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Treatment Modalities

Anger Management

Everyone experiences anger from time to time. It’s a normal emotion. But intense or prolonged anger can jeopardize employment, relationships, education, and even freedom. Those who struggle to control their anger are increasingly finding their way to behavioral health professionals for assistance. This group is where client’s can learn more about their anger triggers and learn new coping skills and how to apply these skills. The SAMSA workbook and Anger Workbook may be utilized as resources for this group. 

The Artist’s Way

This Group utilizes a 12-topic curriculum to allow group members to integrate different aspects of themselves through creative expression. This Group is based on The Artist’s Way by Julie Cameron and each topic is meant to help group members reconnect to their own creativity as an expression of their recovery. Each group begins with a creative exercise before discussing and then creatively expressing the topic. Group members are given a chance to express and reconnect with themselves beyond just verbal communication.

Caseload Groups

A process group per Primary Therapist caseload that assists with group cohesion and gathering collective feedback to inform programming. Clients present their First Step Preparation from the “First Step for Young Adults” workbook from Hazelden. Process thoughts, feelings and goals for the day. Monthly leafs will be presented during the group session, which showcase individual accomplishments for each client.

College Recovery

As clients enter the IOP phase of treatment the amount of time in treatment begins decreasing and “outside responsibilities” return and begin to increase. The purpose of this group is to assist clients in making individualized progress on their case management related goals. Group members will process obstacles, challenges and provide one another with feedback based on their own experiences.

Treatment Team members will provide the group facilitator with objectives and goals each client is working towards so they can utilize this group time to apply to jobs, work on college applications, make phone calls related to legal issues, schedule doctor’s appointments, etc. This group is what sets SOBA New Jersey apart from other treatment centers. Here clients are provided an opportunity to sort through the wreckage of their addiction and move towards freedom and independence.

Community Meeting

This group features two groups representatives from each Primary Therapist Caseload that are charged with communicating information between Caseload Groups and staff.  The purpose is to improve the quality of services at SOBA New Jersey by fielding client concerns/questions on a weekly basis and finding solutions to these issues.  Minutes will be taken during this meeting and given to the Clinical Director in order to aid in the connection between clientele and administration.  Some of the solutions may involve planning events and activities for the community at the treatment center.  Client can assist with ideas for events each year and engage in the planning and implementation of these events. 

Coping with Emotions

Psycho-ed and Experiential/Mindfulness

These groups utilize a 12-week curriculum to assist group members in learning to manage sadness and depression. The curriculum is largely influenced by Cognitive Behavioral Therapy and incorporations psycho-education, hands-on experiences, and mindfulness practice . Group members explore concepts related to sadness and depression, identifying their own experiences and issues, and learn new skills in each session which they are encouraged to practice on their own.

The Dialectic in Recovery

Dialectal Behavior Therapy Skills training is made up of four modules: core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. They are designed to specifically assist individuals in better managing behaviors, emotions and thoughts. The intent is to help people who experience problems with emotion regulation, impulsive behaviors, substance abuse, episodic depression, irritability or anxiety, intense or chaotic relationships, stress and feelings of emptiness.

Core Mindfulness teaches a person how to focus their mind and attention. Distress Tolerance develops acceptance of the current situation as well as crisis survival skills to decrease the likelihood of engaging in problematic behavior. Emotion Regulation skills include learning to identify and label current emotions, identifying obstacles to changing emotions, reducing emotional reactivity, increasing positive emotions and changing emotions. Interpersonal Effectiveness skills teach helpful strategies for asking for what one needs, saying no, and coping with interpersonal conflict.

Double Trouble

This group will simulate a Double Trouble Meeting.  Double Trouble in Recovery (DTR) is a fellowship of men and women who share their experience, strength and hope with one another so that they may solve their common problems and help others to recover from their particular co-occurring addiction(s) and mental disorders.

DTR is designed to meet the needs of the dually diagnosed and is clearly for those having addictive substance problems as well as having been diagnosed with a psychiatric disorder.

We also address the problems and benefits associated with psychiatric medication as well as other issues crucial to mental health; thus we recognize that for many, having co-occurring addiction and mental disorders represents double trouble in recovery.

Family Group Double Trouble

Double Trouble Group This group is based on the 12-step self-regulated program which encourages individuals with common traits and concerns concurrently with a substance abuse disorder to support each other in order to minimize problematic behaviors. The facilitator(s) identifies a passage and invites group members to read and reflect on the subject matter. The selected meditations include AA Conference-approved literature from Today’s Hope.

Group members are encouraged to share their experiences while practicing mindfulness, honesty, and willingness. Self-monitoring strategies are designed to increase someone’s self-evaluation after listening to the other participants’ struggles without unnecessary interventions from third parties. The setting ultimately promotes an exchange of emotion and information. The session concludes with the recital of the Serenity Prayer.

Family & Client Integrated Experiential Activity

This group is designed to spring-board off the psychoeducational materials discussed in previous group. In this group family members/loved ones and clients are present together to engage in an activity, game, discussion, or other experience to enhance understanding of topics from the substance abuse family education curriculum.

Healthy Relationships

Healthy relationships with family members, friends, and partners are essential for sustaining recovery from addiction. In this group clients learn about the dynamics of healthy, unhealthy and abusive relationships and how to identify them. By looking at their previous relationships, role models, and family history, client’s gain awareness of their relationship patterns.

This group also focuses on conflict resolution and non-violent communication which is crucial in developing healthier patterns and behaviors in relationships. This group emphasizes that clients in early recovery are encouraged to refrain from engaging in romantic relationships, and to focus on developing their relationship with themselves. This group utilizes Healthy Relationship curriculum s, as well as mindfulness exercises, and 12-step literature. This group also incorporates elements of Codependents Anonymous literature to explore the connection between codependency and addiction.

Leisure

Leisure in Recovery is a group designed to enhance community bonding, team building, and healthy competition. Clients in this group are typically separated into 2 or more teams to compete in a variety of games/activities which includes board games, pictionary, charades, scavenger hunts, improvisation, and trivia. Client are able to go into their weekends with a reminder that they CAN have fun in recovery.

Life Skills

This group provides education and support to adults dealing with a myriad of daily life stressors, or a lack of skill/knowledge about task completion of every day things. Topics include: setting short and long-term goals, improving activities of daily living, maintaining organization at home, work, and school, as well as applying social problem solving skills. This group is ideal for adults dealing with life transitions, social challenges, and those simply wishing to lead a more enriched life. Through self-reflection and interactive discussion, participants learn to identify and break unhealthy behavior patterns, successfully navigate social challenges, and gain the courage necessary to lead more productive lives.

Living in Balance

This group is intended for clients who have moved to the IOP LOC.  Research based and designed for maximum customization, the Living in Balance program provides a comprehensive, group-oriented treatment framework for use in outpatient, short-term, or long-term residential settings:

  • emphasizes group process and interaction (discussion, role plays)
  • uses a bio-psychosocial approach to strengthening neglected areas of an addict’s life
  • allows clients to enter the program at any point in the cycle of sessions
  • features session-specific guidance and strategies for clinicians
  • teaches clients to use relaxation and visualization techniques
  • associated with a successful outcome study

The Matrix in Recovery

This group is generally geared towards clients in the beginning phase of treatment or who are continuing to struggle with relapse and continued use, however it doesn’t necessarily have to be limited to these clients. 

The Matrix Model is a proven effective, evidence-based, comprehensive, and multi-format program that covers six key clinical areas:

  • Individual/conjoint therapy
  • Early recovery
  • Relapse prevention
  • Family education
  • Social support
  • Urine testing

It’s an integrated therapeutic model incorporating:

  • Cognitive behavioral
  • Motivational enhancement
  • Couples and family therapy
  • Individual supportive/expressive psychotherapy and psychoeducation
  • Twelve Step facilitation
  • Group therapy and social support

It’s a federally recognized model:

  • Center for Substance Abuse Treatment (CSAT)
  • National Institute on Drug Abuse (NIDA)
  • Office of National Drug Control Policy and Department of Justice (National Synthetic Drugs Action Plan)
  • Drug Strategies
  • Under review by the National Registry of Effective Programs and Practices (SAMHSA)

 

Mindfulness

Mindfulness is the basic human ability to be fully present, aware of where we are and what we’re doing, and not overly reactive or overwhelmed by what’s going on around us.  This group will focus on cultivating this skill in creative and fun ways!

Morning Reflection

A Process Group to start the morning with a thought or meditation for the day from the Just for Today from Narcotics Anonymous, the Keep It Simple from Alcoholics Anonymous, or an inspirational quote. Process thoughts, feelings and goals for the day. See corresponding “Script for Morning/Evening Reflection.”

Motivational Enhancement

An experiential group of team building exercises whose purpose is to motivate clients to work together, discover and develop their strengths and address their weaknesses. Team building activities should encourage collaboration and not competition.

Music & Creative Expression

Healing through the arts has significant impact on individuals who have experienced or witnessed traumatic events and alleviates symptoms of anxiety. In this group clients express their creativity through drawing, painting, and other mediums. In combination with artistic expression, clients reflect on sound, rhythm music as means for healing. Clients who have a background in the arts are encouraged to share their art, songs, or poems in group sessions. Instruments such as acoustic guitar, Tibetan singing bowls, and vocals are used and create an environment for self-expression.

Nicotine Replacement Therapy Psycho Ed

4-week psycho-educational group which presents information on the health risks of smoking tobacco cigarettes. Topics include (1) the purpose of oxygen in the human body, the problems which arise from a reduced amount of oxygen in the system and how carbon monoxide affects oxygen levels in the blood; (2) the chemicals found in cigarette smoke and their effect on the human body; (3) the effects of cigarette smoke on the lungs, diseases that develop as a result of smoking and what life as a person with chronic obstructive pulmonary disease is like; and (4) how cigarette companies market cigarettes to people.

Nicotine Replacement Therapy Support Group

Support group for clients who have quit smoking or vaping, are committed to quitting or are seriously considering quitting. Group members measure their level of carbon monoxide poisoning with the Smokerlyzer and discuss strategies they are using to maintain abstinence, or areas where they could improve their plan if they have resumed using or have delayed their start date.

Recovery Life Skills

Integrated Dual Diagnosis Treatment

This group is generally considered for clients who have managed to attain abstinence, but it doesn’t have to be limited to these clients.  It is thought, however, that the Recovery Matrix Group would better suit clients who are continuing to use. 

Recovery Life Skills Program is a stage wise, 18-module curriculum for working with those who are at the active treatment, continuing care, or recovery support stages of care. Sessions are presented in a group format, starting with such traditional relapse-prevention topics as recognizing triggers and building drug and alcohol refusal skills, then moving to developing the life skills necessary to build and maintain a healthy recovery life plan. Focus areas include:

  • Coping with negative feelings
  • Recognizing triggers for substance use
  • Dealing with social situations involving alcohol or other drugs
  • Developing communication skills
  • Participating in peer support groups
  • Practicing spirituality and inner peace
  • Developing a positive self-image
  • Adopting health eating and exercise habits

Seeking Safety

For Men & Women

Seeking Safety is a present-focused therapy to help people attain safety from trauma/PTSD and substance abuse. 

The treatment was designed for flexible use.  It has been conducted in group and individual format; for women, men, and mixed-gender; using all topics or fewer topics; in a variety of settings (outpatient, inpatient, residential); and for both substance abuse and dependence.  It has also been used with people who have a trauma history, but do not meet criteria for PTSD.

The key principles of Seeking Safety are: 

  • Safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions).  
  • Integrated treatment (working on both PTSD and substance abuse at the same time)
  • A focus on ideals to counteract the loss of ideals in both PTSD and substance abuse
  • Four content areas:  cognitive, behavioral, interpersonal, case management
  • Attention to clinician processes (helping clinicians work on countertransference, self-care, and other issues)

Self Esteem

The purpose of this group is to teach client’s the components of self-esteem, to provide ways to overcome low self esteem, tools to discover the underlying roots of self-esteem, realize the impact that low self-esteem has on a person’s life and how to deal with specific triggers and reactions to low self-esteem. Client’s will participate in a series of psycho-education lessons and activities that focus on building self-esteem. Client’s will learn how to combat their negative self talk.

SMART Recovery

SMART Recovery is based on scientific knowledge, and is intended to evolve as scientific knowledge evolves. The program uses principles of motivational interviewing found in Motivational Enhancement Therapy (MET),and techniques taken from Cognitive Behavior Therapy (CBT), particularly in the version called Rational Emotive Behavior Therapy (REBT), as well as scientifically validated research on treatment.

The program emphasizes four areas (called the 4-Point Program) in the process of recovery: Building Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance. The “SMART Toolbox” is a collection of various MET, CBT and REBT methods (or “tools”) which address the 4 Points.

The program does not use the twelve steps which make up the basis of the various “Anonymous” self-help groups (e.g. AA, NA, etc.) and is generally listed as an “Alternative to AA” or an “Alternative to the Twelve Steps.” Though listed as an “alternative”, it is also suggested as a possible “supplement” to twelve-step programs in SMART Recovery’s main program publication, The SMART Recovery Handbook, which is the resource utilized to facilitate this group.

Spiritual Paths in Recovery

This group will provide a place to express and explore one’s own spirituality while identifying with others on this aspect of wellness.  There will be a focus on bringing-in outside presenters on this topic.

Stress, Anxiety, and Recovery

Psycho-ed and Experiential/Mindfulness

These groups utilize a 12-week curriculum to assist group members in learning to Stress and Anxiety. The curriculum is largely influenced by Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Mindfulness Stress Reduction. This group incorporates psycho-education, hands-on experiences, and mindfulness practice. Group members explore concepts related to Anxiety and Stress, identifying their own experiences and issues, and learn new skills in each session which they are encouraged to practice on their own.

Strong Men in Recovery

A Man’s Way through the 12 Steps

In A Man’s Way through the Twelve Steps, author Dan Griffin uses interviews with men in various stages of recovery, excerpts from relevant Twelve Step literature, and his own experience to offer the first holistic approach to sobriety for men. Readers work through each of the Twelve Steps, learn to reexamine negative masculine scripts that have shaped who they are and how they approach recovery, and strengthen the positive and affirming aspects of manhood. 

This groundbreaking book offers the tools needed for men to work through key issues with which they commonly struggle, including difficulty admitting powerlessness, finding connection with a Higher Power, letting go of repressed anger and resentment, contending with sexual issues, and overcoming barriers to intimacy and meaningful relationships.  A Man’s Way through the Twelve Steps offers practical advice and inspiration for men to define their own sense of masculinity and thus heighten their potential for a lifetime of sobriety.

Strong Women in Recovery

A Woman’s Way through the 12 Steps

Women’s recovery can differ from men’s, and each person’s recovery is in many ways unique. That’s why Stephanie Covington has designed A Women’s Way Through the Twelve Steps to help a woman find her own path-and find it in terms especially suited to the way women experience not just addiction and recovery but also relationships, self, sexuality, and everyday life. Unlike many ”rewritten” Twelve Step interpretations for women, this guide works with the original Step language, preserving its spirit and focusing attention on its healing message. 

This compilation of a diverse group of real women’s voices and wisdom illuminates how women understand the Twelve Steps of Alcoholics Anonymous and offers inspiring stories of how they have traveled through the Steps and discovered what works for them. The book can be used alone or as a companion to The Twelve Steps and Twelve Traditions of Alcoholics Anonymous.

By drawing attention to how recovery raises special issues for women – from questions about sexuality and relationships to essential topics such as powerlessness, spirituality, and trauma – A Woman’s Way empowers women to take ownership of their recovery and to grow and flourish in sobriety.

Steps of Recovery

The 12-Step Facilitation Therapy

Twelve-step Facilitation Therapy is an active engagement strategy designed to increase the likelihood of a substance abuser becoming affiliated with and actively involved in 12-step self-help groups, thereby promoting abstinence. Three key ideas predominate: (1) acceptance, which includes the realization that drug addiction is a chronic, progressive disease over which one has no control, that life has become unmanageable because of drugs, that willpower alone is insufficient to overcome the problem, and that abstinence is the only alternative; (2) surrender, which involves giving oneself over to a higher power, accepting the fellowship and support structure of other recovering addicted individuals, and following the recovery activities laid out by the 12-step program; and (3) active involvement in 12-step meetings and related activities.

Stories in Recovery

This group features stories of addicts and alcoholics in recovery describing their journey through addiction. This group utilizes the Basic Text of Narcotics Anonymous, the Big Book of Alcoholics Anonymous, documentaries and relevant articles retrieved from sources such as I Am Not Anonymous, and The Fix. This groups purpose is to share stories of people in recovery and to guide the process of identification for group members.

SuperHealth

SuperHealth as addiction medicine is on the cutting edge of recovery protocols. The trainings combine core technologies of Kundalini Yoga, meditation, breathing, nutrition, restoration and dietary formulas, all as taught by Yogi Bhajan. Participants gain the ancient wisdom of yogic science combined with the innovations of western medicine to progress from recovery to self-discovery.

Writing for Recovery

The purpose of this group is to encourage the use of writing as a therapeutic support and coping skill. Group members are given one or more writing prompts on which to write independently, and are then able to share and discuss their writing with other group members.

WRAP

What is WRAP? According to the Mary Ellen Copeland Center  Wellness Recovery Action Plan® is the following:

  • It is a system for monitoring, reducing and eliminating uncomfortable or dangerous physical symptoms and emotional feelings.
  • It is a useful tool for creating positive change, increasing wellness, and decreasing symptomatic episodes of certain illnesses.
  • It moves past self-help skills to encourage and allow the participant to incorporate these skills into their daily lives and in times of crisis.
  • It helps to develop and utilize a support system that will assist during times of need.

WRAP® is designed to:

  • Decrease and prevent intrusive or troubling feelings and behaviors
  • Increase personal empowerment 
  • Improve quality of life
  • Assist people in achieving their own life goals and dreams

Use to describe to clients:  WRAP® is a structured system to monitor uncomfortable and distressing symptoms that can help reduce, modify or eliminate those systems by using planned responses. This includes plans for how you want others to respond when symptoms make it impossible for you to continue to make decisions, take care of yourself or keep yourself safe. The WRAP® system was developed by people who have been dealing with a variety of psychiatric symptoms for many years and who are working hard to feel better and to get on with their lives. Mary Ellen Copeland Ph.D has shared it with people with other illnesses and they too believe that it can be easily adapted for use with other conditions.

The WRAP Group will meet on Thursdays and the PHP clientele will be creating WRAP Binders that they personalize and will be completed upon their move to the IOP LOC.  If they don’t complete their plans prior to moving to IOP, the Case Manager assigned to the client is responsible to ensure the client completes they plan prior to discharge.

Zen Buddhism

Meditation classes to be conducted weekly with each class lasting 45 minutes and consisting of 10-20 minutes of seated meditation and a lecture on the meditation technique itself and/or the current topic. The “topics” are the educational portion of the curriculum. They are based on the philosophy of Six Perfection. Namely, generosity, morality, patience, perseverance, meditation, and wisdom. Each class concludes with a few health exercises taken either from the Tong-Gong or Tai-Chi traditions. The exercises are a gentle way to reinvigorate and refresh the mind and body.

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