Robert J Dole VA Medical Center Substance Use Disorder Clinic

Robert J Dole VA Medical Center Substance Use Disorder Clinic

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

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Hospitals

• General Hospital (including VA hospital)

Medical Services

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

Special Programs/Groups Offered

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

Ancillary Services

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

Education and Counseling Services

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

Facility Smoking Policy

• Smoking not permitted

Age Groups Accepted

• Adults
• Young Adults

Detoxification (medical withdrawal) Services

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

Transitional Services

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

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

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

Opioid Medications used in Treatment

• Naltrexone used in Treatment
• Buprenorphine used in Treatment

Gender Accepted

• Female
• Male

External Source of Medications Used for Alcohol Use Disorder Treatment

• In-network prescribing entity

Type of Care

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

Pharmacotherapies

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

Other Services

• Treatment for other addiction disorder
• Treatment for gambling disorder

Facility Vaping Policy

• Vaping not permitted

Testing

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

Payment/Insurance/Funding Accepted

• Medicare
• Private health insurance
• Cash or self-payment
• Federal, or any government funding for substance use treatment programs
• Federal military insurance (e.g., TRICARE)
• Medicaid

Assessment/Pre-treatment

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

License/Certification/Accreditation

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

Type of Opioid Treatment

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

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

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

Treatment Approaches

• Relapse prevention
• Anger management
• Substance use disorder counseling
• Trauma-related counseling
• Brief intervention
• Cognitive behavioral therapy
• 12-step facilitation
• Motivational interviewing
• Community reinforcement plus vouchers
• Telemedicine/telehealth therapy