Addiction is a disease of the brain with both chronic and acute phases which involve a neurological compulsion to use drugs and/or alcohol in spite of consequences. There is much hope for those afflicted and their families. Support comes in a variety of ways such as self-help, inpatient and outpatient treatment, fostering empathy in the community for those impacted, and spiritual guidance. Monroe County has worked hard to overcome the stigma of addiction as a community, which has led to our community having many services accessible to families.
Note: All levels of care need to be determined using LOCADTR 3.0, a tool used during assessment and evaluation process to assure appropriate level of care placement
Outpatient services are the most commonly used level of care and serve those with substance problems that can be managed with 1-2 hour visits to an agency 3-4 times per week in most cases. This least intensive level of care provides support and counseling during typical business hours. This would also include Opioid Treatment Programs (OTPs) that specialize in serving those with opioid addictions and often using medication assisted therapies (such as methadone or suboxone).
- Least intensive level of care
- Non bedded day to day services
- Consumers typically have scheduled amount of sessions per week
- Most organizations operate typical business hours with evening hours offered at many
Inpatient services are always bedded, 24/7 programs where use of drugs and/or alcohol is severe enough that the person cannot maintain stability outside of a 24/7 setting. This service is offered to those in need of a hospital like setting for a period of 14-30 days, typically.
- Bedded programs offering all services on site including SUD, some medical, and psychiatric
- Length of stay varies from 14-30 days typically
- 24/7 facilities staffed by professional personnel at all times
Crisis services are typically meant to alleviate withdrawal symptoms for the chronic user. Depending on severity, this can be handled on an inpatient or outpatient basis. Detoxification centers and Stabilization models are common terms used locally for this level of care.
- Defined as detox services in our community
- One bedded detox program treating severe withdrawal. 3-10 days typical LOS—staffed 24/7
- One outpatient detox program that provides daily outpatient services for those in moderate withdrawal
Residential services are typically intensive levels of care providing 24/7 support for their residents. Persons in need of this level of care still need support for their SUD issues in a bedded setting but are stable enough to go about most of their day in the community. Common terms you may have heard for this level of care are halfway house and supportive living.
- All programs are bedded
- Halfway House/Community Residence services—staffed 24/7
- Supportive Living services—some staffed 24/7 but many have variable staffing models
- Intensive Residential which is considered most intensive level of care in our community with length of stay from 3-9 months with 24/7 staffing
Taken from NYS OASAS HOPEline Website
- Small pupils
- Decreased respiratory rate
- Non responsive state - drowsiness
- Loss or increase in appetite; unexplained weight loss or gain
- Intense flu-like symptoms such as: Nausea, vomiting, sweating, shakes of hands, feet or head, large pupils
- Change in attitude/personality
- Avoiding contact with family
- Change in friends; new hangouts
- Change in activities, hobbies or sports
- Drop in grades or work performance
- Isolation and secretive behavior
- Moodiness, irritability, nervousness, giddiness
- Wearing long sleeved shirts out of season
- Missing medications
- Burnt or missing spoons/bottle caps
- Small bags with powder residue
- Missing shoe laces/belts
"Reversing the Stigma" is a new documentary that highlights the work being done in New York State to combat addiction. The film, narrated by acclaimed television journalist Laurie Dhue, profiles multiple people in various stages of recovery, who share their stories and experiences. More Info