Marion County Health and Human Service – Addiction Treatment Services – Salem, Oregon

Last Updated: January 7, 2025

Ahmed Zayed, MD Authored by Dr. Ahmed Zayed
David Levin Reviewed by David Levin
0 sources cited

Marion County Health and Human Service – Addiction Treatment Services – Salem, Oregon in Salem Overview

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Treatment Options

The facility offers multiple levels of care, such as:

  • Mentoring/peer support
  • 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
  • Veterans
  • Criminal justice (other than DUI/DWI)/Forensic clients
  • Pregnant/postpartum women
  • Clients with HIV or AIDS
  • Clients who have experienced trauma
  • Clients who have experienced sexual abuse
  • Clients who have experienced intimate partner violence, domestic violence
  • Screening for tobacco use
  • Comprehensive substance use assessment
  • Interim services for clients
  • Outreach to persons in the community
  • Screening for mental disorders
  • Screening for substance use

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 provides a secure and handy way to access behavioral health care from your home. It eliminates the need for travel, time off work, or organizing childcare. A range of services, including individual therapy, group sessions, and monitoring for anxiety and depression, are available remotely. Rest assured, telehealth video sessions are not recorded, ensuring your information remains as confidential as in-person consultations.

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.

Tobacco Cessation Counseling is a specialized form of guidance and support aimed at helping individuals quit tobacco use. Through a combination of motivational strategies, behavioral techniques, and education on the health risks associated with tobacco, trained counselors assist users in understanding their addiction, developing a personalized quit plan, and navigating the challenges of withdrawal and relapse prevention. This counseling approach can significantly increase the likelihood of successfully quitting and maintaining a tobacco-free lifestyle.

Group counseling provides a supportive environment where individuals share personal experiences and insights, under the guidance of a professional counselor. It facilitates self-awareness, fosters interpersonal learning, and helps members work through personal and relational challenges. Through shared dialogue and reflection, individuals learn coping strategies, gain emotional support, and experience personal growth within a communal setting.

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.

12-Step Facilitation is a structured approach to recovery used in many rehab facilities. It’s rooted in the principles and practices of Alcoholics Anonymous (AA) and its 12-step program. The facilitation process promotes abstinence and supports individuals in becoming actively involved in 12-step self-help groups. The approach emphasizes personal responsibility, spiritual growth, and the importance of peer support to maintain sobriety and prevent relapse. By guiding individuals through each step, 12-step Facilitation aids participants in understanding the underlying causes of their addiction, seeking amends, and fostering a commitment to lifelong recovery.

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 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. Through a combination of cognitive behavioral therapy, self-awareness exercises, and coping mechanisms, individuals can better understand the triggers and reactions associated with their anger, ensuring they respond more positively and constructively. Effective anger management prevents potential conflicts and outbursts and promotes healthier relationships and emotional well-being.

The Matrix Model involves clients in group and individual counseling, psychoeducation, and skill-building exercises to boost self-awareness, coping skills, and well-being. It prioritizes creating a supportive, collaborative therapy environment, promoting active client involvement in their recovery. This approach integrates cognitive-behavioral therapy, 12-step facilitation, family education, and relapse prevention strategies into a comprehensive evidence-based program.

The Relapse Prevention Model is a therapeutic approach designed to equip individuals with strategies and tools to anticipate and cope with potential relapses, especially during the recovery from addictive behaviors or other maladaptive habits. Drawing on cognitive-behavioral techniques, it emphasizes the identification of high-risk situations, developing coping mechanisms, and enhancing self-efficacy. This model fosters long-term behavior change by helping individuals recognize early warning signs of relapse and empowering them to take proactive steps to maintain their recovery.

Individual Psychotherapy provides a private, one-on-one setting where clients can explore and address their personal challenges, behaviors, and feelings related to addiction and recovery. With the guidance of a trained therapist, clients work to uncover the root causes of their substance use, develop coping strategies, and build a foundation for long-term recovery and personal growth.

Conditions Treated

Substance use treatment

Substance use rehabilitation embodies a holistic treatment approach crafted to assist individuals contending with drug or alcohol addiction. This all-encompassing rehabilitation strategy encompasses two crucial components: initially addressing the physical dependency, frequently commencing with detoxification, and subsequently confronting the psychological triggers through a diverse array of therapeutic methods. The overarching objective is to empower individuals to achieve and maintain sobriety while equipping them with essential skills and coping mechanisms for a successful reintegration into society and a life free from substance abuse.

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

Buprenorphine, sold under brand names such as Subutex, is a drug used to address opioid addiction. It can lessen or significantly diminish withdrawal effects, making the cessation of opioid use more manageable. Frequently paired with naloxone, the dosage is tailored to each person’s specific needs. Some individuals prefer prolonged buprenorphine use, while others gradually decrease their dosage with the aim of ceasing its consumption.

Regular outpatient treatment

Regular outpatient treatment is a structured program that supports individuals in overcoming addiction while allowing them to maintain their daily lives. It includes therapy, counseling, and education, making it ideal for those with mild to moderate substance use disorders or in later recovery stages. This approach helps individuals build coping skills, manage triggers, and stay substance-free while staying connected to their communities and families.

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.

Halfway house

A sober living home is a residential facility designed to support those recovering from substance abuse. Unlike inpatient rehab centers, it doesn’t offer constant medical supervision but emphasizes a drug-free lifestyle. Residents adhere to set rules, such as curfews and mandatory group meetings and are often subject to random drug tests. The environment balances independence with accountability, helping residents reintegrate into society, build coping skills, and maintain sobriety while surrounded by peers who share similar recovery challenges.

Payment Options

  • Cash or self-payment
  • Medicaid
  • Medicare
  • Private health insurance
  • Federal, or any government funding for substance use treatment programs
  • Sliding fee scale (fee is based on income and other factors)

License and Accreditation

  • State mental health department
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • SAMHSA certification for opioid treatment program (OTP)
  • Drug Enforcement Agency (DEA)

Ancillary Services

  • Case management service
  • Specially designed program for DUI/DWI clients
  • Transportation assistance

Published on: January 6th, 2025

Updated on: January 7th, 2025

Disclaimer

A treatment center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the memberโ€™s contract at time of service. Your health insurance company will only pay for services that it determines to be โ€œreasonable and necessary.โ€ The treatment center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.


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