Annual Report - Community Bridges
Outpatient Behavioral Health Services ■ Center for Excellence (North Phoenix) ■ Journey — A New Beginning (Gilbert) ■ Day Resource Center (DRC) ■ Steele Commons (Phoenix) ■ Payson SRU ■ Globe SRU Community Bridges operates four licensed Behavioral Health Outpatient Clinics located in Gilbert, Phoenix, Payson and Globe, Arizona. Each facility is staffed with Licensed Behavioral Health Professionals, as well as Paraprofessional staff. Our staff has extensive training in crisis intervention techniques, cognitive behavioral therapy models, such as Matrix, Motivational Interviewing, treatment of co-occurring disorders, and the Community Reinforcement and Family Treatment (CRAFT) Model. Our programs are all co-occurring enhanced and can either be utilized as a step down from a higher level of care, such as Medical Detox, or the primary source of treatment. ■ Our programs utilize nationally recognized best practice modalities as a standard basis for all of our treatment. ■ Our Outpatient teams coordinate an effective continuum of care with existing professional services involved in the individual’s life to ensure successful outcomes. ■ Every clinic also has access to our Board Certified Addictionologist and Psychiatric medical professionals for both consult and referral. New to outpatient in 2008-2009 at the Center for Excellence in Phoenix & Journey in Gilbert Ambulatory Detoxification 12 Community Bridges now offers medically monitored ambulatory detoxification using buprenorphine combined with intensive outpatient treatment. Adding this level of care has allowed us to meet the community need for opioid medical detoxification services in the least restrictive environment. Our efforts have made an impact by: ■ Decreasing recidivism among 18 to 30 year olds being discharged from inpatient medical detoxification facilities by offering a step down taper (4-7 days). ■ Creating an additional triage capability for our Level I Sub-Acute crisis stabilization facilities while increasing capacity to meet public need. ■ Offering an additional “front door” for the community and providers seeking these highly specialized services. ■ Implementing the first co-occurring enhanced, medically monitored buprenorphine outpatient medical detoxification program in the State of Arizona.
Clinical Services 2008-2009 Screening, Assessment, & Triage ■ Our team of clinical assessors provides comprehensive screening and assessment to determine the most appropriate level of care utilizing Motivational Interviewing, as well as the American Society of Addiction Medicine (ASAM) Patient Placement Criteria. Results assist in the co-development of a Crisis Plan, which will identify immediate steps to take in the event of a relapse or crisis event and an initial treatment plan that will design the course of treatment. This may be immediate placement into one of our Outpatient Programs or a referral to another level of care. If it is determined that a co-occurring or medical condition exists, the Clinical Assessor will coordinate the appropriate level of care. Substance Abuse/Mental Health Outpatient ■ This level of service is designed for the individual who requires a lower intensity or specialized treatment based upon their assessment, as well as their current level of risk according to the ASAM Patient Placement Criteria. Outpatient Services may consist of individual sessions, family sessions, or group counseling (6 hours or less). Medication services are available, in addition to primary counseling, as well as individual appointments with our Addictionologists and/or Psychiatrists. Intensive Outpatient Programs (IOP) ■ Utilizing cognitive behavioral modalities, IOP offers a minimum of 9 to 12 hours of treatment per week in the form of group, individual, and family treatment. All of our IOP models are co-occurring capable and focus on the core areas of addiction, relapse prevention planning, and recovery planning. Random urinalysis is used therapeutically throughout the course of treatment and patients are continually assessed on their level of functioning (anxiety, substance use, relapse potential, depression, etc.). “Believe more deeply. Hold your face up to the light, even though for the moment you do not see.” —Bill Wilson, Alcoholics Anonymous Co-Founder Methamphetamine Specific Treatment ■ Community Bridges offers an interdisciplinary treatment model developed by the Los Angeles based Matrix Institute. Participation in the program is considered to be part of our IOP model. Each individual is assigned a Peer Support Specialist who are themselves in recovery and available to assist in building the bridge from addiction to recovery. The Center for Excellence also utilizes the “best practice” approach of Contingency Management to provide positive rewards for positive actions and for negative results in urinalysis drug screens. We continue to host the Center for Applied Behavioral Health Policy (CABHP) of Arizona State University to monitor program efficacy and outcomes. Young Adult (18-30) Opioid Specific Treatment ■ This treatment approach focuses on engaging young men and women who are either coming out of an inpatient detoxification facility or in lieu of inpatient treatment. A special focus is paid to engaging family as active participants in treatment. 13