Block Descriptions

INTAKE ASSESSMENT
HISTORY AND PHYSICAL EXAMINATION
PHYSICIAN FOLLOW-UP
INDIVIDUAL THERAPY
FAMILY COUNSELING
PSYCHIATRIC EVALUATION
MEDICATION REVIEW
GROUP TREATMENT

INTAKE ASSESSMENT
The intake assessment is utilized to gather and document a history of present illness. This process evaluates the client's status to determine whether any of the following conditions exist: intoxication, withdrawal or related medical problems, psychiatric conditions, disorders affecting social stability and other similarly causative conditions. The intake gathers a complete substance abuse history including: substances used in the past, substances used recently, substances of preference, frequency and amount of each substance, any previous occurrences of overdose, withdrawal or average drug and alcohol reactions, history and year(s) of all previous substance abuse treatment, complete medical check list, complete T.B. assessment, complete HIV Risk Assessment, a social history and a complete mental status examination. The intake assessment leads to an integrated clinical formulation.

During the interview intake process: treatment modules, treatment tracks, policies, procedures and fees are fully explained to each client. A signature of fee agreement and consent are secured during this process. Each client seeking treatment is provided with a recipient rights statement and HIPPA documentation that is signed by the client. The client is made aware of applicable program rules and hours of operation. If a client is indigent or meets OCHD/OSAS household income requirements, OCHD/OSAS may be able to completely or partially subsidize treatment. OCHD/OSAS admission data is obtained from the client. If the client is income eligible, the client and therapist sign a declaration of income attesting to income level. Clients with personal income at a subsidy level and a household income above the level may be eligible for subsidy if the household income is unavailable for treatment assistance. In those specific cases, a declaration of income adjustment form will be submitted to OCHD/OSAS. A tentative plan is developed from the clinical formulation and the client referred to the appropriate treatment track.

HISTORY AND PHYSICAL EXAMINATION
The medical history and physical examination is utilized to determine if the client is capable of responding to treatment in an outpatient environment. During this process, the physician conducts a medical evaluation that includes the following: a mental status examination, a substance abuse history, a determination of the client's date of last use of alcohol and/or drugs and a physical examination. The data gathered through this process, along with the physician's review of the intake assessment, allows the physician to determine if the client requires medical detoxification and the appropriate level of are. At this time the physician may order laboratory tests and/or prescribe medication as are needed. The Counseling Center presently has a service agreement with an outside laboratory to provide a full range of medical tests including drug screens, screening for sexually transmitted diseases, pregnancy testing, and pre-prescription work-ups.

PHYSICIAN FOLLOW-UP
The physician to meet with the client to review laboratory findings and/or review medication(s) prescribed utilizes the physician follow up.

INDIVIDUAL THERAPY
Individual therapy will be utilized to provide the client with continued assessment, to assist the client in the development of an individualized treatment plan, to provide ongoing evaluation of the treatment process, to offer an opportunity for client to work on issues which may not be appropriate for discussion in group therapy. Individual therapy will be utilized to assist the client in developing a recovery plan, which will assist him/her in developing a lifestyle that is consistent with recovery. This modality of treatment is used to challenge denial systems and facilitate movement toward acceptance. In addition, individual therapy will be used to reinforce and emphasize positive behaviors and to challenge cognitive distortions that are inconsistent with recovery.

Interventions: Cognitive behavioral, person centered and humanistic.

FAMILY COUNSELING
Family therapy is utilized to treat a family in which chemical dependency is a presenting problem and at least one family member has been diagnosed as chemical dependent. This form of treatment addresses the effects that addiction has on both the addicted and non-addicted (co-dependent) members of the family and is aimed at treating addiction as a "family disease."

Interventions:  Education, circular questioning, family sculpturing, role-playing, directives and homework assignments.

PSYCHIATRIC EVALUATION
Psychiatric evaluation is utilized to provide a vehicle by which the psychiatrist can both evaluated and provide treatment and supervision in the client's treatment. The psychiatric evaluation will consist of the following: mental status examination, history of present illness, psychosocial assessment, treatment recommendation, medication recommendation and the prescription of medication when appropriate.

MEDICATION REVIEW
The psychiatrist to review the client’s medication utilizes the medication review. This service allows the psychiatrist to monitor the client's response to the medication prescribed, evaluate the effectiveness of the medication, adjust dosage as is appropriate, change medication when needed and monitor for side effects.

GROUP TREATMENT
Group therapy is the process oriented treatment group in which clients enter group in order to work on their issues related to recovery. Group therapy is utilized as a mechanism to foster group support as well as peer group confrontation. This modality is used to assist clients in developing coping skills without the use of mood altering chemicals, to facilitate their development of adequate problem solving skills, to resolve grief issues, to enhance self-concept and to increase self esteem for sobriety maintenance. In addition, group therapy is used to assist clients in adopting values and belief systems consistent with recovery. The overall goal of group treatment is to assist the client in developing quality sobriety.

Interventions: Cognitive behavioral, positive reinforcement, encounter, empathy skills and modeling.