Best practices alcohol and drug rehab
13 principles of effective treatment
(National Institutes of Health, NIDA 1999)
|1. Varied treatment approaches||✔|
|2. Treatment is readily available||✔|
|3. Attends to multiple needs, not just drug use||✔|
|4. Continuous assessment and modification of plan||✔|
|5. Adequate duration of time in treatment services||✔|
|6. Individual, group, behavioral counseling||✔|
|7. Medications assisted treatment||✔|
|8. Integrated treatment of mental health issues||✔|
|9. Medical detoxification is part of larger care plan||✔|
|10. Treatment does not have to be voluntary||✔|
|11. Continuous monitoring for drug use||✔|
|12. Assessment for infectious diseases and plan||✔|
|13. Recovery is treated as a long-term process||✔|
Matching BoardPrep Treatment Principles to NIDA
- Comprehensive, inter-disciplinary team-based clinical assessment process.
- Provide full continuum-of-care directly or through network
- Recognize and address the interplay of substance use with disorders of attention, mood, sleep, pain, anxiety and personality.
- Recognize and address family and environmental risk factors
- Structured toxicology monitoring system deployed upon admission
- On site physician and addiction psychiatrist
- Integrated psychological and neuropsychological services
- Available Trans Cranial Magnetic Stimulation through consulting psychiatrist
- Family therapy, group, individual, couples, cognitive-behavioral, experiential, recovery support, home visits, twelve step facilitation, motivational interviewing
- “Marchman Act” involuntary treatment referrals are accepted
- Varying “levels of care” are utilized to facilitate adequate duration in the treatment process
- Toxicology and biomarker test results are utilized for support and incentive. Positive tests result in modification of the treatment plan, not punishment.
- Monitor and promote improvements in functioning, career, school, family, coping and life skills – not just abstinence from drugs.
- Two-year recovery support and monitoring contracts are promoted to all BoardPrep participants
- BoardPrep is within a 45 minute driving distance for 4.2 million people in the Tampa Bay area.
- Recovery residences available when needed and for long-distance commuters
- Small patient cohort and frequent expert team meetings on each case
- Ambulatory detoxification available, as well as inpatient if necessary
Boards and Employers
Individuals who work in safety-sensitive and public-trust positions are often regulated by various peer-review or oversight boards, such as:
- National Transportation Safety Board
- Boards of bar examiners
- Medical boards
- Nursing boards
- Boards of dentistry
- Other health boards
- Credentialing boards in hospitals
- College admission boards
- Licensure boards
- Certification boards
BoardPrep utilizes a highly specialized and tailored treatment approach that maximizes best outcomes, while preparing the strongest possible advocacy and mitigation on the event of a board sanctions. BoardPrep staff have successfully advocated for restoration of credentials and careers to numerous professional boards across the Untied States.
Employers value BoardPrep’s focus on the work environment. The professionals at BoardPrep understand and foster
- Risk mitigation and abatement
- Productivity and revenue recovery
- Drug-free workplace monitoring and support
- Safety determination for return to work
- Supervisor training and support
ASAM Criteria are utilized clinically, for multi-dimensional assessment and level-of-care recommendations
About ASAM Continuum of Care (American Society of Addiction Medicine)
- BoardPREP services span ASAM level 0.5 to level 2.5, which include Intensive Day Treatment with monitored Recovery Residence based on the ASAM Criteria.
- “IOP”, Monitoring and Recovery Support
- 95% of substance use and co-occurring disorders are clinically appropriate for these “non-hospital or non-institutional” levels of care
- When inpatient detoxification services are necessary, the ASAM Criteria, BoardPrep utilizes trusted community partners and closely monitors care to facilitate continuity of treatment upon discharge.
- BoardPREP strictly adheres to the evidence-based continuum of care model developed by the American Society of Addiction Medicine, the ASAM Criteria. Clinically appropriate levels of care are determined by a personalized multi-dimensional assessment utilizing the ASAM Criteria. Research has shown that up to 95% of substance use and co-occurring disorders should be treated in the following ASAM treatment levels, which are offered by BoardPrep:
- Monitored recovery residences are available for all BoardPrep participants
- Level 2.5, based on the ASAM Criteria: Also known in the field as PHP or Day/Night Treatment. At BoardPREP, level 2.5 is referred to as “PHP Plus” or “Intensive Day Treatment” consisting of 20+ hours of clinical services by licensed experts weekly. Services include individual and family therapy, groups therapy, “in-community recovery support” services and leading-edge recovery monitoring through BoardPrep’s eHealth system.
- Level 2.1, based on the ASAM Criteria: Also known as IOP or Intensive Outpatient, BoardPrep’s Level 2.1 program consists of 9 to 12 hours weekly of clinical services by licensed experts, plus recovery support services including randomized toxicology monitoring
- Level 1.0, based on the ASAM Criteria: Individual or Family Therapy, mainly intended for patients in level 0.5 who need additional services.
- Level 0.5, based on the ASAM Criteria: Monitoring and Recovery Support, including randomized toxicology monitoring