John D Dingell Veteran Affairs Medical Center Substance Use Disorder Services (SUDS)

Types of Care:

• inpatient heroin detoxification
• residential heroin abuse treatment
• inpatient treatment for heroin addiction and mental health diagnosis

Service Settings:

• outpatient heroin rehabilitation
• outpatient heroin detox services
• intensive outpatient heroin treatment
• outpatient methadone/buprenorphine/naltrexone treatment
• regular outpatient heroin treatment

Hospitals:

• General Hospital (including VA hospital)

Opioid Medications used in Treatment:

• Methadone used in treatment
• Buprenorphine clinical treatment
• Naltrexone clinical treatment

External Opioid Medications Source:

• In-network prescribing entity
• Other contracted prescribing entity
• Personal physician/health care provider

Type of Alcohol Use Disorder Treatment:

• Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
• Prescribes medication for alcohol use disorder

External Source of Medications Used for Alcohol Use Disorder Treatment:

• In-network prescribing entity
• Other contracted prescribing entity
• Personal physician/health care provider

Type Of Treatment:

• buprenorphine detoxification
• buprenorphine maintenance
• methadone detoxification
• methadone maintenance
• prescribes suboxone
• administers naltrexone
• relapse prevention from naltrexone
• buprenorphine for pain management

Pharmacotherapies:

• Acamprosate (Campral)
• Disulfiram (Antabuse)
• Methadone
• Buprenorphine with naloxone (Ex. Suboxone)
• Naltrexone (oral)
• Naltrexone (extended-release, injectable naltrexone - Vivitrol)
• Medications for psychiatric disorders
• Medications for HIV treatment
• Medications for Hepatitis C treatment
• Lofexidine
• Clonidine

Treatment Approaches:

• anger management
• brief intervention
• CBT
• motivational incentives
• community reinforcement
• DBT
• motivational interviewing
• matrix model
• rational emotive behavioral therapy
• relapse prevention
• counseling for substance abuse
• counseling for trauma victims
• 12 step rehabilitation

Facility Ownership:

• the U.S. Department of Veterans Affairs

License/Certification/Accreditation:

• Hospital licensing authority
• Certified by The Joint Commission

Payment/Insurance/Funding Accepted:

• Accepts Federal funding
• Accepts Medicare
• Accepts Medicaid
• Accepts Military insurance
• Accepts private health insurance
• Accepts self payment and cash
• Accepts state health insurance

Payment Assistance Available:

• Provides payment assistance

Special Programs/ Population Groups Supported:

• residential heroin rehab for adult women
• heroin rehab for pregnant and postpartum women
• in-patient heroin rehab for adult males
• heroin rehab for seniors
• heroin rehab for LGBT
• heroin rehab for veterans
• active duty military
• judicial clients
• co-occurring addiction and mental health treatment
• HIV/AIDS clients
• sexual abuse victims
• domestic violence victims
• people with trauma
• co-occurring substance abuse plus pain treatment

Assessment/Pre-treatment:

• Comprehensive mental health assessment
• Comprehensive substance use assessment
• Interim services for clients
• Outreach to persons in the community

Screening & Testing:

• Breathalyzer or blood alcohol testing
• Drug or alcohol urine screening
• HIV testing
• Screening for Hepatitis B
• Screening for Hepatitis C
• Screening for mental disorders
• Screening for substance use
• STD testing
• TB screening

Transitional Services:

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

Ancillary Services:

• case management
• domestic violence services
• HIV early intervention
• housing services
• mental health services
• recovery coaches
• self help meetings
• social skills training
• drug addiction intervention
• mentoring

Other Addictions Treatment:

• treatment for gambling disorder

Detoxification:

• inpatient alcohol detoxification
• residential benzodiazepines detoxification
• cocaine detox
• in-patient methamphetamines detoxification
• inpatient opioid detox

Counseling Services and Education:

• counseling for individuals
• group counseling
• family counseling
• counseling for couples
• substance use education
• hepatitis education, counseling and support
• HIV/AIDS counseling
• health education services
• employment counseling services
• vocational training

Medical Services:

• Hepatitis A vaccination
• Hepatitis B vaccination

Tobacco/Screening Services:

• Nicotine replacement therapy
• Non-nicotine smoking/tobacco cessation medications
• Screening for tobacco use
• Smoking/tobacco cessation counseling

Facility Smoking Policy:

• Smoking permitted in designated area

Age Groups Accepted:

• accepts adults
• accepts young adults

Gender Accepted:

• inpatient heroin rehab for women
• heroin rehab for men

Exclusive Services:

• Serves Veterans only

Services for deaf:

• Services for the deaf and hard of hearing are available