ALABAMA DEPARTMENT OF MENTAL HEALTH · ALABAMA DEPARTMENT OF MENTAL HEALTH RSA Union Building 100...

ALABAMA DEPARTMENT

OF

MENTAL HEALTH

RSA Union Building 100 North Union Street

P.O. Box 301410 Montgomery, Alabama 36130-1410

Phone: (334) 242-3961 Fax: (334) 242-0759 Help Line: 1-800-367-0955 Website: www.mh.alabama.gov

State-Funded providers are boxed in gray. *Providers that accept Medicaid will also have a red Asterisk by them.

“Definitions of Funds/Grants” and “Levels of Care Defined” Begin on Page 38

April 17, 2018

April 17, 2018

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AUTAUGA COUNTY

No direct services offered in this county.

BALDWIN COUNTY

*The Bridge, Inc.

Executive Director: Tim Naugher

201 East Camphor Avenue Services Offered

Foley, AL 36535 Level 0.5: Early Intervention Services (Adolescent)

Telephone: (251) 990‐4243 Level I: Outpatient Treatment (Adolescent)

909 B Plantation BLVD Service Offered

Fairhope, AL 36532 Level I: Outpatient Treatment (Adolescent)

Telephone: (251) 990‐4243

The Shoulder

Executive Director: Carl McNatt

31214 Coleman Lane Services Offered

Spanish Fort, AL 36527 Level III.1: (Clinically Managed Low Intensity

Telephone: (251) 626‐2199 Residential (Adult/Male)

*AltaPointe Health Systems (Greater Mobile Mental Health Center)

Executive Director: J. Tuerk Schlesinger

1507 US Highway 31 South Service Offered

Bay Minette, AL 36507 Level II.1: Intensive Outpatient (Adult)

Telephone: (251) 928‐2871

372 South Greeno Road Service Offered

Fairhope, AL 36532 Level II.1: Intensive Outpatient (Adult)

Telephone: (251) 990‐4234

200 East Fig Avenue Service Offered

Foley, AL 36535 Level II.1: Intensive Outpatient (Adult)

Telephone: (251) 972‐8223

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BARBOUR COUNTY

BIBB COUNTY

BLOUNT COUNTY

BULLOCK COUNTY


BUTLER COUNTY

*SPECTRACARE HEALTH SYSTEMS, INC.

Executive Director: Melissa Kirkland

133 North Orange Street Service Offered

Eufaula, AL 36027 Level I: Outpatient Treatment (Adult)

Telephone: (800) 951‐4357

*Indian Rivers Mental Health Center

Executive Director: J. Randall Phillips

2439 Main Street Service Offered

P.O. Box 218 Level I: Outpatient Treatment (Adult)

Brent, AL 35034

Telephone: (205) 926‐4681

*Hope House, Inc.

Executive Director: L. G. Jones

1000 Lincoln Avenue Ste. B Service Offered

P.O. Box 127 Level I: Outpatient Treatment (Adolescent & Adult)

Oneonta, AL 35121

Telephone: (205) 625‐4673

*Aletheia House

Executive Director: Chris Retan

5 Hickory Street, Unit B Service Offered

Greenville, AL 36037 Level I: Outpatient Treatment (Adult)

Telephone: (334) 665‐4305

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CALHOUN COUNTY

Bradford Health Services

Executive Director: Margo M. Hays

1701 B‐Pelham Road, Suite D Service Offered

Jacksonville, AL 36265 Level II.1: Intensive Outpatient (Adolescent & Adult)

Telephone: (256) 237‐4209

Health Services Center, Inc.

Executive Director: Denise Meadows

CORE (Corrections and Offender Re‐Entry) Services Offered

801 Noble Street, Suite 100 Level I: Outpatient (Adult)

Anniston, AL 36201 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 492‐9197

4‐HER Services Offered 1021 Noble Street, Suite 212 Level I: Outpatient (Female Only) Anniston, AL 36201 Level II.1: Intensive Outpatient (Female Only) Telephone: (256) 832‐0100

Anniston Fellowship House

Executive Director: Hank Waide

106 E. 22nd Street Service Offered

Anniston, AL 36201 Level III.1: Clinically Managed Low Intensity

Telephone: (256) 236‐7229 Residential (Adult)

Level III.01: Transitional Residential Program (Adult)

*Highland Health Systems

Executive Director: Mickey Turner

New Directions

1640 Coleman Road Services Offered

Anniston, AL 36207 Level I: Outpatient Treatment (Adult)

Telephone: (256) 236‐8003 Level I: (Co‐Occurring) Enhanced (Adult)

*Medmark Treatment Centers ‐ Oxford

Program Director: Wendy Sprayberry

118 East Choccolocco Street Service Offered

Oxford, AL 36203 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 831‐4601

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CHAMBERS COUNTY

CHEROKEE COUNTY

CHILTON COUNTY

*East Alabama Mental Health Center

Executive Director: Jamie Herren

Chambers County Addictions Center Service Offered

410 9th Avenue Southwest Level I: Outpatient Treatment (Adult)

Lafayette, AL 36862

Telephone: (334) 742‐2130

*Etowah/Dekalb/Cherokee (CED) Mental Health Center

Executive Director: Sheila Hurley

301 14th Street NW

P.O. Box 499 Services Offered

200 Dean Buttram Avenue Level I: Outpatient Treatment (Adult)

Centre, AL 35960 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 492‐7800

*Chilton County Treatment Center

Executive Director: Susan Sidwell Combs

2100 Holiday Inn Drive Service Offered

Clanton, AL 35046 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 755‐4300

Family Life Center, Inc.

Executive Director: Gene Cleckler

141 West Main Street Service Offered

Centre, AL 35960 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 997‐9356

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CHOCTAW COUNTY

CLARKE COUNTY

*Mental Health Board of Chilton & Shelby Counties

Executive Director: Melodie Crawford

110 Medical Center Drive Services Offered

Clanton, AL 35045 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 755‐5985 Level I: Outpatient Treatment (Adult Co‐occurring)

Level II.1: Intensive Outpatient Treatment (Adult)

Insight Treatment Program, Inc.

Executive Director: Carolyn Lee

Clarke County Drug Court Services Offered

114 Court Street Level I: Outpatient Treatment (Adult)

Grove Hill, AL 36451 Level II.1: Intensive Outpatient (Adult)

Telephone: (251) 473‐6093

*West Alabama Mental Health Center

Executive Director: Patricia Moore

Lifetech Transitional Center Service Offered

2115 Bashi Road Level II.1: Intensive Outpatient (Adult/Males)

Thomasville, AL 36874

Telephone: (334) 289‐2410



Choctaw Counseling Center Services Offered

401 Rogers Street Level I: Outpatient Treatment (Adult)

Butler, AL 36904 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (334) 289‐2410

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CLAY COUNTY

Grace Recovery for Women (Coosa Community Services, Inc.)

Executive Director: Ava Gregory

51 Wesobulga Street Service Offered

Lineville, AL 36266 Level III.1: Clinically Managed Low Intensity

Telephone: (256) 396‐3202 Residential (Adult) – Currently 17 beds available

CLEBURNE COUNTY

COFFEE COUNTY


COLBERT COUNTY

*Highland Health Systems

Executive Director: Mickey Turner

150 Thompkins Street Service Offered

Heflin, AL 36264 Level I: Outpatient Treatment (Adult)

Telephone: (256) 236‐8003

*Aletheia House


528‐E Kelsey Drive Services Offered

Muscle Shoals, AL 35661 Level I: Outpatient Treatment (Adult)

Telephone: (205) 324‐6502 Level II: Intensive Outpatient (Adult)

*Shoals Treatment Center

Executive Director: Heath Haddock

3430 North Jackson Hwy. Service Offered

Sheffield, AL 35660 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 383‐6646



88191 Hwy 9 Service Offered

Lineville, AL 36266 Level I: Outpatient Treatment (Adult)

Telephone: (251) 666‐2569

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CONECUH COUNTY

COOSA COUNTY No direct services offered in this county.

COVINGTON COUNTY

CRENSHAW COUNTY

*Aletheia House


120 Rural Street Service Offered

Evergreen, AL 36401 Level I: Outpatient Treatment (Adult)

Telephone: (251) 578‐4060

*South Central Alabama Mental Health Center

Executive Director: Tommy Wright

Montezuma Complex Service Offered

205 Academy Drive Level I: Outpatient Treatment (Adult)

Andalusia, AL 36420

Telephone: (334) 428‐5040

Montezuma Complex Service Offered

First Step Program Level III.5: Clinically Managed High Intensity 205 Academy Drive Residential (Adult/Male) Andalusia, AL 36420

Telephone: (334) 428‐5002

*Aletheia House


1390 South Forest Avenue Service Offered

Luverne, AL 36049‐7311 Level I: Outpatient Treatment (Adult)

Telephone: (334) 335‐5500

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CULLMAN COUNTY

Cullman County Treatment Center

Executive Director: Leslie Holland

1912 Commerce Avenue NW Service Offered

Cullman, AL 35055 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 739‐5375

*Wellstone, Inc.

Executive Director: Jeremy Blair Services Offered

1909 Commerce Avenue North West Level I: Outpatient Treatment (Adult)

Cullman, AL 35055 Level I: Outpatient Treatment (Adult) (Co‐Occurring)

Telephone: (256) 734‐4688 Level II.1: Intensive Outpatient (Adult)

Level II.1: Intensive Outpatient (Adult) (Co‐Occurring) Cullman County Detention Facility Service Offered 1910 Beech Avenue Southeast Level I: Outpatient Treatment (Adult) Cullman, AL 35055

Telephone: (256) 734‐4688

North Central Alabama Association for Alcoholism

dba Cullman Lighthouse

Executive Director: Larry Cox

925 Convent Road North East Service Offered

Cullman, AL 35055 Level III.01: Transitional Residential Program (Adult)

Telephone: (256) 739‐2777

*The Bridge, Inc.


402 Arnold Street, Northeast, Suite 104

Cullman, AL 35055 Service Offered

Telephone: (256) 775‐8301 Level I: Outpatient Treatment (Adolescent)

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DALE COUNTY

DALLAS COUNTY

*Medmark Treatment Centers ‐ Dothan

Clinical Director: Muriel Goosby

9283 West U.S. 84 Service Offered

Newton, AL 36352 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (334) 692‐4455

*Aletheia House


912 J. L. Chestnut Blvd. Services Offered

Selma, AL 36701 Administrative

Telephone: (205) 324‐6502 or (205) 533‐9616 Assessments: Mon. & Wed. 8:30a‐1:00p

Tue. & Thu. 1:00p‐6:00p

Jails on Fridays

900 Church Street Services Offered

Selma, AL 36701 Level I: Outpatient Treatment (Adult)

Telephone: (205) 324‐6502 or (205) 533‐9616 Level II.1: Intensive Outpatient (Adult)



134 Katherine Avenue Service Offered

Ozark, AL 36360 Level I: Outpatient Treatment (Adult)

Telephone: (800) 951‐4357

Midland City Co‐Occurring I Service Offered

6075 County Road 14 Level III.5: Clinically Managed High Intensity

Midland City, AL 36350 Residential (Adult)

Telephone: (334) 984‐2020

Midland City Co‐Occurring II Service Offered

6129 County Road 14 Level III.5: Clinically Managed High Intensity

Midland City, AL 36350 Residential (Adult)

Telephone: (334) 984‐2020

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DEKALB COUNTY

*Etowah/Dekalb/Cherokee (CED) Mental Health Center

Executive Director: Sheila Hurley

301 14th Street NW Service Offered

Fort Payne, AL 35967 Level I: Outpatient Treatment (Adult)

Telephone: (256) 845‐4571

*Recovery Services of Dekalb County, Inc. Executive Director: Paula Thomas 301 Godfrey Avenue SE Service Offered Fort Payne, AL 35967 Level I: Outpatient Treatment (Adult)

Telephone: (256) 845‐9220

*The Bridge, Inc.


100 7th Street NE Services Offered

Fort Payne, AL 35967 Level I: Outpatient Treatment (Adolescent & Adult)


*The Bridge, Inc.


501 Plant Street Service Offered

Selma, AL 36073 Level I: Outpatient Treatment (Adolescent)

Telephone: (256) 546‐6324



300 Gault Avenue, South Service Offered

Fort Payne, AL 35967 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 997‐9356

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*Etowah/Dekalb/Cherokee Mental Health Center

(CED Mental Health Center)

Executive Director: Sheila Hurley, MS

425 5th Avenue NW Services Offered

Attalla, AL 35954 Level I: Outpatient Treatment (Adult)


ELMORE COUNTY

Starting Over Recovery Program, LLC

Executive Director: Johnny Wright Service Offered

100 W. Bridge Street Level I: Outpatient Treatment (Adult)

Wetumpka, AL 36092

Telephone: (334) 301‐6928

Fax: (334) 365‐9946

ESCAMBIA COUNTY

ETOWAH COUNTY

*Cherokee‐Etowah‐Dekalb Fellowship House, Inc.

(CED Fellowship House)

Executive Director: Sam Long

4209 Brooke Avenue Service Offered

Gadsden, AL 35904‐8300 Level III.1: Clinically Managed Low Intensity

Telephone: (256) 413‐3470 Residential Treatment (Adult/Male)

*Southwest Alabama Behavioral Health Care Systems

Executive Director: Candace Harden

1321 McMillan Street Service Offered

Brewton, AL 36426 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (251) 867‐3242

(866) 933‐1355 is our ASAIS/Access to Care Line.

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Health Services Center, Inc.

Executive Director: Denise Meadows

BDT (Behavioral Day Treatment) Services Offered

1125 Goodyear Ave Level I: Outpatient Treatment (Adult)

Gadsden, AL 35908 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 832‐0100

*Gadsden Treatment Center (BHG Recovery)

Executive Director: Heath Haddock

1107 West Meighan Boulevard Service Offered

Gadsden, AL 35901 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 549‐0807

New Centurions, Inc. (New Life for Women)

Executive Director: Phillip Carr Services Offered

102 Centurion Way Level III.1: Clinically Managed Low Intensity

Gadsden, AL 35904 Level III.5: Clinically Managed High Intensity

Telephone: (256) 413‐0200 Level III‐01: Transitional Residential Program

(All Services for Adult Female)



219 S. 4th Street Service Offered

Gadsden, AL 35954 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 459‐4494

677 West Covington Avenue Services Offered

Attalla, AL 35954 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 538‐7548 Level III.1: Clinically Managed Low Intensity

Level III.5: Clinically Managed High Intensity

Residential (Adult/Male)

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FAYETTE COUNTY

FRANKLIN COUNTY

*The Bridge, Inc.


3232 Lay Springs Road Service Offered

Gadsden, AL 35904 Level III.5: Clinically Managed Medium Intensity

Telephone: (256) 546‐6324 Residential (Adolescent/Male)

*Northwest Alabama Mental Health Center

Executive Director: Dale Cottle

123 2nd Avenue Northwest Service Offered

Fayette, AL 35555 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 932‐3301

*Riverbend Center for Mental Health

Executive Director: Bryan Libell

Sunrise Lodge Service Offered

1163 Washington Avenue, South West Level III.5: Clinically Managed High Intensity

Russellville, AL 35653 Residential (Adult/Male)

Telephone: (256) 332‐0078

*Health Connect America, Inc.

Executive Director: Mary Stumpe

15255 US Hwy 43, Suite #3 Services Offered

Russellville, AL 35653 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (256) 274‐8222 Level II.1: Intensive Outpatient (Adolescent & Adult)

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GENEVA COUNTY

GREENE COUNTY

HALE COUNTY

HENRY COUNTY



1203 W. Maple Street Service Offered

Geneva, AL 36340 Level I: Outpatient Treatment (Adult)

Telephone: (800) 951‐4357



219 Dothan Road Service Offered

Abbeville, AL 36310 Level I: Outpatient Treatment (Adult)

Telephone: (800) 951‐4357



Hale County Counseling Center Services Offered

401 1ST Street Level I: Outpatient Treatment (Adult)

Greensboro, AL 36744 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (334) 289‐2410



Greene Counseling Center Services Offered

301 Prairie Avenue Level I: Outpatient Treatment (Adult)

Eutaw, AL 35462 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (334) 289‐2410

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HOUSTON COUNTY


Executive Director: Margo M. Hays Services Offered

114 Ardis Place Level I‐D: Ambulatory Detox w/o Extended On‐Site

Dothan, AL 36303 Monitoring (Adult)

Telephone: (205) 251‐7753

Southeast Intervention Group, Inc.

Executive Director: Dr. Larry R. Kirkland, Jr., MD, MPH

The Herring Houses of Dothan Services Offered

101 North Herring Street Level III.01: Transitional Residential Program

Dothan, AL 36303‐4064 (Adult/Female)

Telephone: (334) 699‐3175 Level III.01: Transitional Residential Program

(Adult/Male)



The Haven (#831)

831 John D. Odom Road Service Offered

Dothan, AL 36303 Level III.5: Clinically Managed High Intensity


The Haven (#831)

831 John D. Odom Road Service Offered

Dothan, AL 36303 Level III.5: Clinically Managed High Intensity


1672 Columbia Highway Services Offered

Dothan, AL 36301 Level I: Outpatient Treatment (Adult)


Dothan‐Houston County Drug Treatment Center

Executive Director: Earl C. Jones

300 Columbia Hwy., # 3 Services Offered

Dothan, AL 36301 Level II.1: Intensive Outpatient (Adult)

Telephone: (334) 671‐2231 (Office)

Telephone: (334) 596‐1412 (Cell)

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JACKSON COUNTY

JEFFERSON COUNTY



211 South Market Street Service Offered

Scottsboro, AL 35768 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 997‐9356

*Alcohol and Drug Abuse Treatment Center

Executive Director: Fred Armstead

Pearson Hall Service Offered

2701 Jefferson Avenue South West Level III.7‐D: Medically Monitored Residential Detox

Birmingham, AL 35211

Telephone: (205) 923‐6552

Olivia’s House

8017 2nd Avenue South Services Offered

Birmingham, AL 35206 Level III.1: Clinically Managed Low Intensity

Telephone: (205) 833‐5708 Level III.3: Clinically Managed Medium Intensity


All services Residential Treatment (Special Women’s)

Zukoski Outpatient Center

601 Princeton Avenue South West Services Offered

Birmingham, AL 35211 Level I: Outpatient Treatment (Adult)


*AIDS Alabama (Living in Balance Chemical Addiction Program)

Executive Director: Mitch Tarver

3529 7th Avenue South Service Offered

Birmingham, AL 35222 Level II.1: Intensive Outpatient

Telephone: (205) 324‐9822 (FOR HIV+ ADULT ONLY)

*Stevenson Recovery (Huntsville Recovery) – Formerly Northeast AL Treatment Center

Executive Director: George Payne

196 County Road 85 Service Offered

Stevenson, AL 35772 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 437‐2728

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Birmingham Fellowship House

Executive Director: Beth Bachelor

1625 12th Avenue South Services Offered


Telephone: (205) 933‐2430 Level III.3: Clinically Managed Co‐Occurring

Enhanced Medium Intensity Residential (Adult)

Level III.3: Clinically Managed Medium Intensity

Residential Treatment (Adult)

*Birmingham Metro Treatment (Colonial Management Group, LP)

Executive Director: LeShawna Ford

151 Industrial Drive Service Offered

Birmingham, AL 35211 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 941‐1799

*Aletheia House


201 West Finley Avenue Services Offered

Birmingham, AL 35204 Level I: Outpatient Services (Adult)


135 Finley Avenue West Service Offered

Birmingham, AL 35204 Level III.3: Clinically Managed Medium Intensity

Telephone: (205) 328‐3600 Residential Treatment (Adult/Male)

2772 Hanover Circle Service Offered

Birmingham, AL 35205 Level III.3: Clinically Managed Medium Intensity

Telephone: (205) 533‐6014 Residential Treatment (Adult/Female)

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300 Century Park South, Suite 100 Services Offered

Birmingham, AL 35226 Level II.1: Intensive Outpatient (Adolescent & Adult)

Telephone: (205) 251‐7753 Level I‐D: Ambulatory Detox w/o Extended On‐Site

Monitoring (Adult)

1189 Albritton Road Services Offered

P.O. Box 129 Level II.1: Intensive Outpatient (Adult)

Warrior, AL 35180‐0129 Level II.5: Partial Hospitalization Treatment (Adult)

Telephone: (205) 251‐7753 Level III.7: Medically Monitored High Intensity (Adult)

Level III.7‐D: Medically Monitored Residential Detox (Adult)

Ronald R. Bowen, LCSW, LLC (*Federal Bureau of Prisons Clients Only)

Executive Director: Ronald Bowen

1134 22nd Street North Service Offered


Telephone: (205) 907‐9527

*Chemical Addictions Program (CAP)

Executive Director: Tim Davis

VACCA Campus

8950 Roebuck Boulevard Service Offered

Birmingham, AL 35206 Level II.1: Intensive Outpatient (Adolescent)

Telephone: (334) 269‐2150

*Northwest Alabama Treatment Center

Executive Director: Robert Beeler

P.O. Box 1485

Bessemer, AL 35021

4204 Edmonton Drive Services Offered

Bessemer, AL 35022 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 425‐1200 Walk‐In Assessments: Mon. & Thu. 5:00a‐2:00p

Fridays 5:00a‐11:00a

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LAMAR COUNTY

*Tri‐County Treatment Center

Program Director: Rob Chambers

5605 Clifford Circle Service Offered

Birmingham, AL 35210 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 836‐3345



1626 County Road 9 Service Offered

Vernon, AL 35592 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 695‐9003

*UAB Substance Abuse Program

Beacon Addiction Treatment Center

Executive Director: Dr. John Dantzler Services Offered

401 Beacon Parkway West Level 0.5: Early Intervention Services (Adult)

Birmingham, AL 35209 Level I: Outpatient Treatment (Adolescent & Adult)


Level II.5: Partial Hospitalization Treatment (Adult)

1520 2nd Avenue North Service Offered

Bessemer, AL 35020 Level II.1: Intensive Outpatient (Adult)

Telephone: (205) 424‐4587 or

Telephone: (205) 424‐3688

UAB Addiction Recovery Program

Executive Director: Terri Williams‐Glass

1713 6th Avenue, South Services Offered

Birmingham, AL 35294 Level I: Outpatient Treatment (Adult) SELF‐PAY

Telephone: (205) 975‐7350 Level II.1: Intensive Outpatient (Adult) SELF‐PAY

Level II.5: Partial Hospitalization Treatment (Adult) SELF‐PAY

Level III.7: Medically Monitored High Intensity (Adult) SELF‐PAY

**Level III.7‐D: Medically Monitored Residential Detox (Adult) – ONLY SERVICE COVERED

UNDER CURES

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LAUDERDALE COUNTY Bradford Health Services


303 East College Street Services Offered

Florence, AL 35630 Level II.1: Intensive Outpatient (Adolescent & Adult)


Monitoring (Adult)

*Riverbend Center for Mental Health

Executive Director: Bryan Libell

635 West College Street Services Offered

P.O. Box 941 Level I: Outpatient Treatment (Adolescent/Co‐occurring)

Florence, AL 35631‐0941 Level I: Outpatient Treatment (Adult/Co‐Occurring)


*Substance Abuse Council of Northwest Alabama

(Freedom House)

Executive Director: Brenda Tucker

54 Wheeler Hills Road Services Offered

Rogersville, AL 35652 Level III.1: Clinically Managed Low Intensity (Adult)

Telephone: (256) 247‐1222 Level III.3: Clinically Managed Medium Intensity (Adult)


Residential (Special Women's)



614 South Court Street Services Offered

Florence, AL 35630 Level I: Outpatient Treatment (Adolescent & Adult)


Co‐Occurring Enhanced

MOMS, Inc.

Executive Director: David McCullough

414 East Tuscaloosa Street Service Offered

Florence, AL 35633 Level III.01: Transitional Residential

Telephone: (256) 712‐2020 (Adult/Male)

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LAWRENCE COUNTY No direct services offered in this county.

LEE COUNTY



The Reprieve Service Offered

401 South 9th Street Level II.1: Intensive Outpatient (Adult)

Opelika, AL 36801

Telephone: (334) 749‐3445

Phenix City Court Referral Program

Program Director: Angela Williams

WING IV Service Offered

2204 East Gateway Drive Level I: Outpatient Treatment (Adult)

Opelika, AL 36901

Telephone: (256) 750‐2004


Opelika Addiction Center Services


2300 Center Hills Drive, Building II Services Offered

Opelika, AL 36801 Level I: Outpatient Treatment (Adult)


*Aletheia House


3320 Skyway Drive Service Offered

Opelika, AL 36801 Level I: Outpatient Treatment (Adult)

Telephone: (205) 324‐6502 Level II: Intensive Outpatient (Adult)

*Southern Wellness Services, Inc.

Executive Director: Elysia Ergle

2620 Hough Road Service Offered

Florence, AL 35630 Level I: Outpatient Treatment (Adult), Co‐Occurring,

Telephone: (256) 284‐7080 and Women & Dependent Children

Level I: Outpatient Treatment (Adolescent)

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LIMESTONE COUNTY

LOWNDES COUNTY No direct services offered in this county.

MACON COUNTY


WING III


205 N Main Street Service Offered

Tuskegee, AL 36083 Level I: Outpatient Treatment (Adult)

Telephone: (334) 448‐4466

MADISON COUNTY



410 South Jefferson Street Service Offered

Athens, AL 35611 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 216‐3917 (Mondays & Wednesdays)

*TEARS, Inc. (Teens Empowerment Awareness w/Resolutions, Inc.)

Program Director: Angelia C. Walton

209 North Main Street Services Offered

Tuskegee, AL 36083 Level 0.5: Early Intervention (Adolescent)

Telephone: (334) 291‐6363 or (334) 214‐5400 Level I: Outpatient Treatment (Adolescent)

*Aletheia House


1525 Sparkman Drive, NW Services Offered

Huntsville, AL 35816 Level I: Outpatient Treatment (Special Women's)

Telephone: (334) 649‐1649 Level II.1: Intensive Outpatient (Special Women's)

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555 Sparkman Drive, Ste. 208 Service Offered

Huntsville, AL 35816 Level II.1: Intensive Outpatient (Adolescent & Adult)

Telephone: (256) 895‐3848

1600 Browns Ferry Road Services Offered

Madison, AL 35758 Level II.5: Partial Hospitalization Treatment

Telephone: (256) 461‐7272 (Adolescent & Adult)

Level III.7: Medically Monitored High Intensity

Residential Treatment (Adolescent)

Level III.7: Medically Monitored High Intensity

Residential Treatment (Adult)

Level III.7‐D: Medically Monitored Detox

(Adolescent)

Level III.7‐D: Medically Monitored Detox (Adult)

Thrive Alabama

Executive Director: Donna Harris

600 St. Clair Ave., Bldg. 6, Ste. 14 Service Offered

Huntsville, AL 35801 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (256) 536‐4700

*Huntsville Recovery

Program Director: George Payne

4040 Independence Drive Services Offered

Huntsville, AL 35816 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 721‐1940 Level II.1: Intensive Outpatient Treatment (Adult)



715 C. Wheeler Ave Service Offered

Huntsville, AL 35801 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 845‐1261

*Huntsville Metro Treatment Center (Colonial Management Group, LP)

Program Director: Terry Mitchell

2227 Drake Avenue, Suite 19 Service Offered

Huntsville, AL 35805 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (256) 881‐1311

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MARENGO COUNTY

MARION Marion County Treatment Center, Inc.

Program Director: Sabrina McLain

1879 Military Street South Service Offered

Hamilton, AL 35570 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 921‐3799

*Wellstone, Inc.

Executive Director: Jeremy Blair

New Horizons Recovery Center Services Offered

4040 South Memorial Parkway Level I: Outpatient Treatment (Adult)

Huntsville, AL 35802‐4319 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (256) 533‐1970

Nova Center for Youth & Family Services Offered

1900 Golf Road, 2nd Floor Level I: Outpatient Treatment (Adolescent)

Huntsville, AL 35802 Level II.1: Intensive Outpatient (Adolescent)

Telephone: (256) 705‐6493

Madison County Detention Facility Service Offered

815 Wheeler Avenue Level I: Outpatient Treatment (Adult)

Huntsville, AL 35801

Telephone: (256) 519‐4800



1215 S. Walnut Avenue Service Offered

Demopolis, AL 36732 Level II.1: Intensive Outpatient (Adult)

Telephone: (334) 289‐2410

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MARSHALL COUNTY



703 Medical Center Parkway Service Offered

Boaz, AL 35957 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 593‐9152

*Marwin Counseling Services, Inc.

Executive Director: Lavon Harris

422 2nd Street, SW Service Offered

Hamilton, AL 35570 Level II.1: Intensive Outpatient (Adult)

Telephone: (205) 487‐0359

1065 Highway 43 Service Offered

P.O. Box 1576 Level II.1: Intensive Outpatient (Adult)

Winfield, AL 35594

Telephone: (205) 487‐0359



260 Baker Street Service Offered

Winfield, AL 35594 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 487‐2124

Hamilton C & A Service Offered

1435 Military Street Level I: Outpatient Treatment (Adolescent)

Hamilton, AL 35570

Telephone: (205) 302‐9017



432 Gunter Avenue Service Offered

Guntersville, AL 35976 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 582‐1471

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MOBILE COUNTY



1000 Hillcrest Road, Suite 304 Service Offered

Mobile, AL 36695 Level II.1: Intensive Outpatient (Adolescent & Adult)

Telephone: (251) 633‐0900

*Mountain Lakes Behavioral Healthcare

(Cedar Lodge)

Executive Director: Myron Gargis

22165 US Hwy 431 Service Offered

Guntersville, AL 35976 Level III.5: Clinically Managed High Intensity




4211 Government Street Services Offered

Mobile, AL 36693 Level I‐O: Opioid Maintenance Therapy (Adult)


2400 Gordon Smith Drive Service Offered

Mobile, AL 36617 Level II.1: Intensive Outpatient (Co‐Occurring Adult)

Telephone: (251) 666‐2569

*Recovery Services of Dekalb County Inc.

Executive Director: Paula Thomas

424 W. Blount Avenue Service Offered

Guntersville, AL 35976 Level I: Outpatient Treatment (Adult)

Telephone: (256) 845‐9220

Marshall County Courthouse Annex Service Offered

200 Sand Mountain Drive, SW Level I: Outpatient Treatment (Adult)

Albertville, AL 35950

Telephone: (256) 516‐2714

202 Sand Mountain Drive, SW Service Offered

Albertville, AL 35950 Level I: Outpatient Treatment (Adolescent)

Telephone: (256) 516‐2714

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ECD (Escape from Chemical Dependency)

Executive Director: Susan Case

808 Downtowner Loop West Service Offered


Telephone: (251) 341‐9504

Gulf Coast Treatment Center

Clinical Director: Linda Gabriel

12271 Interchange Drive Service Offered

P.O. Box 1149 Level I‐O: Opioid Maintenance Therapy (Adult)

Grand Bay, AL 36541

Telephone: (251) 865‐0123


Executive Director: Ronald Bowen

4901 Battleship Parkway Service Offered

Spanish Fort, AL 36527 Level I: Outpatient Treatment (Adult)

Telephone: (205) 907‐9527

Insight Treatment Program, Inc.

Executive Director: Carolyn Lee

574 Azalea Road, Ste. 109 Service Offered

Mobile, AL 36609 Level I: Outpatient Treatment (Adult)

Telephone: (251) 473‐6093

* Mobile Metro Treatment Center (Colonial Management Group, LP)

Program Director: Tunisia “Sabrina” London

1924‐C Dauphin Island Parkway Service Offered


Telephone: (251) 476‐5733

Franklin Primary Health Center, Inc.

Executive Director: Charles White

510 S. Wilson Ave Service Offered

Prichard, AL 36610 Level I: Outpatient Treatment (Adult)

Telephone: (251) 432‐7011

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MONROE COUNTY

*The Bridge, Inc.


722 Downtowner Loop W. Suite G Services Offered

Mobile, AL 36609 Level I: Outpatient Treatment (Adolescent)

Telephone: (251) 338‐1780 Level II.1: Intensive Outpatient (Adolescent)

Westwood Program Gulf Coast Campus

3401 Newman Road Service Offered

Mobile, AL 36695 Level III.1: Clinically Managed Low Intensity

Telephone: (251) 633‐0475 Residential (Adolescent/Male)

*Southwest Alabama Behavioral Health Care Systems

Executive Director: Candace Harden

200 Rumbley Road Service Offered

Monroeville, AL 36460 Level I: Outpatient Treatment (Adult)

Telephone: (251) 867‐3242

*Salvation Army Mobile

Executive Director: Angel Steadman

1009 Dauphin Street Services Offered

Mobile, AL 36604 Level I: Outpatient Treatment (Adult)

Telephone: (251) 438‐1625 Level III.1: Clinically Managed Low Intensity


Level III.3: Clinically Managed Medium Intensity


Family Haven Service Offered

2325 Boykin Boulevard Level I: Outpatient Treatment (Adult)

Mobile, AL 36605

Telephone: (251) 438‐1625

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MONTGOMERY COUNTY



386 St. Lukes Drive Service Offered

Montgomery, AL 36117 Level II.1: Intensive Outpatient (Adolescent & Adult)

Telephone: (205) 251‐7753

Family Network Services

Executive Director: Amy Anderson

1425 1‐85 Parkway, Suite A Services Offered

Montgomery, AL 36106 Level 0.5: Early Intervention

Telephone: (334) 676‐3773 Level I: Outpatient Treatment (Adolescent & Adult)

E‐Fax: (334) 460‐9721 Level II.1: Intensive Outpatient (Adolescent & Adult)

*Chemical Addictions Program (CAP)

Executive Director: Tim Davis

1153 Airbase Boulevard Services Offered

Montgomery, AL 36108 Level I: Outpatient Treatment (Adolescent)


Pegasus Center

1151 Airbase Boulevard Services Offered

Montgomery, AL 36108 Level I: Outpatient Treatment (Adult)


Capitol Recovery Center

1155 Airbase Boulevard Service Offered

Montgomery, AL 36108 Level III.5: Clinically Managed High Intensity


Mount Meigs Campus

1000 Industrial Road Service Offered

Mount Meigs, AL 36057 Level II.1: Intensive Outpatient (Adolescent)

Telephone: (334) 215‐6064

*Aletheia House


1620 Carter Hill Road Service Offered


Telephone: (334) 649‐1649

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4230 Norman Bridge Road Service Offered


Telephone: (205) 907‐9527

MORGAN COUNTY

*Lighthouse Counseling Center

Executive Director: Nathan Cook

111 Coliseum Boulevard Services Offered

Montgomery, AL 36109 Level 0.5: Early Intervention

Telephone: (334) 286‐5980 (Co‐Occurring & Special Women's)

Level I: Outpatient Treatment (Adult)

Level I: Outpatient Treatment

(Co‐Occurring & Special Women's) (Adult)

Level II.1: Intensive Outpatient (Adult)

Level II.1: Intensive Outpatient

(Co‐Occurring & Special Women's) (Adult)



501 McGalathery Lane, Suite 6‐B Service Offered

Decatur, AL 35601 Level II.1: Intensive Outpatient (Adult)

Telephone: (256) 355‐3703



801 Church Street NE Suite 7 Services Offered

Decatur, AL 35601 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (256) 274‐8222 Co‐Occurring Enhanced

Level II.1: Intensive Outpatient (Adolescent & Adult)

Co‐Occurring Enhanced

* Montgomery Metro Treatment Center

Program Director: Lashanda Craig

6001 East Shirley Lane Service Offered

Montgomery, AL 36116 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (334) 244‐1618

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PERRY COUNTY No direct services offered in this county.

PICKENS COUNTY

PIKE COUNTY

RANDOLPH



WING V Service Offered

136 Main Street Level I: Outpatient Treatment (Adult)

Roanoke, AL 36274

Telephone: (334) 448‐9775



890 Reform Street Service Offered

Carrollton, AL 35447 Level I: Outpatient Treatment (Adult)

Telephone: (205) 367‐8032

*East Central Alabama Mental Health Center

Executive Director: Don Schofield

200 Cherry Street Services Offered

Troy, AL 36081 Level I: Outpatient Treatment (Adult)


*The Bridge, Inc.


135 Commerce Avenue Services Offered

Carrollton, AL 35447 Level I: Outpatient Treatment (Adolescent)

Telephone: (205) 367‐1108

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RUSSELL COUNTY


WINGS


1517 5th Avenue Service Offered

Phenix City, AL 36868 Level II.1: Intensive Outpatient (Adult)

Telephone: (334) 448‐4466

ST. CLAIR



Russell County Addictions Center Services Offered

3170 Martin Luther King Parkway South Level I: Outpatient Treatment (Adult)

Phenix City, AL 36868 Level II.1: Intensive Outpatient (Adult)

Telephone: (334) 742‐2130

*Tears, Inc. (Teens Empowerment Awareness w/Resolutions, Inc.)

Program Director: Angelia C. Walton

1011 South Railroad Street Service Offered

Phenix City, AL 36867 Level I: Outpatient Services (Adolescent)

Telephone: (334) 291‐6363

*New Pathways, LLC

Executive Director: Patsy Isbell

1508 Bunt Drive Service Offered

Pell City, AL 35125 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 814‐1423

*St. Clair County D.A.Y. Program, Inc.

Executive Director: J. David Gray

464 10th Street Service Offered

Ashville, AL 35953 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 594‐2280

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SHELBY COUNTY Bradford Health Services


101 Aviators View Drive, Suite B Level II.1: Intensive Outpatient (Adolescent & Adult)

Alabaster, AL 35040 Level I‐D: Ambulatory Detox w/o Extended On‐Site

Telephone: (205) 621‐4429 Monitoring (Adult)

SUMTER COUNTY

TALLADEGA COUNTY

*Mental Health Board of Chilton & Shelby Counties

Executive Director: Melodie Crawford

151 Hamilton Lane Services Offered

Calera, AL 35040 Level I: Outpatient Treatment (Adult Co‐Occurring)

Telephone: (205) 668‐4308 Level I: Outpatient Treatment (Adolescent & Adult)

Level II.1: Intensive Outpatient (Adult)

*Shelby County Treatment Center

Executive Director: Susan Sidwell Combs

750 Highway 31 South Service Offered

Saginaw, AL 35007 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 266‐5022



88191 Hwy 9 Service Offered

Lineville, AL 36266 Level I: Outpatient Treatment (Adult)

Telephone: (256) 362‐8600

1661 Old Birmingham Hwy Service Offered

Sylacauga, AL 35150 Level l: Outpatient Treatment (Adult)

Telephone: (256) 249‐2395



Sumter Counseling Center Services Offered

1121 N. Washington Street Level I: Outpatient Treatment (Adult)

Livingston, AL 35470 Level II.1: Intensive Outpatient Treatment (Adult)

Telephone: (334) 289‐2410

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TALLAPOOSA COUNTY



WING II Service Offered

28 Clay Street Level I: Outpatient Treatment (Adult)

Alexander City, AL 35010

Telephone: (800) 729‐5217

TUSCALOOSA COUNTY



515 Energy Center Boulevard Level II.I: Intensive Outpatient (Adolescent & Adult)

Northport, AL 35473 Level II.1: Intensive Outpatient (Adult‐Drug Court)


Monitoring (Adult)

Lighthouse of Tallapoosa

Executive Director: Teri Trammell

36 Franklin Street Service Offered

Alexander City, AL 35010 Level III.1: Clinically Managed Low Intensity




2209 9th Street Services Offered

Tuscaloosa, AL 35401 Level I: Outpatient Treatment (Adult)


A Woman’s Place Service Offered

Northport, AL 35476 Level III.3: Clinically Managed Medium Intensity

Telephone: (205) 333‐9184 Residential Treatment (Adult/Female)

Phoenix House, Inc.

Executive Director: Fran Shaddix

700 35th Avenue Services Offered

Tuscaloosa, AL 35401 Level III.01: Transitional Residential Program (Adult)

Telephone: (205) 758‐3867 Level III.1: Clinically Managed Low Intensity (Adult)

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WALKER COUNTY

*The Bridge, Inc.


6001 12th Avenue East Services Offered

Tuscaloosa, AL 35405 Level I: Outpatient Treatment (Adolescent)


*Tuscaloosa Treatment Center (BHG Recovery)

Executive Director: Shannon Strickland

1001 Mimosa Park Road Service Offered

Tuscaloosa, AL 35405 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 752‐5857



260 Baker Street Service Offered

Winfield, AL 35594 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 487‐2124

1100 7th Avenue Service Offered

Jasper, AL 35501 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 302‐9061

START Program Service Offered

500 Blackwell Dairy Rd Level III.5: Clinically Managed Medium Intensity

Jasper, AL 35504 Residential (Adolescent/Female)

Telephone: (205) 442‐7049

*Walker Recovery Center

Executive Director: Stacy Patton

2195 North Airport Road Service Offered

Jasper, AL 35501 Level I‐O: Opioid Maintenance Therapy (Adult)

Telephone: (205) 221‐1799

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WASHINGTON COUNTY


WILCOX COUNTY


WINSTON COUNTY

Client Care Continuum, Inc.

Executive Director: John McDermott Services Offered

200 County Road 3941 Level III.1: Clinically Managed Low Intensity Co‐Occurring

Arley, AL 35541 Enhanced Residential Treatment Program – Building 1 (Adult)

Telephone: (205) 387‐0284 Level III.3: Clinically Managed Medium Intensity Co‐Occurring

Enhanced Residential Treatment Program – Building 2 (Adult)

Level III.5: Clinically Managed High Intensity Co‐Occurring

Enhanced Residential Treatment Program – Building 3 (Adult)

*Marwin Counseling Services, Inc.

Executive Director: Lavon Harris

42451 Highway 195, Suite 107 Service Offered

Haleyville, AL 35565 Level II.1: Intensive Outpatient (Adult)

Telephone: (205) 486‐1540



71 Carraway Drive Service Offered

Haleyville, AL 35565 Level I: Outpatient Treatment (Adolescent & Adult)

Telephone: (205) 302‐9017

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Definitions of Funds/Grants

State Funds: Money that is provided by the Alabama Department of Mental Health.

Medicaid: Money that is provided by the Alabama Department of

Mental Health for Medicaid recipients only. CURES: A federally funded grant for opioid use disorders only. Block Grant: Money that is provided by a federal grant through the

Alabama Department of Mental Health.

Levels of Care Defined

Excerpts Taken from the ASAM PPC-2R (ASAM Patient Placement Criteria for the Treatment of Substance-Related

Disorders)

Level 0.5 – Early Intervention Early intervention services are designed to explore and address problems or risk factors that appear to be related to substance use and addictive behavior, and to help the individual recognize the harmful consequences of high-risk substance use and/or addictive behavior. Where Level 0.5 is delivered as an impaired driving program (DUI, DWI, OMVI), the length of service may be mandated and determined by program and regulatory rules. Completion of the program may be a prerequisite to reinstitution of driving privileges.

Early Intervention also encompasses services offered to persons in non-specialty settings, i.e. hospital emergency departments or primary care medical clinics. In these settings, the presentation may be substance use that is beginning to cause some harmful effects and/or high-risk use. Level 0.5 services in such settings take the form of Screening, Brief Intervention, and Referral to Treatment (SBIRT). SBIRT attempts to intervene early with non-addicted people, and to identify those who do have a substance use or addictive disorder and need linking to formal treatment. Length will vary from as little as 15-60 minutes in SBIRT to several weeks as in impaired driving programs.

Level I – Outpatient In Level I services, addiction, mental health treatment, or general health care personnel, including addiction-credentialed physicians, provide professionally directed screening, evaluation, treatment, and ongoing recovery and disease management services. Such services are provided in regularly scheduled sessions of (usually) fewer than nine contact hours a week for adults and fewer than six hours for adolescents. The services follow a defined set of policies and procedures or clinical protocols. The duration of treatment varies with the severity of the individual’s illness and his/her response to treatment.

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Level II.1 – Intensive Outpatient Intensive outpatient programs (IOPs) generally provide 9-19 hours of structured programming per week for adults and 6-19 hours for adolescents, consisting primarily of counseling and education about addiction-related and mental health problems. Intensive outpatient treatment differs from partial hospitalization (Level II.5) programs in the intensity of clinical services that are directly available. Specifically, most intensive outpatient programs have less capacity to effectively treat patients who have substantial unstable medical and psychiatric problems than do partial hospitalization programs.

Level II.5 - Partial Hospitalization Treatment Partial hospitalization programs generally feature 20 or more hours of clinically intensive programming per week as specified in the patient's treatment plan. Level II.2 partial hospitalization programs typically have direct access to psychiatric, medical and laboratory services, and thus are better than Level II.1 programs (Intensive Outpatient) to meet needs that warrant daily monitoring or management but which can be appropriately addressed in a structured outpatient setting.

**LEVELS III.1 – III.7-D NOTE: While the duration of treatment varies with the severity of an individual's illness and his/her response to treatment, the length of service in clinically managed Level III programs (Level III.1, III.3, & III.5) tends to be longer than in the more intensive medically monitored and medically managed levels of care (Level III.7 & III.7-D).

Level III.1 - Clinically Managed Low Intensity Residential Treatment Level III.1 programs offer at least 5 hours per week of low intensity treatment and substance-related disorders (or as specified by state licensure requirements). Treatment is directed toward applying recovery skills, preventing relapse, improving emotional functioning, promoting personal responsibility and reintegrating the individual into the worlds of work, education and family life. The services provided may include individual, group and family therapy; medication management and medication education. Mutual/self-help meetings usually are available on-site. The length of stay in a clinically managed Level III.1 program tends to be longer than in the more intensive residential levels of care. Longer exposure to monitoring, supervision, and low-intensity treatment interventions is necessary for patients to practice basic living skills and to master the application of coping and recovery skills. Level III.3 - Clinically Managed Medium Intensity Residential Treatment Frequently referred to as extended or long-term care, Level III.3 programs provide a structured recovery environment in combination with medium intensity clinical services to support recovery from substance-related disorders. When assessment indicates that such an individual no longer is cognitively impaired, he or she can be transferred to a more intensive level of care (such as a Level III.5) or a less intensive level of care (such as a Level I, II or III.1), based on a reassessment of his/her severity of illness and rehabilitative needs. (Transfer to a Level III.7 or higher program would not be considered except in the presence of medical or psychiatric problems that require medical and nursing care.)

Level III.3 programs generally are considered to deliver medium intensity services. Such services may be provided in a deliberately repetitive fashion to address the special needs of individuals for whom a Level III.3 program is considered medically necessary. Such individuals often are elderly, cognitively impaired or developmentally delayed, or are those in whom the chronicity and intensity of the primary disease process requires a program that allows sufficient time to integrate the lesson and experience of treatment into their daily lives. Typically, they need a slower pace of treatment because of mental health problems or reduced cognitive functioning or because of the chronicity of their illness. They may be homeless, although homelessness is not, in itself, a sufficient indication for admission to a Level III.3 program.

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Level III.5 - Clinically Managed High Intensity Residential Treatment Level III.5 programs are designed to treat persons who have significant social and psychological problems. The goals of treatment are to promote abstinence from substance use and antisocial behavior and to effect a global change in participants' lifestyles, attitudes and values. This philosophy views substance-related problems as disorders of the whole person that are reflected in problems with conduct, attitudes, moods, values, and emotional management. Individuals who are appropriately placed in a Level III.5 program typically have multiple deficits, which may include substance-related disorders, criminal activity, psychological problems, impaired functioning and disaffiliation from mainstream values.

Residents may present with the sequelae of physical, sexual or emotional trauma. Chronic use of psychoactive substances also may have impaired their judgment, at least temporarily, leaving them vulnerable to relapse, continued problems or continued use outside of a structured environment. Treatment is accomplished by providing specialty modalities and skills training while the resident is in a safe and structured environment, thus providing an opportunity for continued improvement. Because treatment plans are individualized, fixed lengths of stay are inappropriate. Residents also may be transferred to a Level III.5 program from a less intensive level of care.

The duration of treatment always depends on an individual's progress. Nevertheless, the length of service in a clinically managed Level III.5 program tends to be longer than in the more intensive medically monitored and medically managed levels of care. (Because of the longer duration of treatment in Level III programs, the essential nature of the residential component and the fact that clinically managed programs serve as a temporary recovery environment, participants in Level III.5 are referred to as "resident".) A Level III.5 program may represent a "step down" for residents of a Level III.7 program without the intensive medical and nursing component. A number of Level III.5 programs offer a full range of medical services.

Level III.7 - Medically Monitored Intensive Inpatient Treatment Level III.7 programs provide a planned regimen of 24-hour professionally directed evaluation, observation, medical monitoring, and addiction treatment in an inpatient setting. They feature permanent facilities, including inpatient beds, and function under a defined set of policies, procedures and clinical protocols. They are appropriate for patients whose subacute biomedical and emotional, behavioral or cognitive problems are so severe that they require inpatient treatment, but who do not need the full resources of an acute care general hospital or a medically managed inpatient treatment program.

The care provided in Level III.7 programs is delivered by an interdisciplinary staff of appropriately credentialed treatment professionals, including addiction-credentialed physicians. Treatment is specific to substance-related disorders, but the skills of the interdisciplinary team and the availability of support services also can accommodate detoxification and/or intensive inpatient treatment of addiction and/or conjoint treatment of co-occurring subacute biomedical and/or emotional, behavioral or cognitive conditions.

Level III.7-D - Medically Monitored Inpatient Detoxification Level III.7-D is an organized service delivered by medical and nursing professionals, which provides for 24-hour medically supervised evaluation and withdrawal management in a permanent facility with inpatient beds. This level provides care to patients whose withdrawal signs and symptoms are sufficiently severe to require 24-hour inpatient care. Twenty-four hour observation, monitoring and treatment are available. However, the full resources of an acute care general hospital or a medically managed intensive inpatient treatment program are not necessary.

Level I-D - Ambulatory Detoxification w/o Extended On-Site Monitoring Level I-D detoxification is an organized outpatient service, which may be delivered in an office setting, health care or addiction treatment facility, or in a patient's home by trained clinicians who provide medically supervised evaluation, detoxification and referral services according to a predetermined schedule. Such services are provided in regularly scheduled sessions. Outpatient detoxification services should be designed to treat the patient's level of clinical severity and to achieve safe and comfortable withdrawal from mood-altering drugs (including alcohol) and to effectively facilitate the patient's transition into ongoing treatment and recovery.

ALABAMA DEPARTMENT OF MENTAL HEALTH · ALABAMA DEPARTMENT OF MENTAL HEALTH RSA Union Building 100...

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