Pacific Grove Hospital is focused on using evidenced-based practices and modalities throughout our programs. Living in Balance (LIB), dialectical behavior therapy (DBT), and cognitive behavioral therapy (CBT) are SAMHSA-approved treatment recovery and behavior models used as the basis of our chemical dependency programs and overall recovery model.
The basic rationale of the LIB model is that persons addicted to drugs develop a sense of imbalance in major areas of life functioning. Continuous drug use generally impairs a person’s physical health, emotional wellbeing, social relationships, work/school performance, and other major areas of functioning. Recovery involves regaining a reasonable balance in these critical areas. Balance in the major areas of life allows participants to free themselves from their addiction to drugs and provides protection against relapse. The concept of “living in balance” is essentially a broad, holistic approach to relapse prevention and recovery.
Cognitive behavioral therapy is based on well-established principles supporting the notion that changing negative thinking patterns and reducing maladaptive behavior can have a beneficial effect in improving a person’s emotions and behavior. CBT is a goal-directed and semi-structured therapy, and involves a partnership between the participant and therapist. Together, with the therapist, participants examine all factors that led up to and maintain a problem, including the reciprocal interaction of their thoughts, feelings, and behaviors with others, from family to friends and other people with whom they interact on a day-to-day basis. Participants are fully involved in treatment and engage with the therapist in setting short- and long-term goals, evaluating how treatment is working for them, and in moving forward in developing healthy and proactive behavior to engage in their daily lives.
Dialectical behavior therapy is a cognitive-behavioral treatment approach with two key characteristics: A behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. “Dialectical” refers to the issues involved in treating clients with multiple disorders and to the type of thought processes and behavioral styles used in the treatment strategies. DBT has five components: Capability enhancement; motivational enhancement; generalization; structuring of the environment; and capability and motivational enhancement. DBT emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.
Additionally, our programming includes various methods of care to help participants make great strides in their recovery efforts. These interventions can include, but are not limited to, the following:
Pacific Grove will address the medical components of treatment while participants engage in our outpatient programs. Our programs focus on the whole person, or taking into account the connection of the mind and the body as being parts of the individual. It is for this reason, participants in the program will be monitored daily by nursing staff and then weekly by their psychiatrist for medication monitoring and medication assisted treatment when needed. Medication assisted treatment includes primary health, pain, detoxification medications, and maintenance medications.
Group therapy is an effective way for persons in recovery to bond over past experiences and current obstacles related to recovery. Groups are counselor-facilitated with relaxation and visualization exercises, role-play exercises, discussions, and workbook exercises. The psychoeducational sessions cover topics such as drug education, relapse prevention, and available self-help groups. The experientially-based, or interactive sessions, are designed to enhance the participant’s level of functioning in certain key life areas that are often neglected with prolonged drug use: Physical, emotional, and social wellbeing, adult education opportunities, vocational development, daily living skills, spirituality/recovery, sexuality, and recreation/leisure. These sessions include a large amount of role-play with time to actively process personal issues and learn how to cope with everyday stressors.
Family Group Therapy
The adolescent program includes a Saturday Family Group component. Family group is an opportunity for participants and their families to work through issues and gain education and insight with other participants and families experiencing similar problems. This platform allows families to bond with others, reach out to natural supports, and have safe space to speak to others and get feedback on personal family issues they are facing. This group is sometimes divided into several break-out groups addressing different topics. For instance, the big group may be divided into smaller groups that each address a different topic impacting the participants’ addiction. Examples of break-out sessions include: Divorce, self-harm behaviors, family addiction cycles, and so on.
Pacific Grove Hospital counselors meet with the individual and family to work towards a treatment plan for aftercare. It is important that the participant’s support system be involved during treatment and after discharge. Upon admission to outpatient programs, counselors are working to help participants find appropriate step-down supports, including support groups, 12-Step meetings, volunteering, and community based activities nearest to the participant. Participants’ guardians are REQUIRED to participate in Saturday Family Group and Family Counseling sessions. Families are involved with the admission process and asked to make the same commitment to treatment like their child does. Adolescent treatment is most effective when the child, family, and natural supports rally around the recovery plan together as a team effort.
Pacific Grove Hospital activity therapists work with clients to restore motor, social, and cognitive functioning, build confidence, develop coping skills, and learn transferrable skills intended to be used in community settings to promote healing. Intervention areas vary widely and are based upon client interests. Examples of intervention modalities include: Creative arts, music, exercise, yoga, and leisure education.
Random Drug Testing
Participants agree to random drug testing to help ensure a drug/alcohol free environment and continued progress toward recovery. While we believe that relapse can sometimes be part of the recovery process, we require a commitment to self and group to abstain from drugs and alcohol while in our programs. A participant who continues testing positive with levels not reducing will be discharged for non-compliance.
Pacific Grove hospital believes in the strength of social model recovery and the benefits of 12-Step supports. Counselors provide resources and encourage Substance Abuse Program participants to seek a sponsor and commit to at least a meeting a day after discharge. Throughout their treatment, participants are educated on the principles and practices of 12-Steps through daily groups and individual counseling.
If you would like to learn more about Pacific Grove Hospital’s Adolescent Outpatient Program, feel free to contact the admissions team today. These staff members are happy to speak with you about how this program can help your child or a youth with whom you are close to. Call today.