Continuum of Care - Definitions of Treatment Services
Detoxification (ASAM Levels IV-D, III.7-D, III.2-D, I-D & II-D)
A "detox" may be a hospital based, freestanding, or outpatient program that provides assessment, diagnosis, and medical treatment to stabilize people who are experiencing withdrawal from alcohol or other drugs.
Detoxification Management
Some detoxification services are provided through a special contract with Aroostook Mental Health Center and are available at selected Region III hospitals (Aroostook, Hancock, Penobscot, Piscataquis, and Washington Counties ). These hospitals are in addition to the ones listed under Detoxification. When calling a contracted hospital, you may need a contact name or additional information which can be found on the full entry on the web. You can also call the Office of Substance Abuse Information and Resource Center for this information.
Residential Rehabilitation (ASAM Level III)
Residential treatment programs provide services in a full (24 hours) residential setting. These programs provide a scheduled treatment regimen which consists of diagnostic, educational, and counseling services; and refer clients to support services as needed. Clients are routinely discharged to various levels of follow-up services. There are three categories of residential care:
Residential Treatment & Extended Shelter (ASAM Level III, Category I)
Residential treatment programs maintain a basic focus on early recovery skills, including the negative impact of chemical dependency, tools for developing support, and relapse prevention skills.
Halfway House (ASAM Level III, Category II)
Halfway houses are residential programs that provide support for sobriety, and prepare, and prepare clients to re-enter the work force and re-establish themselves in the community. The programs help clients develop socialization skills and vocational needs.
Extended Care (ASAM Level III, Category III)
Clients with extensive substance abuse or coexisting disorders of substance abuse and co-occurring mental health conditions may enter an extended care program, a residential treatment program that offers treatment stays longer than 180 days.
Intensive Outpatient (ASAM Level II.I)
Nonresidential rehabilitation programs provide intensive and structured substance abuse treatment, three to four days a week. The programs usually last three or four weeks and may be conducted during the daytime or in the evening.
Outpatient (ASAM Level I)
This treatment model is non-residential. Outpatient programs offer individual, group and family sessions, usually for an hour or ninety minutes once a week.
Medication Assisted Treatment for Opioid Addiction
Detoxification - This is a program that provides opioid detoxification. The detoxification process involves the reduction of Methadone to a zero dosage upon discharge.
Opioid Treatment Program (OTP) - Under medical supervision, OTP clinics administer opioid agonists, monitor dosages, and provide counseling to people with a dependence on heroin, other morphine-like drugs, or prescription opioid medications.
Shelter
Shelters provide food, clothing, and lodging for up to twelve hours a day. Shelter programs can also motivate people to seek and enter treatment.
Co-Occurring Disorders
Agencies where treatment for substance abuse and co-occurring mental health conditions is integrated in policies, procedures and practices.
