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 an alcohol use disorder 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.

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 a drug use disorder 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.

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 counseling and behavioral therapies.

Community based residential facilities that provide a long or short-term (usually one to nine month) alcohol and drug-free supportive environment in which individuals who have an alcohol use disorder can achieve and/or maintain sobriety. Residential alcohol use disorder programs are usually staffed by individuals recovering from an alcohol use disorder and offer services that differ widely among facilities, but which may include personal recovery planning services, 12-step or other mutual support groups, excessive alcohol use education, family support, recreation and social activities and assistance in obtaining vocational and social services.

Community based facilities that provide a 24-hour, supervised, supportive, drug-free environment in which people who have a drug use disorder can learn to deal with their lives and remain drug free upon return to the community. Services may include individual and group counseling and 12-step and other mutual support groups, drug education and structured social activities which may be available to family members or significant others as well as to residents.

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.

A pattern of excessive alcohol use that leads to clinically significant impairment or distress. Diagnostic criteria include a strong desire to drink alcohol, difficulties in controlling its use, risky use, e.g., driving or operating machinery while under the influence, persisting in its use despite harmful personal, social and occupational consequences, pathological organ changes, increased tolerance and physical withdrawal symptoms.

Disorders related to recurrent use of drugs other than alcohol that cause clinically and functionally significant impairment such as health problems, disability, and failure to meet major responsibilities at work, school or home. Diagnostic criteria include intense cravings; impaired control of the amount and frequency taken; persisting in use despite harmful personal, social and occupational consequences; risky use, e.g., driving or operating machinery while under the influence; increased tolerance and physical withdrawal symptoms.