Houlton Band of Maliseet Indians Maine Government Addiction Rehab

Houlton Band of Maliseet Indians

Contact Details

Name:

Houlton Band of Maliseet Indians
Address:

3 Clover Circle
Houlton, ME - 04730
Phone:

207-532-2240
Email:
Website:

http://www.maliseets.com

Description

There are currently state and federally funded or sponsored drug and alcohol treatment centers in the state of Maine

Questions & Answers

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What kinds of care do they offer?

Substance use treatment

Refers to a broad range of activities or services, including identification of the problem (and engaging the individual in treatment); brief interventions; assessment of substance abuse and related problems including histories of various types of abuse; diagnosis of the problem(s); and treatment planning, including counseling, medical services, psychiatric services, psychological services, social services and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).
Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Housing for individuals recovering from substance abuse that is designed to provide a drug and alcohol-free living environment and appropriate support services to facilitate movement to independent living. Such housing includes transitional living, sober houses, sober living, recovery houses, and 3/4 houses.

What types of opioid treatment do they provide?

Relapse prevention with naltrexone

Program or group specifically tailored for relapse prevention from Naltrexone which helps people retrain their minds and behaviors to avoid alcohol as a solution to emotional or psychological triggers.
Accepts clients using MAT but prescribed elsewhere
Prescribes naltrexone

What specific pharmacotherapy treatments do they provide?

Naltrexone (oral)
Naltrexone (extended-release, injectable)
Nicotine replacement

Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.
Non-nicotine smoking/tobacco cessation

Are medications that do not contain nicotine but act on the brain to reduce a person's craving for tobacco. Some common medications are Bupropion (Zyban, Wellbutrin), and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with behavioral counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)
Disulfiram
Medications for HIV treatment
Clonidine
Medication for mental disorders

What types of treatment approaches do they offer?

Cognitive behavioral therapy

Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.
Telemedicine/telehealth therapy

The ability for healthcare providers, working from a distance using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided. Other names used for this treatment approach are: e-medicine, e-therapy, e-psychiatry, and telepsychiatry.
Substance use disorder counseling

A short-term treatment that has been generalized for a variety of disorders including opiate drug dependence and cocaine abuse. The therapy includes supportive techniques which encourage the patient to discuss personal experiences, and expressive techniques, which enable the patient to work through interpersonal relationship issues and gain greater self-understanding.
Trauma-related counseling

Cognitive behavior techniques adapted for clients suffering from post-traumatic stress disorder (PTSD) and other effects of abuse and trauma.
Brief intervention

A short-term intervention, usually one to five sessions, for substance abusers who are not yet dependent.
Motivational interviewing

A counseling approach which acknowledges that many people experience ambivalence when deciding to make changes. Its aim is not to focus immediately on the action of changing, but to work to enhance motivation to change.
Matrix Model

Provides a framework for substance abuse users to obtain the ability to cease drug use, stay in treatment, and participate in an educational program on addiction and relapse. Users are provided with direction and support from a trained therapist and are introduced to self-help programs.
Relapse prevention

A cognitive behavioral therapy developed for the treatment of problem drinking and adapted later for cocaine addicts. Cognitive behavioral strategies are based on the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. Individuals learn to identify and correct problematic behaviors. Relapse prevention encompasses several cognitive behavioral strategies that facilitate abstinence as well as provide help for people who experience relapse.

Smoking permitted in designated area

A designated area in which smoking is permitted.

What type of setting is this location?

Outpatient

Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
Intensive outpatient treatment
Regular outpatient treatment

Who is responsible for the operation of this facility?

Tribal government

A governing body of a group of Native American Indians or Alaska Natives that qualifies as an Indian tribal government determined by the Internal Revenue Services.

What types of license or certifications or accreditation does this facility posses?

State Substance use treatment agency

Government organization responsible for planning, organizing, delivering, and monitoring substance use disorder services in their respective state.
State mental health department

Government organization responsible for planning, organizing, delivering, and monitoring critical mental health services in their respective state.

What types of payment or funding do they accept?

Medicaid

A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
Medicare

The federal health insurance program for people age 65 and older and people with disabilities.
State-financed health insurance plan other than Medicaid
Private health insurance
Federal military insurance (e.g., TRICARE)
Federal, or any government funding for substance use treatment programs

Financial assistance provided by the federal, state, or local government for substance use treatment.
IHS/Tribal/Urban (ITU) funds

Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the India health care system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related services.

Is any payment assistance available?

Payment assistance (check with facility for details)

A program which helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical bills.

What specific groups are treated here?

Clients with co-occurring mental and substance use disorders

Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.
Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)

Facility has a program or group specifically tailored for LGBT clients.
Veterans

Facility has a program or group specifically tailored for Veterans.
Active duty military

Facility has a program or group specifically tailored for active duty military persons.
Criminal justice (other than DUI/DWI)/Forensic clients

Facility has a program or group specifically tailored for clients referred from the court/judicial system.
Seniors or older adults

Facility has a program or group specifically tailored for Seniors or older adults.
Adolescents

Facility has a program or group specifically tailored for Adolescents.
Pregnant/postpartum women

Facility has a program or group specifically tailored for Pregnant/postpartum women.
Adult women

Facility has a program or group specifically tailored for adult women.
Adult men

Facility has a program or group specifically tailored for adult men.
Clients with HIV or AIDS

Facility has a program or group specifically tailored for persons with HIV or AIDS.
Clients who have experienced trauma

Facility has a program or group specifically tailored for persons who have experienced trauma.
Clients who have experienced sexual abuse

Facility has a program or group specifically tailored for persons who have experienced sexual abuse.
Clients who have experienced intimate partner violence, domestic violence

Facility has a program or group specifically tailored for persons who have experienced intimate partner violence, domestic violence.
Young adults

Facility has a program or group specifically tailored for Transitional age young adults.
Clients with co-occurring pain and substance use disorders

What ancillary services are offered at this facility?

Case management service

Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.
Integrated primary care services

Address the general health care needs of persons with mental health and substance use problems. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, coordinating care among behavioral health care staff and medical staff; and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.
Early intervention for HIV

Early detection and treatment of HIV, which can help prevent the onset of AIDS and other opportunistic infections.
Mental health services

Assessment, diagnosis, treatment or counseling in a professional relationship to assist an individual or group in alleviating mental or emotional illness, symptoms, conditions or disorders.
Transportation assistance

What types of recovery support services are offered here?

Housing services

Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
Employment counseling or training

Advises, coaches, provides information to and supports people who are planning, seeking and managing their life/work direction.

What types of screening and assessment methods are used here?

Screening for tobacco use

Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.
Comprehensive mental health assessment

An examination used to ascertain whether or not a patient is functioning on a healthy psychological, social, or developmental level. It can also be used to aid diagnosis of some neurological disorders, specific diseases, or possible drug abuse.
Comprehensive substance use assessment
Interim services for clients
Outreach to persons in the community
Screening for mental disorders

Test to determine whether a person is experiencing symptoms of mental health conditions and needs treatment.
Screening for substance use

Test to determine whether a person is experiencing symptoms of substance use and needs treatment.

What kinds of education and counseling services are offered here?

Smoking/vaping/tobacco cessation counseling

Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.
Individual counseling

Process through which clients work one-on-one with a trained mental health clinician in a safe, caring, and confidential environment.
Group counseling

Form of therapy where people with similar experiences/issues come together with a professional therapist.
Family counseling

A type of psychological counseling (psychotherapy) that can help family members improve communication and resolve conflicts.
Marital/couples counseling
HIV or AIDS education, counseling, or support

Access to education, counseling, and support groups to ?at risk? individuals and also individuals who have been infected with the virus.
Health education services other than HIV/AIDS or hepatitis

Any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes.
Substance use disorder education
Hepatitis education, counseling, or support

Provides education, counseling, and guidance and support for individuals who are at risk for or potentially infected with the hepatitis virus.

What other types of addiction do they treat?

Treatment for gambling disorder
Treatment for other addiction disorder

Treatment for behavioral addictions or process addictions and occur when a person is dependent upon a specific behavior (i.e. gambling addiction, compulsive shopping disorder, etc.).

What age groups are accepted here?

Seniors

Facility accepts seniors (65 or older) for treatment.

What genders are accepted here?

Female
Male

What kinds of transitional services do they provide if any?

Aftercare/continuing care
Discharge Planning

A process that aims to improve the coordination of services after discharge from the hospital by considering the patient?s needs in the community.
Naloxone and overdose education
Outcome follow-up after discharge

What types of testing do they offer?

Breathalyzer or blood alcohol testing

A device for estimating blood alcohol content (BAC) from a breath sample.
Drug or alcohol urine screening

Analyzes your urine for the presence of certain illegal drugs and prescription medications.
HIV testing

Determines whether you are infected with HIV, a virus that weakens the immune system and can lead to acquired immunodeficiency syndrome.
STD testing

Testing to determine the type of sexually transmitted disease a person may be carrying.
TB screening

Skin tests that are used to screen people who are at high risk for TB exposure such as people with diseases or conditions that weaken their immune system.
Drug and alcohol oral fluid testing
Metabolic syndrome monitoring
Testing for Hepatitis B (HBV)

Involves blood test that measure HBV (Hepatitis B virus) antigens and antibodies.
Testing for Hepatitis C (HCV)

Test for Hepatitis C, which is usually done and recommended for persons currently injecting drugs, ever injected drugs, were prior recipients of transfusions or organ transplants, or have certain medical conditions, including persons: 1. who received clotting factor concentrates produced before 1987 2. who were ever on long-term hemodialysis 3. with persistently abnormal alanine aminotransferase levels (ALT) 4. who have HIV infection

What opioid medications are used in treatment?

Naltrexone used in Treatment

Who provides the opioid medications used in treatment?

Other contracted prescribing entity
No formal relationship with prescribing entity

What types of alcohol abuse treatment are available at this facility?

Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
This facility administers/prescribes medication for alcohol use disorder