Department of Veterans Affairs VA Sierra Nevada Healthcare System

Types of Care:

• medical heroin detox
• residential treatment for heroin abuse
• inpatient dual diagnosis treatment

Service Settings:

• hospital inpatient heroin rehab
• outpatient heroin treatment
• hospital inpatient heroin detoxification
• inpatient hospital addiction treatment
• outpatient heroin detox services
• outpatient heroin day treatment
• intensive outpatient heroin treatment program
• outpatient methadone/buprenorphine/naltrexone treatment
• regular outpatient heroin 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:

• Prescribes medication for alcohol use disorder

Type Of Treatment:

• buprenorphine detox
• buprenorphine maintenance
• suboxone prescription
• naltrexone administration
• 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
• cognitive behavioral therapy
• motivational incentives
• DBT
• motivational interviewing
• matrix model
• rational emotive behavioral therapy
• relapse prevention
• counseling for substance abuse
• trauma counseling
• 12 step rehabilitation

Facility Ownership:

• the U.S. Department of Veterans Affairs

License/Certification/Accreditation:

• 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

Special Programs/ Population Groups Supported:

• residential heroin rehab for adult women
• heroin rehab for vets
• co-occurring addiction and mental health 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 managers
• domestic violence services
• HIV early intervention
• sober housing services
• mental health services
• social skills development
• help with transportation
• peer support

Other Addictions Treatment:

• gambling disorder treatment

Detoxification:

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

Counseling Services and Education:

• individual counseling
• counseling for families
• marital/couples counseling
• substance use education
• hepatitis education, counseling and support
• HIV and AIDS 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:

• accepts adults
• accepts young adults

Gender Accepted:

• heroin rehab for women
• in-patient heroin rehab for men

Exclusive Services:

• Veteran rehab only