Levels of Care
Prevention programs are those directed at individuals who have not been determined to require treatment for substance use disorders. Funded prevention services must be provided in a variety of settings for both the general population and for subgroups who are at a high risk for substance use disorders.
One-on-one meetings arranged between a clinician and the individual seeking substance use disorder treatment. Family members and significant others may also be in attendance.
Dual Diagnosis/Co-Occurring Treatment:
Treatment services provided to person by programs and clinicians with competencies in substance use and mental health disorders.
Substance use disorder counseling led by a therapist in a group setting of people dealing with a variety of substance use issues. Group therapy usually includes didactic lectures, therapeutic discussions and other group activities.
Methadone/Other Medication Supported Services:
Medication detoxification means the dispensing of drugs in decreasing doses to an individual in order to alleviate adverse physiological or psychological effects incident to withdrawal from the continuous or sustained use of a narcotic drug. It is also used as a method of bringing the individual to a narcotic-free state within a specified period. There are two types of medication detoxification: 1) short-term detoxification is for less than 30 days; 2) long-term detoxification is for between 30 and 180 days.
Methadone maintenance involved the use of methadone as rehabilitation in conjunction with other medical and therapeutic care. It is compromised of outpatient treatment, dispensing of methadone and medication monitoring. Services must be provided under the supervision of a physician licensed to practice medicine in the State of Michigan.
Medically supervised care provided in a substance use disorder residential setting for the purpose of managing the effects of withdrawal from alcohol or drugs.
A supervised live-in substance use disorder program that includes residential, group, didactic and peer therapy all within a supportive living environment. There are residential programs for men, women and adolescents. Additional women's residential programs allow for children to live with them during treatment.
Gender specific substance use disorder treatment and other therapeutic interventions for priority women which may address issues of relationships, sexual and physical abuse, parenting and child care. Priority women are identified as meeting one or more of the following criteria: pregnant with IV drug use, pregnant, up to 1 year post-partum, have minor children at risk, CPS involvement or threat of CPS action or IV drug use.
Services that assist providers in designing and implementing strategies for obtaining services and supports that are goal oriented and individualized and that assist with access to needed health services, financial assistance, housing, employment, education, social services and other services.
The focus of treatment is shifted from professional-assisted to peer or other-assisted in a less formal community setting. Services are designed primarily by individuals in recovery in order to help prevent relapse and to promote recovery.
Services that are designed to motivate persons toward behavioral change and facilitate access to other specialized treatment services, if needed. Services are expected to be change-of-stage based with provisional ASAM diagnosis required.