include radical healing, motivational interviewing, cognitive behavioral therapy, dialectical behavioral therapy, Matrix Model, Seeking Safety, and the community reinforcement approach. • A psychological framework of radical healing centers the rich and varied voices and strengths of BIPOC communities, building on each community’s traditional cultural healing methods and ancestral wisdom. Those practicing the radical healing framework offer support through understanding that for liberation to occur psychological healing must focus on systemic conditions contributing to the trauma of racism and colonization. They envision a healing process that acknowledges the pain of oppression while fostering hope for justice and psychopolitical freedom. The proposed framework of radical healing builds on existing theories by arguing that social action is a critical component of radical healing and demands a multisystemic, ecological approach beyond the individual level. • Medication-assisted recovery complements psychosocial treatment by addressing the underlying biological basis of alcohol use disorder and opioid use disorder. Medications such as buprenorphine (opioid use disorder), methadone (opioid use disorder), and naltrexone (alcohol use disorder/opioid use disorder) are highly effective in reducing or eliminating drug cravings or withdrawal symptoms, thus providing a critical support in early recovery. • Psychiatric medications also complement services and are used to address depression, anxiety, attention, and other mental health challenges. While psychiatric medication has helped many people to reduce or manage difficult symptoms, there are also significant risks and side effects. Public mental health and substance use system Medicaid and tribal nation, federal, state, county, and municipal governments fund services provided within Wisconsin’s public mental health and substance use services system. Professionals employed across hundreds of agencies provide a continuum of services for people needing all levels of care. The public system combines all the services provided by the private system and expands the definition of medically necessary services, recognizing the value of community and natural supports in a person’s recovery. In Wisconsin, counties are required by state law (Wis. Stat. § 51.42) to provide a system of community-based services for individuals "dependent on alcohol and other drugs" or having "serious and persistent mental illness." The human services workforce is made up of a range of professionals who help people address substance use and mental health challenges. Each discipline has its own regulations, scope of practice, and licensing requirements. There are two general types of professionals who provide these services: specialists and non-specialists.
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