Community Health Connections – ACTION Community Health Center – Fitchburg, Massachusetts in Fitchburg Overview
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Treatment Options
The facility offers multiple levels of care, such as:
- Housing services
- Discharge Planning
- Naloxone and overdose education
- Outcome follow-up after discharge
- Recovery coach
The center treats the following addictions and co-occurring disorders:
- Clients with co-occurring mental and substance use disorders
- Criminal justice (other than DUI/DWI)/Forensic clients
- Clients with co-occurring pain and substance use disorders
- Clients who have experienced trauma
- 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
- Professional interventionist/educational consultant
- Complete medical history/physical exam
Treatment Modalities
Cognitive Behavioral Therapy (CBT) is a evidence-based psychotherapeutic approach that aims to address dysfunctional emotions, behaviors, and cognitions through a goal-oriented, systematic process. It involves identifying and challenging negative thought patterns and beliefs and replacing them with more constructive ways of thinking and behaving. CBT is commonly used to treat a variety of mental health disorders, including depression, anxiety, and phobias.
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-related counseling is a specialized form of therapeutic intervention aimed at assisting individuals who have experienced distressing, life-altering events. This approach focuses on helping clients process their traumatic experiences, develop coping mechanisms, and rebuild a sense of safety and trust. Counselors trained in trauma therapy use evidence-based techniques to support healing and resilience, ensuring survivors can move forward and lead fulfilling lives despite their past adversities.
Tobacco cessation counseling encompasses discussions with a counselor regarding your tobacco or vape usage and its integration into your daily routine, with the goal of devising a strategy to quit. This service caters to individuals desiring to quit tobacco, offering interventions like behavioral support or counseling in groups or one-on-one settings. The counseling sessions may range from brief encounters (under 5 minutes) to more intensive discussions (exceeding 10 minutes) and may necessitate multiple sessions.
Treatment for compulsive gambling can vary based on individual needs and available resources. Options may include outpatient, inpatient, or residential programs. Some individuals may also consider self-help approaches, like structured internet-based programs or telephone consultations with mental health professionals. In certain cases, treatment may encompass addressing co-occurring issues such as substance misuse, depression, anxiety, or other mental health concerns as part of the overall plan to effectively address compulsive gambling.
Group therapy entails therapeutic sessions conducted in a collective setting rather than one-on-one. It encompasses various modalities, from support groups and experiential therapy to psycho-education and beyond. The approach focuses on treatment and emphasizes the dynamic interactions and shared experiences among group members.
Studies consistently show that the likelihood of sustainable recovery increases when family members are involved in rehab and substance abuse treatment. Genetic elements might influence susceptibility to drug and alcohol dependence and mental health challenges. Family interactions frequently contribute to addiction triggers. However, with the right education, family members can become pivotal support pillars during rehabilitation.
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 is a set of structured processes or strategies designed to assist individuals in recognizing and addressing problematic behaviors, such as substance abuse, addiction, or mental health issues. These services typically involve a team of professionals or trained individuals who work collaboratively to guide and support the person in need and their loved ones, aiming to facilitate a pathway to recovery or appropriate treatment.
Contingency management and motivational incentives are evidence-based treatment modalities used in addiction and behavioral health programs. Contingency management involves the use of rewards to reinforce positive behaviors and change negative behaviors, while motivational incentives provide incentives to engage in treatment and sustain recovery. Both approaches are designed to increase motivation and engagement in treatment and have been shown to be effective in promoting positive outcomes.
Motivational Interviewing (MI) in addiction treatment is a client-centered counseling style aimed at promoting behavior change by helping clients explore and resolve ambivalence. Through empathetic engagement and evoking change talk, MI empowers individuals to harness their own motivation to overcome addiction, leading to a self-directed path to recovery. This approach respects individual autonomy while supporting positive change in a compassionate, non-confrontational manner.
Community Reinforcement + Vouchers (CR+V) is a comprehensive behavioral treatment program that emphasizes the role of the community and positive reinforcement in promoting sobriety and recovery from substance use disorders. This approach combines traditional cognitive-behavioral therapies with a voucher-based system. Patients earn vouchers for negative drug tests, which can be exchanged for items or services that promote a drug-free lifestyle. The goal of CR+V is to make abstinence more rewarding than substance use, helping individuals maintain long-term recovery.
The Relapse Prevention Model is a cognitive-behavioral approach designed to help individuals anticipate and effectively cope with potential challenges and high-risk situations that may lead to a return to undesired behaviors, often after a period of abstinence or behavior change. This model emphasizes the importance of recognizing early warning signs, developing coping strategies, and building self-efficacy to sustain positive change and avoid setbacks. Commonly used in addiction therapy, it can also be applied to other areas where behavior change is sought, such as weight management or anger control.
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.
Assertive Community Treatment (ACT) offers a proactive approach to aiding individuals with significant mental illnesses and/or substance use challenges by delivering services directly in their homes. Rather than institutional care or outpatient programs, professionals such as social workers, psychiatrists, and counselors visit the patient’s residence for treatment. Primarily aimed at individuals with severe conditions like schizophrenia or bipolar disorder, some of whom may also struggle with substance abuse, ACT provides continuous, multidisciplinary support akin to a psychiatric unit but within the familiar surroundings of the patient’s home and community.
Individual therapy, often referred to as psychotherapy or counseling, is a one-on-one therapeutic interaction between a trained therapist and a client. It provides a confidential space for individuals to explore their feelings, beliefs, and behaviors, working through challenging memories, experiences, or emotions. The therapist facilitates self-awareness, promotes personal growth and insight, and offers coping strategies to manage specific issues like stress, anxiety, depression, and other life challenges. The ultimate goal is to improve the individual’s mental well-being and enhance their overall quality of life.
Conditions Treated
Alcoholism
Alcohol addiction is a disease that changes the way the brain works. It causes negative emotions, impulsive behavior, cravings and withdrawal symptoms. Treatment for alcohol addiction includes supervised detox, counseling and therapy, and support group participation. Rehabilitation does not cure alcoholism. Instead, it helps the individual manage their addiction, restore their functioning, and well-being.
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.
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 usually offer the most suitable approach for addressing concurrent mental health and substance abuse conditions. Within these facilities, a team of medical and behavioral professionals is typically assembled, employing diverse interventions and cultivating an optimal therapeutic environment to enable you to attain and maintain lasting recovery. The treatment regimen often encompasses evidence-based therapies, such as cognitive behavioral therapy, complemented by recovery support gatherings, 12-step program facilitation, skills development, and group therapy.
Levels Of Care
Outpatient
Outpatient treatment at rehab centers provides adaptable therapy schedules, usually spanning 1-3 hours weekly, enabling participants to maintain their everyday routines while undergoing treatment. On the other hand, intensive outpatient programs require a more dedicated time investment, frequently around 9-15 hours a week, delivering a deeper therapeutic experience without the commitment of inpatient residency.
Outpatient methadone/buprenorphine or naltrexone treatment
Methadone maintenance treatment (MMT) offers an alternative to those battling opioid addiction. This regimen centers on the prolonged administration of methadone, an artificial opioid, aiming to decrease or halt the intake of unauthorized opioids like heroin. Coupled with the right dosage, counseling, and supplementary services, MMT can play a pivotal role in anchoring patients’ lives, curtailing illicit substance consumption, and minimizing hazards associated with drug misuse, including overdoses and the spread of infections.
Regular outpatient treatment
Traditional outpatient therapy typically involves attending one or two weekly sessions over the course of up to a year. These sessions are less frequent compared to other therapies, as outpatient therapy is designed for longer-term treatment. During these sessions, participants engage in group therapy or individual counseling, with a primary focus on identifying personal triggers and acquiring effective coping strategies.
Aftercare
Finishing a drug or alcohol rehab program is not the conclusion of substance abuse treatment but rather a pivotal step toward long-term recovery. Aftercare encompasses devising a sustainable recovery plan coupled with enduring support. It may include sober living environments such as halfway houses, career counseling, and connecting patients with community support programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). This holistic approach ensures a smooth transition into a substance-free life while bolstering resilience against relapse.
Payment Options
- Cash or self-payment
- Medicaid
- Medicare
- State-financed health insurance plan other than Medicaid
- Private health insurance
- Federal military insurance (e.g., TRICARE)
- Federal, or any government funding for substance use treatment programs
- Sliding fee scale (fee is based on income and other factors)
- SAMHSA funding/block grants
License and Accreditation
- State department of health
- Federally Qualified Health Center
Ancillary Services
- Case management service
- Integrated primary care services
- Suicide prevention services
- Early intervention for HIV
- Mental health services
- Social skills development
- Transportation assistance