Clients are required to be in groups for six hours Monday through Saturday. Groups include four hours of psychotherapy, one hour of psycho-education, and one hour of Just For Today and a 10th Step Inventory. Topics focus on the underlying aspects of the clients' addiction, cognitive therapy, behavior therapy, and interpersonal dynamics. We follow much of Hazelden's literature for working with co-occurring populations, including conducting a weekly peer evaluation in which the clients identify the strengths of a particular client in order to facilitate treatment. Additionally, we provide groups on relapse prevention, grief and loss, and the 12 Steps.
The clients are provided a great deal of information about the 12 step program; however, the overall program is based on principles of psychotherapy. That is, while we take the clients to meetings every night and they read the Just For Today Daily Meditation, the groups are focused on the cognitive, behavioral, and interpersonal aspects of their addiction.
Our clients are taken to the gym three times a week in order to facilitate healthy lifestyle changes - without drugs. On the weekends, our staff provides a full roster of safe and fun recreational activities.
Some recent outings have been enjoying time at the beach, experiencing airboat rides, watching a baseball game, playing basketball at the park, bowling, attending movies and having a fun barbeque outdoors.
Aftercare planning is part of every client's treatment plan. We feel strongly that all clients could benefits from step-down levels of care and continued monitoring and structure. Relapse is more common in cases when the client leaves treatment and goes from a structured and protected environment right back into little or no structure, and even more so if they return to their old stomping ground while having that new-found freedom, money and transportation. Transition planning is extremely important as the treatment phase nears its end. Our clients are encouraged to return to our facility after discharge for Intensive Outpatient Program or Aftercare. We take a lot of time to connect clients to local and reputable halfway houses. However, for those clients who live out of town, we try to connect them with a therapist or a step down program in their area for continued services.
Successful completion of the program is at least 30 days. We guarantee at least 30 days of treatment to our clients regardless of ability to pay. Our clients are encouraged to stay longer, particularly those with a significant relapse history or those with a co-occurring mental illness. Clients can stay up to 90 days in our facility.
Yes, we offer all of our clients the option. Weekly family contact is strongly encouraged via weekly phone sessions. All families are invited to join Changes for sessions at our facility here in Florida.
The primary clinician and clinical director have ultimate authority over who is permitted to visit the client, based on the client's relationships, relapse triggers, and progress in treatment.
A medical doctor sees each client within 72 hours of admission. Our treatment team coordinates with the doctor in all of the sessions and takes responsibility for prescriptions and ensures that the clients receive the medication that day.
Each client receives a minimum of one hour per week of individual face-to-face counseling time with an assigned counselor. However, the clients are welcome to receive additional sessions from the counseling staff, which is sometimes requested and always granted. Further, our program emphasizes collaboration between the clinical staff and the client's family. As such, the clients are encouraged to have at least one family session at least one time in treatment. Sometimes the clients experience some resistance to connect with their family for various reasons. In instances where the client is from out of town, the family therapy sessions are conducted via telephone or Skype.
Our clinical staff is highly trained and specialized in co-occurring disorders. Our counselors have, at a minimum, a Masters Degree in Mental Health Counseling and/or Marriage and Family Therapy. Changes Clinical Director, Lynne Healey, LMHC, QS, MPS, CAP has worked in the field of mental health and chemical dependency since 1990. She specializes in solution focused therapy and cognitive behavioral therapy. All of our counselors are Registered Interns and working towards licensure. Some of our techs are certified behavioral technicians and trained in observation of self-administration of medications.
The staff to client ratios is approximately 1:6.