	Services for Substance Use Conditions

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

PA-SA 5: Service Elements

Individuals receive ongoing, coordinated services based on assessed needs and goals that support recovery and prevent relapse.

Research Note: Research suggests that individuals who participate in ongoing services following intensive treatment have better long-term outcomes.

PA-SA 5.01

Therapeutic and educational interventions include:

individual, family, and/or group service modalities tailored for groups such as women, older adults, and adolescents, as applicable;
linkage to consumer run services, peer recovery support and/or peer mentors, as appropriate;
illness management and psycho-education interventions;
relapse prevention; and
self-help referrals.

Research Note: Research has shown that certain groups of people, such as adolescents, women and older adults, benefit from treatment tailored to meet their specific needs. Barriers to treatment for older adults have been identified, including mobility or transportation issues, isolation, concurrent medical and psychological aging issues, and internal barriers to treatment such as feelings of shame or guilt.

Research Note: Self-help groups offer a social environment that promotes an understanding of the harmful effects of substance use and the skills and support needed to live a sober lifestyle. These groups are not oriented to treat substance use problems and are best suited for individuals who either have committed to cutting down or eliminating substance use to help prevent relapse.

NA The agency provides Diagnosis, Assessment, and Referral Services only.

PA-SA 5.02

Clinical personnel:

determine the optimal level and intensity of care, including clinical and community support services;
follow up when an evaluation for medications is recommended;
use written criteria to determine when the involvement of a psychiatrist is indicated; and
coordinate care with other service providers, including primary health care providers, when appropriate and with the consent of the service recipient.

NA The agency provides Diagnosis, Assessment, and Referral Services only.

PA-SA 5.03

The agency directly provides or makes referrals for a comprehensive range of prevention and treatment services, including acute care services when necessary.

Interpretation: Services may include detoxification, inpatient, intensive outpatient, medical, mental health, and case management services.

Research Note: Research suggests that individuals who participate in more structured and directed treatment are more involved in care and become more engaged in social activities, develop more supportive relationships, and are more likely to complete treatment.

NA The agency provides Co-Dependency Counseling only.

PA-SA 5.04

Individuals are engaged in crisis planning consistent with applicable law or regulation, as appropriate.

Interpretation: Crisis plans enable a person to make decisions about care they wish to receive when they may be incapacitated. These plans go into effect if the person is unable to make decisions for him/herself and are revocable. Crisis plans frequently address preferences for hospitals, medications, specific interventions, and designation of a person to make decisions about their care.

NA The agency provides Diagnosis, Assessment, and Referral Services only.

PA-SA 5.05

Individuals are informed in advance of any consequences that can result from the use of alcohol or other drugs while participating in the program.

PA-SA 5.06

The agency conducts or participates in public awareness activities related to alcohol, tobacco, and other drug use issues and works to encourage community involvement in related advocacy efforts.

QUICK JUMP TO


	PURPOSE: Individuals who participate in Services for Substance Use Conditions on an on-going basis improve social, emotional, psychological, cognitive, and family functioning, and attain the recovery they seek.

RELATED FILES


	SERVICE One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.


	FAMILY Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."


	RESEARCH For purposes of COA accreditation, all forms of internal or external research involving persons served except internal program evaluation and outcomes research, or educational projects performed by students and interns that are part of their professional training.


	CONSUMER The individual, family, group, or community that seeks or receives services.


	PREVENTION Actions taken to minimize and/or eliminate social, psychological, or other conditions. Prevention can occur at the individual, group, community, and societal levels and enhances opportunities to achieve positive fulfillment.


	REFERRALS Resource suggestions provided to consumers to address problems or needs that are beyond the scope of the organization's mission.


	DIAGNOSIS The process by which a social, physical, or mental health problem and its underlying cause are identified and a plan of action formulated toward resolution of the problem. The diagnostic process involves collection and analysis of relevant information. See also ASSESSMENT.


	ASSESSMENT An evaluation, which utilizes professional expertise and skills in the collection and analysis of data to understand and describe the nature of service needs of an individual, family, or group. Assessment, as in needs assessment, is also used to determine priorities of program planning and service development for the organization as a whole. See also DIAGNOSIS.


	ISOLATION The practice of separating a person from others and placing him/her in a monitored, non-locked or "quiet" room in order to calm the person. A person in isolation is physically prevented from leaving the designated space or room where s/he is placed. For purposes of COA accreditation, isolation is distinguished from TIME-OUT.


	SELF-HELP GROUPS Voluntary associations of nonprofessionals who share common problems or needs and meet together over a period of time to provide mutual support and exchange information and resources useful in problem-solving. These groups are self-directed.


	MANAGEMENT See ADMINISTRATION


	CLINICAL PERSONNEL Qualified and trained professionals who provide the treatment services of an organization. Clinical personnel who assume case responsibilities must meet the applicable regulatory requirements and the minimum standards set by their respective professional organizations. Clinical personnel generally include clinical social workers (MSW or DSW/PhD in social work), clinical or counseling psychologists (PhD or PsyD), psychiatric nurses (MSN), certified marriage or family therapists, certified pastoral counselors, and board eligible or certified psychiatrists. Where additional disciplines or degrees are acceptable, it is stated in the standard for each service section. "Clinical personnel" and "mental health personnel" may be used interchangeably.


	CLINICAL The study, assessment, and diagnosis of the client situation followed by direct treatment to help the client achieve prescribed goals.


	COMMUNITY A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.


	EVALUATION The review and assessment of organizational operations, programs and services.


	MEDICATION A prescribed or over-the-counter drug that is injected, taken orally, applied topically, or otherwise administered.


	CRITERIA Systematically developed, objective, and quantifiable statements used to assess the appropriateness of specific decisions, services, and outcomes.


	SERVICE RECIPIENT The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.


	DETOXIFICATION The process by which drugs or other harmful substances are removed from a person's body for a time period sufficient to restore adequate physiological and psychosocial functioning.


	CASE A general term used to designate clients (including individuals, families, and groups) served by an organization for purposes of monitoring the provision of services. A foster care case is generally based on the placement of an individual child, although casework for the child may include services to the child's family. A child protective services case is based on an entire family household if a family assessment model is used; otherwise a case is defined as a child.


	PLANNING The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.


	PROGRAM A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.


	ADVOCACY An act performed with or on behalf of others through direct intervention, empowerment, or representation. Case advocacy refers to actions taken in relation to a particular individual consumer. Cause, social, or systems advocacy refers to actions taken in relation to a common issue affecting a group of persons.