These partnerships equate to significantly reduced rates due to existing synergies and makes Ascension a one-stop-shop for full business startup support. Ascension will assist in licensure application and communicate with the state to keep them informed of development plans.
Additional resources and guidance are also provided to support development of policies and procedures specific to licensure requirements of the state where the facility will be located, which will be required as part of the licensure application. This will go a long way to assist our clients in acquiring licensure in their state much faster and give an employee frame work that will accelerate the training process.
We also provide additional assistance in the creation of job descriptions, organizational charts, disaster plans and all other items that are a required part of the application. Ascension utilizes our partnership with an industry leading medical billing and credentialing company to credential the facility and its providers as an IOP. We will assist you through this entire process and advise on the most appropriate payers to contract with, electronic medical records EMR software to use and establish medical billing practices.
Through our partnership with this industry leading medical credentialing and billing firm, we are able to offer significant cost savings with this portion of the development, which can often times be one of the more significant costs.
Ascension assists clients in developing the treatment model that will best serve the trade area. Ascension has implemented the following disciplines into various treatment programming in the past engagements:. Ascension understands that addiction recovery is not a one size fits all approach, and we will be developing a program that provides a menu of evidence-based practice options to assist your program with becoming accredited.
Ascension offers material resources and best practices to guide in the development of policies and procedures manuals specific to licensure requirements of the state where the facility will be located.
We work with the logo designer and marketing agency to develop a brand and image consistent with the goals developed in the previous phases. Marketing efforts are led by the agency and guided by Ascension.
Ascension assists in the creation of a website and marketing materials by providing a draft of mutually agreeable content for the website and marketing materials. Together, Ascension and our partner agency present an overall strategic marketing effort to reach appropriate audiences for building and maintaining patient census.
The staffing model determined in Phase Two will be executed in Phase Three. IOPs are still meant to be personalized to your own needs, allowing you to find the right treatment plan for you. You might find that you benefit from more group therapy sessions because finding a community through these sessions has helped you to overcome some of your anxiety about going home.
Soba Recovery Centers offer an intensive outpatient program that can range from 30 minutes to six hours in just one day, depending on your needs and abilities. It can make the road to recovery much easier when you have other people who have your best interests in mind, who might understand some of your hardships and are willing to help you.
Having support from those in your community can truly make all the difference on your recovery journey. Along with other centers with outpatient services, Soba Recovery Centers will emphasize 1-on-1 therapy while undergoing treatment. This kind of therapy is extremely helpful as it gives the patient the utmost privacy to speak about their issues, relating or not relating to their substance use.
For many people who struggle with substance use, there is underlying trauma impacting their addiction. Individual therapy might be good if you are uncomfortable speaking in group settings.
Group therapy will get much easier once you start to feel comfortable talking about yourself, your needs, and your substance use within individual therapy. Group therapy tends to be the most useful form of treatment for IOPs because you gain a lot of knowledge from the different kinds of people you are introduced to. If you are dedicated to your recovery, this is the right center. Anyone who is ready to fight back against substance abuse disorders once and for all can call Skip to content.
Facebook page opens in new window Twitter page opens in new window Linkedin page opens in new window Instagram page opens in new window YouTube page opens in new window. Individualized Addiction Treatment Crestview Recovery. By Crestview Recovery. Tags: intensive outpatient program mindfulness therapy substance abuse intensive outpatient program curriculum.
Previous Previous post: Valium vs. Related posts. What Is Comorbidity? July 22, How to Help July 22, Why Do People Do Drugs? TCs feature a structured day that includes ordered, routine activities to counter the characteristically disordered lives of clients and distract them from negative thinking and boredom. The treatment protocol is organized into phases and stages. When a client masters the objectives in one phase, he or she moves to the next phase.
The length of treatment depends on the client's needs and progress in recovery. Continuing services are part of the TC approach. Clients benefit from a peer network that assists them with ongoing community-based services to sustain recovery. De Leon describes the basic stages of a TC program as.
Exhibit summarizes the strengths and challenges of the TC approach. TC staff members are generally a mix of trained clinicians certified counselors, nurses, physicians, and case managers and TC graduates who have had at least some additional training many become certified. All staff members are part of the community and serve as role models. Staff members typically receive considerable training in TC philosophy and methods. Management staff in particular must be well trained to work effectively in a TC.
Clients appropriate for TC treatment typically have educational and employment deficits and histories of poverty, relationship problems, criminal behavior or criminal associations, housing instability, psychiatric disorders, or antisocial or other dysfunctional behavior. Many have had previous treatment episodes. TC approaches should be modified for women, adolescents, and those with co-occurring mental disorders because the confrontational nature and strict hierarchical structure of a standard TC may not be as effective with these groups.
CSAT has developed the Therapeutic Community Curriculum g , h to help supervisors provide TC staff members with an understanding of the essential components and methods of the TC and an appreciation that they are part of a long tradition of community as method of treatment. The curriculum provides detailed session-by-session instructions for trainers and exercises for participants.
NIDA has funded treatment outcome studies that have found that TC treatment is associated with positive outcomes. For example, the Drug Abuse Treatment Outcome Study, a long-term study of treatment outcomes, found that clients who completed TC treatment had lower levels of cocaine, heroin, and alcohol use; criminal behavior; unemployment; and depression than they had before treatment National Institute on Drug Abuse Clinical trials of TC day treatment have found that client outcomes for residential TC and for day TC treatment are not significantly different Guydish et al.
A study of the effectiveness of extending the TC model from prisons to community-based settings showed that inmates who participated in an institutional TC followed by a TC-oriented outpatient work-release program had lower rates of drug use and recidivism than offenders who participated only in the institutional program Inciardi The Matrix model was developed during the s as an effective way to treat the increasing number of people dependent on stimulant drugs, particularly cocaine.
Developers designed the Matrix model as a more intensive intervention than the then-standard weekly outpatient counseling or day inpatient treatment. The Matrix model is a good fit for clients who require comprehensive care.
The Matrix model, originally known as neurobehavioral treatment, integrated several research-based techniques including cognitive-behavioral, 12 Step, and motivational enhancement to target clients' behavioral, emotional, cognitive, and relationship issues. More research is needed to determine optimal combinations of treatment approaches; the Matrix model is one of many programs that combine various approaches.
The Matrix model has been selected for discussion because its approach is comprehensive and manual based and assessment data are available. Several variations of the Matrix model have been developed.
The original month version began with 6 months of intensive treatment that included 56 individual counseling sessions including conjoint sessions with the client and family members ; clients attended treatment sessions 3 or 4 times a week.
The individual sessions were supplemented by several types of educational, relapse prevention, family, and social support groups Obert et al. The original cocaine-specific treatment protocol was followed by versions for people who used alcohol or opioids primarily. Because of cost constraints, a week version of the Matrix model was developed that cut the number of individual sessions to three and emphasized group work.
In all versions of Matrix model treatment, a primary therapist coordinates the client's treatment experience. The relationship between the primary therapist and the client and his or her family is critical to treatment progress Obert et al. Individual sessions focus on treatment planning and evaluating progress and may include members of the client's family for at least part of the session. In addition to the individual sessions, the treatment protocol for the week program includes specific structured groups Obert et al.
Matrix programs orient clients to Step programs and often schedule onsite Step meetings. Clients are encouraged strongly to attend additional meetings in the community and to find a Step sponsor. Exhibit summarizes the strengths and challenges of the Matrix model.
Trained therapists are crucial to Matrix model treatment. They are expected to create nurturing, nonjudgmental relationships; maintain a supportive attitude in the face of a client's relapse; foster each client's self-esteem and dignity; and function as teachers or coaches without being either parental or confrontational.
Clients with established long-term abstinence sometimes co-lead groups, serving as role models who put a human face on the recovery process.
The Matrix model has been used in many different settings including prisons, substance abuse treatment centers, and hospitals and with a varied client population across the United States and in Mexico, Thailand, and the Middle East Rawson The Matrix model treatment materials contain instructions for therapists on conducting individual, group, and family education sessions visit www. Handouts for clients and family members cover therapeutic session topics. Some materials have been translated into Spanish, Arabic, Thai, and other languages.
Studies support the utility of Matrix model treatment. In a pilot study, individuals who selected Matrix treatment over a day inpatient hospital program or participation in Step groups reported significantly lower rates of cocaine use 8 months after treatment than those in either of the other groups Rawson et al.
A controlled trial of the model found that people from lower income groups who smoke crack are more difficult to retain in Matrix treatment than those who used cocaine intranasally and had more social stability and resources Obert et al.
They found that 2 to 5 years after completing treatment these clients had reduced their methamphetamine and other drug use substantially compared with their pretreatment levels. In addition, a substantial number of the former clients were employed and were not in the criminal justice system.
Shoptaw and colleagues developed a session variation of Matrix treatment for gay and bisexual men who abuse methamphetamine. Community reinforcement CR and contingency management CM are treatment approaches based on operant conditioning theory. This theory maintains that future behavior is based on the positive or negative consequences of past behavior.
For example, drug use is maintained by the positively reinforcing effects of the drug itself or by the negative reinforcement of relieving the pain of withdrawal. Abstinence, in and of itself, may not be sufficiently reinforcing to maintain a person's motivation to stop using drugs, particularly in early abstinence.
Other rewards must be found that reinforce ongoing abstinence and lifestyle change. CM is an approach in its own right, but its operant interventions are also the main treatment tool used in CR. In CR, the positive and negative reinforcers that characterize CM are understood to be socially mediated.
CR uses aspects of the client's life—relationships with family and friends, job, hobbies, social events—to provide the positive reinforcement that motivates the client to stop using substances. CR is successful when the client chooses the rewarding relationship and activities over substance use. See Chapter 6 for a discussion of how CR can be used to motivate family members to support the client. CR and CM approaches motivate clients' behavioral change and reinforce abstinence by systematically rewarding desirable behaviors and ignoring or punishing others.
Reinforcers are typically positive, pleasurable, and rewarding events or objects, but some negative reinforcers also are effective. Removing a fine or restriction after a client has complied with a specified regimen is an example of negative reinforcement. A challenge in this treatment model is to identify a reward for a desired behavior that is both practical and sufficiently powerful—over time—to replace or substitute for the potent, pleasurable, or pain-reducing effects of the drug.
The reward must be available without too much cost or expenditure of staff energy. The rewards and punishments must be tailored carefully to clients' responses, as well as program capabilities.
Most of the financial or voucher-based CM interventions use an escalating series of rewards for achievement of the target behavior, such as drug-free urine specimens. The escalating rewards provide a greater incentive for sustaining the desired behavior. On the other hand, Kirby and colleagues found greater reductions in cocaine use when a larger reward was given at the beginning of treatment, coupled with increased requirements for earning vouchers as treatment progressed.
In this approach, abstinence is reinforced by awarding vouchers. Drug avoidance skills and relapse prevention techniques are taught along with social and recreational counseling, relationship counseling, and social and other skills training. Clients earn points for each urine screen that is negative for cocaine.
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