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female
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Funding:
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government-funded free service
government-subsidized low cost/sliding scale
self payment or private insurance
Select the MEDICAL alcohol and drug programs listed that your practice or organization provides:
Addiction medicine (1)
Detox - home
Detox - hospital
Detox - medical (2)
Detox - rapid
Detox - social
General practice
Methadone maintenance
Needle exchange
Psychiatry
Supervised injection
(1) Note: restricted to physicians with ASAM, ISAM or CSAM designation.
(2) Note: medical detox in a residential setting (not hospital)
Select the OUTPATIENT alcohol and drug programs listed that your practice or organization provides:
Drop-in
Dual diagnosis
Faith-based
Group therapy
Individual therapy
Intensive outpatient
Outreach
Select the RESIDENTIAL alcohol and drug programs listed that your practice or organization provides:
Faith-based
Family program
Primary treatment
Shelter
Support recovery
Select OTHER alcohol and drug programs listed that your practice or organization provides:
Assessment & referral
Crisis line
Education & prevention
Intervention
Monitoring
Mutual support group
Program description:
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Select the SPECIALIZED programs for which your practice or organization provides a separate programming track (3):
Programs limited to particular occupations:
Armed Forces
Employee Assistance Program
Law Enforcement
Lawyers
Medical Professionals
War Veterans
Programs limited to groups based on race:
Aboriginal
Programs limited to at-risk populations:
Homeless
Injection Drug Users (IDU)
Lesbian, Gay, Bisexual & Transgender (GLBT)
Pregnant Mothers
Street Workers
Programs limited to individuals in the criminal justice system:
Impaired Drivers
Offenders
Specialized programs description:
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(3) "separate programming track" is defined here as programming or group sessions devoted exclusively to an age−specific, at−risk, court referred, occupation−specific or race−specific individual or group.
Select the OTHER ADDICTIONS for which your practice or organization provides a separate programming track (4):
Other addictions:
Eating Disorder Treatment
Gambling Addiction Treatment
Sex Addiction Treatment
Other addictions description:
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(4) "separate programming track" is defined here as programming or group sessions devoted exclusively to an addiction other than chemical dependency.
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