- The goal of our center and program(s) at it’s broadest level is to cast a wide net that can “catch” anyone at any stage of readiness or willingness, and wherever they initially enter the system, to have internal resources to get them appropriate type and level of care. From this overarching model, we will admit and treat people at any level they enter our system and through continual assessment, gauge the level of care appropriateness and refer as needed.
When substance use disorders are present, the goals of detox (minimum 30 days per SAMHSA standards of care and stability (Safety and lethality as assessed by clinicians) are required prior to referral to any other level of care. All substance use treatment will then involve a combination of individual, couple/family and group interventions as directed by the intake therapist.
- Outpatient care: May initially enter here, or step down from higher levels of care.
- Individual: Minimum of weekly appointments up to 2x/week.
- Level 1: Substance use (needed level of care, see below) **to ensure stability and safety for subsequent levels of care.
- In cases of substance dependence, 30 days of detox may be required prior to Individual outpatient focus.
- 10 sessions of SUD-focused treatment
- Level 2: After safety and stability, alternate focus integrated in to underlying and co-occurring diagnoses.
- Group care: Concurrently with Individual treatment, after safety/stability.
- Level 1: Psychoeducation (closed group, limited to 10 per group)
- Level 2: Trauma focus (e.g. CPT; closed group, limited to 10 per group)
- Level 3: Support (Open group with 10 weeks required then PRN)
- Level 4: “The Mission Continues”: Life skills group (Open group with 10 weeks required then PRN).
- Marriage and family
- Couples and/or family work as fitting.
- Integrated systemic work after 3 months of individual/group work.
- Partial Hospitalization (PHP) and Intensive Outpatient (IOP)
- For those initially deemed chronic and/or needing higher levels of care or stepping down from Inpatient or Residential care.
- Elements of treatment from lower levels of care (e.g. Individual and group SUD and DX related Counseling) with higher frequencies and PLUS:
- Medically assisted treatments (e.g. SUD antagonists like Antabuse; Physiological monitoring; Managing physical wounds)
- Residential: Voluntary care that ranges from 4 to 30 days (differing programs that integrate both Substance Use Disorders and Trauma another diagnosis related work and a higher frequency).
- Clients either are clinician-referred (due to not needing medical intervention of PHP/IOP but still in need of higher level of care).
- OR self-referred, if deemed appropriate and client feels that higher level of care would be beneficial.
- Both individual (4-30 days) and family programs (As appropriate; 4 to 7 day programs) can either be initial point of entry in to system, of referred from above of below levels of care.
- Clients stay at facility for entirety of program or we could run day programs where clients come to our facility each day for the entirety of the day focused on treatment.
- Inpatient: highest level of care
- Mandated treatment. For client safety they can be held until they are deemed safe enough to be referred to lower levels of care that are appropriate.
- After initial detox (PRN; 30 days).
- Mental Health, SUD AND Medical Physiological care provided with addition of 24/7 monitoring for safety
- Highest acuity cases due to impact of SUD and/or imminent risks to client or others focused lethality.
