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OUTPATIENT SERVICES

Substance Abuse Treatment

Substance abuse is one of our nation’s major health problem and demands effective treatment. We offer both individual and group therapy to engage anyone affected with a substance use disorder. Individual therapy provides an opportunity to become educated about alcohol and drugs, learn skills essential to recovery, and develop strategies to prevent relapse. Group therapy, in turn, works well for those needing affiliation and connection with others experiencing similar issues.

Substance abuse treatment is very effective in treating co-occurring disorders. That is, when people experience drug or alcohol addiction and suffer from depression, anxiety, bipolar disorder, or any other mental health condition. Substance abuse treatment can be very supportive in times of distress and trouble, it can help people develop health and creative lifestyles, and be a powerful source of stabilization.

LEVEL 0.5
Alcohol and Drug Education

Wilmington Mental Health uses a variety of methods to help you achieve sobriety, reinforce your efforts to stay sober, or learn healthy ways to manage their substance use.

One of those approaches is psychoeducation, which is often combined with cognitive behavioral therapy to educate you about substance abuse and its consequences, to create awareness and motivate you to seek treatment, and to support you if you are considering recovery.

Psychoeducation is an essential treatment ingredient that often leads to meaningful conversations and long-lasting positive changes. At WMH we strive to provide you with engaging lectures that you can apply to your recovery.

How it Works?

Psychoeducation is synonym of empowerment. It informs you and your family members the risks and consequences of substance abuse, addictive behaviors, and co-occurring disorders. Psychoeducational material is presented within a structured framework via lectures, videos, or audio recordings.

WMH therapists often start conversation about specific topics to instill self-awareness, to identify resources and strengths, explore alternatives for growth and change, to educate about the process of recovery, to encourage action and commitment, to teach recovery and relapse prevention skills, and to communicate to family members the need to offer support to the recovering person. When treatment is completed, the knowledge you acquire through psychoeducation can be an invaluable tool for coping and continuing on in your recovery process. You will learn about:

The nature of substance abuse • Substance abuse treatment options • Coping and management strategies • Skills to avoid relapse.

TREATMENT PROCESS
Simple language + Open discussions = De-stigmatization

Psychoeducation and instructional support serve to promote recovery. Family members are often invited to receive furthering education regarding substance abuse treatment and recovery so that they have a better understanding of their loved one is facing.

Intake/Screening
Information gathering
Clinical Assessment
ASAM Level 0.5 determination
Psychoeducation
Structured education on substance abuse
Individual or Group Therapy
At least 12 consecutive weeks of treatment
Support Groups
Participation in mutual support group
Random Drug Screens
Alcohol and drug testing
LEVEL 1
Outpatient Treatment

This level of care typically follows rehabilitation or Substance Abuse Intensive Outpatient (SAIOP). Treatment is frequently offered several times a week, but less than nine hours per week, and organized to enhance your recovery and motivation to continue your recovery.

During this recovery period you will develop a relapse prevention plan to lower your relapse potential and the techniques you have previously learned will be reinforced.

Your therapist will help you set goals that are relevant and meaningful to your recovery and evaluate your personal expectations so that they are in line with your treatment plan and motivation to stay on track with your recovery.

Level 1 outpatient treatment will suit you if you:

  • Have recently been referred to our program from a more intensive treatment
  • Have a less severe substance use disorder
  • Are or have been stable for an extended period

Treatment recommendations will be following your initial assessment and your therapist may ask that you participate in individual and/or group therapy. WMH’s Level 1 Alcohol and Drug treatment program can last between 6 and 52 weeks. Participants are required to attend a minimum of two groups per week, including support groups such as AA, NA, or SMART Recovery.

Treatment Process

Intake/Screening
l
Clinical Assessment
l
Psychoeducation
l
Individual and/or Group Therapy
l
Support Group Attendance Required
l
Random Drug Screens
l
Discharge
l
Follow-up
Treatment Goals

  1. To identify the causes and consequences of substance abuse
  2. To reduce or eliminate substance use
  3. To remove access to illegal and dangerous drug
  4. To understand underlying co-occurring mental health issues
  5. To develop healthy coping techniques
  6. To connect treatment and recovery with support network
  7. To develop new and improved strategies to prevent drug use
  8. To achieve and maintain a meaningful, sustained recovery
Treatment Modalities

  • Cognitive Behavioral Therapy

  • Motivational Interviewing

  • Rational Emotive Behavior Therapy

  • Dialectical Behavioral Therapy

  • Eye Movement Desensitization and Reprocessing

  • Seeking Safety
** Aftercare follow-up is conducted regular intervals after discharge to check-in, receive feedback, and provide you with encouragement and guidance when necessary.
Urinalysis Testing
Urine specimen collections may be collected during your treatment and sent to the lab for testing. The results will be used as information of drug use and to (1) better determine your treatment plan, (2) monitor your progress and adherence to treatment, (3) identify needs for further assessment and substance abuse treatment, and (4) better coordinate your care. Collection usually occurs during your initial visit and serves as baseline data. You therapist will determine how often samples are collected.
ASAM LEVEL I
Relapse Prevention

The primary goal of relapse prevention treatment is to identify high-risk situations that will make you vulnerable to relapse.

WMH therapist use cognitive behavioral therapy to teach you coping strategies to prevent future relapses and how to anticipate scenarios that may trigger your addictive behavior.

During relapse prevention treatment, you will learn skills to cope with internal and external triggers and identify contributing factors that make relapsing more likely to occur. You will design a relapse prevention plan with your therapist to is fundamental during aftercare, therefore it is important that communication exist between the recovering person and a aftercare counselor.

Relapse Prevention Plan

A written personal recovery plan is a detailed plan of action to help identify self-care strategies, potential signs of relapse, people you will reach out to during difficult times, and techniques you can use to deal with urges and cravings.

Relapse prevention plan components:

  • Your goals and motivation to stay in recovery
  • Your challenges
  • Your coping skills and strategies
  • Your support system
  • The consequences of relapsing
  • How to remain accountable
  • I am grateful for
  • Ways to improve self-care and avoid relapse

Length
Minimum 12 consecutive weeks.
Absences
Only two absences are allowed.
Materials
Books and handouts will be provided
ADDICTION PROFESSIONALS
Clinical Supervision

Clinical supervision is an important part of a therapist’ professional development and growth. It safeguards our profession and enhances quality care.

WMH provides effective clinical supervision by training, educating, supporting, and guiding substance abuse professionals who treat, prevent, and reduce the conditions that place individuals at risk of developing a substance use disorder.

Our clinical supervisors are experienced and possess a wealth of formal knowledge and professional skills that are to be passed on to the supervisee

Leadership • Encouragement • Skillful Training • Clinical Direction

Effective Supervision

Our clinical supervisors have met the required education and are passionate about helping new therapist develop competence, interpersonal skills, and professional maturity.

Supervision will be based on their knowledge of the performance domains, including:

  • Counselor Development
  • Professional & Ethical Standards
  • Program Development & Quality Assurance
  • Performance Evaluation
  • Administration
  • Treatment Knowledge
Who can be supervised?
Licensed clinical addiction specialists (LCAS) • Certified Substance Abuse Counselors (CSACs) • Certified Criminal Justice Professionals (CCJPs)
What to expect?

Your supervisor will:

  1. help you see the role ethics play in your professional growth
  2. review with you the NCSAPPB’s code of ethics
  3. maintain a supervisory file documenting your growth and development
  4. complete annual written evaluations summarizing your professional progress
  5. outline a plan to address areas identified as needing further growth
  6. provide a copy of your assessment to the Board, if requested, and
  7. present the Board with an accurate representation of your readiness for a certification or license

Cost Requirements
$75 (individual supervision) • $50 (group supervision) Supervision Contract • Weekly or Biweekly Meetings
Life
Our therapeutic effort is provided within the most caring,
private, and professional environment.