Substance Abuse - service descriptions

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Category	Service	Description
Prevention & Harm Reduction	Drug Free Community Coalitions	Originally funded by Congress in 1997, with the understanding that local problems need local solutions, the Drug Free Communities (DFC) program now supports over 700 drug-free community coalitions across the United States. As a cornerstone of ONDCP’s National Drug Control Strategy, DFC provides the funding necessary for communities to identify and respond to local substance use problems
	Educational Materials / Printed Information	Funded by the Massachusetts Department of Public Health, the Massachusetts Health Promotion Clearinghouse provides free health promotion materials for Massachusetts residents and health and social service providers in the Commonwealth.
	Opioid Overdose Prevention / MassCALL2 Programs	Programming in 15 high-incidence communities in Massachusetts to do community needs assessments to understand the opioid overdose problem in their area, and to implement evidence-based strategies to address the problem. The goal is to reduce the incidence of fatal and non-fatal opioid overdoses in each funded community.
	Opioid Overdose Prevention / Narcan (Naloxone) Training	Narcan is a narcotic antagonist. It works by blocking opiate receptor sites, which reverses or prevents toxic effects (overdose) of narcotic (opioid) analgesics.
	Substance Abuse Prevention Programs	The Bureau of Substance Abuse Services funds community-based prevention programs that utilize science-based programs/strategies to prevent alcohol, marijuana, and other drug abuse with a particular focus on the under 21 population.
	Syringe and Needle Disposal Site	Locations to safely dispose of used syringes/needles.
	Youth Intervention Programs	Youth Intervention Programs address the needs of individuals, families, and communities in the early stages of substance abuse problems. The programs focus on youth/young adults who have actively begun to experiment with drug use and/or who are in a very high-risk environment or situation due to some form of individual or family drug/alcohol involvement.
	Needle Exchange Programs	In addition to the exchange of new syringes for used ones, needle exchange programs offer HIV counseling and testing, referrals to substance abuse treatment, Hepatitis C education, harm reduction strategies, and bleach kits.
	Inhalant Abuse Task Force	The Massachusetts Inhalant Abuse Task Force was created in 1995 by the Massachusetts Department of Public Health, Bureau of Substance Abuse Services, to provide parents, teachers, healthcare workers, and other youth-serving professionals with the most up-to-date information available on the prevention of inhalant abuse.
	Regional Centers for Healthy Communities	The Regional Centers for Healthy Communities (RCHCs) help build healthier communities by addressing alcohol, tobacco, and other drug abuse prevention and youth development issues at the local level. Each Center has a Resource Library addressing a broad range of public health issues and providing access to a number of online substance abuse prevention services, as well materials for psycho-educational groups.
Counseling & Outpatient Services	Acupuncture Services	Acupuncture and recovery maintenance programs provide services for individuals with histories of substance abuse that require treatment for mild to moderate withdrawal symptoms. Services include limited medical screening and intake, motivational counseling/case management and acupuncture treatments. Eligibility: Open to clients with mild to moderate withdrawal symptoms. Service is not appropriate for clients in need of a medically monitored detox.
	Outpatient Counseling (Individual / Group / Family)	Outpatient Counseling provides treatment for adults and adolescents, their families, and/or their significant others who are affected by the use of alcohol or other drugs. Clients are assisted in gaining and maintaining skills for a substance-free lifestyle. Services include assessment and treatment planning, individual, group, and family counseling.
	Day Treatment	Day Treatment is intensive Outpatient Treatment. Programs provide each client with several hours of counseling per day, up to four days a week including: individual, group and family counseling, relapse prevention, communicable disease prevention, case management, and encouragement of the use of self help groups. Eligibility: Clients must be medically stabilized and require more than once per week counseling to maintain stability.
Adult Detox / Acute Treatment	Detox	Acute treatment services (ATS) programs are medically monitored detoxification (detox) services. Programs provide 24-hour nursing care, under the consultation of a medical director, to monitor an individual's withdrawal from alcohol and other drugs and alleviate symptoms.
	Detox - Substance Abuse and Mental Health	Acute treatment services (ATS) programs are medically monitored detoxification (detox) services. Programs provide 24-hour nursing care, under the consultation of a medical director, to monitor an individual's withdrawal from alcohol and other drugs and alleviate symptoms.
	Detox - Pregnant	Acute treatment services (ATS) programs are medically monitored detoxification (detox) services. Programs provide 24-hour nursing care, under the consultation of a medical director, to monitor an individual's withdrawal from alcohol and other drugs and alleviate symptoms.
	Civil Commitment - Section 35 Female	Section 35 Treatment Services are acute residential treatment services for court-mandated, civilly-committed individuals which are provided in a secure setting. Massachusetts state law allows for individuals who are deemed to be a danger to themselves or others due to their substance use to be civilly-committed to treatment by a district court for up to 30 days.
	Civil Commitment - Section 35 Male	Section 35 Treatment Services are acute residential treatment services for court-mandated, civilly-committed individuals which are provided in a secure setting. Massachusetts state law allows for individuals who are deemed to be a danger to themselves or others due to their substance use to be civilly-committed to treatment by a district court for up to 30 days.
Adult Residential / Halfway Houses	Recovery Homes for Women	Recovery Homes provide a structured, alcohol & drug free environment for individuals recovering from addiction. These programs emphasize recovery and treatment within a structured, therapeutic setting. Residents are encouraged to integrate with the community and to access community resources, including self-help groups and employment.
	Social Model Recovery Homes for Women	Social Model programs emphasize an alcohol & drug free living environment, peer counseling and case management. The emphasis of these programs is to assist residents to provide each other with a culture of recovery, support, sharing and positive role modeling. Residents are expected to be involved in the external community (through work, education, volunteer activities, etc.).
	Family Residential Services	Specialized Residential Services for Families (also known as Family Substance Abuse Shelters) provide a safe and supportive treatment environment for homeless families when the caretaking parent(s) has a chronic substance abuse problem. Programs provide shelter, coordination and case management of substance abuse treatment and other services for homeless families in order to support and sustain sobriety. Eligibility: The targeted population is identified as homeless caretaking parents or pregnant women, referred by the Department of Transitional Assistance, who have physical custody of at least one child and who have a chronic substance abuse problem. The Institute for Health and Recovery at (617) 661-7277 coordinates access to these programs.
	Pregnant & Postpartum Residential Services	Community-based women's residential substance abuse treatment programs for pregnant and post-partum women offer linkage to prenatal and pediatric care, obstetrical services, early intervention programs, aftercare treatment and planning, and other services. Women in all trimesters of pregnancy can enter these programs.
	Therapeutic Communities	Therapeutic Communities provide a highly structured environment that emphasizes resident treatment and recovery within the parameters of the program structure. The residents take an active role in this mode of treatment helping them to take responsibility and become positive role models.
	Recovery Homes for Men	Recovery Homes provide a structured, alcohol & drug free environment for individuals recovering from addiction. These programs emphasize recovery and treatment within a structured, therapeutic setting. Residents are encouraged to integrate with the community and to access community resources, including self-help groups and employment.
	Social Model Recovery Homes for Men	Social Model programs emphasize a sober living environment, peer counseling and case management. The emphasis of these programs is to assist residents to provide each other with a culture of recovery, support, sharing and positive role modeling. Residents are expected to be involved in the external community (through work, education, volunteer activities, etc.) Eligibility: For all three types of residential services, individuals, eighteen years and older who are in early recovery from alcohol and/or other drug abuse. Priority is given to people with disabilities, cultural and linguistic minorities, homeless individuals, injection drug users, persons involved with the criminal justice system and persons with or at risk for HIV/AIDS. In addition, pregnant women in early recovery who need assistance in developing and maintaining life skills necessary to implement drug-free living are eligible for the programs that offer enhanced services for pregnant and postpartum women and their infants.
Adult Short Term Rehab / Stabilization	Clinical Stabilization / Step Down Services (CSS)	Provides clinical stabilization services for clients leaving detox or stabilization services for clients needing acute treatment but not meeting criteria for medically-necessary detox (ATS) services.
	Transitional Support Services (TSS)	Transitional Support Services (TSS) are short-term, residential support services for clients who need a safe and structured environment and case management to support their recovery process after detox. These programs are designed to bridge the gap between acute treatment (detox) and residential rehabilitation.
Recovery Support / Self Help	Family Support & 12-Step Groups	Peer-based support where families with similar experience are involved in mutually supporting one another's recovery from addiction.
	Peer Recovery Support Centers (DPH)	These 5 recovery support centers are based principally on volunteer work from peers who support one another and who are involved in a participatory process to help build community and help design, plan, facilitate and evaluate activites offered at the centers
	Multi Service Recovery Centers	Recvoery oriented centers with elements of drop-in-centers, peer and 12-step based support, and additional recovery related supports.
	Self Help & 12-Step Groups	Peer-based support where in persons with similar experience are involved in mutually supporting one another's recovery from addiction.
	Professionals & Peer Assistance	These are agencies and organizations that help professionals that may be expereincing problems with alcohol or drug use to find support and services.
	Regional Learning Communities (DMH)	DMH has funded Recovery Learning Communities in all 6 DMH service areas. Regionally located, these peer-operated “hubs” coordinate peer-run peer support, education, advocacy and other regional peer-run activities. By supporting and strengthening a regional peer-run network, DMH aims to promote a system that is increasingly consumer driven, where peers are more fully integrated into their community. Eligibility: Persons who are currently not utilizing, or have difficulty accessing, traditional substance abuse treatment services, and persons with histories of chronic relapse.
	Recovery Community Advocacy & Info	Programs listed here offer advocacy and consumer information/education regarding substance abuse related issues and recovery.
	Support / Just Need To Talk
	Recovery High School	Recovery High Schools provide young people in recovery from alcohol and drug use with a supportive environment to help them maintain their recovery and complete their education. The schools utilize a maximum student to teacher ratio of 7-1 as well as an extended class day and school year.
Driving Under the Influence	D.U.I.L. Residential
	D.U.I. 1st Offender	Driver Alcohol Education (DAE) programs are available to individuals who agree to alternative sentencing as specified within Massachusetts General Laws for driving under-the-influence. Each DAE program participant is provided with a structured group where they receive educational material to help identify and understand alcohol abuse issues and drinking-and-driving behaviors.The program provides 40 hours of services conducted over 16 weeks and includes an assessment, participation in self-help and victim-impact community meetings.
	D.U.I. 2nd Offender Aftercare	Considered phase one of the three-phase treatment model, the Second Offender Residential Programs are 14-day residential programs targeted towards individuals convicted of their second driving-under-the-influence offense. These services include: medical evaluation, individual and group counseling, educational sessions including the introduction to self-help, recreation, and assurance that assignment has been made to an approved Second Offender Aftercare Program. Eligibility: Individuals convicted for drunk driving for a second time may choose this option as an alternative to 30 days incarceration. The adjudicating District Court makes all referrals.
Housing & Homeless Services	Alcohol & Drug Free Housing / Sober Housing	These are group residences that offer an alcohol and drug free living environment (often referred to as "sober housing"). Since no treatment is offered at these residences the Department of Public Health does not license, fund, or regulate these group living residences. These are landlord/tenant living arrangements that advertise as being alcohol and drug free.
	Case Management in Permanent Housing for Families	These are permanent housing models offering substance abuse case management for families
	Case Management in Permanent Housing for Individuals	These are permanent housing models offering substance abuse case management for individuals
	Case Management in Transitional Housing for Families	These are temporary housing models offering substance abuse case management for families
	Case Management in Transitional Housing for Individuals	These are temprorary housing models offering substance abuse case management services for individuals.
	Housing with Case Management for Young Adults (18-24 years old)	These are permanent and temporary housing programs that offer supportive substance abuse case management to individuals aged 18-24.
	Post Detox / Pre-Recovery	Temporary housing programs that offer supportive services for homeless with substance abuse disorders.
	Pre-Recovery/Early Recovery Permanent Housing	PDPR is DPH and HUD-funded permanent supportive housing that provides single room occupancy with case management services to individuals in early recovery. These programs will continue working with and housing individuals who may relapse.
	Residential Treatment for Homeless Families	Family Residential Treatment Services provide a safe and supportive treatment environment for families when the caretaking parent(s) has a chronic substance abuse problem. Programs provide housing, individual and family treatment and case management of substance abuse treatment and other services for families in order to support and sustain recovery.
	Residential Treatment with Case Management for Homeless Individuals	These programs offer housing for individuals who experience chronic homelessness. These programs offer supportive case management to individuals who may need more support around the issue of housing and homelessness.
	Shelters for Individuals
	Transitional Housing with Case Management (for HIV positive women)	These transitional housing sites provide individual counseling, substance abuse and relapse prevention counseling, medication managemnt, domestic violence counseling, mental health counseling, case management services and housing search services. Length of stay can be up to 2 years.
Mental Health	DMH Main Office
	Emergency / Crisis Intervention
	Self Help / Recovery Support	Peer-based support where families with similar experiences are involved in mutually supporting one another in coping with a family member or loved one who has a history of addiction.
Helpline & Hotline Information	Child At Risk Information	Hotline/Helpline Number
	CORI / Legal Issues
	Disability
	Food
	Hepatitis C / Viral Hepatitis
	Insurance
	Literature / Printed Materials Info.
	Medication Information / Assistance
	Parenting
	Poison Control
	Smoking Cessation
	Veterans
	Suicide
	Domestic Violence
	Sexual Assault
	HIV / AIDS
	Alcohol and Drugs
	Elders
	GLBT
	Teens
Websites & Information	CORI / Legal Issues (Web & Info)
	Literature / Printed Materials
	National / Federal Agencies
	Parents & Family
	Recovery Community Advocacy
	State Agencies
	Out Of State Agencies
Family Services	Permanent Housing with Case Management for Families	These are permanent housing models offering substance abuse case management for families
	Residential for Pregnant & Post Partum (Women)
	Residential Services for Families
	Self-Help / Family Recovery Support
	Transitional Housing with Case Management for Families	These are temporary housing models offering substance abuse case management for families
Domestic Violence Services	Safe Homes & Support	Hotline/Helpline Number
	Domestic Violence Safe Homes with Substance Abuse Programs	These are residential programs that offer shelter to woman and children experiencing domestic violence coupled with substance abuse treatment and additional support services. Programs also link families with legal and housing advocacy.
	Certified Batterers Intervention Programs	Physical violence is seen as one of many forms of abusive behaviors chosen by batterers to control their intimate partners, including physical, sexual, verbal, emotional and economic abuse. Certified batterer intervention programs hold batterers accountable for the violent and abusive choices they make and are certified and monitored by the Department of Public Health. They teach batterers to recognize how their abuse affects their partners and children and to practice alternatives to abusive behaviors.
	Child At Risk
Methadone & Suboxone	Suboxone / Office-based Opioid Treatment	Opioid Treatment provides medically monitored treatment services for clients who are addicted to opiate drugs such as heroin or pain medications. Services combine medical and pharmacological interventions (such as methadone or buprenorphine) with professional outpatient counseling, education, and vocational services. Services are offered on both a short- and long-term basis.
	Methadone / Opioid Treatment	Opioid Treatment provides medically monitored treatment services for clients who are addicted to opiate drugs such as heroin or pain medications. Services combine medical and pharmacological interventions (such as methadone or buprenorphine) with professional outpatient counseling, education, and vocational services. Services are offered on both a short- and long-term basis.
Tobacco / Smoking Cessation	Support & Website	This helpline is funded by the Department of Public Health and offers a variety of information and support to persons interested in learning more about stopping smoking.
Training	Overdose Prevention / Narcan (Naloxone) Training	These programs train opioid users, their families and other potential bystanders on how to prevent and recognize an opioid overdose, and what to do if one occurs. The training covers the importance of calling 9-1-1, how to perform rescue breathing, and how to administer nasal naloxone (Narcan), a medication that reverses an opiate overdose.
	Training / Technical Assistance for BSAS funded Providers
	Training for Counselors
Youth Related Services	Counseling / Outpatient Services for Youth	Outpatient programs across the state have been approved as Adolescent Outpatient Substance Abuse Treatment Providers. These outpatient treatment programs have received training in the GAIN, a nationally recognized model for substance use assessment for adolescents. These sites provide assessment for adolescents requesting residential treatment to determine the most appropriate level of care. These sites also offer individual and group counseling designed for young people.
	Recovery High Schools for Youth	Recovery High Schools provide young people in recovery from alcohol and drug use with a supportive environment to help them maintain their recovery and complete their education. The schools utilize a maximum student to teacher ratio of 7-1 as well as an extended class day and school year.
	Short-term Rehab/Stabilization for Youth	Intensive clinical services designed to provide acute care/stabilization services for male and/or female adolescents ages 13-17. Services will provide gender specific medical, psychological, and behavioral stabilization, biopsychosocial assessment, treatment planning, referral to appropriate treatment and support services, and follow-up for the adolescents. The acute medically monitored stabilization (detox) and behavioral stabilization length of stay will be determined based on individual assessment and treatment planning.
	Youth Intervention	Youth Intervention Programs address the needs of individuals, families, and communities in the early stages of substance abuse problems. The programs focus on youth/young adults who have actively begun to experiment with drug use and/or who are in a very high-risk environment or situation due to some form of individual or family drug/alcohol involvement.
	Detox / Acute Treatment for Youth	Intensive clinical services designed to provide acute care/stabilization services for male and/or female adolescents ages 13-17. Services will provide gender specific medical, psychological, and behavioral stabilization, biopsychosocial assessment, treatment planning, referral to appropriate treatment and support services, and follow-up for the adolescents. The acute medically monitored stabilization (detox) and behavioral stabilization length of stay will be determined based on individual assessment and treatment planning.
	Residential Services for Youth	The Bureau of Substance Abuse Services funds two youth intervention programs that are designed to intervene with youth who have already begun to use substances and participate in risky behaviors. These programs include activities such as street outreach and youth organizing.