Intensive Outpatient Program Design
The Greenfield Center doctors‘ purpose and mission is to provide primary treatment services on an outpatient basis, including:
- Individual Treatment Planning
- Guided Practice
- Comprehensive Discharge Planning
Through a modality based on a self‑help philosophy that utilizes a Rational Living approach to living problems for persons with alcohol/drug problems, and to help them initiate drug‑free living.
Please continue reading to learn more about the Greenfield Center approach to helping men and women who may suffer from drinking problems, drug abuse and addictions.
Goals and Objectives of our Intensive Outpatient Treatment Program
GOAL ONE: Teach all participants the recovery process from chemical dependency.
- Each participant will attend lectures specific to this issue.
- Participants will be provided relevant printed material.
- Participants will be encouraged to attend specific recovery oriented groups (AA, NA, etc.).
- Family and significant others will be encouraged to attend specific recovery oriented groups (Al‑Anon, etc.).
- Participants will learn and be able to explain what the concepts of AA/NA mean to them.
GOAL TWO: Provide a supportive environment in which the participant can practice a change of behavior.
- Each participant will receive outpatient treatment for a period commensurate with his or her individual needs. This averages eight to twelve weeks.
- Each participant will attend one group therapy session each program day that will focus on AA/NA Step work.
- Each participant will attend one lecture/discussion or film each program day that will focus on education.
- Each participant will participate in one life skills group each day.
- Each participant will abide by the guidelines of the Treatment Program.
GOAL THREE: Assist all participants in accurately describing their behavior and its effects on other people.
- Where practical, each participant will provide names of referents on his/her day of intake so that corroborative information can be gathered. Prior to discharge s/he will present to the group a personal written drug history.
- Participants will attend lectures specific to this issue.
GOAL FOUR: Assist all participants in formulating a Discharge Plan.
- Each participant will have interview sessions with a counselor for the purpose of assessing the participant.
- Participants will set daily, short and long‑term measurable goals.
- Participants will attend lectures specific to the goals.
- Participants will share weekly on positive changes in behavior and learning.
- Participants will, with staff assistance, formulate a comprehensive Discharge Plan, utilizing information from the assessment, progress toward treatment goals, feedback during treatment, etc.
GOAL FIVE: Family and Group Involvement
To encourage all participants to involve their family and/or significant others in a family group that will provide members with tools for developing a family system that promotes intimacy, individuality, and a healthy interdependence and that allows it to function as an ongoing growth and recovery system for all group members.
- The dependent person and family members will identify problems that are involved with their chemical dependency; i.e., sexual, social, legal, financial, vocational, etc.
- All family members will, with guidance, practice ways to resolve the problems involved with their chemical dependent.
- The dependent person and family members will learn and practice tools and procedures for achieving acceptance of self.
- All family members will learn and practice tools for achieving and maintaining healthy interpersonal relationships.
Intensive Outpatient Program Admission Criteria
In general, this facility’s Intensive Outpatient Program is designed for and will seek to admit participants of both sexes who are age 18 and over who meet the following criteria:
- Suffer from alcohol/drug abuse or dependency or meet the ASAM Level 2 criteria;
- Where necessary, inpatient detoxification has been completed, or outpatient detoxification is to the point that the attending physician and/or Program Director agree that said participant can participate in program activities;
- Participant must have intact living situation; i.e.,
- Residential environment must be supportive,
- Intact occupational situation, and
- Be physically and mentally able to participate in the program.
- Intelligence/social level must be such that s/he can benefit from program without undue special needs for which we are unequipped to handle.
- Abstinence standards for admission are that the patient must not be drunk or high at the time s/he comes to their first group meeting.
Continued Stay Criteria
A patient may remain in the outpatient program as long as needed provided she/ he is compliant with the following:
- The patient is making an effort to comply with his/her treatment plan.
- The patient is actively participating in the group process.
- The patient is honest about his/her abstinence, and generally honest about what is going on in their individual life.
- The patient is involved in some outside support group – preferably a Twelve Step program.
Decisions regarding continued stay or discharge/ transfer shall be based primarily on information from the treatment plan, progress notes, input from the primary counselor and input from the supervisor.
Intensive Outpatient Program Discharge Criteria
A patient shall be considered discharged from the active phase of treatment when s/he has:
- satisfactorily completed the goals and objectives of his/her treatment plan;
- satisfactorily developed a Discharge Plan that will
- commit to attend AA/NA meetings as scheduled,
- set priorities for continuing recovery, and
- commit to seek help if a crisis develops.
- refused to comply with their treatment plan.
The Intensive Outpatient Drug Free Programs will meet Monday through Friday from 5:30 p.m. through 8:30 p.m.
A typical breakdown of the Evening Program is as follows:
Living Skills Group 5:30 – 6:20
Break 6:20 – 6:35
Step Group 6:35 – 7:25
Education Group 7:25 ‑ 8:30
Total 3 hours*
*Individual sessions and treatment plan reassessment are in addition and as scheduled.
*Additionally, participants are strongly encouraged to attend an agreed number of AA/NA
Individual counseling sessions are scheduled weekly.
Individual and family counseling are scheduled as needed in addition to the specifically designed family program.
About the Greenfield Center Intensive Outpatient Rehab & Treatment Program
The facility’s Intensive Outpatient Program approach is an integration of the Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) self‑help philosophy and modern behavior change strategies. It includes guided practice in the acceptance of unmanageability, in the management of stress, in gaining control over upsetting emotions, in expressing positive regard for one’s self and others, and in following a chemical free lifestyle. The staff of the Center is confident that these core treatment program components are effective, reasonable in cost, and requires minimum disruption to the participant’s life. The special family program takes into account the needs and common problems of families affected by chemical dependency.
The facility’s Intensive Outpatient Program assists the participant through the first five (5) Steps of AA/NA. Participants present self‑assessments related to their chemical dependency in the group setting (Step One). The concepts of Steps Two and Three are discussed in lecture, and later presented in the group. As with Steps Two and Three, Steps Four and Five are discussed in lecture, presented privately to a counselor, and then the participant is encouraged to share as much of these Steps as practical in the group.
The Intensive Outpatient Program will include a variety of program methods and subject areas. Program methods will include:
- Individual counseling sessions for each participant weekly and additionally as needed.
- Individual psychotherapy where indicated. Generally, this will be referred out.
- Discussion/lecture sessions.
- Other group and individual session as needed.
Subject areas for program components will include:
- Orientation to the program.
- The Disease Concept.
- The Recovery Process.
- Relapse Prevention Planning.
- Life Skills Training.
Individuals completing the Intensive Outpatient Program will have developed a Discharge Plans designed to facilitate life style changes and promote chemical free living.
CORE PROGRAM COMPONENTS
Individualized Assessment, Treatment Planning, and Discharge Planning.
After chemical dependency and biopsychosocial assessments have been made, the participant, with the assistance of the program staff, will develop an individualized treatment plan with goals and measurable objectives to guide their progress through treatment. This plan will be reviewed and updated at least every 30 days throughout treatment. Near the conclusion of the program, the participant will develop a Discharge Plan outlining goals and objectives to be worked on after treatment.
Chemical Dependency & Abuse Education
Through lectures, selected films, and prescribed readings, participants receive current information concerning:
- The nature and dynamics of chemical dependency.
- The physical, emotional, social, and spiritual problems that may be related to chemical use, and how they can be minimized or resolved.
- The basic understanding of methods for achieving and maintaining a comfortable, self‑fulfilling, chemical free life.
Addiction Recovery Concepts.
Participants working on recovery concepts usually do this activity during the group sessions. This activity focuses on the basic concepts of AA/NA, chemical dependency problems, and recovery. Practice in giving feedback and support is also stressed. The objectives of the activity are to create in participants an understanding of: 1) the exact nature of their own chemical dependency problem, 2) their need to change their behavior, 3) their defenses and obstacles to change, 4) the common problems each participant shares with others in the participants community, and 5) what each participant can do to achieve recovery.
Goal‑Setting for Recovery
In individual sessions, goal‑setting activities provide participants repeated experience in: 1) the appropriate use of defenses, 2) using old and new situations as opportunities for changing their own behavior and to experience personal growth, and 3) guided practice in new behaviors that lead to a comfortable life style free of dependence on chemicals.
Each participant is expected to be concerned with the effects his/her behavior has on others. Participants are to take a moral inventory of their behavior (Step Four of AA/NA). In Step Five the participant will admit to themselves and another human being “the exact nature of their wrongs.” This process will be guided by a counselor to insure confidentiality. Individual freedom of choice in religious matters is scrupulously honored.
Rational Living Concepts
In lectures and the group setting, Rational Living Concepts will be taught. Rational Living Concepts teach how behavior and emotions are caused, and how they can be changed. The Rational Living Concepts are directed toward building a caring rather than punishing, comfortable rather than upsetting, and self‑fulfilling rather than self‑defeating way of life.
The goals of Rational Living are to:
- Teach how behavior and emotions are caused.
- Teach how behavior and emotions that we do not like can be changed.
- Teach how behavior and emotions that we like can be acquired or increased.
- Teach how we can treat others and ourselves in ways that are caring, comfortable, and helpful.
Want to know more about intensive outpatient programs at the Greenfield Center?
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