Massachusetts Behavioral Health Access (MABHA)

EMERGENCY SERVICES PROGRAM (ESP) is a behavioral health emergency service. ESP can be contacted when an individual is having a crisis and needs help right away. [more]
- The ESP helps individuals of all ages if they are having a behavioral health crisis (see Mobile Crisis Intervention for youth under the age of 21).
- ESP staff will assess the crisis and help stabilize the individual.
- The ESP is available 24 hours per day, 7 days per week, 365 days per year.
- The ESP covers all cities and towns in Massachusetts.
- Some insurance restrictions may apply.

OUTPATIENT WALK-IN/OPEN ACCESS (OP) means same-day appointments. [more]
- An OP program holds a period of time open so a person can walk in and be seen without an appointment.
- OP may be used for intake, psychiatry appointments, group meetings, or individual therapy.

HOSPITAL-BASED ACUTE TREATMENT SERVICES (HBATS), also known as Level 4 Detoxification Services, is for adults who are at high risk of severe withdrawal symptoms. [more]
- HBATS is provided 24 hours a day in a hospital to adults ages 18 and older.
- The individuals may also have other medical complications.

ACUTE TREATMENT SERVICES (ATS), also known as detoxification or withdrawal management, is for adults over the age of 18 who have withdrawal symptoms from alcohol and/or other drugs. These individuals do not need to be in a hospital but need to be medically-monitored. [more]
- ATS is provided 24 hours a day to adults ages 18 and older.
- Special programs are available for youth under the age of 21 (see Youth Stabilization Services) and for adults with co-occurring conditions (see E-ATS on the Mental Health Services page).

CLINICAL STABILIZATION SERVICES (CSS) is an intensive substance use disorder treatment program for adults ages 18 and older. [more]
- CSS is provided 24 hours per day.
- CSS provides nursing support, case management, education, counseling, and aftercare.
- Special programs are available for youth under the age of 21 (see Youth Stabilization Services).

YOUTH STABILIZATION SERVICES (YSS) is a medically-monitored substance use disorder service for adolescents and transitional age youth up to the age of 21. [more]
- YSS is provided 24 hours per day.
- YSS includes help with withdrawal and intensive substance use disorder treatment in the same setting.
- Individuals also receive psychiatric consultations and nursing care.

TRANSITIONAL SUPPORT SERVICES (TSS) offers structure and support in a residential facility for adults ages 18 and older with substance use disorders. [more]
- TSS is provided 24 hours per day.
- TSS provides nursing support, intensive case management, education, and aftercare planning.

RESIDENTIAL REHABILITATION SERVICES (RRS) provides support and assistance to individuals with substance use disorders to get back into the community. [more]
- RRS is a 24-hour structured, supportive program that happens in a home-like setting.
- RRS provides ongoing case management, education, and counseling.
- Programs are available for adults ages 18 and older, adolescents, transitional age youth and young adults, families, and pregnant and post-partum women.

MEDICATION-ASSISTED TREATMENT (MAT) supports recovery from substance use disorders. [more]
- Treatment includes behavioral therapy and medications.
- Medications used are methadone, buprenorphine, naltrexone, or other U.S. Food and Drug Administration (FDA)-approved medications.
- MAT may be provided in an Opioid Treatment Program (OTP), Office-Based Addiction Treatment Program (OBAT), primary care, or outpatient behavioral practice.
- OPIOID TREATMENT PROGRAM (OTP) is also known as methadone clinics. [more]
  - Individuals with opioid use disorder have their medication given to them and monitored.
  - Medications used are methadone, buprenorphine, naltrexone, or other U.S. Food and Drug Administration (FDA)-approved medications.
  - Individuals can receive counseling, education, and vocational services as needed.
  - OTP is available on a short-term (withdrawal management) or long-term (maintenance) basis.
- OFFICE-BASED ADDICTION PROGRAM (OBAT), including Office-Based Opioid Treatment Programs (OBOT), is a service that provides medications for addiction treatment. [more]
  - OBAT also provides counseling and recovery supports.
  - Medications used are buprenorphine, naltrexone, or other U.S. Food and Drug Administration (FDA)-approved medications.
  - Services are provided in an outpatient setting. It’s most often provided in health centers or specialty substance use disorder clinics.

STRUCTURED OUTPATIENT ADDICTION PROGRAM (SOAP), also known as Intensive Outpatient Program (IOP), is a short-term, intensive day and/or evening substance use disorder treatment service. It is for individuals who do not need 24-hour care. [more]
- Individuals get help with withdrawal management. Services include case management, education, and counseling.
- Individuals can stay in the community, work, or school. They can continue being part of their family life while getting treatment.
- SOAP is available for adolescents and adults.