Identifying Appropriate Treatment
The setting for substance abuse treatment
be the least restrictive environment, based upon, among other things,
the client's use/abuse and any prior treatment history. Unfortunately,
clients referred for assessment and treatment in publicly funded programs
may face a "waiting list" situation. All referrals for treatment
are based on available slots or beds. H igh-risk pregnant women
in Alaska are given priority
admission into State Approved treatment
Alaska Division of Alcoholism and Drug Abuse
must approve any treatment program
being considered for use.
There are several different
modalities of treatment that may be offered by programs approved by
24-hour supervised non-medical residential care. The primary focus
of the program is to supervise the client's withdrawal from alcohol
and/or other drugs and to motivate the client to participate in
a regimen of ongoing treatment. To be admitted a client must be
intoxicated, under the influence or in mild to moderate withdrawal.
The length of stay may range from 1-7 days, based upon client assessments.
The least restrictive form of substance abuse treatment. May be
available day or evening, including ongoing counseling of no less
than once every thirty days for each client or as often as several
days per week. Twenty-four hour access to staff by telephone and
for unscheduled visits resulting from crises or problem situations
may also be available.
Refers to treatment for those clients whose substance abuse is interfering
substantially with their ability to function and who need a therapeutic
environment more structured than outpatient. Residential treatment
is a professionally supervised therapeutic environment which supports
the concept of abstinence as a primary goal and
Individual and group counseling
Long Term Residential
Designed for clients with significant substance
abuse impairment, or who have previous treatment failures in less
intensive treatment settings, or who lack social support system(s)
and need a highly structured, specialized intensive treatment program
and environment. Clients shall be medically and psychiatrically
capable of participating in program activities. The length of stay
is based on client needs and may be up to nine months.
Designed for clients who are transitioning
to the community, outpatient treatment or more intensive residential
treatment. Their chronic substance abuse, lack of a functional living
situation, possible unemployment and level of social or psychological
dysfunction necessitates a flexible length of stay in a residential
setting with variable levels and intensities of therapeutic contact
and other structured activities and services. Length of stay is
flexible, normally not exceeding 120 days.
Designed for clients whose chronic substance for
clients whose chronic substance abuse and social or characterological
dysfunction necessitate long-term, highly structured treatment which
may include a community re-entry phase. This treatment milieu focuses
on behavioral changes including impulse control for clients who
usually have an intensive history of involvement with the criminal
justice system and/or antisocial behavior. The length of stay may
be up to two years.
Methadone Detox and Maintenance:
Treatment regime of more than six months duration which administers
an approved controlled substance to an opiate dependent person for
the purpose of decreasing dependence upon an illegal substance in
order to rehabilitate, with a long term goal of decreasing the person's
substance abuse and leading to an eventual substance-free lifestyle.
MORE THINGS YOU SHOULD KNOW . . .
Treatment may be located
in different types of facilities:
Located in a general acute care hospital, often administered by
outside for-profit organizations who establish these programs as
profit centers for themselves and the hospital.
Free standing centers:
Devoted exclusively to addiction treatment. Treatment generally
uses a non-medical approach in which no drugs are used except in
detoxification and where counseling (both individual and group)
is geared to self-help concept.
Publicly supported facilities:
May be free-standing or hospital based. Program receives governmental
support in order to provide services to low-income substance abusers;
however, it also provides services to persons with ability to pay.
Federal regulations require that a public supported program MUST
accept a pregnant woman no matter what trimester she is in and MUST
accept her even if she does not have a ability to pay for treatment.
A pregnant substance-abusing woman MUST be placed at the top of
the priority list for entry into treatment.
Programs are available
both on an outpatient and residential basis for individuals who have
both a mental health and substance abuse problem.
Alaska Women's Resource Center
111 West Ninth Avenue
Anchorage, AK 99501
3916 East Ninth Avenue
Anchorage, AK 99508
P.O. Box 190567
Anchorage, AK 99519
Women & Children's Program
P.O. Box 74450
Fairbanks, AK 99707
P.O. Box 71070
Fairbanks, AK 99707
(Pregnant & Postpartum Native Adolescents)
at-Su Recovery Center
2801 Bogard Road
Wasilla, AK 99654
Additional facilities may be found by contacting The
Healthy Alaskans Information Line at 1-800-478-2221.
Barriers to Referral for
Substance Abuse Treatment:
Attitude of "It's none of my business"
Not aware of alcohol, tobacco, and other drug resource,
including free or low-cost treatment for low-income clients
Substance abuse treatment resources not locally
available-"Why identify a problem if no resources are available?"
Lack of information regarding how to access substance
Desire to "protect" women
Reluctance to refer client of same ethnic/racial
background or social class/background
Physician's reluctance to make a diagnosis for
fear of having to examine their own
Fear of losing clients and/or fear of lawsuits
Client's insurance doesn't cover cost of treatment
Paperwork, waiting time
Probation/parole status of women
Lack of availability of treatment sensitive to
women and women's issues