Department of Veterans Affairs VA Sierra Nevada Healthcare System

Types of Care:

• detox
• treatment for substance abuse
• treatment for dual diagnosis

Service Settings:

• inpatient hospital treatment
• outpatient rehab
• hospital inpatient detoxification
• inpatient hospital addiction treatment
• outpatient detoxification
• partial hospitalization
• IOT
• outpatient methadone/buprenorphine or naltrexone treatment
• regular outpatient treatment

Hospitals:

• General Hospital (including VA hospital)

Opioid Medications used in Treatment:

• Buprenorphine clinical treatment
• Naltrexone used in Treatment

Type of Alcohol Use Disorder Treatment:

• Administers medication for alcohol use disorder

Type Of Treatment:

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

Pharmacotherapies:

• Acamprosate (Campral)
• Disulfiram (Antabuse)
• Buprenorphine with naloxone (Ex. Suboxone)
• Buprenorphine without naloxone
• Naltrexone (oral)
• Naltrexone (extended-release, injectable naltrexone - Vivitrol)
• Medications for psychiatric disorders
• Medications for HIV treatment
• Medications for Hepatitis C treatment
• Clonidine

Treatment Approaches:

• anger management
• brief intervention services
• CBT
• motivational incentives
• DBT
• motivational interviewing
• matrix model
• rational emotive behavioral therapy
• relapse prevention
• counseling for substance abuse
• trauma counseling
• 12-step rehab

Facility Ownership:

• the U.S. Department of Veterans Affairs

License/Certification/Accreditation:

• Certified by The Joint Commission

Payment/Insurance/Funding Accepted:

• Accepts Federal, or any government funding for substance use programs
• Accepts Medicare
• Accepts Medicaid
• Accepts Military insurance
• Accepts private health insurance
• Accepts cash or self-payment
• Accepts State-financed health insurance plan other than Medicaid

Special Programs/ Population Groups Supported:

• adult women
• veterans
• co-occurring mental health / addiction 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
• Testing for metabolic syndrome

Transitional Services:

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

Ancillary Services:

• Case management
• Domestic violence services
• Early intervention for HIV
• Housing services
• Mental health services
• Social skills development
• Transportation assistance
• Mentoring/Peer support

Other Addictions Treatment:

• gambling disorder treatment

Detoxification:

• Alcohol Detoxification
• Benzodiazepines Detox
• Cocaine Detoxification
• Methamphetamines Detox
• Opioid Detox

Counseling Services and Education:

• individual counseling
• family counseling
• counseling for couples
• substance use education
• hepatitis education, counseling and support
• HIV and AIDS education, counseling and support
• health education services
• employment counseling and training
• educational support

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:

• adult rehab
• young adults over 18

Gender Accepted:

• women
• men

Exclusive Services:

• Veteran rehab only