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During the assessment the participant will be asked to disclose how often and how many incidences of substance abuse he or she has participated in during the last week. He or she will also be asked to disclose what substances have been used in that time frame.
In addition the participant will participate in an interview in which he or she will provide a life history and a description of when they first began using and why and how much they currently spend on drugs or alcohol.
One element of the assessment will be specifically to ascertain what type of support system the participant has at home and at work if he or she holds a job.
When the assessment is completed the counselor will make a recommendation for treatment depending on the assessment outcome.
The recommendation will be for inpatient, intensive outpatient or low outpatient services depending on the need of the client.
The counselor will file a report with the court system advising the court of what recommendations were made so that the court can oversee the compliance by the client of treatment.
The inpatient program will consist of an inpatient program with a duration of 28 days. The first week will be referred to as a "Black out" week during which time the participant can have no contact with family or friends.
This black out period is to help the client adjust to the new surroundings, adapt to the program regime, get started in the various groups and therapies and reduce the chance of contacting an enabler that might interfere with the treatment plan.
Following the black out week the client will be allowed one visit per week by immediate family members only and it will last one hour.
While the client is in the inpatient program his or her family members will be invited and encouraged to attend the family sessions that will be held each week for three hours that the client is at the center.
The family sessions will educate family members about addiction, enabling behaviors, and loving detachment.
While in the center for 28 day the client will be taken through a daily program in which he or she will participate in group and individual therapy pertaining to the addiction. He or she will also participate in five 12 step meetings per week and will be transported to local areas to attend those meetings.
One of the problems experts continue to hear about with regard to substance abuse treatment is that the clients do well as long as they are confined to the safe and non-stressful treatment environment but when the month is over and they return to their neighborhoods they often find it difficult to interact and remain sober.
This treatment plan mandates that participants go as a group into town with a supervisor and attend regularly scheduled community 12-step programs.
This provides the client with the ability to test newly learned coping skills while in the presence of a counselor that can help work through any issues that may arise before the client is released from the center to return home.
Once the client has achieved success during the 28 day program to include sessions, therapy and regular drug testing as well as weekly court meetings and daily 12 step meetings the client will be released back to their home with the condition that they must then attend and complete a three-month intensive outpatient program.
Some clients will start with the outpatient program while others will be inpatient first then released to the outpatient program.
The outpatient program will consist of meeting three hours a day Monday through Thursday with the rest of the outpatient group.
The facilitators of the outpatient group will be certified drug and alcohol counselors who are recovering addicts.
The client will be expected to fully participate in the group discussions and homework assignments. A report will be made to the court weekly letting the judge know whether each participant is taking part in the discussions, and completing homework assignments on time.
Evaluating substance abuse treatment process models: I. changes on proximal outcome variables during 12-step and cognitive-behavioral treatment.
From: Journal of Studies on Alcohol | Date: July 1, 1998 | Author: Moos, Rudolf H. | More results for: substance abuse treatment
Predictors of participation in aftercare sessions and self-help groups following completion of intensive outpatient treatment for substance abuse.
From: Journal of Studies on Alcohol | Date: March 1, 1998 | Author: O'Brien, Charles P. | More results for: substance abuse treatment
Effects of Court-Ordered Substance Abuse Treatment in Child Protective Services Cases.
From: Social Work | Date: March…[continue]
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