Definitions of Treatment Services:

Co-Occurring (Integrated) Treatment:
Many individuals who have been diagnosed with a substance abuse disorder also have co-occurring mental health conditions and/or diagnoses.  Agencies that provide co-occurring or integrated treatment provide treatment that addresses both issues at the same time and following the same track, not treating them as separate diagnoses.  

DSAT (Differential Substance Abuse Treatment): 
DSAT is a treatment program designed to reduce substance abuse and related criminal behavior within the Maine offender population.  This treatment is an evidenced based practice that addresses the different needs of men and women in substance abuse treatment, but also the individual level of substance use severity.  This model can be used in institutional and/or community outpatient services.

Detoxification “Detox”: ASAM Level III 7-D
A "detox" may be a hospital based or outpatient program that helps stabilize people who are experiencing withdrawal from alcohol or other drugs. These programs provide evaluation, observation, medical monitoring, and addiction treatment in a short term inpatient setting.  

Detoxification Management:
This service includes a call center and coordination of services provided by Aroostook Mental Health Center (AMHC) for individuals looking for a “detox” program in the northern Maine region.  This service includes a central access point where individuals call and AMHC helps to access a “detox” bed in various hospitals in the Region III area (Aroostook, Hancock, Penobscot, Piscataquis, and Washington Counties.)  

Emergency Shelter:
This service provides food, lodging, and clothing for individuals who abuse alcohol and other drugs, with the purpose of helping people enter alcohol and drug treatment.  Shelter services are provided at least 12 hours per day, with some shelter services providing 24 hour care.  Services include referrals for detoxification, arrangements for needed health care services, transportation, and help with coordinating care.

Extended Care: ASAM Level III.3
Extended Care provides a residential treatment program for more than 180 days to individuals with extensive substance abuse or co-occurring substance abuse and mental health conditions.  This service includes a structured environment where substance abuse treatment is provided along with life skills training, relapse prevention, and the development of a social network that supports recovery.

Halfway House: ASAM Level III.1
Halfway house is a residential program that provides less intense treatment services as compared to residential or extended care services to support recovery from substance abuse.  It is designed to improve the individual’s ability to structure and organize daily living and recovery.  Services include assessment, group/individual/family counseling, life skills, employment preparation, transportation between programs and coordination of services.  

Intensive Outpatient Services (ASAM Level II.I)
These services are located at an agency office and 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 Services (ASAM Level I)
These services are located at an agency office and provide individual, group, and family sessions, usually for an hour or ninety minutes once a week.

Medication Assisted Treatment for Addiction:

Opioid Treatment Program (OTP) - Under medical supervision for maintenance or detoxification, OTP clinics administer opioid agonist medication (such as Methadone), monitor dosages, and provide counseling to people with a dependence on heroin or prescription opioid medications.   

Other: Some other forms of Medication Assisted Treatment used for detoxification and/or long term treatment are medications including, but not limited to, Suboxone, Buprenorphine, Subutex, Vivitrol, and Antabuse which are prescribed medications by a physician in an inpatient or outpatient setting.  

Residential Rehabilitation: ASAM Level III.5
Residential rehabilitation services are designed to treat persons who have significant social and psychological problems.  The goals of treatment are to promote abstinence from substance use and enhance participant’s lifestyles, attitudes, and values.  For placement in this level of service an individual would have multiple challenges, which may include substance related disorders, criminal activity, mental health problems, and impaired functioning.  There are different levels of intensity of services provided based on individual need and some specialized residential rehabilitation programs exist to treat just adolescents, and some programs exist that provide treatment just for women.


 Created September 2011