Substance Addiction Services Descriptions

A brief description of each of the Bureau of Substance Addiction Services program types including eligibility criteria.

24-Hour Diversionary Services

24-Hour Diversionary Services medically manage patients' withdrawal symptoms on a 24-hour diversionary service basis, including 24-hour diversionary service forms of Acute Treatment Services (ATS) and Clinical Stabilization Services (CSS). Acute Treatment Services encourage the patient’s continued participation in treatment after discharge and conclude by directly connecting the patient to appropriate recovery and rehabilitation services.

24-Hour Diversionary Withdrawal Management Service

24-hour substance use disorder treatment services (ASAM Level 4.0 & 3.7) are provided in freestanding or hospital-based settings with 24-hour, seven-day per-week nursing and medical supervision that includes withdrawal symptom management as part of medically supervised withdrawal and/or induction onto maintenance treatment.

Clinical Stabilization Services

Clinical Stabilization Services (ASAM Level 3.5) are provided in a nonmedical setting and include 24-hour per-day supervision, observation, and support.

Residential Treatment

Residential rehabilitation services are organized substance use disorder treatment and education services featuring a planned program of care in a 24-hour residential setting. Services are provided in permanent facilities where residents reside temporarily. They are staffed 24 hours a day. Residential rehabilitation services are provided to residents who require safe and stable living environments in order to develop their recovery skills. Types of residential rehabilitation services are those designed for adult individuals, adults with their families, adolescents, and driving under the influence second offenders.

Transitional Support Services (TSS)

Transitional Support Services (TSS) are short-term residential, support services for clients who need a safe and structured environment to support their recovery process after detoxification. These programs are designed to help those who need services between acute treatment and residential rehabilitation, outpatient or other aftercare.

Recovery Home

Recovery Homes provide a structured, sober environment for individuals recovering from addiction to alcohol and/or other drugs. These programs emphasize recovery and treatment within a structured, therapeutic setting. Residents are encouraged to integrate with the community and to access community resources, including self-help groups and employment. Some Recovery Homes offer enhanced services for pregnant and post-partum women and their infants, which include coordination of prenatal/pediatric care.

Therapeutic Community

Therapeutic Communities provide a highly structured environment that emphasizes resident treatment and recovery within the parameters of the program structure. The residents take an active role in this mode of treatment helping them to take responsibilities and become positive role models. Some Therapeutic Communities offer enhanced services for pregnant and post-partum women and their infants, which include coordination of prenatal/pediatric care.

Social Model

Social Model programs emphasize a sober living environment, peer counseling and case management. The emphasis of these programs is to assist residents to provide each other with a culture of recovery, support, sharing and positive role modeling. Residents are expected to be involved in the external community (through work, education, volunteer activities, etc.)

Co-Occurring Enhanced

Co-occurring enhanced residential programs support residents’ recovery from addiction and moderate to severe mental health conditions as they reintegrate into the community and return to social, vocation/employment, and/or educational roles.

Outpatient Services

Outpatient services are provided in community-based settings and include withdrawal symptom management, intensive day treatment services, counseling, education services for driving under the influence of first offenders, and office-based opioid treatment.

Outpatient Counseling

Outpatient substance use disorder treatment services designed to help patients achieve changes in alcohol and/or drug use and addictive behaviors and often address issues that have the potential to undermine the patient’s ability to cope with life tasks without the addictive use of alcohol, other drugs, or both. Outpatient counseling services may offer several therapies and service components, including individual and group counseling, motivational enhancement, family therapy, educational groups, occupational and recreational therapy, psychotherapy, MAT, or other skilled treatment services.

Office-Based Opioid Treatment

A treatment program that has more than 300 patients receiving treatment for opioid dependence with an FDA-approved narcotic medication used for withdrawal management or maintenance by a qualified healthcare professional who is registered with the U.S., in a healthcare professional's office setting or a primary care center, and is associated with the corporate entity by contract, fee for service, or another arrangement other than as members of the practice.

Outpatient Withdrawal Management

A treatment program that provides clinical management of withdrawal symptoms through medical, ancillary treatment, treatment with FDA-approved medications for the treatment of addiction and may include counseling in an ambulatory setting.

Acupuncture Withdrawal Services

A treatment program providing acupuncture services for individuals experiencing the dysfunctional effects of the use of alcohol and/or other drugs, whose primary need is to manage withdrawal symptoms, and thereafter, support services for maintenance of sobriety.

Opioid Treatment Program

Only federally certified, accredited, and licensed Opioid Treatment Programs (OTPs) may dispense methadone for the treatment of opioid use disorder. An OTP is a SAMHSA-certified and DPH BSAS Licensed program, usually comprised of a facility, staff, administration, patients, and services, that engages in supervised assessment and treatment, using FDA-approved medications (including methadone, buprenorphine, and naltrexone), of individuals who are addicted to opioids. OTPs also provide access to counseling, case management, and other clinical services.

Problem Gambling Services

When gambling goes beyond a casual activity and causes stress and harm in a person’s life, they may be experiencing problem gambling. But problem gambling can be treated – and there’s help available. Services to treat problem gambling may include individual and group outpatient counseling, day treatment, and psycho-educational groups based on an assessment of an individual’s diagnosis and needs. Other resources, including educational materials, are available to anyone concerned with gambling. 

If you or a loved one is seeking help with problem gambling, call 1-800-327-5050 or text: "GAMB" to 800327 or visit https://gamblinghelplinema.org/ to speak with a trained specialist. Specialists are available 24/7 and services are free, confidential, and available in multiple languages.  You can also visit the DPH Office of Problem Gambling Services (embedded link: https://www.mass.gov/orgs/office-of-problem-gambling-services) website to learn more.

Driving Under the Influence     

DPH BSAS oversees the statewide system of prevention, intervention, treatment, and recovery support services for individuals, families, and communities affected by substance addiction.  Additionally, DPH BSAS holds exclusive jurisdiction to license and approve impaired driving programs in accordance with Massachusetts law.

Massachusetts Licensed and Court-Approved Impaired Driving Programs (embedded hyperlink: https://www.mass.gov/info-details/massachusetts-licensed-and-court-approved-impaired-driving-programs)

First Offender Driver Alcohol or Controlled Substance Education Services

an outpatient program providing psycho-educational and counseling interventions for individuals adjudicated by a court as first offenders of laws prohibiting driving under the influence of intoxicating liquor or controlled substances.

Second Offender 14-Day Residential Program for Driving Under the Influence of Liquor (DUIL)

Considered phase one of the three-phase treatment model, the Second Offender Residential Programs are 14-day residential programs targeted towards individuals convicted of their second driving under the influence offense. These services include medical evaluation, individual and group counseling, educational sessions including the introduction to self-help, recreation, and assurance that assignment has been made to an approved Second Offender Aftercare Program.

Second Offender Aftercare (SOA)

The Second Offender Aftercare (SOA) Programs are educational and treatment programs of a licensed outpatient facility for individuals who have been convicted of a second Driving While Under the Influence offense and who have completed, or are awaiting placement in, a 14-day Driving

Special Population Services

Specialized Residential Services for Women (SRW)

These programs provide a safe and structured therapeutic environment where women may obtain residential substance addiction treatment services while still maintaining custody and care of their children. Reunification with children can occur while the mother is staying at the program.

Specialized Residential Services for Families

Specialized Residential Services for Families (also known as Family Substance Abuse Shelters) provide a safe and supportive treatment environment for homeless families when the caretaking parent(s) has a chronic substance addiction problem. Programs provide shelter, coordination and case management of substance addiction treatment and other services for homeless families in order to support and sustain sobriety.

Residential Rehabilitation for Adolescents and Transition Age Youth

Residential Rehabilitation for Adolescents and Transition Age youth programs provide short-term residential rehabilitative services to youth and transitional-aged youth under 26 years old who need a supervised environment to strengthen their recently acquired sobriety. Includes diagnostic, counseling, educational and pre-vocational, recreational, and HIV/AIDS-related services.

Housing & Homeless Services

*Coming Soon*

Prevention Services

*Coming Soon*

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