VA Black Hills Healthcare System Addictive Disorder Services

Types of Care:

• halfway and sober housing
• residential heroin use treatment

Service Settings:

• long-term heroin rehab
• long term residential heroin rehab
• short-term residential heroin rehab

Hospitals:

• General Hospital (including VA hospital)

Opioid Medications used in Treatment:

• Buprenorphine treatment
• Naltrexone clinical treatment

External Opioid Medications Source:

• Personal physician/health care provider

Type of Alcohol Use Disorder Treatment:

• Administers medication for alcohol use disorder

Type Of Treatment:

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

Pharmacotherapies:

• Acamprosate (Campral)
• Disulfiram (Antabuse)
• Buprenorphine sub-dermal implant (Probuphine)
• Buprenorphine with naloxone (Ex. Suboxone)
• Buprenorphine without naloxone
• Buprenorphine (extended-release, injectable, for example, Sublocade)
• 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
• cognitive behavioral therapy
• DBT
• motivational interviewing
• relapse prevention
• substance use counseling approach
• trauma counseling
• 12-step rehab

Facility Ownership:

• the U.S. Department of Veterans Affairs

License/Certification/Accreditation:

• Certified by Commission on Accreditation of Rehabilitation Facilities
• Hospital licensing authority
• Certified by The Joint Commission
• Certified by the National Committee for Quality Assurance

Payment/Insurance/Funding Accepted:

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

Special Programs/ Population Groups Supported:

• heroin rehab for vets
• co-occurring addiction and mental health treatment
• people with trauma
• people with co-occurring pain plus substance use

Assessment/Pre-treatment:

• Comprehensive mental health assessment
• Comprehensive substance use assessment
• 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
• HIV early intervention
• housing services
• mental health services
• self help meetings
• social skills development
• help with transportation
• professional interventionist
• group meetings

Other Addictions Treatment:

• general addiction disorder treatment

Counseling Services and Education:

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

• No smoking allowed

Age Groups Accepted:

• adult heroin rehab
• accepts young adults over 18

Gender Accepted:

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

Exclusive Services:

• Veteran rehab only