Health care facilities that provide structured treatment programs and support services in the context of a 24-hour, supervised environment for individuals who have problems related to excessive use of alcohol and/or use of other drugs. Included are hospitals that are totally devoted to treatment for substance use disorders and programs within general inpatient health care facilities.

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Programs that provide treatment which includes approved medication (e.g., methadone, buprenorphine, naltrexone, antabuse) to support the efforts of individuals with an opioid or alcohol use disorder to abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycontin or morphine) or alcohol. The extended-release, injectable form of naltrexone (Vivitrol) may also be used. The objective of maintenance is to gradually reduce the amount of the substitute drug that is required in order to reduce and, if possible, eventually eliminate dependency altogether. Medication assisted maintenance treatment (MAT) may be provided in an outpatient treatment program (OTP) or OTP unit such as a pharmacy or physician's office, or for buprenorphine products (Bunavail, Suboxone, Subutex, Zubslov), a physician's office or other health care setting. Methadone maintenance treatment is provided in a clinic. It is recommended that medication assisted maintenance treatment be provided in combination with counselling and behavioural therapies.

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Community based residential facilities that provide treatment services in the context of a 24-hour, supervised drug and alcohol-free environment for people who have problems related to excessive use of alcohol and/or use of other drugs

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Programs that provide individual, group or family therapy for individuals who have problems related to the excessive use of alcohol and/or use of other drugs (and/or for their families) to help them better understand the nature of the disorder and support recovery efforts.

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Programs that provide supervised, structured, full-day daytime activities which may include individual and group counselling, 12-step meetings, social and recreational activities, educational and vocational services, a program for family members, relapse prevention services and a continuing care program for individuals who have disorders related to excessive use of alcohol and/or use of other drugs, need treatment that is more intensive than an outpatient program but do not require 24-hour hospital care, and are currently drug and/or alcohol free. Most participants attend day treatment programs eight hours per day, Monday through Friday with part-day sessions on the weekends (though some programs are available as little as five hours per day or as long as 12 hours per day).

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