Ambulatory (Outpatient) Detox
There are various reasons why ambulatory detox is being increasingly utilized in the United States, including improved access to care, affordability, and attempts to treat people with minimal disruption in home environment. Current research, SAMHSA and ASAM all recognize and support ambulatory detox in appropriate circumstances. Our program provides medical detox for alcohol, sedatives and opioids. Two key criteria must be met. First is the absence of high-risk detox issues such as pregnancy, seizures and delirium tremens. Second, the home environment must be conducive to the home component of ambulatory detox.
The process includes a pre-screening, then a full SUD/medical/psychiatric assessment, including risk factors. Medications such as Librium, buprenorphine, and as-needed support medications (e.g. antiemetics) are commenced. Visits with the prescriber occur daily for the first 3-5 days, then less frequently. The patient and any support persons are educated and given instructions for monitoring between appointments.
Within a few days of starting detox, the patient can institute an appropriate level of therapy. They are often able to recommence work, school and other personal duties within two or three days of commencing detox.
As with our MAT program, psychiatric comorbidities and case management issues are also addressed.
Medication Assisted Treatment (MAT)
Our medical providers use evidence-based protocols to assist with opioid, alcohol and other substance use disorders. Medications used include buprenorphine (e.g. Suboxone, monthly Subclade injections), Naltrexone/Vivitrol injections, Campral, etc. MAT is the component of opioid addiction treatment that has proven to be the most successful intervention in decades!
If it is determined that MAT is appropriate, opiate use disorder patients commence with the Induction Phase where they are assisted with transition from their substance of abuse onto a buprenorphine product (1 to 3 days of frequent office visits).
Visits include review of their bio-psycho-social progress, urine drug screens, prescription database review, progress in therapy, etc. Duration of the maintenance phase is individualized, depending on progress in therapy and social function, weighing also the relapse risks and anticipated level of morbidity and mortality with relapse in this patient.
When the maintenance phase is deemed completed, the patient enters the Discontinuation Phase. The buprenorphine is slowly tapered, with possibly other supportive medications to ease the potential withdrawal symptoms. At this point other relapse prevention medications can be considered, such as Naltrexone/Vivitrol. Therapy and monitoring are typically increased during and shortly after this vulnerable phase.
Starting with the initial assessment and throughout the early phases of MAT the patient and treatment team determine what types of other treatments the patient needs, such as the level of therapy required (listed below). Our medical providers are also experienced in psychiatric care and can treat most comorbid psychiatric conditions during the course of MAT and therapy.
Case management also occurs, where our team supports the patient with practical items such as legal issues, finances, employment, education, transportation, housing and general health care.
Partial Hospitalization Program (PHP)
The Partial Hospitalization program or PHP is a highly-structured outpatient program; approximately 5 days a week and up to 5 hours a day. It is designed to help with stabilization after a detox or inpatient stay or when a patient needs increased monitoring, management, and support for increasingly complex risks and needs. Typically lasting 1-4 weeks, this level of care is offered by Master’s level therapists and Substance Use Disorder Counselors along with, and under the care of a physician. Modalities used in PHP include stabilization strategies and techniques, close monitoring and management of medication assisted-treatment with MAT psycho-education, regular use of urine-drug testing as a therapeutic tool, and peer-based mutual-help tools and resources addressing recovery.
Our 3-track PHP program is a sequential and schematic type of programming in relationship to all other levels of care which includes: 1. Emotional processing (patient-centric, relevant, and pertinent to the intended treatment outcomes and the recovery process), 2. Didactic or Curriculum-based (mind-body bridging, recreational therapy, financial consumer protection, parenting, relationships, etc.) and 3. Relapse Prevention/Recovery Maintenance (stages & motivations of change, strengths and responsibility, holistic & alternative approaches, 8 dimensions of wellness, etc.).
- Case management
- Life skills/Vocational planning
- Art therapy
- Music therapy
- Guided imagery
- Physical wellness
- Spiritual/Cultural experiences
- Nutrition counseling
- Community service
Intensive Outpatient Program (IOP)
IOP is a less restrictive level of programming offered 3 days a week and 3 hours a day to help with relapse prevention and recovery maintenance while building skills for healthy coping in all dimensions of wellness. The average length of this program could be anywhere from a 4-8 weeks. This service is provided by Master’s level therapists and Substance Use Disorder Counselors. 40% of the group curriculum is process-based and trauma-informed and 60% of the group curriculum is didactic and includes evidence-based tools.
Standard Outpatient (SOP)
when in a later stage of change and in maintenance phase of treatment & recovery. This level of care of much more driven by the strengths of sobriety of the patient and tailored to their individualized trauma-informed treatment plan.
General Outpatient Program (GOP)
for the patient and their spouse, family, and children to be more intimately involved and address additional relational needs within the family support system together in therapy.
this level of programming includes peer to peer development and training and provides a safe space for post-treatment recovery success and sustainability.
We offer a range of services in our self-contained continuum of care to help you achieve the results you’re after. Not sure what you need? We can explain what services are right for you and tell you more about our what we offer just give us a call and talk to our Admissions Team. We can also provide you a virtual office tour!
We accept many insurance plans, as well as plans with Out Of Network benefits and accept cash.