Tomah VAMC

Services reported to SAMHSA

Levels of care

Outpatient detoxification · Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment

Treatment focus

Substance use treatment · Detoxification · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults

Detox services

Alcohol Detoxification · Opioids detoxification · Medication routinely used during detoxification

Opioid treatment

Buprenorphine detoxification · Buprenorphine maintenance · Prescribes buprenorphine · Prescribes naltrexone · Relapse prevention with naltrexone · Accepts clients using MAT but prescribed elsewhere · Lofexidine or Clonidine detoxification · Maintenance service with medically supervised withdrawal after stabilization

Medications used

Acamprosate (Campral®) · Disulfiram · Buprenorphine with naloxone · Buprenorphine without naloxone · Naltrexone (oral) · Naltrexone (extended-release, injectable) · Medications for HIV treatment · Medications for Hepatitis C treatment · Clonidine · Medication for mental disorders · Medications for pre-exposure to prophylaxis · Nicotine replacement · Non-nicotine smoking/tobacco cessation

Treatment approaches

Brief intervention · Cognitive behavioral therapy · Contingency management/motivational incentives · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Trauma-related counseling · Telemedicine/telehealth therapy

Education and counseling

HIV or AIDS education, counseling, or support · Hepatitis education, counseling, or support · Health education services other than HIV/AIDS or hepatitis · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling · Marital/couples counseling · Vocational training or educational support (for example, high school coursework, GED preparation, etc.)

Special programs

Adult women · Adult men · Veterans · Members of military families · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma

Ages accepted

Young Adults · Adults · Seniors

Genders accepted

Female · Male

Payment accepted

Federal military insurance (e.g., TRICARE)

Licensing and accreditation

The Joint Commission

Ownership

U.S. Department of Veterans Affairs · Federal Government

Recovery support

Self-help groups · Housing services · Assistance with obtaining social services · Mentoring/peer support · Employment counseling or training

Transitional services

Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge

Other services

Acupuncture · Case management service · Domestic violence services, including family or partner · Mental health services · Social skills development · Transportation assistance · Integrated primary care services · Suicide prevention services