SUBSTANCE USE AND CO-OCCURRING DISORDER
DETOX & RESIDENTIAL INPATIENT TREATMENT PROGRAM
Medically Supervised Detox Services:
We are pleased to share that we have been approved by the Department of Health Care Services to provide “Incidental Supervised Detox Services” to our patients. The Department of Health Care Services and Governor Brown, in 2015, finally supported the issuance of medication assisted therapy including the use of Buprenorphine and other MAT medications. In 2016, AB848 took effect and programs that had previously been disallowed to hire physicians and other prescribing supervised detox staff to prescribe (or order) medications that are essential to the success of patient detoxification and continued recovery were finally legal. In 2019, Although MAT has been in use, in particular Methadone (prior to Buprenorphine and other recent MAT medications) has been in use for many years, the philosophy that a MAT user was “not sober” (by some 12 step participant’s opinion, and, upon which many social model programs are based), is not only no longer tolerated, it is illegal.
The Supervised Detox/Clinical model of care has finally been acknowledged as the most effective modality when treating patients with co-occurring disorders. After many, many years of misunderstanding the disease of addiction, the Supervised Detox/Clinical model is laying the groundwork, as we go forward, in treating this formerly intangible and enigmatic disease.
The disease has finally been diagnosed as having neurological origins in tandem with attachment disorder, developmental trauma and physical and mental genealogical contributions. Healing begins with the provider understanding the complexity of the disease and employing evidence-based services that support repairing a “broken” endorphin system and pain relief (emotional or other) seeking behaviors. Any program “worth its’ salt” will utilize a biopsychosocial approach and the American Society of Addiction Medicine’s (ASAM) criterion to assess and determine appropriate care for each patient.
Treatment For Co-occurring Disorders:
Drug addiction is a disease of the brain that frequently occurs with other mental disorders. In fact, as many as 6 in 10 people with an illicit substance use disorder also suffer from another mental illness; and rates are similar for users of licit drugs—i.e., tobacco and alcohol. More than 50% of individuals who have severe mental health issues also have a substance use disorder. 37% of alcohol abusers and 50% of drug abusers suffer from AT LEAST one mental health disorder. For these individuals, one condition becomes more difficult to treat successfully as an additional condition is intertwined. Thus, people entering treatment either for a substance use disorder should be assessed for the co-occurrence of the other condition(s). Research indicates that treating both (or multiple) illnesses simultaneously in an integrated fashion is generally the best treatment approach for these patients.
Hathaway has been treating patients with co-occurring disorders since we opened in 2010. We are equipped to handle the unique needs of individuals struggling with substance use disorder and mental health diagnoses such as depression, anxiety, bi-polar disorder and other mental health illnesses.
In addition, our patients work with a Physician, Therapists and Certified Drug and Alcohol Counselor to establish a detox, residential inpatient and an exit/aftercare plan that will allow them to stay clean and sober after they leave our care. We encourage our alumni to engage in sharing their experiences with current patients so, current patients understand that others have walked in their shoes.
Our prescreening and admission screenings are all devised to determine any history or current co-occurring disorder(s). Our patients are also assessed again, after detoxification has taken place, since some substances can mask mental health disorders. If identified post-detox, these are of course, treated in tandem with substance use disorder. Should the patient’s secondary condition become the primary condition, the patient is referred to the appropriate level of care and once stabilized, has the opportunity to return to Hathaway to receive substance use disorder treatment.
Co-occurring issues that Hathaway is capable of treating in concurrence with substance use disorder include (In no particular order):
- Family Conflict
- Domestic Violence
- Couples Therapy
- Family Education
- Relapse prevention
- Anger Management
- Life Coaching
- Dissociative Disorders
- Behavioral Issues
- Life Transitions
- Elderly Persons’ Disorders
- Bipolar Disorder
- Medication Management
- Impulse Control Disorders
- Borderline Personality
- Narcissistic Personality
- Personality Disorders
- Chronic Relapse
- Obsessive Compulsive Disorder
- Thinking Distortion
- Low Self Esteem
- Sexual Identity Crisis
- Increase Coping Skills
- Self-Harming Behavior
- Sexual Addiction
- Sleep Disturbance & Insomnia
- Stress Tolerance
- Domestic Violence
- Emotional DisturbanceSelf-Harming Behavior
Substances Hathaway Recovery Center Treats:
Hathaway Recovery Center treats the following substances of use:
- Club Drugs
- MDMA (Ecstasy/Molly)
- Prescription Medications
- Over the Counter Medications
- Synthetic Cannabinoids (K2)
- Synthetic Cathinones (Bath Salts)
Nationwide recognized professional staff have been selected not only for their fantastic expertise, but also for their unmatched empathy and compassion.Сlient confidentiality and a relaxed atmosphere are paramount at Istana. For this reason, they only admit one client at a time in each location. Clients are housed in their own private 5-star Rehabilitation Center complete with a pool, discreet domestic staff, therapists and nurses.
Treatment caters to this singular client, with their treatment team collaborating to plan weekly scheduling, aftercare, and the lifelong results clients can expect from Hathaway Recovery. Our treatment modalities include psychiatry, psychology, psychotherapy, modern medicine, healthy living, and evidence-based holistic practices to heal clients’ mind, body, and spirit.
Hathaway Recovery Centers expert clinicians and physician ensure the effective and compassionate care for each and every patient. The following employees offer excellent
24-hour care for our patients. All patients are monitored throughout detox and residential inpatient care with scheduled and thorough observation and assessments by our knowledgeable and experienced staff. We are proud and grateful for our clinical staff that provides the exceptional services Hathaway claims.
Hathaway’s Treatment and Exit Planning:
From the beginning of admission, our patients are provided with excellent detox, residential inpatient and exit planning. From the initial days of treatment, the patient is assisted by our staff to work toward measured, achievable and time bound goals. The clinical staff works with the patient to identify common goals tailored to the patient’s needs on an individual basis. Goals must be reasonable and match with the patient’s level of motivation. Every treatment plan is shared during staff meetings to gather staff insight and information that may assist all clinicians and all staff in supporting the patient to meet their goals.
Hathaway Detox Treatment Planning:
Our Clinicians assist the patient to set the first goals of detox which may include successfully remaining sober to complete detox. A first step toward that goal may be to meet with the physician and to receive a physical examination. Another step may be taking medications as prescribed and to participate in random or scheduled drug testing. Any issues or barriers the patient may experience during detox may be identified and agreed to, with the patient’s input; the counselor and patient will work in tandem to determine what the patient will do should those problems arise. Detox treatment planning is conducted within 48 hours of admission.
Another detox goal might include identifying that the substance use has been problematic and what the consequences will be should the patient continue to use. The patient and counselor identify small steps toward the larger goals and determine deadlines. Should it be appropriate, the patient’s goals will lead toward continued engagement in the proper level of treatment after detoxification.
Hathaway Exit Planning:
As the patient has made progress throughout their treatment episode, Hathaway staff assist the patient with the expected end of residential inpatient care and ongoing engagement in both treatment and meeting the goals they have left to fulfill. Some goals may take longer than the patient has to participate in treatment at our residence. The exit plan clarifies what needs to be maintained and what steps need accomplishment to achieve the patient’s desired results. Hathaway relies upon the ASAM’s dimensions for clarity regarding the patient’s needs in exiting the program and in planning a smooth transition into the next level of care and greater independence.
Exit planning includes looking at obtaining a supportive living environment, dealing with family, longer term issues and any continued barriers or triggers that may flare up for the patient when not in the refuge of residential inpatient care. Exit planning identifies how the patient will maintain the support network built while in residential care and what further outside resources shall be “taped into.”.
Exit plan goals and smaller steps, originally set within residential inpatient care, are sometimes “maintenance goals…” potentially established in the prior level of care. For example, the goal of maintaining mental health engagement and the continuance of meeting ongoing expectations regarding self-care, including taking medications as prescribed, engaging in therapeutic sessions and activities, and maintaining a mental health support network, are clearly identified prior to exiting.
Hathaway’s exit planning always includes the engagement in the next level of care and for the patient to participate in treatment for as long is as possible. Statistic show that the longer a patient engages in treatment (at any level) they have the greater opportunity to stay sober for the rest of their lives!
We connect each transitioning patient with organizations that can assist for long-term treatment and resources. These include local partial hospitalization programs, intensive outpatient programs, mental health facilities, supervised detox care facilities, community organizations (such as 12-step groups), spiritual or religious groups or mentors, legal professionals (attorneys, parole, probation officers), safe and supportive housing, safe and supportive recovery networks, (such as alumni) and other needed resources. Memorandums of understanding are used in each connection with outside resources.
Hathaway exit planning always includes the goal of participation in Hathaway Recovery Center’s Alumni meetings and ongoing activities. All Hathaway patients have the ongoing opportunity to seek assistance from Hathaway staff at any time, should they feel they are in danger of relapse or require a supportive network or environment. We encourage our patients to engage in the Alumni groups and to keep in touch with Hathaway staff and former patients (when former patients sign a release of information).
Hathaway’s Recovery Alumni:
Hathaway’s Alumni groups occur once a week and all current patients and engaged former patients come to participate. It is an opportunity for former patients to model ongoing recovery and provide support and hope for those in Hathaway detox and residential inpatient levels of care. Our Alumni also create a solid network of sober individuals that avail themselves to current and past patients of Hathaway, for support, help and reliably compassionate understanding.
Our Alumni can often be credited with the success of a discharged patient whom is in potential relapse and has “turned it around” due to Alumni’s system of support and outstanding willingness to show up and be available to those in trouble. We are proud to have built a “Recovery Family” that acts as a network, beyond our residential inpatient boundaries, who provide unparalleled support to newly discharged patients.
It is an honor to Hathaway’s Recovery Center that our Alumni continue to participate and can exhibit high standards and effective practices that assist any discharged patient interested and willing to continue to engage in the continued Hathaway journey. We are proud that our former patients come back to Hathaway to share their strength, hope, methods and practices of recovery to prove that sobriety can be maintained, and that recovery can be solid and continuous.
NEW: CHILDREN & FAMILY SUPPORT PROGRAM FOR FAMILIES THAT SUFFERS FROM SUBSTANCE ABUSE AND BEHAVIORAL HEALTH ISSUES
Providing a full Dual Diagnosis Treatment and Recovery that will combine great cooperation and coordination in the protection and prevention, diagnosis and treatment, therapy, and counseling. As well as will promote awareness of the abuse and neglect of children, provide parenting classes, family education, relationship management, educate and conduct classes of anger management, providing anger management therapy and education from our professional team that will commit to each individual specifically for all prevention, intervention and treatment
Our Treatment will include:
- Substance Abuse and Behavioral Health Full Detoxication
- Alcohol Addiction
- Drug Addiction
- Painkillers Addiction
- Cocaine Addiction
- Heroine Addiction
- Pharmaceutical Addiction
- Methamphetamine Addiction
Therapies will include:
- The Stages of Change (Psychology)
- One-On-One Therapy
- Positive Psychology
- Relapse Prevention Therapy
- Family Programs
- Withdrawal management: 24/7 clinically managed detoxification and sobering support
- Residential Inpatient Services; Long and Short Programs
- Intensive Outpatient Treatment;
- Outpatient Treatment; and
- Recovery Support Services: services to help the client develop both internal and external resources to support ongoing self-management.
- Program will provide Short 30 days treatment and therapy
- Long 60-90 treatment and therapy
- Extended Care up to 140 days treatment and therapy
- Recovery Residence aftercare: Sober Living Environments
Encourage and facilitate community support for child abuse programs
Coordinates all the assessment and services needed during treatment associated with case related to each individual needs. Comply to all Department’s requirements and demands related to Family Court obligations Consult, Educate and provide updates to Child Welfare and Social Workers (if assigned ) to the case. Coordinate community efforts to prevent, recognize and respond to child abuse and neglect
Promote the safety, physical and emotional health and wellbeing of children and families, strengthen and provide continues support families during and after treatment completion to ensure successful recovery, safe environment and family harmony
Hathaway Recovery is also open for challenging and special dements that can be requested by Department of Children and Family Services, Social Services Child Protection Services etc
NEW FAMILY ADDICTION TREATMENT PROGRAM
At Hathaway Recovery Center we understand and acknowledge that the whole family is affected in the disease of addiction. In order to address addiction as a family disease, we recommend that as many family members as possible participate Intensive Family Groups. Both types of family groups address family members’ feelings of confusion, anger, guilt and stress and capitalize on the love and caring that the family has for their loved-one. Family members have an opportunity to listen to other family members’ experiences, while also being able to share their own. This process allows families to develop a bond with each other and move away from feelings of isolation and helplessness. Family members are able to examine the feelings and behaviors they are personally experiencing which are non-sustainable and unhealthy for both themselves and their chemically dependent loved-ones. Through the group process, family members explore ways to change these behaviors, and in doing so, allow their addict/alcoholic family member to become empowered to become truly responsible for themselves. The result is a happier, more educated, balanced family who has a new understanding of themselves and new hope for the future.
Chronic alcoholism/drug addiction becomes the central, organizing theme in an alcoholic family. No one can grow up in an alcoholic/drug dependent family, or live in one without it changing them. The alcoholic/addict is impaired and, in turn contributes to the impairment of his or her family members. Since the 1970’s, chemical dependency treatment research has indicated that family involvement can significantly improve the patient’s chances of recovery as well as increase family cohesion and individual functioning.
The Family Program at Hathaway Recovery Center is designed to educate family members about the disease of chemical dependency and to help them recognize the disease and its effects. Just as the reality of the alcoholic becomes distorted through denial and rationalization, families also suffer from denial or lack of insight.
The Family Program at our Recovery Center is offered in an intensive program. For families or those who work during the day a concurrent family program is available on Wednesday and Thursday evenings.
Lectures and group exercises help participants gain understanding and acceptance of chemical dependency as a family illness. New coping skills and tools are given and practiced which will unravel the reactive, controlling, and enabling behaviors which unwittingly help to maintain the disease. The family begins to create an opening for recovery and healing by breaking the unspoken rules of the alcoholic family: “don’t talk”, “don’t trust”, “don’t feel”. The family program at Hathaway Recovery Center addresses the needs of the family so that everyone can recover.
NEW : HEROES PROGRAM
Hathaway Recovery Center is proud to accept in network contract with TRICARE insurance because we believe accessible, affordable treatment for addiction should be available to all, especially servicemembers, veterans and their family members.
Servicemembers and their families experience high levels of stress and trauma that can lead to devastating effects on physical and mental health. Post-traumatic stress disorder, anxiety, depression and substance abuse are common among the family members of active-duty and retired servicemembers
Eligibility for TRICARE includes the following groups:
- Active-duty servicemembers and their families
- National Guard/Reserve members and their families
- Retired service members and their families
- Retired Reserve members and their families
- Beneficiaries eligible for TRICARE and Medicare
- Former spouses
- Medal of Honor recipients and their families
- Dependent parents and parents-in-law
- Foreign Force members and their families
PAYMENT FOR SERVICES AND TREATMENT
WE ACCEPT MOST PPO INSURANCES
Behavioral Health Systems
United Haelth Care
BlueCross & BlueShield
Empire BlueCross BlueShield
MHNet Behavioral Health
Hathaway’s Continued Communication
Hathaway is determined to ensure that our patients work on continued sobriety and to ensure Hathaway’s constant, growth and improvement, we methodically interact and systematically collect data regarding the ongoing success or relapse of our former patients.
We have an imperative to assess and improve our services. We determine patient success (ongoing sobriety) as validity of our approach. However, we do not dismiss the collection of data to follow a “bell curve” between full, ongoing sobriety and, the other end of the curve, full relapse. Although we know that relapse is sometimes a part of achieving sobriety and that many patients relapse (whether from Hathaway or other treatment programs), we consider relapse as an opportunity to consider where we might improve our approach. We use this information to gauge our efficacy and potentially augment our approach. We methodically utilize quantitative measurement of former patients and alumni to assess the success or weaknesses of Hathaway Recovery Center’s program – we assess our methods, modalities, clinical capability and overall efficacy.
Our measurement lies in contacting each and every former patient of Hathaway and surveying whether or not they have retained sobriety. We contact each discharged patient with a face-to-face interview, a telephonic contact or, an internet communication at the following timeframes: 1 week, 4 weeks (1 month), 8 weeks (2 months), 12 weeks (3 months), 16 weeks (4 months), 20 weeks (5 months), 28 weeks (7 months), 40 weeks(10 months), 52 weeks (1 year). However, sometimes, we cannot locate a former patient and we factor these un-reachable former patients into our data and tracking.
Any time we find that one of our patients has relapsed, we assist them with regaining sobriety, when possible. We offer assessment, consideration for admission and/or referral for those willing to return to treatment. Hathaway assists with planning, referrals, making strides toward overcoming barriers, and if necessary, readmitting the patient to Hathaway or another program when necessary.
Hathaway Data Collection and Quality Assurance
With every treatment episode we learn and improve the services we provide. We take every case and all information collected to use the information to quantify the clinical services that are working and those that need reassessment or improvement. We are always looking for new standards, methods, possibilities and evidence-based practices to include or improve our milieu.
Our data collection methods:
We conduct a qualitative collection of data as we feel this best suits our patients. We ask a series of standard questions; in a less-structured interview and we ask open-ended questions.
Current Patient Information:
- We conduct satisfaction surveys at the end of every patient’s treatment episode;
- How many patients have admitted and remained in treatment until agreed upon discharge;
- How many patients have relapsed while on-site or off-site and returning to Hathaway;
- How many patients have admitted and remained sober in spite of leaving against supervised detox advice;
- How many patients have left against supervised detox advice and relapsed;
Methods of Data Collection with Former Patients:
- Hathaway Staff, having already established rapport during treatment, have the opportunity to conduct face -to-face interviews have a very high response rate.
- Telephone Interviews take less time than face-to-face interviews. However, the response rate isn’t as high. Another problem is that survey bias may creep in. For example, people without phones can’t be surveyed and sometimes without face-to-face, patients may provide answers to questions they think Hathaway wants to hear, rather than what is truthful.
- Computer Assisted Personal Interviewing (CAPI) is like a personal interview, but we use a laptop or tablet instead of paper questionnaires to enter the responses. CAPI has some of the same setbacks as the Telephone interviews.
It must be considered that a particular portion of patients will not be available, after discharge, to supply information on their quality of life, continued participation in treatment, and sobriety. We believe the percentage of those who we have “lost” in terms of communication or simple lack of ability to make contact, factors in at 19%. We include this consideration into our data, although we continue to make attempts to contact former patients, when they have been initially “off-line”.
Our Patient satisfaction surveys show that patients that complete our program are 100% satisfied or very satisfied with the services Hathaway provides.
Hathaway Recovery Center
1042 E. BELMONT ABBEY LANE,
CLAREMONT, CALIFORNIA, CA 91711