Helping Other People Everyday
Intensive Outpatient Services Substance
Hargrove, Oliver, and Parker Inc. Intensive Outpatient Services Substance Use Disorder’ philosophy is supported by societies’ need to enable individuals and families who have encountered barriers which have impeded their ability to function due to mental health, substance use or behavioral crisis. Our goal is for each client to successfully complete our program, which is developed to enrich, encourage, and inspire each client to learn coping skills necessary to adapt and grow in situations that are very anxiety provoking and stressful. The Individual will be provided with the opportunities and life experiences that will facilitate life changes and harm reduction from decrease substance use. There have been an increasing number of people with chemical dependent behavioral and psychological impairment and these individuals have been underserved. We hope to create an outpatient clinic that will serve as an IOP/SA, Crisis Intervention, Crisis Stabilization and Medication Management for individuals that are Dually Diagnosed with Mental Illness and Substance Abuse. It is our vested interest to make sure that our program functions in a safe and nurturing environment to promote our clients to grow and benefit from these troubling situations.
MISSION
The mission of Hargrove, Oliver, and Parker is to provide quality services to children, adolescents, adults and their families to tackle the serious issues they face. We address the problems that will reduce the risk of having a child removed from their home, individuals and families having difficulties functioning in the community, home and other social environments that are needed to increase socialization and improve quality of life due to behavioral and emotional stress, undiagnosed emotional disorders, neglect, legal issues and abuse or other serious family problems. Our outpatient services are designed to meet the growing need for mental services in troubled communities for individuals and families.
Intensive Outpatient Substance Use Disorder
Hargrove, Oliver, and Parker Intensive Outpatient Services Substance Use Disorder provides structured therapeutic treatment to serve people who are in need of Substance abuse, mental health treatment in the least restrictive environment. The IOP services staff will complete a comprehensive assessment that addresses the four domains of life, physical/Medical, and psychological, nutritional and social needs. The IOP/SA staff will make necessary referrals to appropriate agencies based on the needs of the client. The IOP/SA program may require an intensive level of services to address suicidal thoughts, psychiatric de-compensation and increase psychosis a long with referrals for detox.
The Substance Abuse IOP will provide an extensive Substance Abuse Evaluation, which will have all of the components of a Bio-psychosocial Evaluation, Mental Status Evaluation, Medical Evaluation and a Psychiatric Evaluation. The Substance Abuse IOP Services will require an intake session, an initial treatment plan will be developed within the first 24 hours of services followed by a Comprehensive Individualized Service plan that is evaluated and reviewed periodical throughout the service delivery and two individual sessions before being assigned to a group cohort. The group cohort is a 26-week, three groups a week for 3 hours and a family session twice a month for 90 minutes and Individual sessions at least once a month for a hour. To successfully complete the program participates will have to complete 23 of the 26 sessions, develop a recovery plan, have three family sessions and demonstrate abstinence from substance use for 6 weeks, as evidence by clean drug screens, working a recovery plan, complete a family history journal, and safety plan for step by step plan to deal with triggers and emotional pitfalls.
The program will also offer a psycho-education group for those individuals that are in the pre-contemplative stages of substance use, who would benefit from substance abuse education and they are not ready for treatment. The purpose of this program is to present information concerning the use and abuse of drugs and alcohol, identify consequence around use of drugs and alcohol and help the client to identify the progression of the disease of addiction. This program is often used by the legal system to help first time offenders of legal actions because of substance use gain knowledge, promote a better life style change and identify community support groups that could help them live a drug free life.
Emergency Services/Crisis Intervention is provided primarily in the community and is supplemented with individual, family and supportive counseling. The program requires intensive case management services, crisis assessment, wellness assessment, mental h assessment and a complete bio-psychosocial assessment to clients in a crisis situation in partnership with parents, family members, school personnel, physicians, mental health providers, and community service agencies. These services are delivered using a comprehensive mental health model and through psychological needs assessment. Crisis intervention services are mental health care, available 24 hours a day, seven days per week to provide assistance to individuals experiencing acute mental health dysfunction requiring immediate clinical attention. The objectives are:
- To prevent exacerbation of a condition;
- To prevent injury to the recipient or others; and
- To provide treatment in the least restrictive setting.
Goal of Intensive Substance Use Outpatient and Crisis Interventions:
To maintain individuals and families in the community in the least restrictive mental health services to help ameliorate their current psychiatric and psychological and chemical addiction that has caused a decline in the individual or family function to the degree that professional mental health and psychiatric intervention is recommended.
Eligibility Criteria:
IOP/SA Crisis Intervention Services are provided following a marked reduction in the recipient’s psychiatric, adaptive, or behavioral functioning or an extreme increase in personal distress. Clients demonstrate an increase desire to use more and more drugs and alcohol so much so that the individual maybe in danger of hospitalization and overdose. If an individual has co-occurring mental health substance use disorders, integrated treatment for both disorders in allowed within Crisis Intervention Services as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be documented in the assessment, the treatment plan, and progress notes. The adolescents12-17 years of age will be in a separate cohort from the adult groups. It is developmental and therapeutically inappropriate to have adolescents who are not emancipated minors and not developmental mature enough to be in a treatment group with adults.
Intensive Outpatient Substance Abuse Criteria:
The service is appropriate for adults and adolescents who have had prior treatment of substance abuse in the past. The treatment may have been successful, but the individuals now find themselves in a place where for health reasons, legal reasons, employment reasons and/or family interventions the need for a more intensive level of treatment is needed. The National Addiction Counsel has identified the following dimensions as general assessment dimensions used in treatment placement criteria for SA/IOP.
- Acute alcohol and / or drug intoxication and /or withdrawal potential
- Physical and medical complications
- Mental Health complications
- Impairments with social functions, Legal problems, loss of employment, friends and love ones reporting problems with interpersonal behaviors
- Treatment attempts and failures to remain drug and alcohol free
- Loss of control/ relapse and crisis situations, accidents, suicidal ideation
- Recovery environment, people, places and things
Intensive Outpatient Substance Abuse and Crisis Intervention Services Provided:
- Evaluation
- Medication education and management
- Opportunities to learn and use daily living skills
- Opportunities to enhance social and interpersonal skills
- Problem-solving
- Anger management
- Community responsibility
- Increase impulse control
- Appropriate peer relations
- Stress Management
- Substance Abuse treatment and education
- Value Clarification and Moral Development