Assessment, including a medical examination, drug use
history,
psychosocial evaluation, and where warranted a psychiatric evaluation,
as well
as a review of socioeconomic factors and eligibility for public health,
welfare,
employment, and educational assistance programs.
Same-day intake to retain the patient's involvement and
interest
in treatment.
Documentation of findings and treatment to enhance clinical
case
supervision.
Preventive and primary medical care provided onsite.
Testing for infectious diseases at intake and at intervals
throughout treatment, for infectious diseases such as hepatitis,
retrovirus,
tuberculosis, HIV/AIDS, syphilis, gonorrhea, and other sexually
transmitted
diseases.
Weekly random drug testing to ensure abstinence and
compliance with treatment.
Pharmacotherapeutic interventions by qualified medical
practitioners, as appropriate for those patients having mental health
disorders,
those addicted to opiates, and HIV-seropositive individuals.
Group counseling interventions to address the unique
emotional,
physical, and social problems of HIV/AIDS patients.
Basic substance abuse counseling, including psychological
counseling, psychiatric counseling, and family or collateral counseling
provided
by persons certified by State authorities to provide such services.
Staff
training and education are integral to a successful treatment
program.
Practical life skills counseling, including vocational and
educational counseling and training, frequently available through
linkages with
specialized programs.
General health education, including nutrition, sex and
family
planning, and HIV/AIDS counseling, with an emphasis on contraception
counseling
for adolescents and women.
Peer/support groups, particularly for those who are
HIV-positive
or who have been victims of rape or sexual abuse.
Liaison services with immigration, legal aid, and criminal
justice
system authorities.
Social and athletic activities to retrain patients'
perceptions of
social interaction.
Alternative housing for homeless patients or for those whose
living situations are conducive to maintaining the addicted life-style.
Relapse prevention, which combines aftercare and support
programs
such as the self-help groups Alcoholics Anonymous and Narcotics
Anonymous,
within an individualized plan to identify, stabilize, and control the
stressors
that trigger and promote relapse to substance abuse.
Outcome evaluation to enable refinement and improvement of
service
delivery.
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