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Comprehensive Substance Abuse Community


The CSAC Initiative originates from the Substance Abuse Control plan 2002.  This plan outlines a three tiered substance abuse treatment delivery system. The CSAC fulfills the requirement of a Tier One provider and provides the most comprehensive set of services available in the state. These communities provide directly or through referrals the full continuum of services from assessment and referral, case management, detoxification, traditional outpatient, intensive outpatient, residential, and continuing care. More importantly, the CSACs will be required to serve as the hub agency in their community integrating and coordinating the services offered by all other public and private agencies and programs. They are not asked to do it all, but they are the catalyst to make certain that comprehensive services are available and effective. This requires the CSAC to bring the other players to the table including the Department of Corrections, private corrections providers, private substance abuse providers, Department of Family Services, local court system, jails, hospitals, schools, faith-based community, recovering community, and other interested parties. 


Comprehensive Substance Abuse Community (CSAC)

1) Multiple Components, using ALL current resources and acquiring new resources.

2) County-Wide Consortium of State Funded Agencies With a County Substance Abuse Center as the Lead Agency and Provider of Most of the Services

3) Completely Integrated Programs and Services Within and Among State-Funded Agencies in a Single County

4) Serving an Assigned Region, to the Extent Possible

5} All Services Evidenced Based

6} Development of a Comprehensive Range of Services Along the Continuum of Care


Use of ASI and ASAM for assessment and placement in appropriate/effective level of care

Drug court services or interface

Intensive outpatient treatment: adult and adolescent

Social and/or medical detox

Residential (adult)

Psychiatric services

Medical and dental services

Case management

Prevention program for drugs, alcohol and tobacco, focused on youth (example: minor in possession program, intensive school based programs, diversion programs)

Employment services in conjunction with Division of Vocational Rehabilitation
Methamphetamine treatment program (example – Matrix IOP)

Women's program

Programs with culturally competent staff for each program offered (example: Hispanic program (with Spanish speaking staff) or Native American)

Drug testing

Adolescent and adult outpatient groups

Individual and family therapy

Criminal offender program: probation, parole, re-entry

DUI program

Client directed activities/recreation program


All state funded agencies in a single county must collaborate with a lead provider agency to develop a CSAC, while maintaining their separate funding and operations.

The agency/agencies would commit by contract to:

     1. Reorganizing and developing all substance abuse services into a comprehensive program with all components along the continuum of care.

     2. Every component must be integrated, supportive and complementary

     3. CSAC is based on an integrated plan of seamless treatment and prevention services

     4. CSAC implements the best evidenced-based services in each and every service component


Click here to see the Substance Abuse Continum of Care. (57k, PDF)