1. ASAM 3.1 Clinically Managed Low-Intensity Residential Services OR at least a Recovery Home for post incarceration. This critical stage of Reentry is considered the“Stabilization Phase” of treatment. The Offenders are leaving the highest level of care and need to be transitioned more slowly into the community to promote successful “Reentry.” In the 3.1 Clinically Managed Low Intensity Treatment Residential Service, Offenders will be exposed to over 25-hours of professional treatment and Peer driven support services to include, but not limited to: coping skills, anger and stress management, relationship skills, self-esteem, illness management, problem solving and critical thinking, and trauma management. Additionally, offender’s psychiatric and medical care are monitored and managed, while they are exposed to vocational skills development, family education, and recreation and leisure activities. Any community resources and benefits such as Medicaid, SSDI, etc., are initiated and obtained. Critical to the “Stabilization Phase” is building a strong collaborative relationship with Offender’s Probation/Parole Officer, which is monitored and supported by River City. Similar treatment and peer services are available in the Recovery Home service, as well.

2. ASAM Intensive Outpatient Counseling: This is considered the“Action/Maintenance Phase” as the Offender is now moving towards more independence and is actively engaged in their treatment and Recovery. IOP can occur concurrently with ASAM 3.1 and/or Recovery Home services. The benefit of ASAM 2.1 Intensive Outpatient Programming is that it provides the intensive integrated and comprehensive SUD and psychiatric Services that offenders need to promote and reinforce abstinence, promote motivation for recovery from SUD and/or psychiatric conditions and helps them learn and practice the skills necessary to successfully reenter into their communities. IOP services are 3-hour daily/3-5 days weekly and includes, but is not limited to: coping skills, anger and stress management, relationship skills, self-esteem, illness management, problem solving and critical thinking, and trauma management. Additionally, an Offender’s psychiatric and medical care are monitored and managed while they are exposed to vocational skills development, family education, and recreation and leisure activities. Critical to the “Action/Maintenance Phase” is building a strong collaborative relationship with Offender’s Probation/Parole Officer, which is monitored and supported by River City.

3. ASAM 1.0 Outpatient Individual and/or Group Counseling: The Offender has successfully completed ASAM Levels 3.1 and 2.1 and are moving towards the“LongTerm Recovery Phase” of their treatment around the 90-180-day post incarceration mark. The Offender should be working or in school, appropriately housed, actively engaged with their Probation/Parole Officer, and able to discuss what they have learned in treatment, how it applies to their Recovery, and how they utilize the knowledge, skills and experiences to become a law-abiding productive member of society. The ASAM Level 1.0 Individual and/or Group Therapy (depending on the Offender’s needs) schedule is as follows: 0-6 Months: 4x monthly; 6-9 Months: 2x monthly; and 9-12 months: 1x monthly.

4. Substance Use Case Management: Initiated upon the Offender’s release and ongoing for 24 months post incarceration. This service compliments the Offender’s “Reentry” back into their community and all “Phases” of treatment with the focus on linking the Offender to community resources, coordinating and monitoring the wide array of criminal justice, medical, psychiatric appointments; and those appointments focused on obtaining remunerative benefits such as Medicaid, SSDI, etc. The Substance Use Case Manager is responsible for engaging and coordinating with the Offender’s Probation/Parole Officer, the Court System, medical and treatment providers, ensuring that the Offender’s insurance and other benefits remain intact, initiating and monitor the VA Driver’s License process, etc.

5. Peer Recovery Specialist Services: The State of Virginia is wholeheartedly invested in Peer Recovery Supports. A Peer Recovery Support Specialist is both educated and trained by the Virginia Department of Behavioral Health and Developmental Services (DBHDS) and credentialed/registered through the Virginia Board of Counseling. A Peer Recovery Specialist are individuals who are currently successful living in recovery. These activities, coupled with those of the Substance Use Case Manager help people become and stay engaged on the Recovery process, reduce the likelihood of SUD, psychiatric and criminal relapse, and may positively impact the “Reentry” process and promote true community integration. Peer Recovery Support Services are critical to reduce recidivism into SUD, psychiatric and criminal activities and promote long-lasting Recovery and a successful “Reentry” into the society.