Live Well Services, Inc. provides a full range of Outpatient Addictions Treatment, with the goal of helping clients to achieve and maintain long-term abstinence and recovery.
Four basic types of treatment exist. These treatment programs often have patients participate in 12-Step programs as a part of treatment. Live Well Services, Inc. specializes in the highly effective Intensive Outpatient Program approach and the Outpatient Group Treatments
1. Intensive outpatient treatment
This is less intensive than inpatient treatment but is still much more thorough than the other two types to follow. In an intensive outpatient program, the staff seeks to "saturate" people and provide a lot of therapeutic impact and education in a short time. This type of program is aimed at people who do not need inpatient treatment but appear to need more intensive treatment than the other types below. This type of treatment may last as long as inpatient treatment but is less expensive because it does not provide housing, food, and medical supervision, and the movements of people are generally not restricted.
2. Other outpatient group treatment
The typical format for less intensive outpatient treatment is for people to attend a group once or twice a week for several weeks, and sometimes to have homework assignments between sessions. This is designed for people who need some treatment and education but appear to have a good chance for success with fairly limited supervision and support. This is the least expensive form of treatment in most cases.
3. Individual treatment
Individual therapy may be used in some cases where a person is not required and not willing to participate in a group or is not expected to succeed in a treatment group for any of a number of reasons such as mental disorders that would cause them to be disruptive in a group. This is not the preferred method for treating addictions but may be the only approach available in some cases.Read More (pdf)
A thorough assessment will be completed prior to treatment planning and determining the treatment intervention. Bio-Psycho-Social Assessment: Mental Status, psychiatric history, drug and alcohol abuse history, previous treatment history and periods of sobriety, family history and current family relationships, trauma history, work history, medical history, etc. Client strengths and coping skills. Client motivations for seeking treatment. Psychiatric Evaluation and psychopharmacology: if indicated by the Bio-Psycho-Social evaluation. Assessment input: from family, significant others, previous treatment settings, physician: as permitted by the client.
Intensive Outpatient Treatment: 3 days per week, totalling 6 hoursPsychotherapy groups: Cognitive-behavioral therapy to begin to change the negative responses to psychological and social stressors, to begin to learn and practice new coping strategies, to ask for and accept the support of others. New responses to intense affect (anger, fear, hurt, sadness) will be developed. Identifying the rewards of sobriety and the consequences of relapse. Improving communication skill, including assertiveness, will be a focus. Relapse prevention skills will be developed and strengthened. Individual therapy: to discuss interpersonal issues, to address trauma, to work through issues such as guilt and shame, grief, low self-esteem, and to identify and progress toward personal goals. Family therapy: To address interpersonal issues with family members, including mistrust, guilt, expectations and communications. To strengthen family support systems. 12 Step community supports: to develop a home group, to obtain a sponsor, to have an active recovery support system.
Addiction in Contemporary Culture
Are we the products of our heredity, or of our culture, or both, and how do both play a role in shaping our personalities, our beliefs, and our habits? Or other drugs? Some parts of contemporary culture that might affect people’s behavior with alcohol and other drugs include:
- Views about what is considered normal or acceptable drinking and drug use
- Mainstream beliefs about what is right and wrong
- Common attitudes about what things are most important in life
- Widely held spiritual and religious beliefs
- Role modeling in popular entertainment
- Marketing of alcohol and tobacco products
- Attitudes about what it means to be a man or a woman
- Traditions about how to celebrate happy or important occasions and how to cope with pain, stress, and hardships
The Process of Addiction
More than half the adult population of the United States drinks alcohol, and many use other drugs as well. But most of these people never become chemically dependent, what is commonly called being alcoholic or addicted. What causes some people to get addicted? Addiction and alcoholism run in families. People have reason to learn as much as they can about this to teach their children and other family members and help them as soon as possible if they start to show early signs of becoming addicted to alcohol or other drugs. What is addiction or alcoholism?
- Addiction is the same thing as chemical dependence: one definition will do for both. Doctors and counselors use the description in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR), which says that a person is addicted to a chemical if he or she has three or more of the following behavior patterns in his or her life over a period of at least a year
- Tolerance: Need to drink/use more to get same effect, or diminished effect with same amount
- Withdrawal: Physical/emotional withdrawal symptoms, or drinking/using more to relieve or avoid withdrawal symptoms
- Loss of control: Drinking/using more, or for longer, than intended
- Attempts to control: Persistent desire or efforts to cut down or control drinking/use of the substance, including making rules for self about when, where, what to drink/use, and so on
- Time spent on use: Spending a great deal of time getting the substance, drinking/using it, or recovering from drinking/use
- Sacrifices made for use: Giving up or reducing social, work, or recreational activities that are important to the person because of conflicts with drinking/using
- Use despite known suffering: Continuing to drink/use despite knowing one has a physical or psychological problem that is caused or made worse by drinking/using
- Alcoholism is more specific and means addiction to a specific drug, namely alcohol
Relapse Prevention- Causes and Triggers
Personal issues may contribute to relapse. These are some problems that may make a person more vulnerable to a relapse. Awareness of these issues and of coping tools to handle them can help avoid relapse. Issues include:
Internal issues causing relapse:
- Cravings and urges to drink or use
- Loneliness and fear of abandonment
- Experiencing painful emotions without "anesthetic" of alcohol or other drugs
- Sexual issues
- Medical problems and chronic pain
- Distorted thinking
External or situational issues causing relapse:
- Romantic, family, and other relationship conflicts
- Financial problems
- Legal problems
- Employment problems
- Addictive environment: being around people, places, sights, sounds, smells, or tastes associated with past drinking/using experiences