Personal Experience as a Dentist in the California Dental Diversion Program

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Personal Experience as a Dentist in the California Dental Diversion Program"

Transcription

1

2 Personal Experience as a Dentist in the California Dental Diversion Program

3 History of Treatment Early AA meetings, both the alcoholic and the wives attended meetings AA began in Treatment centers Hospitals Dr. Silkworth first AA program Duffy s Tavern 5 days in Hospital setting AlAnon formally begins in 1951 Minnesota Model 28 day which included a Family week Johnson Intervention placed more emphasis on family Systemic Intervention (Raiter Late 80 s) the focus became the family. Family health become the goal

4 Treatment Cont d 1980 s Extended Treatment Talbott et al 90 day programs dramatically increased outcomes Still limited to one 5 day family week Recommended AlAnon and therapy AMA s highest causation was enabling from family 1990 s Licensed Professional s were achieving outcomes approaching 90% Extended care treatment minimum of 90 days Long term monitoring 5 years Usually 5 day family week Home visit part of re-entry towards end of treatment stay

5 Since 2000 Many young adult extended care programs emerged. Did not experience the level of success as the professionals Parents were much more difficult to treat Massive Malignant Enabling. Enabling, poor limits, and boundaries was the main cause of failed treatment and young adults not completing treatment Year long treatment for young adults Improved outcomes Usually at least 3 family workshops were required Workshops usually educational in nature Main cause of AMA s: enabling parents After treatment, high risk of old family dynamics returning Many can not return home and remain sober

6 Public Treatment Outcomes >50% of outpatients drop out of treatment within one month. About 60% use drugs within 6 mos. following treatment discharge No difference between Brief and Intensive Treatments No difference between Inpatient and Outpatient Treatments

7 How about private addiction treatment? 1. NAATP Report 2. Included report on programs for people of means and prominence

8 Relapse Rates Still High 40-60% relapse within 6 mos. following treatment discharge No differences by: gender, age, profession, drug of choice

9 Improving Outcomes We now understand that we can improve outcomes by extending the duration of treatment 90 days or more Extended treatment combined with long-term monitoring can dramatically improve outcomes Urine Monitoring is critical When family member s focus on their own recovery: Outcomes improve Stephanie Brown research More patients complete treatment One family week during treatment is rarely enough Educational oriented programs often do not result in family beginning their own recovery process Families are under treated

10 Why Study Physician Health Programs, PHPs Doctors receive a different form of addiction treatment and follow-up than that received by most other patients To document what is actually received Outcomes are better (~75-96% 5-10 year abstinence) To verify outcomes Shore 1990, Domino 2003

11 What are Physician Health Programs? Most PHPs prefer to say they do not provide treatment services How PHPs described their function Manage physician rehabilitation Oversee treatment and monitoring Adequate Treatment 90 days 5-Year Monitoring agreement Case management Treatment supervision Contingency management Consequences for non-compliance defined

12 Components of a PHP? Provide education and information, Receive and investigate inquiries, Conduct interventions, Refer for evaluation and treatment, Develop monitoring agreements (contracts), Conduct monitoring (including customer svc), Report deficiencies, Advocacy Documents Recovery / Abstinence

13 Are there similar programs for others? Pain management drug test monitoring Drug testing for courts, probation, etc. Occupational medicine sites that do testing Parents encouraged to test their children Post addiction treatment monitoring ASAM policy statement: Urine drug testing is a key diagnostic and therapeutic tool that is useful for patient care and in monitoring of the ongoing status of a person who has been treated for addiction.

14 Relationship with Authority All PHPs have some type of relationship with Regulatory Licensing Boards All programs (100%) claimed some type agreement or letter of understanding with their state licensing board PHP-type monitoring and case management must have a relationship with authority Family Participant s employer

15 Long-Term PHP Drug Test Results Percentage of Positive Drug Tests 2% 1% 2% 3% 14% 78% None One Two Three Four Five or More

16 Barriers to CM for everyone Not currently part of addiction treatment culture Addiction counselor negative attitudes Cost Lack of understand of the importance of systemic focused case management

17 A New HIGHER Standard Total abstinence Long-term monitoring Defined immediate consequences for discontinuing monitoring or violating agreement The new paradigm has been successfully used in the criminal justice system a population entirely different than physicians

18 New Paradigm in the CJS Hawaii s Opportunity Probation with Enforcement (HOPE) and South Dakota s 24/7 Sobriety Project These programs uphold the zero tolerance standard through drug tests and immediate, brief, incarceration for any use Treatment is available but only required for individuals who demonstrate the need, using Behavioral Triage 12-Step participation is optional but encouraged

19 Are there similar programs for others? Post addiction treatment monitoring - rare Some treatment centers encourage monitoring and provide some services frequently without a leveraged contingency agreement Families are not included in the monitoring Companies providing PHP-Like Care Management services are few and are only focused on the Alcoholic/Addict

20 Families: The Missing Link Families need be included in long term case management Families need a PHP type program where the family is the main focus All family decisions need to go through the family case manager Under treated families are a large reason for post treatment relapse

21 Early recovery can be difficult

22

23 You Don t have to Drink to Suffer from Alcoholism Entire family system is affected Measured by behavior Multi-generational legacy Compulsive behaviors

24 Do any of your relatives suffer from mental illness? No, they all seem to enjoy it.

25 What we expected

26 What we got

27 The Pink Cloud Families feel relief while the alcoholic or addict is in treatment It s the first time I ve been able to sleep in years. I m working my program and everything is wonderful High relapse rate when the addict/alcoholic returns home It is common for family members to revert back to old behavior Old alcoholic family dynamics re-emerge This can be the all too common result regardless of the duration of treatment

28 Trauma of Early Recovery Addicted Family System must collapse. Myth - Most expect the problem to be fixed when the patient returns home regardless of what they say Many families do not survive the disruption and turmoil caused by abstinence. Early recovery can be very difficult for children At times the addict cannot return home or they will not remain sober

29 Welcome Home Honey

30 I should have listened to the treatment team!!!!!

31 Trauma of early recovery

32 Couple s therapy in early recovery We recommend therapy for most couples after treatment Should be more educational type therapy to help couples understand that it will take time to develop a new recovering family system Help couples balance the responsibility of maintaining recovery and incorporate healthy parenting i.e., better parenting skills Assist them in seeing early recovery is difficult and that what they are experiencing is normal They are right where they are supposed to be

33 Current recommendations for families following intervention 3 Workshop type treatment experiences during a 6 month period Family week at the treatment center Onsite s Living Centered Program Week long intensive family of origin based experiential treatment in retreat setting Caron s Codependency Treatment Week Family Reintegration Workshop - Onsite Coupleship Onsite Long term family case management and monitoring

34 Treatment options for Families Onsite Retreat Setting Living Centered Program (LCP) Experiential based family of origin treatment and codependency Coupleship Program Family Intensives Family Reintegration Program Caron Codependency treatment week The Bridge 14 to 30 day codependency residential treatment Meadows Survivors Weeks Offers survivors level I & level II

35 Intensive Workshops Individual therapy can be slow and difficult early on Traditional couple s therapy can be counter productive if introduced prematurely educational therapy can be useful Couples are usually able to benefit from more intense therapy after completing an intensive workshop Workshops can be the equivalent to a year of therapy All end in resolution, hope, recommendations and treatment plans for future Always recommend to return home to therapist Referring therapists report that therapy is more productive after Onsite Experiential therapy proven to more effective

36 Family Treatment Recommendations Research recommends additional treatment and unlimited continuing care. We include family case management as part of our intervention service for the first 90 days. Recommend multiple treatment experiences in the first 6 months of family recovery LCP at Onsite, Family week at the treating facility and one additional family intensive workshop at the completion of formal treatment

37 Onsite Family Re-Integration Workshops Intensive 3-4 day family experiential workshop designed to: Improve family dynamic Develop a treatment plan for the entire family which could result in more extended treatment. Ideal for treatment centers as an additional family week to: Develop healthy limits and boundaries to reduce enabling Challenge myth that the patient is fixed after treatment and everything will be wonderful Create a longer range treatment plan which can enhance success Too frequently, families are doing well while their loved one is in treatment and seem to forget everything when they rejoin after treatment

38 Family Reintegration Workshops Can be offered as additional family week at treatment centers Offered at Onsite for a retreat setting Multiple family participation appears to be much more effective Most have similar stories and problems Helps reduce shame and break denial Is offered for single families in their area as a second intervention workshop

39 Aftercare and Case Management At the end of the initial 3 month agreement families have Attended Living Centered Program at Onsite Family week at the treatment center Family Reintegration Workshop at the end of treatment Engaged in Therapy Engaged in 12 step program for family, Al-Anon, Naranon, Coda etc Recommend Family Case Management for the family for at least 1-2 years minimum Urine monitoring and case management for the patient is critical As well as a monitoring program designed to be similar to health professionals

40 Family Recovery

41 References McLellan AT, Skipper GE, Campbell M, DuPont RL. Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States. BMJ Nov 4;a2038, doi: a2038 White, W.L., DuPont, R.L., Skipper, G.E. (2008). Physician health programs: What counselors can learn from these remarkable programs. Counselor Magazine, June 27, 2007, DuPont, R. L., & Humphreys, K. (2011). A new paradigm for long-term recovery. Substance Abuse, 32(1), 1-6. DuPont, R. L., McLellan, A. T., Carr, G., Gendel, M., & Skipper, G. E. (2009). How are addicted physicians treated? A national survey of physician health programs. Journal of Substance Abuse Treatment, 37, 1-7. DuPont R. L., McLellan A. T., White W. L., Merlo L., and Gold M. S. (2009). Setting the standard for recovery: Physicians Health Programs evaluation review. Journal for Substance Abuse Treatment, 36(2), McLellan, A. T., Skipper, G. E., Campbell, M. G. & DuPont, R. L. (2008). Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States. British Medical Journal, 337:a2038

The South Dakota 24/7 Sobriety Project: A Summary Report 1

The South Dakota 24/7 Sobriety Project: A Summary Report 1 The South Dakota 24/7 Sobriety Project: A Summary Report 1 Judge General Larry Long a Stephen K. Talpins b Robert L. DuPont, M.D. c a Second Judicial Circuit of South Dakota; Former Attorney General of

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Believe Again in Life. In The future. In Yourself. At The Watershed, our passion is helping addicts and alcoholics

More information

Alcohol and Chemical Dependency Inpatient Treatment Programs

Alcohol and Chemical Dependency Inpatient Treatment Programs Alcohol and Chemical Dependency Inpatient Treatment Programs Road to Recovery For the treatment of alcohol or chemical dependency, Marworth s specialized programs incorporate a person s unique lifestyle,

More information

Effectiveness of Treatment The Evidence

Effectiveness of Treatment The Evidence Effectiveness of Treatment The Evidence The treatment programme at Castle Craig is based on the 12 Step abstinence model. This document describes the evidence for residential and 12 Step treatment programmes.

More information

Broadway Treatment Center. Drug & Alcohol Treatment Facility Huntington Beach, CA

Broadway Treatment Center. Drug & Alcohol Treatment Facility Huntington Beach, CA Drug & Alcohol Treatment Facility Huntington Beach, CA Welcome to s industry leading addiction treatment program. We want to thank you for taking the time to look through our materials and hope that we

More information

A New Paradigm for Long-Term Recovery

A New Paradigm for Long-Term Recovery Substance Abuse Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/wsub20 A New Paradigm for Long-Term Recovery Robert L. DuPont MD a &

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

HOW TO APPLY AND PREPARE FOR LICENSURE TO OPERATE A SUBSTANCE ABUSE PROGRAM IN MICHIGAN Authority: P.A. 368 of 1978, as amended

HOW TO APPLY AND PREPARE FOR LICENSURE TO OPERATE A SUBSTANCE ABUSE PROGRAM IN MICHIGAN Authority: P.A. 368 of 1978, as amended LARA/SUB-501 (5/13) Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Facilities Division Substance Abuse Program P.O. Box 30664 Lansing, MI 48909 PHONE: (517)

More information

855.887.3422 www.rehabformen.com

855.887.3422 www.rehabformen.com 855.887.3422 www.rehabformen.com HELPING MEN HEAL FROM ADDICTION AND REBUILD THEIR LIVES The Recovery Center for Men offers expert, specialized, cutting-edge treatment for male patients suffering from

More information

TABLE OF CONTENTS 2 10 QUESTIONS TO ASK

TABLE OF CONTENTS 2 10 QUESTIONS TO ASK TABLE OF CONTENTS Do You Offer Treatment Programs for People Who Have a Dual-Diagnosis Disorder? What Role Will My Family Play in the Rehabilitative Process? Do You Have Medical Personnel Available to

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

Addiction takes a toll not only on the

Addiction takes a toll not only on the FAMILY PROGRAM Addiction takes a toll not only on the individual, but on the family, as well. When using, addicts are selfish and selfcentered; their wants and needs are placed ahead of the ones they love.

More information

Questions to ask before going to rehab by Rehab-Programs.org 2011

Questions to ask before going to rehab by Rehab-Programs.org 2011 Table of Contents Questions to Ask Before Going to Rehab... 1 Do I really need to check into an inpatient drug rehab center?... 2 How long will I stay in the rehab center?... 2 What is the track record

More information

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness

More information

Alcohol and Chemical Dependency Treatment Programs

Alcohol and Chemical Dependency Treatment Programs Alcohol and Chemical Dependency Treatment Programs Marworth Overview Recognized as a national leader in alcohol and chemical dependency treatment, Marworth has developed highly specialized treatment programs

More information

A History of Food Addiction Treatment

A History of Food Addiction Treatment A History of Food Addiction Treatment While food addicts in 12 Step fellowships receive all of their help free of charge, there are many food addicts who need more help than they can acquire in Overeaters

More information

AN OVERVIEW OF TREATMENT MODELS

AN OVERVIEW OF TREATMENT MODELS AN OVERVIEW OF TREATMENT MODELS The 12-step Programs: Self-led groups that focus on the individual s achievement of sobriety. These groups are independent, self-supported, and are not aligned with any

More information

Alcohol and Chemical Dependency Treatment Program for Healthcare Professionals

Alcohol and Chemical Dependency Treatment Program for Healthcare Professionals Alcohol and Chemical Dependency Treatment Program for Healthcare Professionals Program Overview Recognized as a national leader in alcohol and chemical dependency treatment programs, Marworth s Healthcare

More information

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders

More information

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

More information

Section IV Adult Mental Health Court Treatment Standards

Section IV Adult Mental Health Court Treatment Standards Section IV Adult Mental Health Court Treatment Standards Table of Contents 1. Screening...27 2. Assessment...27 3. Level of Treatment...27 4. Treatment/Case Management Planning...28 5. Mental Health Treatment

More information

Alcohol and Chemical Dependency Treatment Program for Uniformed Professionals

Alcohol and Chemical Dependency Treatment Program for Uniformed Professionals Alcohol and Chemical Dependency Treatment Program for Uniformed Professionals Program Overview Recognized as a national leader in alcohol and chemical dependency treatment programs, Marworth s Uniformed

More information

1. Is the staff made up of a variety of professionals?

1. Is the staff made up of a variety of professionals? Dual Diagnosis 1. Is the staff made up of a variety of professionals? Every parent wants to ensure that their child receives the best care possible. A good first step is to check the licenses and degrees

More information

youth services Helping Teens. Saving Lives. Healing Communities. ventura county Alcohol & Drug Programs

youth services Helping Teens. Saving Lives. Healing Communities. ventura county Alcohol & Drug Programs ventura county Alcohol & Drug Programs youth services Helping Teens. Saving Lives. Healing Communities. 1911 Williams Drive, Oxnard, CA 93036 (805) 981-9200 www.venturacountylimits.org VCBH Alcohol & Drug

More information

AT A GLANCE: 800-547-7433. Exclusive support for lesbian, gay, bisexual, and transgender people facing addiction, mental or sexual health concerns.

AT A GLANCE: 800-547-7433. Exclusive support for lesbian, gay, bisexual, and transgender people facing addiction, mental or sexual health concerns. Providing the LGBT community a comfortable, safe alternative to traditional treatment programs for over 27 years. LGBT Program Dual Diagnosis Licensure 24-Hour Nursing Care/Detox Serene, Retreat-Like Setting

More information

Frequently asked questions

Frequently asked questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs

More information

5. The average alcoholic dies years earlier than he or she would otherwise. 6. It is said that alcoholic patients have two sides. What are they?

5. The average alcoholic dies years earlier than he or she would otherwise. 6. It is said that alcoholic patients have two sides. What are they? Chapter One Study Guide - Help for Alcoholics This Key Study Guide is to be used as study guide for Course 414: Help for Alcoholics. Use this guide to take chapter and submit to your instructor as directed.

More information

888.302.5580 helpforwomen.com

888.302.5580 helpforwomen.com 888.302.5580 helpforwomen.com Addiction and Trauma Treatment Exclusively for Women The Recovery Center for Women provides expert and compassionate treatment to women suffering with addiction, trauma and

More information

youth services Helping Teens. Saving Lives. Healing Communities. ventura county Alcohol & Drug Programs

youth services Helping Teens. Saving Lives. Healing Communities. ventura county Alcohol & Drug Programs ventura county Alcohol & Drug Programs youth services Helping Teens. Saving Lives. Healing Communities. 1911 Williams Drive, Oxnard, CA 93036 (805) 981-9200 www.venturacountylimits.org VCBH Alcohol & Drug

More information

Tips for Choosing the Right Addiction Treatment Center

Tips for Choosing the Right Addiction Treatment Center Are you looking for drug and alcohol addiction treatment for yourself or a loved-one? It may seem very overwhelming to find a treatment center (a.k.a. rehab) that s right for you or for a loved one. Most

More information

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently Asked Questions What is Naltrexone? Naltrexone is a prescription drug that effectively blocks the effects of heroin, alcohol,

More information

5 Steps to Choosing Authentic Christian Rehab

5 Steps to Choosing Authentic Christian Rehab 5 Steps to Choosing Authentic Christian Rehab www.christianrehabusa.com Jan Gregory founder of Recovery Network About this Guide The author, Jan Gregory, founded the Recovery Network Directory with a list

More information

April 23, 2015. are dependent on the nonmedical use of prescription pain medicines and heroin.

April 23, 2015. are dependent on the nonmedical use of prescription pain medicines and heroin. STATEMENT OF ROBERT L. DUPONT, MD PRESIDENT, INSTUTUTE FOR BEHAVIOR AND HEALTH, INC BEFORE THE HOUSE SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS REGARDING COMBATTING THE OPIOID ABUSE EPIDEMIC: PROFESSIONAL

More information

Individual Therapies Group Therapies Family Interventions Structural Interventions Contingency Management Housing Interventions Rehabilitation

Individual Therapies Group Therapies Family Interventions Structural Interventions Contingency Management Housing Interventions Rehabilitation 1980s Early studies focused on providing integrated treatment for individuals who have dual diagnosis (adding SA counseling to community MH treatment) Early studies also showed that clients did not readily

More information

Substance Abuse Treatment Services

Substance Abuse Treatment Services Substance Abuse Treatment Services Struggling with drugs or alcohol? We can help. 303 730 8858 admhn.org Sarah s Story I was born into chaos, says Sarah a recovering addict. Raised by parents who abused

More information

Beginning the Journey. Alcohol & Drug Abuse Recovery in Brown County

Beginning the Journey. Alcohol & Drug Abuse Recovery in Brown County Beginning the Journey Alcohol & Drug Abuse Recovery in Brown County 300 S. Adams, Green Bay, WI 54301 920-448-4300 www.adrcofbrowncounty.org February 2014 Beginning the Journey 2 I need help. Where do

More information

Chester County Drug & Alcohol Services Map

Chester County Drug & Alcohol Services Map START Call 911 Yes Chester County Drug & Alcohol Services Map Are you in a lifethreatening situation/ condition (medical or psychiatric)? Yes Do you need ambulance assistance? No Go to the nearest hospital/er

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox?

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox? What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

More information

I m concerned about someone who has an addiction 1. I m concerned about someone who has an addiction. What can I do?

I m concerned about someone who has an addiction 1. I m concerned about someone who has an addiction. What can I do? I m concerned about someone who has an addiction 1 I m concerned about someone who has an addiction. What can I do? 300 S. Adams, Green Bay, WI 54301 920-448-4300 www.adrcofbrowncounty.org January 2014

More information

Frequently Asked Questions (FAQ) Phoenix House New England

Frequently Asked Questions (FAQ) Phoenix House New England About What is? Phoenix House is a nationally recognized and accredited behavioral healthcare provider, specializing in the treatment and prevention of substance use disorders and co-occurring substance

More information

Hamilton County Municipal and Common Pleas Court Guide

Hamilton County Municipal and Common Pleas Court Guide Hamilton County Municipal and Common Pleas Court Guide Updated January 2012 PREVENTION ASSESSMENT TREATMENT REINTEGRATION MUNICIPAL & COMMON PLEAS COURT GUIDE Table of Contents Table of Contents... 2 Municipal

More information

The Many Facets of Social Work

The Many Facets of Social Work The Many Facets of Social Work The scope of social work practice is remarkably wide. Social workers practice not only in the traditional social service agency, but also in elementary schools; in the military;

More information

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug abuse treatment principles for individuals involved in the

More information

Performance Standards

Performance Standards Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best

More information

The Goals of Rehab: Relapse Prevention & Sobriety

The Goals of Rehab: Relapse Prevention & Sobriety Common Drug Rehab Concerns Does drug rehab work? How do I find the right treatment program for my loved one s needs? Does my loved one need to detox prior to entering rehab? Can my loved one leave rehab

More information

TREATMENT POLICY #10. Residential Treatment Continuum of Services

TREATMENT POLICY #10. Residential Treatment Continuum of Services Michigan Department of Community Health, Behavioral Health and Developmental Disabilities Administration BUREAU OF SUBSTANCE ABUSE AND ADDICTION SERVICES TREATMENT POLICY #10 SUBJECT: Residential Treatment

More information

Counseling Center. Hackettstown Regional Medical Center. Medical Center

Counseling Center. Hackettstown Regional Medical Center. Medical Center 4486 HCH Counseling Brochure Cover 6/10/05 4:54 PM Page 1 Counseling Center Drug & Alcohol Counseling Recovery Services Adolescent Programs Adult Programs Intervention Services Education Programs Family

More information

Adult Drug Court Participant Handbook

Adult Drug Court Participant Handbook THE CIRCUIT COURT FOR MONTGOMERY COUNTY, MARYLAND Adult Drug Court Participant Handbook MY DRUG COURT INFORMATION My Case Manager s Name is: My Case Manager s Phone Number is: My Case Manager s Email address

More information

FAMILY QUESTIONNAIRE Please Print Clearly

FAMILY QUESTIONNAIRE Please Print Clearly FAMILY QUESTIONNAIRE Please Print Clearly The following questionnaire encompasses many aspects of your life, and the life of the alcoholic/addict. Please check and comment on the items listed below as

More information

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

Hamilton County Municipal and Common Pleas Court Guide

Hamilton County Municipal and Common Pleas Court Guide Hamilton County Municipal and Common Pleas Court Guide Updated July 2015 PREVENTION ASSESSMENT TREATMENT REINTEGRATION MUNICIPAL & COMMON PLEAS COURT GUIDE Table of Contents Table of Contents... 2 Municipal

More information

Drug Court as Diversion for Youthful Offenders

Drug Court as Diversion for Youthful Offenders Drug Court as Diversion for Youthful Offenders Juvenile Drug Courts in Hawaii: A Policy Brief Introduction The problem of drug abuse among the general population in the United States began to escalate

More information

Frequently Asked Questions (FAQ) Phoenix Houses of Texas

Frequently Asked Questions (FAQ) Phoenix Houses of Texas What types of treatment do you offer and how long do they last? Residential programs are structured for approximately 30-45 days. In our residential programs, clients live on campus in a structured yet

More information

Stopping the Revolving Door for Mentally Ill Offenders in the Criminal Justice System via Diversion and Re-entry Programs

Stopping the Revolving Door for Mentally Ill Offenders in the Criminal Justice System via Diversion and Re-entry Programs GEORGIA GEORGIA GEORGIA GEORGIA GEORGIA Department of Corrections ON THE MOVE Stopping the Revolving Door for Mentally Ill Offenders in the Criminal Justice System via Diversion and Re-entry Programs Academic

More information

Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention

Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention Presented by: Kristin Falconer, Gillian Hutton & Stacey Whitman November 12, 2015 Disclosure Statement We have not received

More information

The Key to Recovery from Addiction and Other Behavioral Disorders

The Key to Recovery from Addiction and Other Behavioral Disorders Dual Track Family Case Management and Monitoring: The Key to Recovery from Addiction and Other Behavioral Disorders William F. Messinger, JD, LADC Arden O Connor, MBA Aureus, Inc. 325 Cedar Street, Suite

More information

Outpatient and Intensive Outpatient Narrative

Outpatient and Intensive Outpatient Narrative Los Angeles County Department of Public Health Substance Abuse Prevention and Control (SAPC) will implement an initial benefit package of Substance Use Disorder (SUD) services within the initial twelve

More information

Community Residential Rehabilitation Host Home. VBH-PA Practice Standards

Community Residential Rehabilitation Host Home. VBH-PA Practice Standards Community Residential Rehabilitation Host Home VBH-PA Practice Standards Community Residential Rehabilitation (CRR) Host Homes are child treatment programs that are licensed under Chapters 5310, 3860 and

More information

WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider.

WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. Our highly trained and dedicated team of counselors and physicians

More information

Overview of Chemical Addictions Treatment. Psychology 470. Background

Overview of Chemical Addictions Treatment. Psychology 470. Background Overview of Chemical Addictions Treatment Psychology 470 Introduction to Chemical Additions Steven E. Meier, Ph.D. Listen to the audio lecture while viewing these slides 1 Background Treatment approaches

More information

A Rewarding Career Helping Others Addiction Treatment and Prevention

A Rewarding Career Helping Others Addiction Treatment and Prevention A Rewarding Career Helping Others Addiction Treatment and Prevention a field with a future If you ve always wanted to help others, consider the growing field of addiction services. Addiction treatment

More information

Key Questions to Consider when Seeking Substance Abuse Treatment

Key Questions to Consider when Seeking Substance Abuse Treatment www.ccsa.ca www.cclt.ca Frequently Asked Questions Key Questions to Consider when Seeking Substance Abuse Treatment The Canadian Centre on Substance Abuse (CCSA) has developed this document to address

More information

Dual-Diagnosis Treatment Program

Dual-Diagnosis Treatment Program State Licensed & Certified Since 2001 Joint Commission Approved S OVEREIGN HEALTH Dual-Diagnosis Treatment Program Designed for Men and Women Seeking Help with Chemical Dependency Eating Disorders and

More information

FAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION

FAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION FAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance

More information

Transportation Talbott Recovery can provide transportation from Hartsfield International Airport or from local hotels to the facility for admission.

Transportation Talbott Recovery can provide transportation from Hartsfield International Airport or from local hotels to the facility for admission. Welcome to Talbott Recovery, recognized as a leading drug and alcohol treatment center with over 35 years of providing outstanding clinical programs. TALBOTT RECOVERY 5448 Yorktowne Drive Atlanta, GA 30349

More information

The Saint John Vianney Center s comprehensive programs and services include:

The Saint John Vianney Center s comprehensive programs and services include: Overview Overview Founded in 1946, the Saint John Vianney Center is the longest running behavioral health treatment facility in North America for Catholic Clergy, Consecrated Men and Women Religious and

More information

Alumni Client. Anne Fletcher, Inside Rehab

Alumni Client. Anne Fletcher, Inside Rehab I ve been through the whole range of treatment including outpatient and residential, mainstream and alternative, court-ordered and voluntary but none of them have resonated with me like Practical Recovery.

More information

Susan Blacksher, Executive Director CAARR THE CALIFORNIA RECOVERY MOVEMENT

Susan Blacksher, Executive Director CAARR THE CALIFORNIA RECOVERY MOVEMENT Susan Blacksher, Executive Director CAARR THE CALIFORNIA RECOVERY MOVEMENT Historical References Regarding Recovery/Treatment Doctor s Rush and Trotter (Early 1800 s) described inebriety as an illness

More information

WHAT MAKES A PERSON ELIGIBLE FOR THE DRUG COURT PROGRAM? WHAT HAPPENS NOW THAT I HAVE BEEN ACCEPTED INTO DRUG COURT?

WHAT MAKES A PERSON ELIGIBLE FOR THE DRUG COURT PROGRAM? WHAT HAPPENS NOW THAT I HAVE BEEN ACCEPTED INTO DRUG COURT? WHAT MAKES A PERSON ELIGIBLE FOR THE DRUG COURT PROGRAM? A person who is interested in the Drug Court Program is looked at for both legal and social factors to determine if they may be admitted. These

More information

OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines

OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines Guideline Evaluation and Treatment Planning Discharge Planning Admission Criteria Continued Stay Criteria Discharge

More information

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse

More information

Alumni Client. Anne Fletcher, Inside Rehab

Alumni Client. Anne Fletcher, Inside Rehab I ve been through the whole range of treatment including outpatient and residential, mainstream and alternative, court-ordered and voluntary but none of them have resonated with me like Practical Recovery.

More information

Empowering people to improve their lives.

Empowering people to improve their lives. Empowering people to improve their lives. Content TOPICS 2 ABOUT US What we do / Who we serve / Services 4 OUR PHILOSOPHY Environment matters / Holistic approach Gender specific 6 ADMISSION Assessment

More information

July 2014 EDITION. Sanctuary Centers of Santa Barbara

July 2014 EDITION. Sanctuary Centers of Santa Barbara CO-OCCURRING DISORDERS INFORMATIONAL HANDBOOK July 2014 EDITION Sanctuary Centers of Santa Barbara 1 Table of Contents Welcome Message 2 Who s Who.3-4 Treatment Philosophy and Objectives 5-6 SCSB....7

More information

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA 2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA Overview Psychcare strives to provide quality care in the least restrictive environment. An

More information

RECOVERY HOUSING POLICY BRIEF

RECOVERY HOUSING POLICY BRIEF I. Introduction and Intent As communities implement strategies to end homelessness, they need to be able to provide effective housing and services options for people experiencing homelessness who have

More information

Rethinking Substance Abuse Treatment: What Works and Why

Rethinking Substance Abuse Treatment: What Works and Why Rethinking Substance Abuse Treatment: What Works and Why NFL, Phoenix November 2007 Disclosure of Interest William R. Miller, Ph.D. Date of Presentation: 16 November 2007 Sources of Research Support: National

More information

Fairfax-Falls Church Community Services Board

Fairfax-Falls Church Community Services Board LOB #267: ADULT RESIDENTIAL TREATMENT SERVICES Purpose Adult Residential Treatment Services provides residential treatment programs for adults with severe substance use disorders and/or co occurring mental

More information

Phoenix House. Outpatient Treatment Services for Adults in Los Angeles and Orange Counties

Phoenix House. Outpatient Treatment Services for Adults in Los Angeles and Orange Counties Phoenix House Outpatient Treatment Services for Adults in Los Angeles and Orange Counties Phoenix House s outpatient programs offer comprehensive and professional clinical services that include intervention,

More information

Get Help Now. Call us 1-877-855-3470

Get Help Now. Call us 1-877-855-3470 Get Help Now. Call us 1-877-855-3470 1 The Purpose of an Intervention The principle behind an intervention is that those with an addiction may never choose to seek treatment on their own accord. The goal

More information

Exclusive support for lesbian, gay, bisexual, and transgender people facing addiction, mental or sexual health concerns.

Exclusive support for lesbian, gay, bisexual, and transgender people facing addiction, mental or sexual health concerns. Exclusive support for lesbian, gay, bisexual, and transgender people facing addiction, mental or sexual health concerns. 800-547-7433 Pride-institute.com Treatment Philosophy PRIDE Institute strengthens

More information

Group Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder

Group Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder County Public Health ADDICTION RECOVERY CENTERS (ARC) www.countyarc.org We offer some of the best evidence-based outpatient treatment services for men, women, and teens in the State of Colorado. We offer

More information

CASE STUDY: SPECIAL HEALTH RESOURCES OF EAST TEXAS Longview, Texas

CASE STUDY: SPECIAL HEALTH RESOURCES OF EAST TEXAS Longview, Texas CASE STUDY: SPECIAL HEALTH RESOURCES OF EAST TEXAS Longview, Texas This project was funded by a grant from the Health Resources and Services Administration, U.S. Department of Health and Human Services,

More information

Early Intervention Program Health

Early Intervention Program Health Early Intervention Program Health For more information contact: Jacinta MacKinnon, RN, MN, FRE Consultant, Early Intervention Program Health 604-736-7331 ext. 247 mackinnon@crnbc.ca 1 CRNBC s Regulatory

More information

PART 822 CHEMICAL DEPENDENCE OUTPATIENT SERVICES INDIVIDUAL TREATMENT PLAN

PART 822 CHEMICAL DEPENDENCE OUTPATIENT SERVICES INDIVIDUAL TREATMENT PLAN INDIVIDUAL TREATMENT PLAN PATIENT NAME: John Doe PATIENT ID # 9078 ADMISSION 6-28-11 AXIS AXIS I: 303.9, 304.3 II: 799.9 Deferred I: III: Nicotine use I: IV: Legal Issues; family issues Axis I co-occurring

More information

Ten Tips for the First Year of Recovery

Ten Tips for the First Year of Recovery Ten Tips for the First Year of Recovery The most important moment of inpatient treatment addiction is the first hour after discharge. Where the patient goes next often determines whether or not the gains

More information

MEDICAL ASSOCIATES HEALTH PLANS HEALTH CARE SERVICES POLICY AND PROCEDURE MANUAL POLICY NUMBER: PP 27

MEDICAL ASSOCIATES HEALTH PLANS HEALTH CARE SERVICES POLICY AND PROCEDURE MANUAL POLICY NUMBER: PP 27 POLICY TITLE: RESIDENTIAL TREATMENT CRITERIA POLICY STATEMENT: Provide consistent criteria when determining coverage for Residential Mental Health and Substance Abuse Treatment. NOTE: This policy applies

More information

Building on a century of compassionate care, shaping the future of behavioral health.

Building on a century of compassionate care, shaping the future of behavioral health. Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has

More information

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS 2015 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid T reatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3

More information

Reasonable Accommodation Request Form 1. Name of Applicant: A Road to Recovery, LLC, a Florida limited liability corporation, Vincent Mongno, Ruth

Reasonable Accommodation Request Form 1. Name of Applicant: A Road to Recovery, LLC, a Florida limited liability corporation, Vincent Mongno, Ruth Reasonable Accommodation Request Form 1. Name of Applicant: A Road to Recovery, LLC, a Florida limited liability corporation, Vincent Mongno, Ruth Leconte, and Paul Materia, on their own behalf and on

More information

Treatment Programs The Westover Model of Care

Treatment Programs The Westover Model of Care Treatment Programs The Westover Model of Care Substance Dependence Program 19 Days There is help for you or a loved one. The treatment program at Westover provides the tools you need to restore real life

More information

The Nation s Number One Health Problem The Robert Wood Johnson Foundation

The Nation s Number One Health Problem The Robert Wood Johnson Foundation Substance Abuse The Nation s Number One Health Problem The Robert Wood Johnson Foundation A Health & Social Problem More Deaths Illnesses, and Disabilities than any other preventable health condition 1

More information

Table of Contents. Chairman s Note... 05. AAC Mission... 07. The Disease of Addiction... 07. Admission Process... 08. Levels of Care...

Table of Contents. Chairman s Note... 05. AAC Mission... 07. The Disease of Addiction... 07. Admission Process... 08. Levels of Care... 2 03 Table of Contents Chairman s Note... 05 AAC Mission... 07 The Disease of Addiction... 07 Admission Process... 08 Levels of Care... 09 Desert Hope... 11 Greenhouse... 12 Forterus... 13 Singer Island...

More information

RECOVERY STARTS TODAY

RECOVERY STARTS TODAY RECOVERY STARTS TODAY // ABOUTROSEWOOD We are the first and only program to provide a complete range of care for all stages of eating disorder recovery for men, women, & adolescents. Innovative therapies,

More information

Mental Health Psychiatry, SPOE, SPOA, BILT, PROS, Alcohol & Substance Abuse

Mental Health Psychiatry, SPOE, SPOA, BILT, PROS, Alcohol & Substance Abuse Mental Health Psychiatry, SPOE, SPOA, BILT, PROS, Alcohol & Substance Abuse County Legislature County Manager Director of Community Services Community Services Board Staff Psychiatrist (1 Contract + 1

More information

How are addicted physicians treated? A national survey of physician health programs

How are addicted physicians treated? A national survey of physician health programs Journal of Substance Abuse Treatment 37 (2009) 1 7 Regular article How are addicted physicians treated? A national survey of physician health programs Robert L. DuPont, (M.D.) a, A. Thomas McLellan, (Ph.D.)

More information

Do you or your loved one have a dependency that will require a 12-step traditional rehab?

Do you or your loved one have a dependency that will require a 12-step traditional rehab? Take The First Step to Addiction Treatment Today Realizing that you, a friend or a loved one has a drug or alcohol problem is the best line of defense in seeking help from a professional addiction treatment

More information

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations Questions to Ask Each Rehab Facility Includes Notes and Recommendations Finding the right rehab can be grueling. Admissions personnel are there to convince you that their program is the best. It is your

More information