The Substance Abuse and Mental Health Services Administration, "SAMHSA" for short, is the government department responsible for efforts to promote the behavioral health of the United States. One of its responsibilities is the oversight of opioid treatment programs, which are centers who offer medication-assisted treatment (MAT) to individuals who are in the midst of opioid dependency and addiction. Drug prescribed are drugs such as methadone, buprenorphine and other drugs that stop withdrawal and curb cravings for opioid dependent clients. SAMSHA certified opioid treatment facilities in Cuba are programs which are officially allowed to give out the drugs used in MAT as long as they remain certified and continue to meet certain requirements. A requirement that MAT clients must also get auxiliary services in addition to medication such as psychotherapy, behavioral therapy or counseling.
An opioid rehabilitation facility can receive initial approval documentation while they endeavor to get their full accreditation, but must become fully accredited within a year. Opioid treatment programs accredited by SAMSHA need to get licensed also by their own state. Likewise, they must register with the Drug Enforcement Administration via a local DEA branch. Once an opioid rehabilitation facility is approved to operate, they need to get re-certified each year or every 3 years depending on the type of accreditation that was given.