At Northbound treatment, we offer a graduated aftercare option, designed to support you following inpatient treatment. We sit down with each client and work with them on an individual treatment plan, designed to provide the exact support they need as they return to the community. Our aftercare monitoring program is designed as both collaborative and flexible. As our clients begin to challenge themselves in the community, we work with them to decide how much support they need to be successful. It's essentially a step-down treatment model, meaning that clients can always opt for more services if they needs change. Our job is to make certain that they are successful, each step of the way. Outpatient Monitoring It's no secret that many people do well when they are in a program. They achieve early sobriety, they learn the tools of recovery and begin to practice sober living strategies. The hardest part, for many clients, is not being in a program: it's transitioning home. That's why transition and aftercare just another phase of treatment. We are there all along the way to help. It one of the things that makes the Northbound treatment experience so effective. How do we support our clients in transition? We call the program outpatient monitoring, but the monitoring is really a collaboration between our client and our staff. We want to teach clients to be accountable for their behavior and their choices. Even before our clients begin to transition to our outpatient program, we sit down and develop a comprehensive treatment plan outlining all of the challenges that we anticipate. We teach them how to flag the earliest warning signs so that they can let us know, in aftercare, that they need help. Aftercare Aftercare at No... ... middle of paper ... ...ng care at Northbound means identifying appropriate therapeutic resources. Every client that attends our program works with a counselor to find out what will work in their recovery. We talk to them about their family, their life, their work and their jobs. We build a recovery program with them, one that will fit into their life and will help them avoid triggers and relapse. In the early days of recovery, these are practical discussions: where are the triggers, what can be avoided and what can be minimized. We work with families so that they can get the support that they need as their loved one returns home. In the end, we at Northbound know that our recovery program works because people work: they come to aftercare, they learn the program and they rebuild their lives. We believe that our job is a mission, we are committed to our clients and to their lives.
We support them to develop and achieve their aims and objectives through involving them in the development of their care plans and in any decisions. We give the clients all the information they need to be able to make choices and support them through the referral process to enable them to get the appropriate information to make decisions.
Outpatient rehab centers are on the rise because it is what most people with drug and alcohol problems are attending. The one problem with outpatient facilities is that they create the likelihood of dual relationships. A dual relationship is a situation where a counselor (usually in recovery) and client have more than one type of relationship. A good example of this is the counselor -- client relationship and the relationship they might possess in A.A. The difficult part for the drug therapist is knowing which hat to wear and
The following protocol, TIP 48 Managing Depressive Symptoms in Substance Abuse Clients during Early Recovery, will be discussed in conjunct with class notes in order to discern ways to effectively work with clients with co-occurring disorders. Clinicians need to be able to assess accurately for mental health disorders, substance use, and readiness for change.
...dividual from moving on to the next cycle of change whether it’s a relapse or behavior change. The professional must understand that before any change can become truly established it will be with time, dedication and determination is required for success in positive outcomes to occur. One thing is understood that all models are incorporated into many concepts to fit the individual’s needs emotionally to promote stability in the addiction itself depending the facility that is utilizing the stages of change model.
In the PACC model, the practitioner encourages the client to be part of the treatment plan and this ensures that the recovery process is properly monitored. In the client model, the treatment process is dependent on the assessment procedure. All the three models use both qualitative and quantitative methods to derive their assessment information. This revolves around conducting interviews that are meant to generate as much information about the clients as well as making quantitative analyses from past data (Cowger, 1994). In the PACC and pers...
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
As a provider of care an AD nurse uses a systematic approach in all areas. Using the process of assessment, analysis, implementation, and evaluation the nurse is able to be consistent and efficient when providing care. As a provider of care the AD nurse must assess a patient’s health status, gather medical history, plan, coordinate, and implement care. The nurse will use continual assessment and evaluation in order to ensure the best outcome for the patient. The AD nurse must develop a therapeutic relationship with the patient in order to effectively treat and provide advocacy. During my clinical rotation I was able to implement many of these steps. I provided daily physical assessments, took vital signs, implemented hygiene care, fed patients, re-positioned patients and changed bed linens. During each shift I was respons...
...e unknown. It is also meant to meet the psychosocial needs of the caregiver and provide levels of rehabilitation from caregiver strain and burden.
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
... directed by the client’s changing status throughout the process. The nurse may collaborate with the client, family, significant others, and other members of the health care team in applying steps of the nursing process. The following standards shall be used by a registered nurse, using critical thinking and clinical judgment in applying the nursing process for each client under the registered nurses care: assessment, analysis and reporting, planning, implementation, and evaluation (“Ohio Board of Nursing,” 2008).
These tools are helpful in framing my practice into interventions that are evidenced based and effective. However, I’ve found that allowing patients and their families to be the guide for the treatment plan gives then much needed control over their lives as a uncertainty and lack of control have become the norm for them. It also keeps me honestly engaged in intentional and active listening to the patient. I am always looking to them for cues on ways to join them on their journey. Listening to my patient from a person-centered perspective cures my need to solve everything for the patient. Many of them have the solutions and we are partners in discovering the road to those solutions. Even when a patient may be full of despair and feeling low, they continually express that they are more than a diagnosis. They are a person who has many influences that may greatly impact their illness experience. As their therapist, my role is to respect their desires and goals, and help them maintain optimal functioning in this
Client education is also a process by which clients are educated as to the course that alters health risks and behaviors associated with alcohol and other drug use and abuse primarily by abstinence but in some cases with medication to improve client health status. “Client education provides culturally relevant formal and informal education programs that raise awareness and support substance abuse prevention and the recovery process” TAP 21, competency 99 (www.samhsa.gov). Clients and family members are often unaware of the initial root cause (s) of the health impairment that led to or became the issue (s) (beyond presenting situation) of the impairment. Educating the client in a variety of forms is an essential part of the healing process and will aid in the overall wellness of the client. Some forms of client education are addressed in a class or group setting but can be significantly addressed in a one on one setting with a counselor however; the advantage of peer on peer feedback, or interaction is lost.
...nt, 2 caregiver individual sessions, and 2 sessions with the caregiver and the adolescent. During each session, the adolescent will work on basic skills to support sobriety: coping skills, communication skills, relapse prevention, drug refusal, and anger management among others. When the caregiver(s) is brought into the session, the therapist describes the procedures briefly then allows the adolescent to engage the caregiver and explain the procedure further.
Treatment Termination. The length of treatment for this family will determine how long it will take the parents to gain custody of Collin their younger child. Progress in treatment is determined once the family has united and continues to report and demonstrate improvement while maintaining living together. The therapist will inform the family of the termination several sessions in advance while providing the date of termination. Due to the family history of failing progress toward improving their relationship, it is possible the family will display some anxiety and other emotion. However, this phase will allow the family to manage their daily living with little to no assistant from others.