Community Medical Services – Billings, Montana in Billings Overview
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Treatment Options
The facility offers multiple levels of care, such as:
- Housing services
- Discharge Planning
- Employment counseling or training
- Naloxone and overdose education
- Outcome follow-up after discharge
The center treats the following addictions and co-occurring disorders:
- Opioids detoxification
- Medication routinely used during detoxification
- Clients with co-occurring mental and substance use disorders
- Veterans
- Active duty military
- Members of military families
- 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
- Clients with co-occurring pain and substance use 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
- Complete medical history/physical exam
Treatment Modalities
Cognitive Behavioral Therapy (CBT) is a therapeutic approach that emphasizes the interconnectedness of thoughts, emotions, and actions. It promotes healthy reactions to thoughts and emotions, steering individuals away from harmful responses such as substance abuse. Proven effective for various addiction recoveries, CBT enhances an individual’s self-awareness and self-control. Through CBT, individuals learn to better gauge their emotional well-being, communicate more effectively, and handle stress without resorting to drugs or alcohol.
Telehealth Therapy is a level of care that offers psychological counseling and therapeutic services to individuals via digital platforms, such as video conferencing, phone calls, or messaging apps. This approach allows clients to connect with qualified therapists remotely, providing increased accessibility, flexibility, and convenience, especially for those who may have mobility issues, live in remote areas, or prefer the comfort of their own environment. By leveraging technology, Telehealth Therapy bridges the gap between patients and mental health professionals, ensuring continuity of care irrespective of physical distances.
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 addresses the underlying emotional and psychological wounds that may contribute to an individual’s substance abuse. Through a combination of psychotherapy and coping strategies, individuals are aided in processing past traumatic experiences, understanding the impact of trauma on their current behavior, and developing healthier coping mechanisms. This holistic approach fosters resilience, aids in the resolution of trauma, and is fundamental in supporting individuals on their path toward sustained recovery from addiction.
Tobacco cessation counseling is a dialogue with a counselor about your tobacco or vaping habits, examining its place in your daily life to strategize quitting. It offers interventions for individuals keen on quitting, encompassing behavioral guidance and group or one-on-one counseling. These sessions can range from short encounters (under 5 minutes) to in-depth discussions (over 10 minutes) and might require multiple meetings.
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.
Recovery frameworks grounded in 12-step programs prioritize peer mentoring and underline personal development as essential for maintaining sobriety. Those in recovery are encouraged to attend 12-step meetings, which guarantee anonymity frequently, have no cost, and are accessible every day. These 12 steps draw from spiritual tenets, assisting participants in confronting the underlying reasons for their addiction, acknowledging their decisions, and embracing the aspects outside their control. Chosen by the participants themselves, sponsors offer individualized guidance and support.
“Intervention” refers to a deliberate action or set of actions taken to directly address and alter a specific situation or behavior. Often used in contexts like medicine, psychology, and social work, interventions are designed to prompt positive change, whether it’s to prevent harm, improve health, or enhance the quality of life. They can range from medical procedures to address health issues, to structured meetings aimed at helping individuals combat addiction or destructive behaviors.
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.
“Anger Management” refers to a set of therapeutic techniques and exercises that help individuals recognize the signs of their growing anger and take action to calm down and deal with situations in a constructive manner. It aims to reduce both emotional feelings and the physiological arousal that anger can cause, ensuring that anger does not lead to aggressive outbursts or other harmful actions. Individuals can navigate tense situations with more remarkable composure and control by understanding triggers and developing healthy coping strategies.
The Relapse Prevention Model is a cognitive-behavioral approach designed to teach individuals who are trying to maintain behavioral changes (like sobriety from drugs or alcohol) how to anticipate and cope with the potential for relapse. The model emphasizes the importance of understanding the processes and triggers that lead to relapse, developing strategies to prevent initial lapse, and minimizing the severity and duration if a lapse occurs. It’s grounded in the belief that relapses can be viewed as learning opportunities, helping individuals strengthen their commitment and skills to avoid future setbacks.
Individual therapy is a one-on-one therapeutic interaction between a therapist and a client to address personal challenges, foster self-awareness, and promote mental, emotional, and behavioral growth. This setting provides a confidential and supportive environment for individuals to explore their thoughts, feelings, and behaviors, identify goals, and develop coping strategies. Individual therapy can be beneficial for a range of concerns, including anxiety, depression, stress management, relationship issues, and life transitions.
Conditions Treated
Alcoholism
Alcohol addiction is when a person becomes physically and mentally dependent on alcohol, leading to mood swings, impulsive actions, intense cravings, and withdrawal symptoms. Treatment includes supervised detox, therapy, and support groups. It’s important to note that rehabilitation doesn’t “cure” alcoholism, but it helps individuals better manage their addiction, regain their ability to function in daily life, and improve their overall well-being.
Substance use treatment
Substance use rehabilitation is a structured program aimed at assisting individuals in overcoming their dependencies on drugs or alcohol. Through a combination of medical detoxification, counseling, and various therapeutic approaches, these programs strive to address the physical and psychological aspects of addiction. The goal is to equip individuals with the knowledge, skills, and support necessary to attain lasting sobriety, while also working to identify and address the underlying issues contributing to substance misuse. By fostering a supportive environment, substance use rehabilitation centers provide a pathway towards a healthier, substance-free life.
Levels Of Care
Outpatient
Outpatient treatment in a rehab center offers flexible therapy sessions, typically ranging from 1-3 hours per week, allowing individuals to continue daily activities while receiving care. In contrast, intensive outpatient programs demand a more rigorous commitment, often involving 9-15 hours weekly, providing a more immersive therapeutic environment without the need for inpatient stays.
Outpatient detoxification
Ambulatory Detox is a form of outpatient detoxification from substances like drugs or alcohol. In this model, patients undergo medically supervised detox by skilled clinicians, often in settings like clinics, healthcare facilities, or even their own homes. This method is typically more flexible and cost-effective compared to inpatient detox.
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
Regular Outpatient Treatment is a flexible and accessible option for individuals seeking recovery from addiction or substance abuse. This program typically involves attending therapy and counseling sessions on a part-time basis, often ranging from one to three sessions per week. These sessions are designed to provide essential support, guidance, and tools for individuals to overcome addiction, manage cravings, and work towards a healthier, sober lifestyle. Regular Outpatient Treatment offers the advantage of maintaining daily routines and responsibilities while receiving the necessary therapeutic interventions to foster lasting recovery.
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
- Private health insurance
- Federal military insurance (e.g., TRICARE)
License and Accreditation
- Drug Enforcement Agency (DEA)
- SAMHSA certification for opioid treatment program (OTP)
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- State department of health
Ancillary Services
- Case management service
- Suicide prevention services
- Mental health services
- Social skills development
- Opioid use disorder clients only