Wilmington VAMC Behavioral Health Services

Wilmington VAMC Behavioral Health Services

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

Type of Care

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

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

• Outpatient
• Outpatient detoxification
• Hospital inpatient detoxification
• Hospital inpatient/24-hour hospital inpatient
• Outpatient methadone/buprenorphine or naltrexone treatment
• Regular outpatient treatment
• Intensive outpatient treatment

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

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

Facility Smoking Policy

• Smoking not permitted

External Source of Medications Used for Alcohol Use Disorder Treatment

• No formal relationship with prescribing entity

Facility Vaping Policy

• Vaping not permitted

Assessment/Pre-treatment

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

Gender Accepted

• Male
• Female

Age Groups Accepted

• Young Adults
• Adults

Recovery Support Services

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

Hospitals

• General Hospital (including VA hospital)

Ancillary Services

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

License/Certification/Accreditation

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

Education and Counseling Services

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

Detoxification (medical withdrawal) Services

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

Medical Services

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Opioid Medications used in Treatment

• Naltrexone used in Treatment
• Buprenorphine used in Treatment

Testing

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

Special Programs/Groups Offered

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

Treatment Approaches

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

Type of Opioid Treatment

• Prescribes buprenorphine
• Relapse prevention with naltrexone
• Buprenorphine maintenance
• Prescribes naltrexone

Transitional Services

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

Payment/Insurance/Funding Accepted

• State-financed health insurance plan other than Medicaid
• Medicaid
• Federal military insurance (e.g., TRICARE)
• Medicare
• Cash or self-payment
• Private health insurance

Other Services

• Treatment for gambling disorder
• Treatment for other addiction disorder