Definitions for the CATT project | Washington County, OR

TERM	DEFINITION
Abstinence	The fact or practice of restraining oneself from indulging in something, typically alcohol or other drugs.
Addiction	A compulsion, chronic, physiological or psychological need for a habit-forming substance, behavior, or activity having harmful physical, psychological, or social effects and typically causing well-defined symptoms upon withdrawal or abstinence.
Assessment and Triage	This is the entry point into services. An individual will meet with program staff to discuss their substance use, service needs and desire for treatment. The goal is to provide immediate support and rapid connection to care. This service will be closely aligned with the Hawthorn Walk-In Center which offers crisis and urgent behavioral health care to Washington County residents.
CATT	Center for Addictions Triage and Treatment. A concept being developed by Washington County to create a comprehensive center for substance use assessment, treatment and connection to services.
CCO	See Coordinated Care Organization
Co-occurring Disorder	The coexistence of both a mental health and a substance use disorder. See also Dual Diagnosis.
Co-occurring Services	It is common that individuals experience both mental health and substance use disorders concurrently. Co-occurring treatment (also referred to as dual diagnosis)acknowledges this dynamic by supporting both mental health and SUD treatment concurrently. Services are blended into the treatment model, with supports ideally provided by staff that have training and/or experience in both areas. The interconnectedness of mental health and substance use disorders should be acknowledged and supported in all programs.
Coordinated Care Organization	An organization that manages the Medicaid benefit for individuals on the Oregon Health Plan who are assigned to that organization. CCOs are responsible for providing holistic care including physical, mental health and dental care.
Crisis Services	See Hawthorn Walk-In Center
Detox or Detoxification	See Withdrawal Management
Drop-In Center(Flex space)also Peer Drop-In Center	A space where individuals in recovery and their friends, family and other supports can come together. Drop-in centers provide opportunities for connection, mutual support, and development of peer networks and resources, all of which are critical to recovery. These spaces can be used for support groups and affinity group activities.
Family Engagement	Intentional efforts and activities to include family members (as defined by the client) in the treatment planning and delivery within programs. This is both an approach to care and a philosophical orientation that acknowledges that individuals do not live in isolation, and support from their community is essential in recovery.
Harm Reduction	Harm reduction is an approach to treating those with alcohol and other substance-use problems that does not require patients to commit to complete abstinence before treatment begins. Instead, an array of practical strategies are deployed to reduce the negative health and social consequences of substance use. Relapse is considered part of the recovery process, and individuals and clinicians work together after a relapse to help the person understand what precipitated the relapse and how to avoid it moving forward.
Hawthorn Walk-In Center	The Hawthorn Walk-In Center is a behavioral health urgent care program that provides crisis intervention, safety planning, connection to services and brief treatment. This center is open 7 days per week and does not require appointments. Most other Washington County crisis services are located out of Hawthorn, including the mobile crisis team, peer crisis services and intensive transitional services.
Leadership Team	A team of County employees and contractors who lead the development of the CATT by organizing work groups, communicating progress and soliciting support for the project from community leaders.
MAT	Medication Assisted Treatment. Another term for Medication Supported Recovery. See Medication Supported Recovery for additional information.
MSR	See Medication Supported Recovery
Medication Supported Recovery (MSR)	Another term for Medication Assisted Treatment (MAT). MSR is the use of medication to assist an individual in achieving and sustaining recovery from a substance use disorder. Medication may also be used as a harm-reduction approach, regardless of whether abstinence is achieved. MSR should be integrated into all programs and offered to individuals as an option to support their recovery.
Mental Health Treatment	A broad term for various treatment interventions focused on reducing mental health symptoms and improving community functioning. Services may include evidence-based interventions, peer supports medication management and counseling.
Mentors	Also referred to as Peer Mentors, these are individuals who are in sustained recovery and can provide support to other individuals who are going through similar experiences. Peer mentors are required to be certified by the Mental Health and Addiction Certification Board of Oregon. See also Peer Support Services.
Natural Supports	Natural supports refer to the support and assistance that naturally flows from the associations and relationships typically developed in environments such as the family, school, work and community. These relationships and the support and assistance they offer, maintain and enhance the quality and security of life.
Opioid Lawsuit and Settlement	Across the nation, states and other localities filed lawsuits against opioid manufacturers contending that marketing and prescribing incentives contributed to local communities experiencing negative outcomes. Purdue Pharmaceuticals is in the process of settling these suits. Settlement dollars can be used to mitigate the impact on communities of overprescribing of opioids.
Outpatient Behavioral Health Treatment	A range of treatment interventions provided in an outpatient setting. Services are focused on reducing mental health symptoms and addressing substance use disorders. Services include evidence-based interventions, peer supports, medication management and counseling.
Outpatient Stabilization	A short-term, rapid access program heavily centered on MAT and peer support. This program will support individuals needing rapid connection to treatment, but for whom residential-based services are not desired or indicated. Intended to be short-term with transition to outpatient services as indicated.
Outpatient SUD Treatment	Substance Use Disorder Treatment that occurs in a clinic setting with the capacity to serve individuals in identifying their patterns with substance use, and how to learn skills in achieving and maintaining sobriety. Treatment consists of assessment, individual and group therapy, peer mentor services, medication management, and urinalysis.
Peers	See “Peer support workers”
Peer Support Services	Peer support services are services and supports that are provided by individuals with lived experience of having a substance use or mental health disorder. Peer support services can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking a successful, sustained recovery process.
Peer Support Workers	Peer support workers are people who have been successful in the recovery process who help others experiencing similar situations. Through shared understanding, respect, and mutual empowerment, peer support workers help people become and stay engaged in the recovery process and reduce the likelihood of relapse. See also Mentors.
Program Development Work Group	A work group made up of local community subject matter experts who provide input and guidance to the development of the CATT. The Program Development Work Group was active from October 2020 - June 2022 and helped create the foundation for the CATT project by offering concrete guidance in areas such as clinical model, facility features and cultural responsiveness.
Recovery	A process of change through which people improve their health and wellness, live self-directed lives, and strive to reach their full potential. Individuals who have a substance use disorder who have stopped using substances are in recovery.
Residential Treatment	A facility-based treatment program where the individual lives in a supportive environment and learns skills to avoid relapse.
Respite	A flexible, short-term residential program that provides a safe environment to support individuals while they are waiting to access other residential care. Respite may be used to engage and connect people into services at CATT while waiting for an opening in the right level of care.
Sobering	A specially designed program to support an individual who is acutely intoxicated. Sobering provided at the CATT primarily refers to supporting individuals intoxicated on depressants such as alcohol or opioids. Services would include monitoring of vital signs, providing fluids and nutrients and offering a safe and supportive environment.
Stabilization	A flexible, short-term residential program that provides immediate services to individuals in a safe environment while they are waiting to access other care. This program may also be used to support individuals as they transition from one service to another.
Steering Committee	A CATT committee that provides strategic guidance on the development of the CATT. The Steering Committee ensures collaboration across system partners and provides broad direction to the project work groups and Leadership Team.
SUD	Substance Use Disorder
Substance Use Disorder	The recurrent use of alcohol and/or drugs which causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home. This term is preferred to the term “addictions” which is broader and includes gambling, gaming and other addictive behaviors. Individuals that have a substance use disorder are diagnosed as being mild, moderate, or severe.
Supported Employment	A program that focuses on developing skills to be competitive in the job market.
Supportive Housing	The Department of Housing Services connects people with housing concerns, to services.
Tigard Recovery Center	The Tigard Recovery Center is an existing men’s residential program located in Tigard. The building is owned by Washington County with services provided by a contractor. This building currently serves 13 men, with capacity for up to 20.
Transitional Housing	Housing that is temporary and of limited duration but provides a safe and stable environment while a more permanent arrangement is sought.
TRC	See Tigard Recovery Center
Trauma Informed Care (TIC)	An approach, based on knowledge of the impact of trauma, aimed at ensuring environments and services are welcoming and engaging for service recipients and staff. There are three key elements: (1) realizing the prevalence of trauma; (2) recognizing how trauma affects all individuals involved with the program, organization, or system, including its own workforce; and (3) responding by putting this knowledge into practice by implementing services that are trauma informed, training staff and responding to participants with a trauma sensitive approach.
Trauma Specific Services	Programs, interventions, and therapeutic services aimed at treating the symptoms or conditions resulting from a traumatizing event(s).
Withdrawal Management(aka: Detox or Detoxification)	A program that provides medical monitoring and support to individuals who have developed a physiological dependence on alcohol or opiates. This is typically a short-term service, often with transition to residential services upon discharge.