Tuscaloosa Veterans Affairs Medical Ce – Comprehensive Outpatient Substance Abuse – Tuscaloosa, Alabama

Last Updated: January 7, 2025

Ahmed Zayed, MD Authored by Dr. Ahmed Zayed
0 sources cited

Tuscaloosa Veterans Affairs Medical Ce – Comprehensive Outpatient Substance Abuse – Tuscaloosa, Alabama in Tuscaloosa Overview

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Treatment Options

The facility offers multiple levels of care, such as:

  • Mentoring/peer support
  • Housing services
  • Discharge Planning
  • Employment counseling or training
  • Self-help groups
  • 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
  • Active duty military
  • Persons with post-traumatic stress disorder (PTSD)
  • Screening for tobacco use
  • Comprehensive mental health assessment
  • Comprehensive substance use assessment
  • Interim services for clients
  • 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 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.

Telehealth Therapy is a remote care option that allows individuals to access mental health services via digital technology, such as secure video conferencing. This mode enables patients to engage with therapists from their homes, offering flexibility and overcoming geographical limitations. Ideal for those in rural areas, with mobility issues, or tight schedules, Telehealth Therapy ensures quality mental health support is always within reach.

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 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.

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.

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.

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 organized efforts designed to guide individuals away from potentially harmful behaviors or decisions and towards healthier alternatives. Often used in the context of substance abuse or addiction, these services employ a structured approach where professionals, loved ones, and peers come together to confront the individual in a supportive manner, emphasizing the need for change and providing pathways for treatment or assistance. The goal is to break through denial, facilitate recognition of the problem, and initiate positive change.

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 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 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 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 provides a safe and structured environment where individuals can receive professional care and support for their mental health challenges. Within the facility, trained therapists, counselors, and medical staff work together to create personalized treatment plans tailored to each person’s needs. Patients might participate in a variety of therapies, including individual counseling, group therapy, and possibly medication management. The goal is to equip individuals with the tools and strategies they need to cope with their conditions and lead fulfilling lives.

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.

Co-occurring Disorders

Dual-diagnosis rehabs are usually the appropriate solution to treat co-occurring mental health and substance abuse disorders. These facilities typically employ medical and behavioral experts who use a range of interventions, together with the right healing environment, for you to achieve and sustain long-term recovery. Treatment usually includes evidence-based therapies (like cognitive behavioral therapy), recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy.

Levels Of Care

Hospital inpatient/24-hour hospital inpatient

During specific phases of the recovery journey, it becomes crucial to have around-the-clock support. 24-hour clinical care provides a secure setting for individuals to heal from drug or alcohol addiction, with the reassurance that medical detox and other treatments will be administered by skilled professionals.

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.

Long-term residential

Extended treatment plans frequently encompass residential initiatives where patients stay on-site throughout their therapy, tailored to their specific requirements. Professionals are available 24/7 at these facilities to provide continuous assistance. Treatment durations can vary, from 90-day rehabs to half-year stays, annual programs, or even up to two-year durations if necessary.

Outpatient methadone/buprenorphine or naltrexone treatment

Naltrexone, an FDA-sanctioned medication, is employed to address both opioid and alcohol dependencies. It aids in curbing cravings and warding off relapses, facilitating a smoother recovery process. It’s available as a daily pill (brands include ReVia and Depade) or as a monthly injection (brand name Vivitrol). Prior to commencing naltrexone, patients should be free of any illicit opioids or opioid medicines for a duration of 7-10 days, including methadone.

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 programs (IOPs) support clients in maintaining long-term sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in several treatment sessions each week, typically receiving between nine to 20 hours of outpatient care weekly. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers provide a diverse range of services, such as addiction counseling, training in life skills geared towards recovery, and the option for medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.

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.

Hospital inpatient treatment

Inpatient treatment involves a comprehensive residential therapeutic program where patients stay on-site for a duration typically ranging from 30 to 90 days. This immersive environment offers structured support, ensuring safety and a focus on recovery. Therapies provided include individual and group counseling, cognitive-behavioral therapy, holistic treatments, family therapy sessions, and experiential therapies. The aim is to address addiction or mental health disorders’ physical, emotional, and psychological aspects, laying a robust foundation for sustained healing.

Aftercare

Finishing a drug or alcohol rehab program is just the beginning of the recovery journey. Aftercare focuses on establishing a long-term recovery plan, which encompasses continuous support. This might involve options such as residing in sober living homes or halfway houses, receiving career guidance, and connecting the individual with community support groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Halfway house

Sober living homes or halfway houses, offer secure, substance-free, and supportive living arrangements for individuals in the process of recovering from substance abuse. These facilities are particularly beneficial for individuals who have recently completed inpatient or outpatient treatment programs. Halfway houses are carefully monitored environments with established guidelines aimed at fostering and maintaining sobriety, including curfews, shared household responsibilities, and therapeutic gatherings. Residents often receive training in essential life skills and coping strategies to facilitate a smoother transition into mainstream society. Additionally, it cultivates a strong sense of community that fosters deep and enduring connections with fellow individuals in recovery, promoting a fresh and healthy lifestyle.

Payment Options

  • Medicaid
  • Medicare
  • Private health insurance
  • Federal military insurance (e.g., TRICARE)
  • Federal, or any government funding for substance use treatment programs
  • Cash or self-payment

License and Accreditation

  • Drug Enforcement Agency (DEA)
  • The Joint Commission
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • SAMHSA certification for opioid treatment program (OTP)

Ancillary Services

  • Case management service
  • Integrated primary care services
  • Suicide prevention services
  • Acupuncture
  • Early intervention for HIV
  • Mental health services
  • Social skills development

Published on: January 6th, 2025

Updated on: January 7th, 2025

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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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