Wilmington VAMC Behavioral Health Services

Services:
Medical Services
• Hepatitis B (HBV) vaccination
• Hepatitis A (HAV) vaccination

Opioid Medications used in Treatment

• Naltrexone used in Treatment
• Buprenorphine used in Treatment

Transitional Services

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

Recovery Support Services

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

Facility Smoking Policy

• Smoking not permitted

Service Setting (e.g., Outpatient, Residential, Inpatient, etc.)

• Outpatient methadone/buprenorphine or naltrexone treatment
• Regular outpatient treatment
• Outpatient detoxification
• Hospital inpatient/24-hour hospital inpatient
• Intensive outpatient treatment
• Outpatient
• Hospital inpatient detoxification

License/Certification/Accreditation

• Commission on Accreditation of Rehabilitation Facilities (CARF)
• The Joint Commission

Type of Opioid Treatment

• Relapse prevention with naltrexone
• Prescribes buprenorphine
• Buprenorphine maintenance
• Prescribes naltrexone

Type of Care

• Detoxification
• Substance use treatment
• Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Gender Accepted

• Male
• Female

Payment/Insurance/Funding Accepted

• Medicare
• Cash or self-payment
• State-financed health insurance plan other than Medicaid
• Medicaid
• Federal military insurance (e.g., TRICARE)
• Private health insurance

Education and Counseling Services

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

Facility Vaping Policy

• Vaping not permitted

Facility Operation (e.g., Private, Public)

• U.S. Department of Veterans Affairs
• Federal Government

Detoxification (medical withdrawal) Services

• Alcohol Detoxification
• Medication routinely used during detoxification
• Benzodiazepines Detoxification
• Opioids detoxification

Special Programs/Groups Offered

• Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
• Clients who have experienced intimate partner violence, domestic violence
• Active duty military
• Seniors or older adults
• Clients with co-occurring pain and substance use disorders
• Members of military families
• Adult women
• Young adults
• Clients who have experienced trauma
• Adult men
• Veterans
• Pregnant/postpartum women
• Criminal justice (other than DUI/DWI)/Forensic clients
• Clients with HIV or AIDS
• Clients with co-occurring mental and substance use disorders
• Clients who have experienced sexual abuse

Hospitals

• General Hospital (including VA hospital)

Age Groups Accepted

• Adults
• Young Adults

Type of Alcohol Use Disorder Treatment

• This facility administers/prescribes medication for alcohol use disorder

Assessment/Pre-treatment

• Screening for mental disorders
• Outreach to persons in the community
• Screening for substance use
• Complete medical history/physical exam
• Comprehensive mental health assessment
• Screening for tobacco use
• Comprehensive substance use assessment
• Interim services for clients

Ancillary Services

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

External Source of Medications Used for Alcohol Use Disorder Treatment

• No formal relationship with prescribing entity

Other Services

• Treatment for other addiction disorder
• Treatment for gambling disorder

Treatment Approaches

• Contingency management/motivational incentives
• Substance use disorder counseling
• Relapse prevention
• Motivational interviewing
• Cognitive behavioral therapy
• 12-step facilitation
• Brief intervention
• Trauma-related counseling
• Telemedicine/telehealth therapy
• Anger management

Pharmacotherapies

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

Testing

• Drug or alcohol urine screening
• Breathalyzer or blood alcohol testing
• Testing for Hepatitis C (HCV)
• HIV testing
• STD testing
• Testing for Hepatitis B (HBV)
• Metabolic syndrome monitoring
• TB screening