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VA Ann Arbor Healthcare System – Ann Arbor, Michigan in Ann Arbor Overview
Hope Without Commitment
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Treatment Options
The facility offers multiple levels of care, such as:
- Mentoring/peer support
- Housing services
- Employment counseling or training
- Naloxone and overdose education
- Outcome follow-up after discharge
The center treats the following addictions and co-occurring disorders:
- Alcohol Detoxification
- Benzodiazepines Detoxification
- Opioids detoxification
- Medication routinely used during detoxification
- Clients with co-occurring mental and substance use disorders
- Veterans
- Active duty military
- Members of military families
- Clients who have experienced trauma
- Clients who have experienced intimate partner violence, domestic violence
- Persons 18 and older with serious mental illness (SMI)
- Persons with Alzheimers or dementia
- Persons with post-traumatic stress disorder (PTSD)
- Persons with traumatic brain injury (TBI)
- Persons with eating disorders
- Screening for tobacco use
- Comprehensive mental health assessment
- Comprehensive substance use assessment
- Outreach to persons in the community
- Screening for mental disorders
- Screening for substance use
Treatment Modalities
In individual therapy, a person engages in a one-on-one session with a qualified therapist or counselor. This therapeutic approach is crucial in successful substance abuse treatment because it delves into the underlying causes of addiction, addressing issues the individual may encounter in their familial, social, and professional or academic environments.
Couples Therapy during rehab is a specialized counseling program designed to support couples who are navigating the challenges of addiction recovery together. This form of therapy provides a safe and structured environment where couples can address the impact of substance abuse on their relationship and work towards healing and growth as a team. By addressing both individual and shared issues, couples in rehab can strengthen their bond and increase their chances of sustained recovery, fostering a healthier and happier future together.
Cognitive Behavioral Therapy (CBT) is a form of psychotherapy that emphasizes the critical role of thinking in how we feel and what we do. It aims to identify and challenge distorted or negative thought patterns and behaviors, teaching individuals to replace them with more constructive and rational beliefs. CBT is evidence-based and has been shown to be effective in treating a variety of psychological disorders, including depression, anxiety, and phobias, among others.
Dialectical Behavior Therapy (DBT) is a cognitive-behavioral approach specifically designed to help individuals regulate emotions, enhance interpersonal effectiveness, develop distress tolerance, and increase mindfulness. In addiction treatment, DBT equips individuals with practical skills to manage triggers, cope with stressors, and build a life worth living without resorting to substance use. By addressing both the emotional and behavioral challenges of addiction, DBT fosters personal growth and long-term recovery.
Integrated Mental and Substance Use Disorder treatment is a comprehensive approach to treating individuals with both mental health and substance use disorders. It aims to address both conditions simultaneously through a coordinated and integrated approach. The goal is to improve overall well-being and reduce the risk of relapse.
Electroconvulsive Therapy (ECT) is a medical treatment for severe mental health conditions involving controlled electric currents to induce brief seizures in the brain. It’s administered under anesthesia when other treatments aren’t effective. ECT’s mechanism isn’t fully understood, but it can provide relief for conditions like severe depression. Its use is subject to ethical and cultural considerations, and advances have made it safer and more effective in treating serious mental health issues.
Telehealth Therapy enables individuals to access mental health services remotely through digital technology. Utilizing secure video conferencing, individuals can engage with qualified therapists from the comfort of their home, overcoming geographical barriers and often reducing waiting times. This level of care offers a flexible and accessible approach to mental health support, especially beneficial for those with mobility issues, busy schedules, or residing in rural or underserved areas.
Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.
Trauma therapy delves into past traumatic events that might be influencing a client’s current life experiences. Often, trauma serves as a significant precipitant or underlying cause of addiction. Such traumas can arise from childhood sexual abuse, domestic violence, growing up with a mentally ill parent, early parental loss, and experiences of sexual assault in teen or adult years, among other circumstances. Trauma therapy aims to aid the individual in processing and navigating beyond these traumas, guided by the expertise and empathy of skilled mental health specialists.
Vaping Cessation Counseling is a specialized form of support designed to help individuals overcome their dependence on electronic cigarettes or vaping products. Through evidence-based strategies, personalized advice, and emotional support, counselors guide individuals towards a nicotine-free life, emphasizing the long-term health benefits of cessation.
Treatment for Gambling Disorder is a targeted approach to help those with compulsive gambling habits regain control. It involves therapies like CBT, financial counseling, and support groups to promote healthier behaviors and financial stability, enabling individuals to overcome their addiction and lead fulfilling lives.
Group Counseling is a therapeutic approach where individuals come together under the guidance of a trained counselor to share experiences, offer support, and gain insights. This collective format promotes mutual understanding and growth, allowing participants to learn from one another’s perspectives and challenges.
Family counseling is a therapeutic approach that addresses the dynamics, interactions, and challenges within a family unit. Through guided discussions and interventions, a trained counselor helps family members understand one another, resolve conflicts, improve communication, and strengthen their bonds. This form of therapy can be beneficial for families facing transitions, stressors, or behavioral issues, promoting understanding and facilitating positive change in the familial environment.
Marital/couples counseling treatment modalities refer to various therapeutic approaches used to help couples resolve conflicts, improve communication, and strengthen their relationship. These modalities can include cognitive-behavioral therapy, emotionally focused therapy, solution-focused therapy, and integrative approaches. The goal of these treatments is to help couples identify and address underlying issues and develop healthy relationship dynamics.
Intervention services assist families and friends of addicts in orchestrating an intervention, a meeting where concerned individuals express their worries and urge the addict to seek treatment. Expert interventionists aid in planning, assembling, and conversing with the affected individual. They direct participants on how to convey the adverse effects of the addict’s actions and emphasize the need for external assistance to tackle the addiction. The ultimate goal of an intervention is to encourage the addict to enter rehab and receive the necessary help.
Motivational Interviewing (MI) in addiction treatment is a client-centered counseling approach designed to enhance an individual’s intrinsic motivation to change. By addressing ambivalence and tapping into personal values, MI fosters meaningful conversations about substance use and promotes commitment to recovery-focused goals.
“Anger Management” refers to a set of techniques and strategies designed to help individuals recognize and control their anger effectively. By understanding the triggers and responses to anger, individuals can learn to express themselves calmly and non-confrontational. Proper anger management prevents potential conflicts, ensures better interpersonal relationships, and promotes mental well-being and overall health.
The Relapse Prevention Model plays a pivotal role in the treatment of alcoholism. Utilizing a blend of Cognitive Behavioral Therapy (CBT), this model is particularly valuable for individuals who have experienced multiple relapses. Through this approach, those in recovery are equipped with essential coping skills, empowered for their journey, and guided in adopting healthier habits.
Ketamine Infusion Therapy is a medical treatment wherein low doses of ketamine, an anesthetic drug, are administered intravenously to patients under medical supervision. Initially known for its use in surgery and anesthesia, ketamine has shown promise in treating various psychiatric disorders, including major depression, post-traumatic stress disorder (PTSD), and certain chronic pain conditions. The therapy’s mechanisms are not entirely understood, but it is believed that ketamine helps to restore synaptic connections in the brain, providing rapid relief from symptoms for some individuals. Trained healthcare professionals should administer this therapy in a controlled setting.
Transcranial Magnetic Stimulation (TMS) is a non-invasive neuromodulation technique that uses magnetic fields to stimulate specific areas of the brain. Often employed as a therapeutic intervention for various psychiatric and neurological disorders, TMS has gained prominence, particularly in treating major depressive disorders when traditional therapies are ineffective. The procedure involves placing a coil near the scalp, which emits magnetic pulses to modulate neural activity in targeted regions, potentially offering relief from symptoms or enhancing cognitive functions.
Treatment for other addiction disorders typically involve a combination of therapy and medication. This may include individual therapy, group therapy, and behavioral therapy. Medications may be prescribed to help manage symptoms and reduce cravings. Additionally, support groups and aftercare programs can be beneficial in maintaining recovery and preventing relapse. The treatment modality should be tailored to the individual’s specific needs and circumstances.
Holistic treatment in a rehab center encompasses a comprehensive approach to recovery, addressing an individual’s physical, emotional, mental, and spiritual needs. Rather than focusing solely on the symptoms of addiction, this method seeks to treat the underlying causes and imbalances that contribute to substance abuse. Incorporating a variety of therapies, such as meditation, yoga, acupuncture, and nutritional counseling, holistic treatment aims to heal the whole person, ensuring a well-rounded and sustainable recovery journey.
Conditions Treated
Mental health treatment
Mental health treatment involves various therapies and support services provided by licensed professionals to address mental health issues. These interventions, which can include therapy, medication, and holistic approaches, aim to enhance well-being, improve coping, and empower individuals to lead fulfilling lives. It’s personalized, comprehensive care for mental health challenges.
Alcoholism
Alcohol addiction is a condition where a person’s brain gets used to having alcohol, making it hard for them to control their drinking. This can lead to feeling down, acting without thinking, wanting alcohol strongly, and feeling sick if they don’t drink. To help with this, treatment programs are available. These usually include a guided process to safely stop drinking, talking with professionals to work through problems, and joining support groups with others facing similar issues. While these treatments can’t fully cure the addiction, they provide tools and support to help individuals live a better life and keep their drinking under control.
Substance use treatment
Substance use rehabilitation represents a holistic treatment strategy tailored to aid individuals grappling with drug or alcohol addiction. This comprehensive rehabilitation method encompasses two key aspects: first, addressing the physical dependency, often commencing with detoxification, and second, tackling the psychological triggers through a range of therapeutic techniques. The ultimate aim is to empower individuals to attain and sustain sobriety while providing them with the necessary skills and coping mechanisms to successfully reintegrate into society and lead a life free from substance abuse.
Co-occurring Disorders
Dual-diagnosis rehabilitation centers often offer the most suitable approach for addressing concurrent mental health and substance abuse issues. These facilities typically employ a team of medical and behavioral specialists who utilize a variety of interventions and create a conducive healing environment to support your journey toward lasting recovery. Their comprehensive treatment approach typically encompasses evidence-based therapies such as cognitive-behavioral therapy, recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy to help you achieve and maintain long-term wellness.
Levels Of Care
Hospital inpatient/24-hour hospital inpatient
The 24-Hour Hospital Inpatient for Addiction Treatment program provides continuous medical care and support for those battling substance use and addiction. Located within a hospital setting, this focused inpatient program caters to both immediate and ongoing patient needs, guaranteeing their safety, stability, and thorough rehabilitation.
Partial Hospitalization Program
A Partial Hospitalization Program (PHP) is an intensive rehabilitation option, typically designed for individuals with acute symptoms that are challenging to handle but don’t necessitate round-the-clock care. PHPs provide structured therapeutic activities, which can include individual and group sessions, and generally operate 3-5 days a week, from approximately 9 am to 3 pm. While some PHPs are residential, allowing patients to stay overnight, others are non-residential, enabling patients to return home each evening. The duration of a PHP can range from 1 to 6 months, and some programs also offer transportation and meals to participants.
Outpatient
Outpatient treatment in a rehab center offers structured therapeutic services for individuals seeking recovery without full-time residential admission. Unlike intensive outpatient programs, which demand more frequent and longer sessions, standard outpatient care provides a more flexible approach, allowing participants to maintain daily activities and responsibilities while undergoing treatment.
Outpatient detoxification
Outpatient Detoxification is a medical procedure designed for individuals dealing with substance dependence. It involves a carefully managed and supervised withdrawal from these substances, all without the need for hospitalization or inpatient care. This approach empowers patients to undergo detox from drugs or alcohol within a less confining setting, permitting them to sustain their regular daily obligations such as work or family responsibilities. Comprehensive monitoring, medication administration, counseling, and supportive measures are provided to effectively manage withdrawal symptoms and minimize potential complications.
Outpatient methadone/buprenorphine or naltrexone treatment
Outpatient Methadone/Buprenorphine/Naltrexone Treatment Buprenorphine, marketed under brand names like Subutex, is a medication prescribed to combat opioid dependence. It can mitigate or substantially alleviate withdrawal symptoms, simplifying the process of discontinuing opioid use. Often administered in conjunction with naloxone, the dosage varies based on the intensity of each individual’s situation. While many opt for extended use of buprenorphine, others taper down the dosage to eventually discontinue its use.
Outpatient day treatment or partial hospitalization
Outpatient day treatment or partial hospitalization level of care is a type of mental health treatment that provides a high level of care outside of a traditional inpatient setting. It typically involves intensive therapy and support services for several hours each day, several days per week. This level of care is designed for individuals who require more support than traditional outpatient therapy but do not need 24-hour inpatient care.
Intensive outpatient treatment
Intensive outpatient (IOP) supports clients in maintaining their sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in numerous weekly treatment sessions, generally receiving between nine to twenty hours of outpatient care. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers offer a range of services, including addiction counseling, training in life skills essential for recovery, and medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.
Regular outpatient treatment
Regular Outpatient Treatment involves scheduled therapy sessions typically held on an outpatient basis, allowing individuals to receive essential support while maintaining their daily routines. These sessions usually range from one to three times per week, providing a flexible approach to recovery that accommodates the individual’s needs and progress. It offers a structured environment for therapy and counseling, enabling individuals to address addiction or mental health issues while continuing to engage in their daily responsibilities.
Aftercare
Aftercare is the continued support and care that individuals receive following the completion of their primary treatment program for substance abuse or addiction. This phase aims to aid individuals in maintaining their sobriety, improving personal skills and coping strategies, and integrating back into society. Aftercare can include ongoing therapy, support group meetings, education, and monitoring, which are crucial for preventing relapse and promoting long-term recovery. Through a combination of community support, accountability, and personal development, aftercare provides a structured pathway for individuals to continue their recovery journey in a supportive environment.
Payment Options
- Medicaid
- Medicare
- Private health insurance
- Federal military insurance (e.g., TRICARE)
- U.S. Department of VA funds
- Federal, or any government funding for substance use treatment programs
- Cash or self-payment
License and Accreditation
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- The Joint Commission
- SAMHSA certification for opioid treatment program (OTP)
Ancillary Services
- Intensive case management
- Case management service
- Chronic disease/illness management
- Court-ordered outpatient treatment
- Diet and exercise counseling
- Education services
- Family psychoeducation
- Illness management and recovery
- Integrated primary care services
- Legal advocacy
- Psychosocial rehabilitation services
- Suicide prevention services
- Supported employment
- Supported housing
- Vocational rehabilitation services
- Acupuncture
- Domestic violence services, including family or partner
- Mental health services
- Social skills development
- Transportation assistance
