Who Needs Detox In New York?

Detox is the process through which the toxins that came from the drugs that you used to abuse are eliminated from the body. If you are struggling with a substance use disorder, detox might be one of the services that you will be required to receive before you proceed with the rest of your addiction treatment. Through this service, your body would be weaned off all the intoxicating substances that you used to abuse.

But how can you tell that you are a good candidate for detox? Essentially, this service might be essential if you have developed a severe substance use disorder. It might also be ideal if you have received a dual diagnosis for addiction and another co-occurring medical or mental health disorder.

In both of these situations, trying to overcome your substance use disorder without the medical supervision and management provided through detox could prove to be fatal. This is because you could suffer some adverse and life-threatening withdrawal side effects.

If you relapse, there is also a high risk that you could suffer a drug overdose. This is because you will ideally keep on taking the same amount of drugs you used to take before your short detox period. In all these cases, medically managed detox in New York might be the right solution for you.

Medically Supervised Detoxification in New York

The goal of medically supervised in New York is to help your body achieve full healing after a period of intense substance abuse. Through this program, your body will start getting rid of the drugs and toxins that you used to abuse. Further, the program can help you achieve physical stability before you make the transition to a drug rehab program.

Today, medically supervised detox is offered on an inpatient basis. This is essential if you have a severe substance use disorder. In such a program, you will receive the medical services that you require to overcome your physical dependence while also managing your withdrawal symptoms.

Medical detox is also essential because some drugs of abuse can cause you to suffer extremely severe and even life-threatening withdrawal symptoms. If you had an alcohol use disorder, for instance, you might develop delirium tremens – a condition that could cause you to lose your life.

In all these situations, medically supervised detoxification is the right way for you to overcome your addictions, and deal with your withdrawal syndrome in the safest way possible. This is why it is recommended for people with severe addictions as well as those who have been abusing drugs that lead to adverse withdrawal syndromes.

Types of Detox in New York

You can go through detox – the process by which your body eliminate all the toxins that you used to abuse – in different ways in New York. Today, most addiction treatment facilities offer detox both on an inpatient and an outpatient basis. However, there are other types of detox that you can use to help you deal with your physical dependence on drugs and alcohol. They include:

  • Cold turkey detox
  • Drug detox kits
  • Holistic detox
  • Medically managed detox
  • Social detox

All these types of detox come with their own unique benefits and drawbacks. For instance, if you choose cold turkey detox, you might not be required to pay anything. This free type of detox can be done at home. This means that you won’t have to check into a medical clinic to undergo withdrawal. However, at home detox, as it is also known, could prove to be dangerous. This is particularly true if you end up suffering adverse, painful, or even life-threatening withdrawal symptoms.

Medically managed detox, on the other hand, tends to be expensive. However, it is the safest way to detox. It can offer you the medical services and medications that you might need to manage your withdrawal symptoms. This is why it is the most recommended type of detox in New York.

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List of Detox Drug Rehab Facilities in New York

Photo of Finger Lakes Area Counseling and Recovery Agency Inc/Alc Crisis Center

Finger Lakes Area Counseling and Recovery Agency Inc/Alc Crisis Center

28 East Main Street
Clifton Springs, NY 14432
Outpatient
Inpatient
Detox
Insurance
Telephone:
315-462-7070
Service Setting:
Inpatient Drug Rehab Alcohol Detoxification Cocaine Detoxification Detox Methamphetamines Detoxification Opioids Detoxification Inpatient Detoxification
Treatment Approaches:
Brief intervention approach Contingency management/motivational incentive Motivational interviewing Relapse prevention Substance abuse counseling approach 12-step facilitation approach
Payment Types Accepted:
Private Health Insurance
Photo of Phoenix Houses of Long Island Inc Phoenix House Academy of Long Island

Phoenix Houses of Long Island Inc Phoenix House Academy of Long Island

95 Industrial Road
Wainscott, NY 11975
Outpatient
Inpatient
Detox
Insurance
Telephone:
631-537-2891 x5601
Service Setting:
Long Term Drug Rehab Short Term Drug Rehab Inpatient Drug Rehab Detox Inpatient Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of St. Peters Addiction Recovery Center (SPARC)/Alcoholism Inpatient Rehab Ctr

St. Peters Addiction Recovery Center (SPARC)/Alcoholism Inpatient Rehab Ctr

3 Mercy Care Lane
Guilderland, NY 12084
Outpatient
Inpatient
Detox
Insurance
Telephone:
518-452-6700
Service Setting:
Short Term Drug Rehab Inpatient Drug Rehab Buprenorphine detoxification Detox
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance
Photo of First Step Center MMW Crisis Center

First Step Center MMW Crisis Center

2470 Allen Avenue
Niagara Falls, NY 14303
Outpatient
Inpatient
Detox
Insurance
Telephone:
716-285-3421 x15
Service Setting:
Short Term Drug Rehab Inpatient Drug Rehab Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Detox Methamphetamines Detoxification Opioids Detoxification Inpatient Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Motivational interviewing Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling 12-step facilitation approach
Payment Types Accepted:
No Payment Accepted Payment Assistance
Photo of Samaritan Village Inc MTA/Residential

Samaritan Village Inc MTA/Residential

13020 89th Road
Richmond Hill, NY 11418
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-441-8913
Service Setting:
Inpatient Drug Rehab Buprenorphine detoxification Methadone Detoxification Detox Opioids Detoxification Inpatient Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance
Photo of Ramon Velez Recovery Center OP

Ramon Velez Recovery Center OP

754 East 151st Street
Bronx, NY 10455
Outpatient
Inpatient
Detox
Insurance
Telephone:
347-352-2474
Service Setting:
Long Term Drug Rehab Short Term Drug Rehab Outpatient Drug Rehab Outpatient Day Treatment or Partial Hospitalization Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Motivational interviewing Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling
Photo of Counseling Services of EDNY CS EDNY Outpatient Med Supervised

Counseling Services of EDNY CS EDNY Outpatient Med Supervised

210 Joralemon Street
Brooklyn, NY 11201
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-250-5557
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Buprenorphine detoxification Detox
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Motivational interviewing Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance
Photo of St. Anthonys OP R

St. Anthonys OP R

21 Franciscan Way
Garrison, NY 10524
Outpatient
Inpatient
Detox
Insurance
Telephone:
845-335-1101
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Outpatient Day Treatment or Partial Hospitalization Alcohol Detoxification Buprenorphine detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Motivational interviewing Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare Private Health Insurance
Photo of North Star Behavioral Health Services

North Star Behavioral Health Services

31 6th Street
Malone, NY 12953
Outpatient
Inpatient
Detox
Insurance
Telephone:
518-483-3261
Service Setting:
Halfway House Intensive Outpatient Treatment Outpatient Drug Rehab Regular Outpatient Treatment Alcohol Detoxification Buprenorphine detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Motivational interviewing Matrix Model Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Military Insurance (e.g., Tricare) Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of Loyola Recovery Foundation Inc OP

Loyola Recovery Foundation Inc OP

411 Canisteo Street
Hornell, NY 14843
Outpatient
Inpatient
Detox
Insurance
Telephone:
585-203-1251
Service Setting:
Hospital Inpatient Outpatient Drug Rehab Regular Outpatient Treatment Detox Hospital Inpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Private Health Insurance
Photo of Bridge Back to Life Center Inc Chemical Dependency Outpatient

Bridge Back to Life Center Inc Chemical Dependency Outpatient

4271 Hempstead Turnpike
Bethpage, NY 11714
Outpatient
Inpatient
Detox
Insurance
Telephone:
516-520-6600
Service Setting:
Intensive Outpatient Treatment Outpatient Drug Rehab Regular Outpatient Treatment Alcohol Detoxification Benzodiazepines Detoxification Buprenorphine detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare Private Health Insurance Military Insurance (e.g., Tricare)
Photo of Long Island Jewish Medical Center Chemical Dependency Outpatient

Long Island Jewish Medical Center Chemical Dependency Outpatient

1600 Central Avenue
Far Rockaway, NY 11691
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-868-1400 x12331
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Buprenorphine detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Motivational interviewing Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors) Payment Assistance
Photo of Angelo J Melillo Center for MH Inc Chemical Dependency Services

Angelo J Melillo Center for MH Inc Chemical Dependency Services

113 Glen Cove Avenue
Glen Cove, NY 11542
Outpatient
Inpatient
Detox
Insurance
Telephone:
516-676-2388
Service Setting:
Intensive Outpatient Treatment Outpatient Drug Rehab Regular Outpatient Treatment Buprenorphine detoxification Detox
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of START Treatment and Recovery Centers Clinic 23/Third Horizon Clinic

START Treatment and Recovery Centers Clinic 23/Third Horizon Clinic

2195 3rd Avenue
New York, NY 10035
Outpatient
Inpatient
Detox
Insurance
Telephone:
212-348-5650
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Buprenorphine detoxification Methadone Detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of Guidance Center of Westchester OTP

Guidance Center of Westchester OTP

20 Sickles Avenue
New Rochelle, NY 10801
Outpatient
Inpatient
Detox
Insurance
Telephone:
914-613-0700
Service Setting:
Outpatient Drug Rehab Methadone Detoxification Detox Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Motivational interviewing Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid Sliding Fee Scale (Fee Is Based On Income and Other Factors) Payment Assistance
Photo of VERTEX OP

VERTEX OP

1080 East Gun Hill Road
Bronx, NY 10469
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-653-1117
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Alcohol Detoxification Detox Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance
Photo of St. Christophers Inn Inc  MSW OP

St. Christophers Inn Inc MSW OP

21 Franciscan Way
Garrison, NY 10524
Outpatient
Inpatient
Detox
Insurance
Telephone:
845-335-1000
Service Setting:
Outpatient Drug Rehab Alcohol Detoxification Benzodiazepines Detoxification Buprenorphine detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Dialectical Behavior Therapy Anger management Motivational interviewing Rational emotive behavioral therapy Substance abuse counseling approach Smoking/tobacco cessation counselling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance
Photo of Harlem East Life Plan Outpatient Clinic

Harlem East Life Plan Outpatient Clinic

2367-69 2nd Avenue
New York, NY 10035
Outpatient
Inpatient
Detox
Insurance
Telephone:
212-876-2300
Service Setting:
Outpatient Drug Rehab Regular Outpatient Treatment Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Buprenorphine detoxification Detox Methamphetamines Detoxification Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling
Payment Types Accepted:
Cash or Self-Payment Medicaid Sliding Fee Scale (Fee Is Based On Income and Other Factors) Payment Assistance
Photo of Friends of Bridge Inc Outpt Drug Abuse Treatment Program

Friends of Bridge Inc Outpt Drug Abuse Treatment Program

5-11 Pflug Place
Valley Stream, NY 11580
Outpatient
Inpatient
Detox
Insurance
Telephone:
516-825-4242
Service Setting:
Intensive Outpatient Treatment Outpatient Drug Rehab Regular Outpatient Treatment Buprenorphine detoxification Detox
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid
Photo of Advanced Human Services Inc

Advanced Human Services Inc

112-115 72nd Road
Forest Hills, NY 11375
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-261-3437
Service Setting:
Outpatient Drug Rehab Alcohol Detoxification Benzodiazepines Detoxification Detox Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Outreach to persons in the community Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling
Payment Types Accepted:
Cash or Self-Payment Medicaid State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of Jacobi Medical Center Jacobi Amb Care Pavillion OP

Jacobi Medical Center Jacobi Amb Care Pavillion OP

1400 Pelham Parkway South
Bronx, NY 10461
Outpatient
Inpatient
Detox
Insurance
Telephone:
718-918-4465
Service Setting:
Hospital Inpatient Treatment Hospital Inpatient Intensive Outpatient Treatment Outpatient Drug Rehab Regular Outpatient Treatment Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Detox Methamphetamines Detoxification Hospital Inpatient Detoxification Outpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Outreach to persons in the community Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of Mt Sinai Beth Israel Medical Center MMD

Mt Sinai Beth Israel Medical Center MMD

Bernstein Pavillion
New York, NY 10003
Outpatient
Inpatient
Detox
Insurance
Telephone:
212-420-4266
Service Setting:
Hospital Inpatient Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Buprenorphine detoxification Methadone Detoxification Detox Hospital Inpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Brief intervention approach Outreach to persons in the community Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling
Payment Types Accepted:
Medicaid Medicare Private Health Insurance Sliding Fee Scale (Fee Is Based On Income and Other Factors)
Photo of Eastern Long Island Hospital Quannacut Addiction Services

Eastern Long Island Hospital Quannacut Addiction Services

201 Manor Place
Greenport, NY 11944
Outpatient
Inpatient
Detox
Insurance
Telephone:
631-477-8877
Service Setting:
Hospital Inpatient Treatment Hospital Inpatient Alcohol Detoxification Benzodiazepines Detoxification Buprenorphine detoxification Detox Methamphetamines Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare State Financed Health Insurance Plan Other Than Medicaid Private Health Insurance Military Insurance (e.g., Tricare)
Photo of St. Charles Hospital  MMD 1

St. Charles Hospital MMD 1

200 Bell Terre Road
Port Jefferson, NY 11777
Outpatient
Inpatient
Detox
Insurance
Telephone:
631-474-6981
Service Setting:
Hospital Inpatient Treatment Hospital Inpatient Alcohol Detoxification Benzodiazepines Detoxification Detox Methamphetamines Detoxification Hospital Inpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Brief intervention approach Motivational interviewing Relapse prevention Substance abuse counseling approach 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare Private Health Insurance Military Insurance (e.g., Tricare)
Photo of Health Alliance of Westchester Med MMD Chemical Dependency Acute Care/Detox

Health Alliance of Westchester Med MMD Chemical Dependency Acute Care/Detox

105 Marys Avenue
Kingston, NY 12401
Outpatient
Inpatient
Detox
Insurance
Telephone:
845-334-4705
Service Setting:
Hospital Inpatient Treatment Hospital Inpatient Alcohol Detoxification Benzodiazepines Detoxification Methadone Detoxification Detox Hospital Inpatient Detoxification Opioids Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach
Payment Types Accepted:
Cash or Self-Payment Medicaid Medicare Private Health Insurance
Photo of Beacon Center OTP

Beacon Center OTP

303 West Liberty Street
Rome, NY 13440
Outpatient
Inpatient
Detox
Insurance
Telephone:
315-367-1290
Service Setting:
Short Term Drug Rehab Outpatient Detoxification
Treatment Approaches:
Cognitive/behavior Therapy Anger management Brief intervention approach Contingency management/motivational incentive Motivational interviewing Matrix Model Rational emotive behavioral therapy Relapse prevention Substance abuse counseling approach Smoking/tobacco cessation counselling Trauma-related counseling 12-step facilitation approach