The Intensive Program at Kodiak Recovery is flexible, trauma-informed, full-service co-occurring programming for individuals struggling with mental health and substance abuse concerns. These services are offered from 9am – 7pm. The morning programming is specific to persons who need a higher level of intensity and is provided five days weekly. Evening programming is offered to persons who need less intensity and is offered three days weekly depending upon the individual treatment plan.
The Intensive Outpatient Program consists of the following services:
Individual Counseling/Treatment Planning. Each client meets with a primary therapist/Alcohol and Drug Counselor within in the first three treatment sessions following admission and at least one hour weekly thereafter. The primary therapist completes a comprehensive assessment and develops an individual treatment plan in consultation with the client. Each week, the counselor and client review the treatment plan and revise goals, objectives and interventions as needed.
Primary Chemical Dependency Process Group meets three (evening) or four (morning) times weekly for a total of three or four hours to assist clients in identifying and addressing problems related to chemical use and develop strategies to avoid inappropriate chemical use during treatment and following discharge from the program.
Relapse Prevention Education is offered two (2) times a week for a total of two hours. The groups are facilitated by Alcohol and Drug Counselors and/or a Mental Health Professional. The focus of the group is to engage clients in peer support and education regarding relapse, the importance of developing sober support during and following treatment completion and developing specific and detailed relapse prevention plans.
Emotional Wellness is offered one (evening) or two (morning) times weekly for a total of one or two hours. Groups are co-facilitated by an Alcohol and Drug Counselor and Mental Health Professional to address issues related to co-occurring mental illness, including education for clients on basic symptoms of mental illness, the possibility of comorbidity, and the need for continued medication compliance while working on recovery from substance use disorder.
Stress Management Education/Meditation is offered two (evening) or three (morning) times a week for a total of two or three hours. Groups are facilitated by an Alcohol and Drug Counselor and/or Mental Health Professional to help the clients learn and practice meditation, yoga and mindfulness.
Health Education focuses on education related to Dimension 2. Interactive lectures are facilitation by Alcohol and Drug Counselors and/or a Health Professional and focuses on How Substance Use impacts Physical Health, HIV, Sexually Transmitted Infections, Drug and Alcohol Use during Pregnancy, Hepatitis, Tuberculosis, Nutrition, and other topics related to physical health.
Independent Living Skills is offered one (1) time weekly for one hour. Groups will be facilitated by an Alcohol and Drug Counselor and will provide opportunities for clients to learn and demonstrate skills related to budgeting, housekeeping and time-management.
Relationship Counseling is provided to all clients and concerned persons by the Alcohol and Drug Counselor and/or Mental Health Professional. Family and couple sessions are scheduled throughout the client’s treatment stay to assist clients in identifying the impact of substance use disorders on others and to help the client and persons in the client’s support structure identify and change behaviors that contribute to substance use disorders.
Family Program is provided each Tuesday evening. Education regarding the impact of substance use and co-occurring mental health disorders on family and relationships is provided to clients and their family of choice. Participation is highly encouraged and is determined by the client’s treatment plan.
Continuing Care Planning begins when the client is admitted to the program and continues throughout treatment. During the screening and assessment process, the counselor will help the client identify people and culturally-appropriate systems to support ongoing recovery. In weekly treatment plan reviews, clients will be encouraged to contact and develop ongoing relationships with these support systems. Prior to discharge, the counselor and client will develop a written continuing care plan to include specific people, places and appointment times for continued support.
Individual Mental Health Therapy. Clients are referred for a consultation with a Licensed Mental Health Professional as needed. Whenever possible, clients will be referred to a Mental Health Professional in their provider network. Mental health treatment will be integrated into the individual client’s treatment plan when indicated. Criteria for mental health consultation include:
- Known or suspected history of anxiety, depression or other mental illness
- Elevated scores on the Global Appraisal of Individual Needs – Short Screen (GAIN-SS)
- Current or lapsed prescription for psychotropic medications
- Client request
Group Mental Health Counseling and Education. All groups include basic education regarding co-occurring mental health disorders. Groups facilitated and/or co-facilitated by a Mental Health Professional will include specific strategies for identifying and addressing mental health challenges.
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavioral Therapy (DBT)
- Acceptance and Commitment Therapy (ACT)
- Motivational Enhancement Therapy
- 12-Step Facilitation
- Process-oriented Interpersonal Psychotherapy
- Relapse Prevention Strategies
- Anxiety management interventions including yoga, expressive therapies, and mindfulness/stress management
- Recovery Management and mutual aid support groups
- Community Reinforcement and Family Training (CRAFT)
- One to two times per week, with a focus on addressing underlying conditions that maintain SUD and other addictive/compulsive behaviors
- Trauma-informed care including EMDR
- Case management and focus on progress in intensive program
- Creation of recovery management plan
Specialized Multidisciplinary Team
- Mental health professionals (LP, LPCC, LADC) with specialty training in Evidence Based Treatment for co-occurring EDSUD conditions
- Medical and Psychiatric provider
Medical and Psychiatric Management
- Individualized medication and medical management
- Individualized activity plan
- Anti-craving medications
Care Management and coordination of services includes on-going review of treatment progress with client, family, and outside providers
- Individualized goals incorporated into treatment plan
- Weekly team treatment planning
- Weekly individual case management sessions
- Help navigating sober living and recovery environment
- Regular communication with referring provider(s)
Family Education and Support Services. Involvement of family members, friends and other support people.
- Multi-family group therapy provides weekly psychoeducation and skill development for support system
- Regular review of treatment progress with client and family, as appropriate
- Weekly family therapy, as indicated
- Family-based support including ALANON/ALATEEN and CRAFT (Community Reinforcement and Family Training)
Quality Assurance and Improvement Activities that solicit input from clients, families, and staff for the continual quality assurance and improvement of treatment programs