Addiction Recovery Care provides clients a thorough set of clinical treatment options, that are modeled on best practices determined by peer-reviewed research in the field of substance use disorders treatment. Each client's treatment is tailored to their specific diagnosis and desires for recovery. Because of the wide range of client needs, we employ a variety of treatment modalities, depending on the client's level of care and rehab location.
Group and Individual Therapy — Clinical professionals provide individualized, dynamic and efficient therapy to the client and their family through individual and group sessions. Clinical counselors offer assessment, diagnosis, psychotherapy, treatment planning, addiction counseling, psychoeducational programming, relapse prevention planning, and crisis intervention. Licensed clinicians in both the outpatient and residential settings oversee the programs performed by certified drug and alcohol counselors (CADCs) and offer clinical insight during weekly multidisciplinary team staffing meetings. In addition to programs that directly benefit the client, the licensed professionals participate in utilization review of ongoing client records to ensure compliance.
Case Management — Case managers assist individuals in identifying their goals, needs and resources. From that assessment, the case manager and the client form a plan for success in recovery. Many times our case manager acts as an advocate on behalf of the client to obtain needed services, including identifying education opportunities, legal assistance, vocational skills, obtaining employment, state or federal benefits and identifying resources in their local community.
Medical Services — While in treatment, clients receive one-on-one medical intervention from our medical director and staff registered nurses. For many individuals who have experienced addiction, there may be an underlying medical condition that has gone untreated and our approach to holistic care involves medical staff trained in addiction medicine. Prior to treatment completion, the medical staff will work with a case manager to ensure that the client has a medical home in their community by coordinating medical care to a primary care physician covered by the client’s insurance carrier.
Multidisciplinary Team Staffing — As needed, clients are assessed through a multidisciplinary team approach consisting of program staff, licensed behavioral health clinicians, a case manager, residential staff, program director, medical staff, certified alcohol and drug counselors, pastoral counselors and other identified treatment team member as identified by the Client. The team meets initially to assess the progress and then the client is invited to share their insight into their progress in the program. At this time treatment plan goals are assessed and revised as necessary. The goal of this treatment team meeting is to provide encouragement to the client, but to also tailor treatment goals to the individual’s needs.
Telehealth — Clients who meet criteria may have the option to do their sessions online. A laptop, smartphone, or any device with a camera paired with stable internet at home is necessary to participate. The same guidelines must be followed as in the treatment programs described above. Drug screen specimens will be collected at a predetermined site or by a mobile collector going directly to a client’s house. Clients may use Telehealth as an added tool to complete or comply with the three treatment programs, IOP, MOP and OP. ARC uses the best clinical practices along with the latest technology advances to deliver counseling services to clients pitted in the most rural areas in Kentucky. The best part about Telehealth is that not only can it be used for the clients in the rural areas but clients who struggle with anxiety due to large groups or clients who may not have transportation now will have an opportunity to have the same level of services and treatment as those who can walk-in to one of our centers.
The residential programs at ARC provide a comprehensive continuum of care that is highly structured and relies on clinical practices to provide the most quality treatment to individuals in recovery. All residential programs are abstinence-based treatment. Residents are screened weekly for drugs, alcohol and nicotine. The residential centers are state-licensed Alcohol and Other Drug Entity (AODE) and Behavioral Health Service Organization (BSHO) centers with residential and partial hospitalization licenses. In addition to meeting state licensing requirements, the residential centers are credentialed with most major private health insurance companies which require the centers to have a medical director and a registered nurse on staff.
Sober Living Skills — Practicing life skills while in recovery is beneficial to success post-treatment. When residents practice these skills, they are given the opportunity to work on employment skills, financial responsibility, time management, physical health, recreation, community service, communication, healthy diet, hygiene, household management, cooking and cleaning.
Art Therapy — During this mental health modality, clients, facilitated by an art therapist, use art media, the creative process, and the resulting artwork to explore their feelings, reconcile emotional conflicts, foster self-awareness, manager behavior and addiction, develop social skills, improve reality orientation, reduce anxiety and increase self-esteem.
Spiritual Enrichment — Various opportunities are provided to residents for their personal spiritual enrichment. Through these experiences, residents strive to achieve spiritual wellness by finding meaning in life events, demonstrating individual purpose, showing compassionate towards others and finding solace in a higher power. ARC employs pastoral counselors to facilitate spiritual growth through one-on-one sessions and group activities.
Peer Support — Peer support specailists are available daily to talk with clients. They provide an immeasurable service of empathy and assist in transitioning by identifying local sponsors for residents upon graduation. Residents also participate in step studies and outside AA/NA meetings. These programs expose all residents to other self-help groups including Celebrate Recovery and Lifeline, which is paramount to the aftercare program.
Intensive Outpatient (IOP) — Clients must adhere to participating and giving three drug screens and nine hours of counseling per week. As a client's treatment progresses, they step down from IOP to outpatient. Clients must meet satisfactory enrollment status to be eligible for chip, token or graduate certificate.
Outpatient (OP) — Clients must adhere to two drug screens and minimum of two hours of counseling sessions per week; sessions can be group or individual. There will be opportunities to graduate from the OP program at different phases throughout the program. Clients must meet satisfactory enrollment status to be eligible for chip, token or graduate certificate. Clients who maintain excellent compliance records may have the option to continue outpatient care indefinitely or until their goals have been accomplished.
Medically Assisted Treatment — Client participating in medically assisted treatment shall receive assessment and treatment recommendations/interventions made by their physician. Client and physician will determine dosage and treatment options appropriate for the duration of their medically-assisted treatment and care. Participation of counseling services will be recommended by the physician to the client. Counseling participation and level of care will be assessed and determined by the clinician of the outpatient facility. With client’s release and permission, ongoing collaboration with the physician and clinician will commence for continuity of care.
All of our treatment programs utilize evidenced based programs and follow NIDA guidelines.
Living in Balance (LIB) is recognized by the National Registry of Evidence-based Programs and Practices. It was designed for parallel treatment, meaning a clients can enter the program anywhere in the cycle session. The material is relevant for clients from a wide range of cultural and economic backgrounds and is able to help client develop life goals and objectives, decreasing the likelihood of addiction relapse and recidivism in criminal justice clients. The program consists of a series of 1.5- to 2-hour psychoeducational and experiential training sessions. LIB can be delivered on an individual basis or in group settings with relaxation exercises, role-play exercises, discussions, and workbook exercises. The psycho-educational sessions cover topics such as drug education, relapse prevention, available self-help groups, and sexually transmitted diseases. The sessions are designed to enhance the client's level of functioning in certain key life areas that are often neglected with prolonged drug use: physical, emotional, and social well-being, adult education opportunities, vocational development, daily living skills, spirituality/recovery, sexuality, and recreation/leisure. These sessions include a large amount of role-play with time to actively process personal issues and learn how to cope with everyday stressors.
The Matrix Model is an intensive outpatient treatment approach for stimulant abuse and dependence that was developed through 20 years of experience in real-world treatment settings. The intervention consists of relapse-prevention groups, education groups, social-support groups, individual counseling, and urine and breath testing delivered over a 16-week period. Clients learn about issues critical to addiction and relapse, receive direction and support, become familiar with self-help programs, and are monitored for drug use by urine testing. The program includes education for family members affected by the addiction. The counselor functions simultaneously as teacher and coach, fostering a positive and encouraging relationship with the client and using that relationship to reinforce positive behavior change. The interaction between the counselor and the patient is realistic and direct, but not confrontational or parental. Counselors conduct session that promote the client’s self-esteem, dignity, and self-worth.
Recovery Dynamics is a method of presenting the program that is described in the textbook Alcoholics Anonymous. It is a tool that is an effective method of presenting the AA recovery experience to individuals and groups in a treatment setting. Recovery Dynamics breaks down the Steps of the program of Alcoholics Anonymous into units and provides the counselor with word meanings and interpretations of the ideas and terms found in the Big Book. These group sessions are sequenced so that any client in a treatment program who completes the curriculum will have worked the Steps of recovery found in the textbook, Alcoholics Anonymous. Recovery Dynamics stresses three important goals: The problem, the solution, and a planned program of action which will bring about the solution. Goal 1 of Recovery Dynamics explores the problem, which is identified as the mental obsession coupled with the physical allergy of addiction, leading to powerlessness. Goal 2 of this program explains the solution, which is the fellowship (support) and the 12-steps (change), leading to power. Goal 3 of Recovery Dynamics is a planned program of action which is identified to lead to a power greater than the client which will help solve the problem and lead to recovery.
Interactive Journaling® — a series of journaling tools offered by the Change Companies is an evidence based tool recognized by SAMHSA. Whether a program focuses on a 12-step approach, cognitive-behavioral therapy, a motivational-enhancement strategy or a combination of change models, their Interactive Journaling® resources offer a simple but dynamic delivery system for the provider of services and each program participant. No matter what the client may be going through on various topics, their self-directed journaling allows them to identify and translate their feeling onto paper. We believe that by uncovering true feelings the client can start to identify then verbalize those feelings and start their recovery on the right track. Motivational interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with nondirective counselling, it is more focused and goal-directed. The examination and resolution of ambivalence is its central purpose, and the counselor is intentionally directive in pursuing this goal. Uses of Cognitive Behavior Therapy Cognitive behavior therapy has been used to treat people suffering from a wide range of disorders, including anxiety, phobias, depression, addiction and a variety of maladaptive behaviors. CBT is one of the most researched types of therapy, in part because treatment is focused on a highly specific goal and results can be measured relatively easily.
BrainPaint — BrainPaint is the only neurofeedback system that automates the exact implementation of alpha-theta protocol demonstrated in studies to address trauma (PTSD) and addictions. Alpha-theta is also the best protocol for peak performance, fears, phobias, fibromyalgia and some forms of anxiety, depression and chronic pain. The BrainPaint software is a computerized version of the same manual that was endorsed by the Human Subjects Review Committee at UCLA for one of the largest randomized control studies in the field.