Substance Abuse Comprehensive Outpatient Treatment

SA Comprehensive Outpatient Treatment (SACOT) Program means a periodic service that is a time limited, multi-faceted approach treatment service for adults who require structure and support to achieve and sustain recovery.

SACOT Program is a service emphasizing reduction in use and abuse of substances and/or continued abstinence, the negative consequences of substance abuse, development of social support network and necessary lifestyle changes, educational skills, vocational skills leading to work activity by reducing substance abuse as a barrier to employment, social and interpersonal skills, improved family functioning, the understanding of addictive disease, and the continued commitment to a recovery and maintenance program.

These services are provided during day and evening hours to enable individuals to maintain residence in their community, continue to work or go to school, and to be a part of their family life. The following types of services are included in the SACOT Program:

  1. Individual counseling and support;
  2. Group counseling and support;
  3. Family counseling, training or support;
  4. Biochemical assays to identify recent drug use (e.g., urine drug screens);
  5. Strategies for relapse prevention to include community and social support systems in treatment;
  6. Life skills;
  7. Crisis contingency planning;
  8. Disease management; and
  9. Treatment support activities that have been adapted or specifically designed for persons with physical disabilities or persons with co-occurring disorders of mental illness and substance abuse/dependence or mental retardation/developmental disability and substance abuse/dependence.

SACOT programs can be designed for homogenous groups of recipients e. g., individuals being detoxed on an outpatient basis; individuals with chronic relapse issues; pregnant women, and women and their children; individuals with co-occurring MH/SA disorders; individuals with HIV; or individuals with similar cognitive levels of functioning. SACOT includes case management to arrange, link or integrate multiple services as well as assessment and reassessment of the recipient’s need for services. SACOT services also inform the recipient about benefits, community resources, and services; assists the recipient in accessing benefits and services; arranges for the recipient to receive benefits and services; and monitors the provision of services. Consumers may be residents of their own home, a substitute home, or a group care setting; however, the SACOT Program must be provided in a setting separate from the consumer’s residence.

A service order for SACOT must be completed prior to or on the day that the services are to be provided by a physician, licensed psychologist, physician’s assistant or nurse practitioner according to their scope of practice.

This service must operate at least 20 hours per week and offer a minimum of 4 hours of scheduled services per day, with availability at least 5 days per week with no more than 2 consecutive days without services available. The recipient must be in attendance for a minimum of 4 hours a day in order to this for this service. Group counseling services must be offered each day the program operates. Services must be available during both day and evening hours. A SACOT Program may have variable lengths of stay and reduce each individual’s frequency of attendance as recovery becomes established and the individual can resume more and more usual life obligations. The program conducts random drug screening and uses the results of these tests as part of a comprehensive assessment of participants’ progress toward goals and for Person Centered Planning.