol or other drugs in his or her system and to identify the substance involved. Sweat, saliva, tears and hair can also be analyzed for the same purpose.
  • Families/Friends of Individuals With a Drug Use Disorder Support Groups (1)
    PN-8100.2000-235

    Families/Friends of Individuals With a Drug Use Disorder Support Groups

    PN-8100.2000-235

    Mutual support groups whose members are the spouses/partners of people who have or are at risk of a drug use disorder; children of all ages whose parents, guardians or other parent figures are involved in drug use; and/or friends of those individuals. The groups meet in-person, by telephone or via the Internet; and allow participants to share their experience, strengths and hopes to solve the problems they have in common and support the recovery of their loved one.
  • Families/Friends of Individuals With an Alcohol Use Disorder Support Groups (1)
    PN-8100.2000-230

    Families/Friends of Individuals With an Alcohol Use Disorder Support Groups

    PN-8100.2000-230

    Mutual support groups whose members are the spouses/partners of people who have or are at risk of an alcohol use disorder; children of all ages whose parents, guardians or other parent figures are involved in excessive alcohol use; and/or friends of those individuals. The groups meet in-person, by telephone or via the Internet; and allow participants to share their experience, strengths and hopes to solve the problems they have in common and support the recovery of their loved one.
  • Gambling Addiction Counseling (2)
    RP-1400.8000-250

    Gambling Addiction Counseling

    RP-1400.8000-250

    Programs that provide emotional support, information and guidance for people who are having difficulty controlling their compulsion to gamble, and for their families. Some programs may include a financial counseling and/or management component which helps individuals deal with issues related to their spending and accumulated debt.
  • Inpatient Drug Detoxification (1)
    RX-1700.1700-330

    Inpatient Drug Detoxification

    RX-1700.1700-330

    Programs operated by hospitals or other inpatient facilities and staffed by trained medical personnel that provide assistance and support, including medication, to help individuals who are physically dependent on one or a combination of substances during the withdrawal period. Inpatient detoxification is required when the withdrawal process is potentially dangerous or when the individual has acute medical problems.
  • Inpatient Substance Use Disorder Treatment Facilities (3)
    RX-8450.3300

    Inpatient Substance Use Disorder Treatment Facilities

    RX-8450.3300

    Health care facilities that provide structured treatment programs and support services in the context of a 24-hour, supervised environment for individuals who have problems related to excessive use of alcohol and/or use of other drugs. Included are hospitals that are totally devoted to treatment for substance use disorders and programs within general inpatient health care facilities.
  • Interim Substance Use Disorder Services (6)
    RX-8470.3500

    Interim Substance Use Disorder Services

    RX-8470.3500

    Programs that provide supportive services such as counseling, food and clothing for people, often women or other vulnerable individuals, who are awaiting a space in a drug or alcohol use treatment program, with the objective of helping them maintain a commitment to seeking treatment.
  • Medication Assisted Treatment (MAT) (1)
    RX-8450.5000

    Medication Assisted Treatment (MAT)

    RX-8450.5000

    Programs that provide treatment which includes approved medication (e.g., methadone, buprenorphine, naltrexone, antabuse) to support the efforts of individuals with an opioid or alcohol use disorder to abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycontin or morphine) or alcohol. The extended-release, injectable form of naltrexone (Vivitrol) may also be used. The objective of maintenance is to gradually reduce the amount of the substitute drug that is required in order to reduce and, if possible, eventually eliminate dependency altogether. Medication assisted maintenance treatment (MAT) may be provided in an outpatient treatment program (OTP) or OTP unit such as a pharmacy or physician's office, or for buprenorphine products (Bunavail, Suboxone, Subutex, Zubslov), a physician's office or other health care setting. Methadone maintenance treatment is provided in a clinic. It is recommended that medication assisted maintenance treatment be provided in combination with counseling and behavioral therapies.
  • Methadone Clinics (2)
    RX-8450.5000-510

    Methadone Clinics

    RX-8450.5000-510

    Medication assisted treatment (MAT) programs that use methadone to help people with an opioid use disorder abstain from or reduce their use of opioids. Methadone works by changing how the brain and nervous system respond to pain. It lessens the painful symptoms of opiate withdrawal and blocks the euphoric effects of opiate drugs such as heroin, morphine, and codeine, as well as semi-synthetic opioids like oxycodone and hydrocodone. Methadone is offered in pill, liquid, and wafer forms and is taken once a day. Pain relief from a dose of methadone lasts about four to eight hours. Patients taking methadone to treat opioid addiction must receive the medication under the supervision of a physician. After a period of stability (based on progress and proven, consistent compliance with the medication dosage), patients may be allowed to take methadone at home between program visits. The length of time in methadone treatment varies from person to person but should be at least 12 months; and treatment must be stopped gradually to prevent withdrawal. The decision to stop treatment needs to be supervised by a physician.
  • Naltrexone Based MAT Programs (8)
    RX-8450.5000-600

    Naltrexone Based MAT Programs

    RX-8450.5000-600

    Medication assisted treatment (MAT) programs that use Naltrexone (Vivitrol) to help people with an opioid or alcohol use disorder abstain from or reduce their use of opioids or alcohol. The medication comes in a pill form or as an injectable. The pill form of naltrexone (ReVia, Depade) can be taken daily. The injectable extended-release form of the drug (Vivitrol) is administered intramuscular once a month. Naltrexone can be prescribed by any health care provider who is licensed to prescribe medications. To reduce the risk of precipitated withdrawal, patients are warned to abstain from illegal opioids and opioid medication for a minimum of 7-10 days before starting Naltrexone. If switching from methadone to naltrexone, the patient has to be completely withdrawn from the opioids. Naltrexone blocks the euphoric and sedative effects of drugs such as heroin, morphine, and codeine. It works differently in the body than buprenophine and methadone, which activate opioid receptors in the body that suppress cravings. Naltrexone binds and blocks opioid receptors, and is reported to reduce opioid cravings. There is no abuse or diversion potential with naltrexone. Naltrexone can also be used to treat alcohol use disorders. Oral Naltrexone and extended-release injectable Naltrexone can be used for the treatment of alcohol dependence in patients who can abstain from alcohol in an outpatient setting before the initiation of treatment. Naltrexone has not been shown to be effective in patients who are drinking at treatment initiation. Both formulations may have the greatest benefit in patients who can discontinue drinking on their own for several days before treatment initiation.
  • Opioid Detoxification (5)
    RX-1700.1700-500

    Opioid Detoxification

    RX-1700.1700-500

    Programs that specialize in providing detoxification services for people who have a physical dependency on an opioid substance (usually heroin, oxycodone or morphine). Detoxification methods vary but often entail stabilization via prescription medication such as methadone, buprenorphine (Subutex), buprenorphine-naloxone (Suboxone) or naltrexone administered by medical professionals. Specialized opioid detoxification programs can be either inpatient or outpatient.
  • Outpatient Drug Detoxification (1)
    RX-1700.1700-650

    Outpatient Drug Detoxification

    RX-1700.1700-650

    Programs operated under the supervision of trained physicians, nurses or counselors on an outpatient basis in a medical clinic or other similar setting that provide assistance and support including medical treatment and possibly prescription medication to help individuals who exhibit pharmacological and other indicators of a drug use disorder involving substances other than opiates (e.g., cocaine, amphetamines, benzodiazepines) during the withdrawal period.
  • Outpatient Medically Assisted Alcohol Detoxification (2)
    RX-1700.0500-650

    Outpatient Medically Assisted Alcohol Detoxification

    RX-1700.0500-650

    Programs operated under the supervision of trained physicians, nurses or counselors on an outpatient basis in a medical clinic or other similar setting that provide assistance and support including medical treatment and possibly prescription drugs to help individuals who are physically dependent on alcohol during the withdrawal period.
  • Outreach Programs (12)
    TJ-6500.6300

    Outreach Programs

    TJ-6500.6300

    Organizations that make an effort to increase the availability and utilization of community services by specific target populations by providing direct services for targeted individuals in their homes or other convenient locations or by making special efforts to ensure that a particular group is aware of available services and encouraged to participate. Included are programs that do outreach regarding their own services as well as those which encourage a target population to use a wide variety of services.
  • Recovery Homes/Halfway Houses (4)
    RX-8500.6500

    Recovery Homes/Halfway Houses

    RX-8500.6500

    Community-based, peer-group-oriented, residential facilities that provide food, shelter and recovery services in a supportive, non-drinking, drug-free environment for people who have completed a hospital or residential substance use disorder rehabilitation program and need continued support in a residential setting to sustain their recovery. Services may include case management, relapse prevention counseling, 12-step meetings, educational and vocational planning, recreational activities and assistance in obtaining health, social, vocational and other services available in the community. Residents are expected to abide by house rules which vary from facility to facility. The objective is to help people who are recovering from an alcohol and/or other drug use disorder bridge the gap between intensive treatment and independent sober living.
  • Relapse Prevention Programs (11)
    RX-8470.6900

    Relapse Prevention Programs

    RX-8470.6900

    Programs that provide structured therapy groups or other interventions which help recovering drug and/or excessive alcohol users make the cognitive, behavioral and attitudinal changes that are necessary to prevent them from returning to their previous patterns of use. The program helps participants deal in a very focused way with a wide variety of issues that have an impact on their commitment to sobriety and may include topics like exercise, nutrition, boredom, addictive behavior, looking forward, work and recovery, guilt and shame, the role of 12-step programs, staying busy, truthfulness, trust, repairing relationships, anger management, money management and dealing with feelings.
  • Residential Substance Use Disorder Treatment Facilities (6)
    RX-8450.7000

    Residential Substance Use Disorder Treatment Facilities

    RX-8450.7000

    Community based residential facilities that provide treatment services in the context of a 24-hour, supervised drug and alcohol-free environment for people who have problems related to excessive use of alcohol and/or use of other drugs
  • Smoking/Vaping Cessation (15)
    RX-8450.7900

    Smoking/Vaping Cessation

    RX-8450.7900

    Programs that utilize one or a variety of techniques including aversion therapy, hypnosis, acupuncture, acupressure, and individual and/or group therapy or mutual support groups to help people who wish to control their dependence on nicotine and give up regular cigarettes, e-cigarettes (vaping), cigars, pipe tobacco, chewing tobacco, snuff or other substances containing nicotine. Included are smoking "quitlines" which provide information and counseling about tobacco use for people who prefer a telephone-based service. While some people tout e-cigarettes as a way to give up smoking regular cigarettes, mounting evidence shows that teens and young adults who use e-cigarettes are far more likely to end up smoking traditional cigarettes one year later.
  • Substance Use Disorder Counseling (15)
    RX-8450.8000

    Substance Use Disorder Counseling

    RX-8450.8000

    Programs that provide individual, group or family therapy for individuals who have problems related to the excessive use of alcohol and/or use of other drugs (and/or for their families) to help them better understand the nature of the disorder and support recovery efforts.
  • Substance Use Disorder Day Treatment (2)
    RX-8450.8100

    Substance Use Disorder Day Treatment

    RX-8450.8100

    Programs that provide supervised, structured, full-day daytime activities which may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, a program for family members, relapse prevention services and a continuing care program for individuals who have disorders related to excessive use of alcohol and/or use of other drugs, need treatment that is more intensive than an outpatient program but do not require 24-hour hospital care, and are currently drug and/or alcohol free. Most participants attend day treatment programs eight hours per day, Monday through Friday with part-day sessions on the weekends (though some programs are available as little as five hours per day or as long as 12 hours per day).
  • Substance Use Disorder Education/Prevention (11)
    RX-8250

    Substance Use Disorder Education/Prevention

    RX-8250

    Programs that provide information about substance use disorders (including the substances most commonly used and their effects, the diagnostic criteria for substance use disorders, screening and diagnostic procedures and methods of treatment) and/or which offer any of a variety of services that focus on substance use prevention for people of all ages who are at risk. Included may be printed materials or videos that address the subject; psycho-educational and skill building activities; structured groups which focus on family dynamics, problem-solving, self-esteem and similar issues; and presentations in schools and agencies and to family groups regarding the dangers of alcohol and drug use and smoking, the signs of substance use disorders, the legal consequences of illegal substance use and how to get help.
  • Substance Use Disorder Hotlines (1)
    RX-8470.8350

    Substance Use Disorder Hotlines

    RX-8470.8350

    Programs that provide immediate assistance for people who have problems related to excessive use of alcohol and/or use of other drugs or are at risk of a substance use related disorder. Services may include defusing the crisis, ensuring the person's safety and information about alternatives the person may explore to begin recovering. Substance use related hotlines are also typically available to significant others of people who are involved with drugs and/or excessive alcohol use. Hotline staff can generally be reached via the telephone, email, live chat, texting and/or instant message (IM).
  • Substance Use Disorder Intervention Programs (7)
    RX-8470.8400

    Substance Use Disorder Intervention Programs

    RX-8470.8400

    Programs that work with the families and friends and others who are concerned with the excessive use of alcohol and/or use of other drugs by someone they love with the objective of helping those individuals create a crisis in the life of the person as the first step in helping them to recognize that they have a substance use disorder and accept treatment. The program offers a guided process during which groups of concerned others express their feelings about the effects of the problem on their own lives; develop the strength and objectivity to confront the one they love; plan and rehearse an intervention strategy where the individual is confronted with his or her behavior and the consequences of refusing to seek treatment; confirm a treatment plan including financial arrangements and bed availability; establish a date and time for the intervention; and carry out the intervention with the hope that the person will accept treatment.
  • Substance Use Disorder Peer Recovery Coach Services (3)
    RX-8470.8580

    Substance Use Disorder Peer Recovery Coach Services

    RX-8470.8580

    Programs that connect individuals who have a substance use disorder with a recovery coach who supports patients, family members and treatment personnel in launching the individual's recovery process or stabilizing recovery when needed. While they don't provide clinical services, recovery coaches, as people with lived addiction recovery experience, demonstrate that people can recover. They offer guidance in creating and following through with a recovery plan that reflects the individual's goals, provide support through the inevitable ups and downs, and hope to those living with an alcohol or drug use disorder. Some hospital emergency departments have outside recovery coaches on call, who connect with the client following an opioid overdose or other alcohol or drug related medical crisis. In other cases, clients are introduced to a recovery coach when they begin treatment in an inpatient program or at a community based outpatient treatment facility, or are connected through other channels e.g., outreach programs. Some people engage a recovery coach as a first step to help them figure out what other type of professionals/services they need while others get a recovery coach after rehabilitation to help them make the transition home and continue to support their sobriety.
  • Substance Use Disorder Referrals (1)
    RX-8470.8600

    Substance Use Disorder Referrals

    RX-8470.8600

    Programs that link people who are in need of drug and/or alcohol use disorder services with appropriate resources.
  • Substance Use Disorder Treatment Programs (4)
    RX-8450

    Substance Use Disorder Treatment Programs

    RX-8450

    Community and hospital-based programs that provide a variety of inpatient, outpatient and residential treatment services for individuals who have problems related to excessive use of alcohol and/or use of other drugs.
  • Transitional Residential Substance Use Disorder Services (2)
    RX-8500

    Transitional Residential Substance Use Disorder Services

    RX-8500

    Programs that provide alcohol and other drug-free congregate living arrangements which facilitate the return to the community of individuals who are recovering from an alcohol and/or other drug use disorder, who may be leaving an inpatient or residential treatment program and who need ongoing support to sustain an abstinent lifestyle.