Addictions Program Services

Assessment and Treatment

Author: Behavioral Health Staff/Friday, February 15, 2013/Categories: Addictions Program

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Assessment

Clients are assigned a counselor who completes the intake and assessment process and develops an individualized treatment plan. 
  • Initial needs evaluation
  • Substance Abuse Assessment Bio-psycho-social History)
  • Admission criteria met and confirmed by physician
  • Development and implementation of an individual treatment plan approved by physician
  • Referrals for Psychological evaluation when necessary
  • Referral to outside agencies to meet identified needs of client, including but not limited to 
    • Housing
    • Food
    • Medical
    • Legal
    • Physical
    • Family Counseling
    • Vocational Counseling
  • Community Involvement 
    • Community education
    • Prevention
    • Outreach
Treatment

Services will be non-residential substance abuse treatment consisting of face to face clinical services. The frequency and intensity of treatment depends on patient needs and shall be a planned regimen of regularly scheduled sessions.

Treatment is delivered in individual and group counseling sessions. When appropriate, family-significant other involvement occurs. Through these sessions, the patient is provided education, alternatives, and support to assist in the attitudinal, behavioral, and life-style changes that must occur to maintain a sober life.

Treatment is designed to meet the severity of the client's abuse/dependence and to achieve permanent changes in the individual's alcohol/drug using behavior. To accomplish this, services address major lifestyle, attitudinal, and behavioral issues which could undermine the goals of treatment or inhibit the individual's ability to cope with major life tasks without the use of non-medical psychoactive substances.

Level I Treatment

Regularly scheduled sessions of usually fewer than nine hours per week, with a variable length of treatment. 

Appropriate for this level:

  • No signs or symptoms of withdrawal, or withdrawal needs can be safely managed outpatient
  • Medical conditions are sufficiently stable to permit participation in outpatient
  • No symptoms of a co-occurring mental disorder, or symptoms are mild, stable, fully related to substance use, and do not interfere with ability to focus on addiction treatment. Mental health monitoring may be needed. Does not pose a risk of harm to self or others and is not vulnerable to victimization by another 
  • Expresses willingness to participate in treatment planning and to attend all scheduled activities agreed upon in the treatment plan 
  • Acknowledges a substance-related and/or mental health problem and wants help to change. May be ambivalent about the problem and requires monitoring and motivation. 
  • Able to achieve or maintain abstinence and related recovery goals 
  • A sufficient support system, or lacks a support system but has demonstrated motivation and willingness to develop a support system 

Level II Treatment
 Regularly scheduled sessions of usually nine hours per week, with a variable length of treatment.

Appropriate for this level:

  • No signs or symptoms of withdrawal, or withdrawal needs can be safely managed outpatient
  • Medical conditions are sufficiently stable or are being addressed concurrently and thus will not interfere with outpatient 
  • No symptoms of a co-occurring mental disorder, or symptoms are mild, stable, fully related to substance use, and do not interfere with ability to focus on addiction treatment. If symptoms of a co-occurring mental disorder exist, the condition is being addressed concurrently and thus will not interfere with treatment 
  • Requires structured therapy to promote treatment progress and recovery because motivational interventions at Level I have failed or are not likely to succeed. The client's perspective inhibits his or her ability to make changes without repeated, structured, and directed motivation interventions 
  • Experiencing an intensification of symptoms, such as difficulty postponing immediate gratification and drug-seeking behavior, and functioning is deteriorating despite modification of the treatment plan 
  • Social environment includes few family, friends or co-workers who do not use alcohol or other drugs, or that environment jeopardizes the client's recovery

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Behavioral Health Staff

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The division of Behavioral Health has been providing community mental health services for the chronically mentally ill since the late 1950's when clients were given conditional discharges from the state psychiatric hospitals
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