Substance Use Prevention & Treatment Service Descriptions
Prevention Services are those programs directed at individuals who have not been determined to require treatment for a substance use disorder. Prevention service programs include strategies and initiatives which reduce both direct and indirect adverse personal, social, health, and economic consequences resulting from problematic alcohol and drug availability, manufacture, distribution, promotion, sales, and use. The desired result is to promote safe and healthy behaviors and environments for individuals, families and our community.
Outpatient Services include intake and assessment for a substance use disorder, treatment planning, individual counseling, group counseling, family therapy, collateral services, member education, medication services, crisis intervention services, and discharge planning. Services are provided by a licensed professional or a certified counselor in-person, by telephone, or by tele-health in any appropriate, confidential setting in the community. Outpatient Services are provided up to nine hours per week for adults and up to six hours per week for youth when determined to be medically necessary and in accordance with an individualized client plan.
Intensive Outpatient Services
Intensive Outpatient Services include the same components as Outpatient Services with an increased number of service hours as the main difference. Intensive Outpatient Services are provided to adults a minimum of nine hours with a maximum of 19 hours per week and a minimum of six hours with a maximum of 19 hours per week for youth when determined to be medically necessary and in accordance with an individualized client plan. Services are provided by a licensed professional or a certified counselor in-person, by telephone, or by tele-health in any appropriate, confidential setting in the community.
Residential Treatment is a non-institutional, 24-hour non-medical, short-term living support and structure with available trained personnel who provide rehabilitation services to individuals, with a substance use disorder diagnosis, when determined as medically necessary and in accordance with an individualized treatment plan. An individual shall live on the premises and will be supported in their efforts to restore, maintain, apply interpersonal and independent living skills, and access community support systems. The length of stay may range from 1 – 90 days based on medical necessity. The service provider and resident work collaboratively to define barriers, set priorities, establish goals, create treatment plans, and solve substance use related problems. Goals include sustaining abstinence, preparing for relapse triggers, improving personal health and social functioning, and engaging in continuing care.
Withdrawal Management (Detoxification)
Withdrawal Management Services are provided when determined as medically necessary and in accordance with an individualized client plan. Withdrawal Management Services include intake and assessment, observation and monitoring to evaluate health status of individuals during the detoxification process, medication services, and discharge planning. Medically necessary habilitative and rehabilitative services are provided in accordance with an individualized client plan as prescribed by a licensed physician, or licensed prescriber and approved and authorized according to the State of California requirements.
Medication-Assisted Treatment includes the same components as Outpatient Services with the inclusion of medical psychotherapy consisting of face-to-face discussion conducted by a physician on a one-on-one basis with an individual. Medication-Assisted Treatment includes the ordering, prescribing, administering, and monitoring of all medications for substance use disorders. Opioid and alcohol dependence, in particular, have well established medication options. Medication assisted treatment may include (varies by clinic): methadone, buprenorphine, naloxone and disulfiram.
Case Management Services
Case Management Services are provided by a licensed professional or a certified counselor in-person, by telephone, or by tele-health in any appropriate, confidential setting in the community. Case Management Services includes monitoring progress and periodic reassessment of individual needs to determine the need for continuation of services; transitions to higher or lower levels of care; and/or, periodic revision of the treatment plan. Case Management Services also include communication, coordination, and referral and related activities; monitoring service delivery to ensure access to services/service delivery systems; monitoring progress; member advocacy; linkages to physical and mental health care, transportation; and, retention in primary care services. Case Management Services assist individuals in accessing needed medical, educational, social, legal, financial, prevocational, vocational, rehabilitative, or other community services. These services focus on coordination of substance use disorder care, integration of primary care especially for members with a chronic substance use disorder, and interaction with the criminal justice system, if needed.
Recovery Services are important to an individual’s recovery and wellness. Recovery Services empower prepare individuals to manage their health and health care. Recovery Services include individual and group counseling; recovery monitoring/substance abuse assistance (recovery coaching, relapse prevention, and peer-to-peer services); and case management (linkages to educational, vocational, family supports, community-based supports, housing, transportation, and other services based on need). Recovery Services are provided by a licensed professional or a certified counselor in-person, by telephone, or by tele-health in any appropriate, confidential setting in the community.
Driving Under the Influence Programs
An individual’s driving privilege will be suspended when charged with Driving Under the Influence (DUI). According to the California Department of Motor Vehicles (DMV), the suspension or revocation is an immediate administrative action taken against the driving privilege only. An individual with a DUI will be required to complete a State of California licensed DUI Program before eligible to obtain an unrestricted license. Following a DUI arrest and upon a Court conviction, the DMV is notified of the offense and the offender is referred to a DUI Program. It is the offender’s responsibility to enroll in a DUI Program; failure to do so will result in a notification to the Court for a re-referral. The DUI Program notifies the Court of an offender’s enrollment in, completion of, or dismissal from the program. As of July 2017, Sacramento County’s State-licensed DUI Programs are offered through Breining Institute, Bridges Professional Treatment Services, Safety Center, Inc., and Terra Nova Counseling Center.
Collaborative Courts and Programs
Collaborative Courts, also known as problem-solving courts, combine judicial supervision with rehabilitation services that are rigorously monitored and focused on recovery to reduce recidivism and improve offender outcomes. These courts reduce trauma on victims and provide offenders with services, such as alcohol and/or drug treatment, rather than jail time.
Adult Drug Court/Recovery Court
Defendants who have a history of or evidence of present drug abuse or addiction and their abuse or addiction is at least one motivating factor in committing a crime may be eligible for treatment rather jail time. Defendants who establish a consistent pattern of clean drug tests, employment or enrollment in vocational or educational programs, and other proof of a stabilized lifestyle, graduate from the program and criminal charges are dismissed. If a defendant does not or cannot comply with requirements of the treatment program plan and discontinue the use of drugs, participation in the program is terminated. The defendant is returned to custody and criminal proceedings are resumed.
Chronic Nuisance Offender Program
Focuses on repeat criminal offenders who negatively impact public safety and quality of life by addressing substance abuse, mental illness, and housing needs. Booking officers refer eligible defendant to the District Attorney’s Office for potential participation in this program that provides housing, treatment and other services as an alternative to jail.
Driving Under the Influence (DUI) Treatment Court
Targets high-risk repeat DUI offenders to reduce recidivism and decrease alcohol-related collisions, injuries, and fatalities. This voluntary program strives to change the offender’s thinking about substance use and will hold them accountable by offering treatment, supervision, and frequent court appearances. The program components consist of treatment (individual and group counseling), regular attendance at self-help meetings (such as Alcoholics Anonymous or Narcotics Anonymous), random drug testing, case management services, and probation supervision. The program will also assist with obtaining education, skills, and mental health assessments and will provide referrals for vocational training, education and/or job placement services.
Drug Diversion Program
For defendants charged with simple possession and first time drug offenses. A pre-trial diversion program in which an individual enters a plea of not guilty and waives his or her right to a trial by jury, and proceedings are suspended in order for the individual to enter a drug treatment program. Upon program completion, a motion requesting charges be dismissed will be filed. If the individual does not perform satisfactorily in the program or is convicted of specified crimes, the Court may terminate diversion and reinstate the criminal proceedings.
Family Drug Courts
A multidisciplinary, collaborative approach is used to serve families with substance use disorders and who are involved with the child welfare system. Well-functioning family treatment courts bring together substance use treatment providers, child welfare services, mental health agencies, and other community partners in a non-adversarial approach. They seek to provide safe environments for children, intensive judicial monitoring, and interventions to treat parents’ substance use disorders and other co-occurring risk factors.
Drug Dependency Court: A court-ordered program that serves parents with a dependency case when parental substance use was identified as a contributing factor to removal of child from parental custody. The goals are to support parents’ recovery and reunify children with their family, while also protecting future safety and welfare of children.
Early Intervention Family Drug Court: A pre-plea, voluntary program, designed to protect the safety and welfare of children while providing resources to parents needed to achieve recovery and be responsible caregivers.
Prop 36 Court
Non-violent offenders being charged with drug possession may be eligible to receive probation and drug treatment rather than incarceration. With proof of completion of 12 weeks of intensive outpatient treatment and 12 weeks of aftercare, plea is withdrawn and case dismissed, terminating probation.