Types Of Treatment

The York/Adams Drug & Alcohol Commission contracts with a full continuum of substance abuse services. Contracted services include detoxification, inpatient, outpatient and methadone maintenance services. For a full listing of providers with whom the Commission contracts please reference our 2017-2018 Provider Directory.

DETOXIFICATION

Drug and alcohol withdrawal can be a dangerous and painful process. Withdrawal symptoms may occur when drug and alcohol use is discontinued or reduced. Detoxification services are available to assist with withdrawal and intoxication.

Detoxification is the process whereby a drug- or alcohol-intoxicated or dependent client is assisted through the period of time required to eliminate the presence of the intoxicating substance (by metabolic or other means) and any other dependency factors while keeping the physiological and psychological risk to the client at a minimum. Detoxification services are a professionally directed service provided in a residential setting that provides a 24-hour professionally directed evaluation and detoxification of addicted clients. The detoxification process also includes efforts to motivate and support the client to seek formal treatment after the detoxification process. This type of care utilizes multi-disciplinary personnel for individuals whose withdrawal problems (with or without biomedical and/or emotional problems) are severe enough to require inpatient services, 24-hour observation, monitoring, and, usually, medication.

INPATIENT

Inpatient levels of care are provided in 24- hour residential settings. Inpatient levels of care consist of short term residential, long term residential and halfway house treatment.

Short-Term Residential

A residential facility that provides 24-hour professionally directed evaluation, care, and treatment for addicted clients in acute distress, whose addiction symptomatology is demonstrated by moderated impairment of social, occupational, or school functioning. Rehabilitation is a key treatment goal.

Long-Term Residential

A residential facility that provides 24-hour professionally directed evaluation, care, and treatment for addicted clients in chronic distress, whose addiction symptomatology is demonstrated by severe impairment of social, occupational, or school functioning. Habilitation is the treatment goal. These programs serve clients with chronic deficits in social, educational, and economic skills, impaired personality and interpersonal skills, and significant drug-abusing histories which often include criminal lifestyles and subcultures. These individuals need a model more accurately described as habilitation, as opposed to the rehabilitation model. This service often requires global changes in lifestyle, such as abstinence from mood altering chemicals (other than those needed to treat illnesses), elimination of antisocial activity, a new outlook regarding employment, and the development, display, and integration of positive social attitudes and values.

Halfway House

Halfway House treatment is a community-based residential treatment and rehabilitation facility that provides services for chemically dependent persons in a supportive, chemical-free environment. The program focuses on assisting the individuals in developing self-sufficiency through counseling, employment and other services. While this type of service provides substance abuse treatment, it also emphasizes protective and supportive elements of family living, while encouraging and providing opportunities for independent growth and responsible community living, mutual self-help, assistance in economic and social adjustment, the integration of life skills into daily life, and a solid program of recovery. The facility is meant to provide a “home-like” atmosphere within the local community, be accessible to public transportation, and give no indication of being an institutional setting. This is a live in/work out environment.

OUTPATIENT

Outpatient treatment is an organized, non-residential treatment service providing psychotherapy in which the client resides outside the facility. Services are usually provided in regularly scheduled treatment sessions for, at most, 5 contact hours per week.

Intensive Outpatient (IOP)

Intensive Outpatient treatment is an organized non-residential treatment service in which the client resides outside the facility. It provides structured psychotherapy and client stability through increased periods of staff intervention. Services are provided according to a planned regimen consisting of regularly scheduled treatment sessions at least 3 days per week, for a minimal of 5 treatment hours a week with a maximum of 10 treatment hours per week.

Partial Hospitalization

Partial Hospitalization consists of the provision of psychiatric, psychological, or other therapies on a planned and regularly scheduled basis in which the client resides outside the facility. Partial hospitalization is designed for those clients who would benefit from more intensive services than are offered in outpatient treatment projects, but who do not require 24-hour residential care. This environment provides multi-modal and multi-disciplinary psychotherapy. Services consist of regularly scheduled treatment sessions at least 3 days per week with a minimum of at least 10 hours per week.

METHADONE MAINTENANCE

Methadone Maintenance is a form of medication-assisted treatment approved to treat opiate addiction. Methadone Maintenance consists of the use of medication, in combination with counseling and behavioral therapies, to provide an integrated, person-centered approach to the treatment of substance use disorders.