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Supervised, structured programs that offer a wide range of outpatient services which may be coordinated by a case manager and may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, a program for family members, relapse prevention services, a continuing care program and supportive services (such as child care, transportation and parenting skills development) for individuals who have problems related to excessive use of alcohol and/or use of other drugs and need access to treatment to maintain their individual recovery plans but do not require the intensity of a day treatment program or 24-hour hospital care. Participants attend the program on a regularly scheduled basis at least once a month but usually more frequently depending on their individual needs. Intensive outpatient programs are usually available three or four days per week for three or four hours per day.

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.

Programs that provide treatment that includes approved medication (e.g., methadone, buprenophine, naltrexone) to support the efforts of individuals with an opioid disorder to abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycondin or morphine). The extended-release, injectable form of naltrexone (Vivitrol), which permits monthly rather than daily dosing, 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 buprernorphine 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 counseling and behavioral therapies.

Programs that provide comprehensive treatment services on a residential, outpatient or day treatment basis for pregnant women who have a substance use disorder, women who are parenting children, generally age three or younger, and/or women who have babies who were exposed to drugs and/or alcohol during pregnancy. Services may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, HIV testing and counseling, AIDS prevention, a program for family members, relapse prevention services, a continuing care program and a wide array of supportive services such as child care, transportation and parenting skills development. The objective of the program is to help these women restructure their lives so that they can handle their parenting responsibilities as well as remain alcohol and/or drug free.

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

Programs that utilize one or a variety of techniques including aversion therapy, hypnosis, acupuncture, acupressure, and individual and/or group therapy or mutual support groups to help people who wish to control their dependence on nicotine and give up cigarettes, cigars, pipe tobacco, chewing tobacco, snuff or other substances containing nicotine. Included are smoking "quitlines" which provide information and counseling about tobacco use for people who prefer a telephone-based service.

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.

Programs that provide supervised, structured, full-day daytime activities which may include individual and group counseling, 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).