A chronic brain disease that has the potential for both relapse and recovery.

The most severe form of a substance use disorder, associated with compulsive/uncontrolled use of one or more substances. 

• Generally, treatment is defined as an organized array of services and interventions with a primary focus on treating substance abuse disorders:
• The Center for Substance Abuse Treatment defines it with the following general categories: hospital, short- and long-term residential, and outpatient care.
• Mental health treatment is an organized array of services for treating mental disorders and has programs that exist in a variety of settings: traditional outpatient mental health centers (including outpatient clinics and psychosocial rehabilitation programs) or more intensive inpatient treatment units.

A temporary and reversible condition that affects the central nervous system after a person ingests alcohol or drugs; Intoxication affects judgment, the ability to think clearly, and behavior.

• An ongoing process that should be repeated over time to capture the changing nature of the client's status.
• Gathering key information and engaging in a process with the client that enables the counselor to understand the client's readiness for change, problem areas, COD diagnosis, disabilities, and strengths.
• Typically involves a clinical examination of the functioning and well-being of the client and includes tests and written and oral exercises.
• The COD diagnosis is established by referral to a psychiatrist or clinical psychologist.

• Ensures that both mental illness and substance abuse problems are sufficiently understood by all participating providers to allow effective identification, engagement, prevention, and early intervention.
• Discussion of a particular client usually does not occur or occurs at a relatively general level 

• An approach to recovery from substance use disorders that emphasizes personal responsibility, self-management, and clients' helping one another.
• These programs apply a broad spectrum of personal responsibility and peer support principles, usually including the 12-step methods.

A short-term intervention with a specific psychotherapeutic approach to immediately stabilize those in crisis and reduce permanent damage to an individual

• Refers to treatment that is backed by scientific evidence: means studies have been conducted and extensive research has been documented on a particular treatment, and it has proven to be successful.
• The goal of EBT is to encourage the use of safe and effective treatments likely to achieve results and lessen the use of unproven, potentially unsafe treatments.

• The process for facilitating client/consumer access to specialized treatments and services/ agencies that can meet their needs.
• Referrals are frequently made for detoxification, assessment, special treatment, and medications.

• The formal process of testing to determine whether a client warrants further attention at the current time for a particular disorder and the possibility of a co-occurring substance or mental disorder. 
• The screening process does not necessarily identify what kind of problem the person might have or how serious it might be but determines whether further assessment is warranted.

Substance Dependence

A maladaptive pattern of substance use that leads to clinically significant impairment or distress

Manifested by a need for increasing amounts of the substance to achieve intoxication, the markedly diminished effect of the substance with continued use, the need to continue to take the substance to avoid withdrawal symptoms, and other serious behavioral effects, occurring at any time in the same 12-month period.