Dual diagnosis treatment at SMI has never been an afterthought, but always an integral part of our program. Since addiction issues affect a majority of young adults receiving mental health treatment, Spruce Mountain Inn has developed a comprehensive and integrated approach to our clients who have addiction issues.
Abstinence from use of substances while in treatment is the foundation upon which we operate. Being clean while in our program is important for a number of reasons, not the least of which is being in a position to perform an accurate diagnostic assessment. Time and again, substance abusers have been misdiagnosed and inappropriately medicated prior to coming to us. A period of abstinence can clarify the diagnostic picture. In addition, substance use while in treatment is extremely disruptive to the treatment of others; it may trigger urges to act out or contribute to keeping secrets and undermining the integrity of the program.
Maintaining a clean and sober community requires ‘staying ahead of the curve’. Therefore we must know what young people are using and the ways in which they may attempt to subvert screening procedures. Our programming must be offensive and defensive; offering multiple, daily, sober supports on the one hand and rigorous testing on the other. We have recently been testing for synthetic marijuana, for alcohol up to three days post use, and “DXM.”
Response to Relapse: Relapse can be a normal part the process of recovery. Unfortunately it can have a negative impact on the individual and the community. It is essential to help the client immediately get back on track and begin the healing process. The client must complete a written therapeutic response form to begin to analyze the behavior and its triggers, and then meet with the Substance Abuse Counselor and other members of the treatment team to process the relapse. In addition, the client must address the relapse with our other program participants. Disclosure of use helps maintain the integrity of a sober community and holds the client responsible to their peers.
Facebook, texting and World of Warcraft: We have, in recent years, also waded into the difficult territory of various technology addictions. In the case of computer and phone addiction, we begin with a period of abstinence and phase into increased use when it can be managed. This strategy prepares our clients for a life with technology after treatment.
What we offer:
- Comprehensive substance abuse and addictions assessment
- Substance Abuse and Addictions Education Group
- Weekly Addictions Treatment Group for those with abuse issues
- Daily Relapse Prevention Groups
- Individualized Relapse Prevention Plans
- Access to 12 Step Groups in the community
- Assistance in developing sober coping skills
- Monitored access to personal funds and the surrounding community for those in early recovery
- A thoughtful program of drug and alcohol testing
- 24 hour availability of staff support when at risk for relapse