VA Portland Healthcare System Substance Abuse Treatment Program

VA Portland Healthcare System Substance Abuse Treatment Program

Services:
Special Programs/Groups Offered
• Clients with co-occurring pain and substance use disorders
• Adult women
• Seniors or older adults
• Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
• Criminal justice (other than DUI/DWI)/Forensic clients
• Veterans
• Clients who have experienced trauma
• Clients with co-occurring mental and substance use disorders

Education and Counseling Services

• Smoking/vaping/tobacco cessation counseling
• Health education services other than HIV/AIDS or hepatitis
• Marital/couples counseling
• Family counseling
• Hepatitis education, counseling, or support
• Group counseling
• Individual counseling
• Substance use disorder education
• HIV or AIDS education, counseling, or support

Other Services

• Treatment for other addiction disorder
• Treatment for gambling disorder

Ancillary Services

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

Medical Services

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

Hospitals

• General Hospital (including VA hospital)

Detoxification (medical withdrawal) Services

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

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Transitional Services

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

Facility Vaping Policy

• Vaping not permitted

Pharmacotherapies

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

Opioid Medications used in Treatment

• Buprenorphine used in Treatment
• Naltrexone used in Treatment

Age Groups Accepted

• Adults
• Seniors

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

• Outpatient detoxification
• Intensive outpatient treatment
• Regular outpatient treatment
• Outpatient
• Outpatient methadone/buprenorphine or naltrexone treatment

License/Certification/Accreditation

• The Joint Commission
• State Substance use treatment agency
• Federally Qualified Health Center

Gender Accepted

• Female
• Male

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Payment/Insurance/Funding Accepted

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

Treatment Approaches

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

Assessment/Pre-treatment

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

Recovery Support Services

• Mentoring/peer support
• Self-help groups
• Housing services
• Employment counseling or training

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

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

Facility Smoking Policy

• Smoking not permitted

Type of Opioid Treatment

• Buprenorphine detoxification
• Maintenance service with medically supervised withdrawal after stabilization
• Prescribes buprenorphine
• Relapse prevention with naltrexone
• Buprenorphine maintenance
• Prescribes naltrexone

Testing

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