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Levels of care: Definitions


Acute Treatment Services (ATS):

Detox: A short-stay, inpatient program in which detox and withdrawal from drugs/alcohol is medically supervised. The length of stay varies, typically 3-7 days for adults and 7-14 days for youth.

Clinical Stabilization Services (CSS):

A structured, supervised inpatient program that provides further stabilization and services for individuals who: 1) have completed detox; or 2) require acute treatment, but do not meet the criteria for medically supervised detox services. The duration of a CSS stay varies, typically 14-21 days.

Transitional Support Services (TSS/Holding):

A short-stay residential treatment program for those leaving detox, CSS, or a homeless shelter if medically-supervised detox is unnecessary. The length of stay varies, depending on one’s needs and/or available space at the next level of care.

Residential Recovery Homes (Halfway Homes):

Supportive, structured, alcohol and drug-free homes that are licensed and often regulated. They often help with unemployment; educational; legal and medical needs; support groups; accountability; and life skills. Generally, 4-6 months.

Alcohol & Drug Free Housing (Sober Homes):

Less structured homes that do not provide treatment and not BSAS licensed. Quality varies, so ask questions, visit, and learn about the homes recovery supports and safety. Residents are often expected to be employed, pay rent, maintain recovery, and undergo drug screens.

Outpatient Treatment Programs

Continued recovery support including: case management, individual and group counseling, psychiatric services and medically-assisted treatment. Intensive Outpatient Programs (IOP) may also be offered. Length of treatment varies.

Medically Assisted Treatment (MAT)

Medications may be used to maintain sobriety and manage cravings and withdrawal symptoms. Medications to treat opioid use disorder include Methadone, Suboxone, Naltrexone, and Vivitrol. When medication issued in conjunction with counseling and other types of support, there can be a greater likelihood of sustained recovery. Type and duration of treatment varies.

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