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Adults 18 and up

Opioid Addiction

Partial Hospitalization Program in Chicago IL

Varying adults from all backgrounds and walks of life who are seeking treatment for addiction / substance use disorder

Almost 80% of 2018 drug overdose deaths in Illinois involved opioids such as heroin.

We offer evidence-based services that give clients resources to take their life back.

Recovery and growth aspects include the medical and emotional support, on going education for staff and clients, treatment detox, interventions, self-care growth, and mindfulness education explained later!

We offer individual, group, and family therapy.

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Acceptance and Commitment Therapy: a form of cognitive behavior therapy based on the premise that ineffective verbal strategies to control one’s thoughts and feelings actually lead to problem behaviors

Motivational Enhancement Therapy: a directive, person-centered approach to therapy that focuses on improving an individual's motivation to change

Mindfulness Based Sobriety: presents a breakthrough, integrative approach to addiction recovery to help you treat clients recovering from substance abuse and addiction using mindfulness-based therapy, motivational interviewing, and relapse prevention therapy.

Disease Education: providing curriculum to those impacted by a substance use disorder by providing a better understanding of addiction

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When working with individuals who are struggling with substance abuse, it is important to keep some things in mind.
Illinois Certification Board, Inc (ICB) Code of Ethics:

ICB Credentialed Professionals

"An  essential  element  of  this  protection  is  the  requirement  that ICB Credentialed  Professionals (as  defined  in  Section  2.05  of  the  Code  of  Procedure) maintain  high  ethical standards  based  on  the  principles  of  integrity,  objectivity,  professionalism,  and  respect" (pg. 1).

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For many individuals, depending on the severity of use and withdrawal symptoms, the first step on their addiction recovery journey will be undergoing a medically managed and supervised detox. This will help clear the substance from the individual's system and, being that they are being medically supervised, help remediate any withdrawal systems or adverse effects.

However, successful detox is only the beginning, and is rarely adequate for long-term recovery. Recovering individuals must continue addiction treatment, albeit in a less restrictive environment, to maintain their progress and goals. After being discharged from their inpatient setting, these individuals should follow-up treatment in an aftercare program. And that is what our center seeks to be; an aftercare program for individuals that have undergone detox or have been discharged from an inpatient setting seeking to continue their treatment program.

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Pros of engagement:

Mandated clients are told they need treatment, but at least that gets them there for a certain amount of time.

Helps clients find resources or support groups to help with addiction (mental health services, hospitals, AA, NA, SAMHSA, etc.).

Having security guards present 24/7 on the site will help ensure everyone's safety (staff and clients).

Cons of engagement:

Mandated clients may not want to get services and may not be as involved in the treatment

Mandated clients may not want to continue after the required time.

Having security at the center may cause some people to retaliate or be hesitant to get treatment. Some may not like having "authority" figures present.

Lack of trust and reliability with law enforcement in general

How engagement may occur:

Court order (client could have a lawyer and or court representative)

Program's legal consultant available

Security on-site to engage in during altercations or help mediate situations if needed

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Make sure that all staff on site work with clients in a professional and safe environment

Keeping ethics in mind while working and having resources readily available when needing to refer back (ACA Code of Ethics, ICB Code of Ethics, SAMHSA)

Open communication between counselor, client, and variety of different law engagement when needed

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• Monitoring condition after medical detox
• Psychiatric evaluation for medications if necessary for comorbid diagnoses.

• Medication management and distribution

• Testing for substance/drug use
• Psychologist to provide psychoeducation, and psychiatrist to provide medical/pharmacological education.

• Staff on site will include a psychiatrist, DNP, nurses, and therapists.

Substance Use/Addiction, Marriage & Family, Career/Vocational, Guidance (Education), etc.

• Collaborate with nearby hospital(s) for referrals and continuing treatment.

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Client Centered Therapy: a non-directive technique that allows clients to act as equal partners in the therapy process.

Cognitive Behavioral Therapy: psychotherapeutic treatment that helps people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior and emotions.

Dialectical Behavioral Therapy: a type of cognitive behavioral therapy that combines strategies like mindfulness, acceptance, and emotion regulation.

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Strides Community

Therapeutic services
Clinical Director- Clinical directors are responsible for dealing with each aspect of clinical operations pertaining to the treatment of a patient.

Mental Health Counselors- Mental health counselors help people overcome/work through emotional and mental disorders and addictions.

Social Workers-  Social workers diagnose patients' mental, behavioral, or emotional disorders and then provide treatment through individual and group therapy.

Medical support
Psychiatrists- Psychiatrists specialize in treating psychiatric disorders and can prescribe medication.

Registered Nurse- They care for patients who have mental, behavioral, and emotional disorders.

Nurse Practitioner- Nurse practitioners (NPs) can also specialize in psychiatry and mental health. They provide assessments and therapeutic interventions to patients with psychiatric disorders and addictions in outpatient and inpatient settings.

Peer support: Clients will be surrounded by other individuals walking their own road to recovery. Group therapy and other socialization times help clients relearn how to communicate and relate to others while sober.

12 STEP SUPPORT

1-833-2-FINDHELP

https://overcomeopioids.org/recover

https://www.thebalancecareers.com/mental-health-careers-525640

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When working with individuals who are struggling with substance abuse, it is important to keep some things in mind.
ACA Code of Ethics

A.2.e. Mandated Clients:

"Counselors discuss the required limitations to confidentiality when working with clients who have been mandated for counseling services. Counselors also explain what type of information and with whom that information is shared prior to the beginning of counseling. The client may choose to refuse services. In this case, counselors will, to the best of their ability, discuss with the client the potential consequences of refusing counseling services."

B.2.a. Serious and Foreseeable Harm and Legal Requirements:

"The general requirement that counselors keep information confidential does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information must be re- vealed. Counselors consult with other professionals when in doubt as to the validity of an exception. Additional considerations apply when addressing end-of-life issues. "

C.5. Nondiscrimination:

"Counselors do not condone or engage in discrimination against prospective or current clients, students, employees, su- pervisees, or research participants based on age, culture, disability, ethnicity, race, religion/spirituality, gender, gender identity, sexual orientation, marital/ partnership status, language preference, socioeconomic status, immigration status, or any basis proscribed by law."

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Medication compliance

Alleviation and mitigation of withdrawal symptoms

Ability to maintain ADLs

Self-care and self-discipline

Community involvement

Forming healthy relationships

Finding a sense of purpose and meaning

Knowledge of how to use NARCAN

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Substance Abuse and Mental Health Services Administration (SAMHSA):

They have a laws and regulations section on their website. It provides many different legal acts to keep in mind when working with clients dealing with substance abuse and also needing mental health services.

Legal Court System:

Those who have been arrested for something that has to deal with substances or because of substances may be offered the option of seeking treatment in a facility rather than serving time (some cases and depends on severity) or mandated by the court to go to get treatment for their substance abuse.

Lawyers, caseworkers, client representatives, police officers, etc.

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Maintain sobriety

Fully engage in recovery

Learn how to better manage and cope with thoughts and feelings

Form a support network

Manage symptoms of anxiety, depression and any other mental health disorders

Develop steady and consistent patterns / routines

Integrate and practice self-care

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Possibility of Lapse

Possibility of Relapse

Personal Accountability

Conflict Between Clients

Access to Resources

Medical Implications

Family System Conflict

Legal Considerations

Varying Belief Systems

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Inter/Intrapersonal relationships

Coping Mechanism

Environmental Factors

Resume Building

Occupational Support

Familial Support

Client Support

Mental Health

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Diversity, Multicultural, and Social Justice Issues

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Diversity, Multicultural, and Social Justice Issues

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When working with this population it is important to understand the following:

Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help all are influenced by a client's culture.

Cultural competence may create a more positive treatment experience for clients from racial and ethnic minority groups.

Staff should be doing ongoing education both academically and when working with clients.

Everyone's addiction and background is different and each individual should be treated as such.

Most theories about working with clients in the counseling profession are based on white males and it is important to keep this in mind while working with clients with different cultural backgrounds.

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Relapse occurs 40-60% of the time in drug addicted individuals, and it is more common in people with few support systems or inadequate follow-up treatment¹. The National Institute on Drug Abuse (NIDA) reports that a great contributor to fewer relapses and longer, more sustained periods of abstinence, is getting at least 90 days of treatment.

We also recognize that a person is more than just their addiction, so our program will not just focus on that. We will also provide services to help with childcare, transportation, finances, legal involvement, education, occupation/career, medical, and of course, mental health. SAMHSA notes that "If aftercare only focuses on one area, it may not be addressing the root of the greater issue...there is an opportunity for the co-occurring issue to worsen, which may lead to relapse or other unwanted consequences in the future."

¹ https://rehabs.com/addiction/aftercare-programs-drug-recovery/