Tomah VAMC Mental Health Service Line

Tomah VAMC Mental Health Service Line

Services:
Facility Vaping Policy
• Vaping not permitted

Gender Accepted

• Male
• Female

Hospitals

• General Hospital (including VA hospital)

Facility Smoking Policy

• Smoking not permitted

Payment/Insurance/Funding Accepted

• Federal military insurance (e.g., TRICARE)

Type of Opioid Treatment

• Maintenance service with medically supervised withdrawal after stabilization
• Buprenorphine maintenance
• Relapse prevention with naltrexone
• Prescribes buprenorphine
• Accepts clients using MAT but prescribed elsewhere
• Lofexidine or Clonidine detoxification
• Buprenorphine detoxification
• Prescribes naltrexone

Education and Counseling Services

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

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Transitional Services

• Naloxone and overdose education
• Aftercare/continuing care
• Outcome follow-up after discharge
• Discharge Planning

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

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

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

• Regular outpatient treatment
• Long-term residential
• Hospital inpatient detoxification
• Hospital inpatient treatment
• Residential/24-hour residential
• Hospital inpatient/24-hour hospital inpatient
• Outpatient detoxification
• Outpatient
• Outpatient methadone/buprenorphine or naltrexone treatment

Testing

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

Opioid Medications used in Treatment

• Buprenorphine used in Treatment
• Naltrexone used in Treatment

Pharmacotherapies

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Special Programs/Groups Offered

• Seniors or older adults
• Clients with co-occurring mental and substance use disorders
• Adult men
• Active duty military
• Criminal justice (other than DUI/DWI)/Forensic clients
• Members of military families
• Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
• Adult women
• Veterans
• Clients who have experienced sexual abuse
• Clients with HIV or AIDS
• Clients who have experienced trauma
• Pregnant/postpartum women
• Clients with co-occurring pain and substance use disorders
• Clients who have experienced intimate partner violence, domestic violence

Assessment/Pre-treatment

• Complete medical history/physical exam
• Outreach to persons in the community
• Screening for mental disorders
• Screening for tobacco use
• Screening for substance use
• Interim services for clients
• Comprehensive substance use assessment
• Comprehensive mental health assessment

Treatment Approaches

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

Ancillary Services

• Case management service
• Suicide prevention services
• Domestic violence services, including family or partner
• Acupuncture
• Integrated primary care services
• Transportation assistance
• Mental health services
• Social skills development

Recovery Support Services

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

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
• Transitional housing, halfway house, or sober home
• Detoxification

Detoxification (medical withdrawal) Services

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

External Opioid Medications Source

• In-network prescribing entity
• No formal relationship with prescribing entity
• Other contracted prescribing entity

Age Groups Accepted

• Young Adults
• Adults

License/Certification/Accreditation

• Commission on Accreditation of Rehabilitation Facilities (CARF)
• The Joint Commission

Medical Services

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