Adolescent & Children Intensive Outpatient Program
I. PHILOSOPHY AND OVERVIEW
Dave Harmon & Associates offers a structured Intensive Outpatient Program that utilizes the brief psychotherapy model for treating chemically dependent adolescents ages 13 to 18. This approach is designed to provide stabilization and intervention through effective therapy techniques. The therapy techniques will include cognitive, behavioral, and educational therapies.
Our Intensive Outpatient Program is designed to meet the needs of those persons who usually function at a relatively effective level, but are experiencing problems which interfere with this level of functioning by impairing family, work, social, school or interpersonal relationships. By allowing the client to remain in contact with the situation causing the dysfunction, the stressful issues can be addressed on a day to day basis as they occur, rather than within the artificial environment of a more intensive level of care.
Our Intensive Outpatient Program is intended for clients in need of a varying level of intensity of clinical services, but without restrictions, structure, and security of an in client setting. This level of care affords the client the opportunity to interact with the real world environment (i.e. work, family, school), while still benefiting from a program of varying intensity designed to meet his or her individualized needs.
Dave Harmon & Associates Intensive Outpatient Program is a two to four (2-4) day a week, three (2-3) hours per day, individualized program. The length-of-stay varies according from three (3) weeks to ten (10) weeks or more depending upon the clinical needs of the client.
The Intensive Outpatient Program is staffed by Certified Alcohol and Drug Counselors who provide a coordinated treatment program consisting of regularly scheduled sessions within a structured therapeutic milieu. Groups integrated within the brief therapy model program focus on goals and interventions that will effectively stabilize emotional, behavioral, and biomedical distress, and assist the client in learning and applying the basic essential coping skills necessary to maintain sobriety.
II. PROGRAM GOALS
1. To educate the client about the Disease Process of Chemical Dependency.
2. To educate the client about the Recovery Process.
3. To educate the client about the Relapse Process, including early warning signs and interventions.
4. To encourage the client to identify related irrational thoughts, unmanageable feelings, and self-defeating actions, urges and behaviors that lead from stable recovery to active relapse.
5. To encourage the client to obtain a Temporary Sponsor and Home group.
6. To encourage the client to complete a written 1st Step.
7. To help client develop a written plan for continuing care.
8. To enlist the involvement of family members and significant others.
9. To provide an easy transition to the client's next phase of treatment and recovery.
10. To decrease recidivism rates for those clients having difficulty making the transition from in client or partial hospitalization programs to a less restrictive environment.
III. ADMISSION CRITERIA
Each potential client is assessed, prior to admission, by a Certified Addictive Disease Counselor to determine the most appropriate level of care. The following are admission criteria for the Medically Based Adolescent Intensive Outpatient Program:
1. The client is assessed as meeting current DSM IV diagnostic criteria. For instance, where the presenting history is inadequate to substantiate such a diagnosis, the information submitted by client, family member, or legal guardian, indicates a high level of probability of such a diagnosis based on further evaluation.
2. The client has symptoms and/or behavioral manifestations of such severity that there is significant interference with social, family, vocational and/or educational functioning.
3. The client is found to be unmanageable in Outpatient Treatment alone, thus requires the protected observation and coordinated medical and therapeutic resources of an Intensive Outpatient Program.
4. The client does not present with active suicidal or homicidal ideations.
5. The client has a home or alternative living situation which provides adequate support to maintain the client when not actively engaged in the Intensive Outpatient Program. The client is able to perform their own activities of daily living.
6. The client's severity of illness in such traditional Outpatient therapy is insufficient and without the availability of an Intensive Outpatient Program, the client will require admission to either a partial hospitalization program or an in client program.
IV. TREATMENT PLANNING
An individualized plan of care is developed, implemented and followed for each adolescent based on initial and continuing assessments and in response to identified client needs.
1. An initial Treatment Plan is developed within 24 hours of admission based on information provided in the Substance Abuse Assessment.
2. A Master Treatment Plan is completed within seven days of admission. The completed treatment plan includes both short and long term goals for each identified problem. Specific interventions and methods are indicated for each treatment goal.
3. The Master Treatment Plan is reviewed and signed by the client. The IOP case manager will discuss, explain, and clarify the Treatment Plan with the client.
4. Treatment Plan Reviews occur at least every two weeks or whenever major clinical changes occur. Members of the Multidisciplinary Treatment Team and the Medical Director participate in the reviews and sign the treatment plan.
5. The Multidisciplinary Treatment Team may recommend that a psychiatric evaluation be conducted if the client's behavior indicates the need for further evaluation and physician involvement.
V. DISCHARGE CRITERIA
Clients may be discharged from the Adolescent Intensive Outpatient Program for the following reasons:
1. Successful Completion
a. Client understands and accepts his/her alcohol and/or drug dependency.
b. Client has achieved all treatment objectives and made sufficient progress towards recovery.
c. Client has developed a Relapse Prevention Plan for a strong recovery program.
d. Client has developed a Continuing Care Plan for a strong recovery program.
2. Administrative Discharge may occur as result of the violation of program policies such as:
a. Client is absent from the program, without excuse, for two consecutive sessions.
b. Client attends sporadically or is consistently tardy.
c. Client continues to use alcohol or other drugs.
d. Client is found to be in possession of alcohol or other drugs.
e. Client displays verbal and/or physical abuse, threats or actions towards staff or other clients.
f. Client refuses to comply with treatment plan or to participate in all program phases.
Clients who are unable to remain clean and sober in the Intensive Outpatient Program will be evaluated to determine if referral to a higher level of care is indicated.
VI. PROGRAM DESCRIPTION
The Adolescent Intensive Outpatient Program is a four (4) day a week, three (3) hours per day program. The group meets each Monday, Tuesday and Wednesday evening from 5:30 pm until 8:30 pm. The Family Program for clients and their families meets from 1:00 until 4:00 pm each Saturday. Clients are also encouraged to attend community AA/NA groups on a regular basis.
The Intensive Outpatient Program focuses on all forms of chemical dependency. Group sessions are led by Certified Alcohol and Drug Counselors and provide education, group therapy, 12-Step work, and relapse prevention planning.
Educational and therapy groups cover such topics as; the disease process, the recovery process, explanation of the 12-Steps, relapse prevention, goal setting, anger management and conflict resolution. The program also makes use of the Therapeutic Community Model and encourages active discussion about clients' issues. Individual therapy is also provided as needed.
Group sessions may be supplemented by outside reading and "homework" assignments as appropriate based on each client's individual needs and functioning level.
12 Step Recovery Meeting Involvement
Dave Harmon & Associates has always believed that a client's strong involvement in 12 Step Recovery Meetings is essential to his/her long-term sobriety. We believe the utilization of 12 Step Recovery Meetings, in conjunction, with the scheduled IOP is an effective way of increasing the client's commitment of active attendance at 12 Step Recovery Meetings.
We also strongly support the belief that weekend attendance at 12 Step Recovery Meetings is crucial to the client's sobriety and is an integral part of our Intensive Outpatient Program.
Frequent attendance at AA /NA meetings is strongly encouraged for all Intensive Outpatient Clients. It is our goal to secure clients in the habit of attending 12 Step Recovery Meetings on a consistent basis, and to allow the inevitable transition from the Intensive Outpatient Program to a Continuing Care 12 Step Recovery Meeting level of care.
Involvement and empowerment of the client's family and/or significant other is an important component of our Intensive Outpatient Program. We believe active family involvement in the client's treatment program will facilitate the client's completion of his/her treatment goals.
The Family Program is designed to provide families with the tools and information necessary for the development of healthy relationships. The services provided include a combination of psycho-educational groups, group therapy, and individual and family therapy as needed. Groups focus on understanding the disease process, explanation of the 12-Step Model of Recovery, introduction to Al-a-non, Co-Dependents Anonymous and other support groups for family members, conflict resolution, and effective communication techniques. The family program is offered on Saturdays from 1:00 p.m. to 4:00 p.m.
Family members or significant others participating in our program are encouraged to attend at least one (1) Al-Anon or Co-Dependency meeting per week. Dave Harmon & Associates has a Co-Dependency Group which meets on Tuesdays from 7:30 p.m. to 8:30 p.m and an Al-Anon Group which meets on Saturdays during the Family Program.
Each client receives a copy of the Adolescent Intensive Outpatient Handbook upon admission to the program. This handbook explains the program and gives the schedule for program activities. Also included in the handbook are the rules for the Intensive Outpatient Program and a Notification of Client's Rights.
In order to maintain client confidentiality, all client information shall be kept in strict confidence in accordance with Dave Harmon & Associates Policy, State and Federal Laws. Dave Harmon & Associates obtains a written release of information from each client and/or guardian prior to the release of information. The Client Handbook provides client with an explanation of his/her right to confidentiality.
RELAPSE PREVENTION PLAN
Relapse prevention is an integral part of all IOP programming. Each client is assisted in identifying their personal relapse triggers. During treatment they are provided with the opportunity to develop the skills and knowledge needed to deal successfully with relapse triggers. Each client develops, with their counselor, a Personal Relapse Prevention Plan prior to discharge.
Aftercare Continuing Care Plans
A continuing care plan is developed with each client prior to discharge to assist the client in identifying and accepting his/her responsibility for continued recovery. Referrals are made, when appropriate, for continued therapy and follow-up with the client's individual counselor or psychiatrist. The importance of continued involvement in 12-Step Recovery groups is stressed and clients are invited to continue their involvement in the Adolescent Continuing Care Program that meets one (1) hour per week at the Recovery House.
Dave Harmon & Associates
4010 Dupont Circle #226
Louisville, Ky 40207-4847