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INTENSIVE OUTPATIENT PROGRAM FOR SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS
In Balance Counseling is dedicated to providing top quality, interactive services for a chemically dependent population with moderate to severe drug problems. Its very name derives its commitment to address all four elements of an individual’s human being: physical, emotional, social, and spiritual. In Balance works in three different ways: using a 12-step curriculum, relapse prevention and incorporating experiential based therapy. Our philosophy is that by mixing up the different modalities, the group members feel an excitement about each and every session.
We’re Here for You
To provide a safe place for people to evaluate the choices that they have made or are currently making and to explore new ways of behaving, feeling, and expressing themselves without mind altering substances.
To help them engage their innate tendency to question the world around them through role-modeling and supporting the exploration of a new lifestyle that enhances their self-esteem, values, honesty and encourages direct communication.
To promote healing in families through teaching and providing a direct experience of effective communication and conflict resolution.
To provide care that allows people to remain at home thus respecting their ability to succeed on an out-patient basis.
MOST MAJOR INSURANCE PROVIDERS ACCEPTED
*currently not accepting AHCCCS
The Experiential Programming portion of the outpatient program is designed to teach clients how to challenge themselves, set goals, explore new avenues of abilities, teach teamwork and create new attitudes and outlooks on recovery and sobriety.
IN BALANCE INTENSIVE OUTPATIENT FOR SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS — ADULTS 18 AND OVER
Three hours of group therapy three times a week for a total of nine hours a week.
An initial assessment and 30 group therapy sessions are included.
COGNITIVE BEHAVIORAL THERAPY (CBT)
CBT is a form of treatment that focuses on helping the client learn and use new thinking skills to modify negative behaviors. It focuses on replacing negative thoughts with positive thoughts, an essential part of recovery from substance abuse and addiction.
Talk therapy is a way we help each other through the problems encountered in recovery from addiction and/or co-occurring disorders. With guidance from a professional therapist, the group learns how to work through, confront, strategize and resolve conflicts emanating from addiction to recovery. The group also learns about relapse prevention, the disease of addiction, how to handle emotional and physical triggers as well as utilize resources available to them to achieve success in recovery.
Recreational/Experiential therapy works as a perfect adjunct to talk therapy. It’s a time when clients work at an activity together in order to learn more about their addiction from a different perspective. For instance, one activity we do is equine therapy. Other examples of this type of therapy are hiking, art expression, yoga and community service work.
Clients in the program will be drug tested as part of the program. The drug testing will be testing for the 10 major drugs of abuse. Drug testing takes place on the premises at the program; clients will be asked to provide a urine sample within 3 to 5 days. The results will be given to the clients. If a positive result occurs, there will be an individual meeting set up with the client to assess what services might be brought into play to help better support them staying in the program. In this contract they will be required to stay away from mind altering substances and will agree that there will be random drug testing that occurs as part of their In Balance experience. Many clients have reported that this additional level of accountability has been a help in terms of making choices on a daily basis not to use drugs or alcohol.
Yoga allows for a connection between the mind, body, and spirit. Stress reduction and exercise are essential aspects of a well-rounded recovery program. Yoga gives a person the opportunity to go within to experience relaxation. This helps people to manage impulsivity, behaviors, and emotions. Therefore, yoga is a practice of action rather than reaction that is attained through breathing and guided focus. This focus allows for people to gain the ability to be in the present moment. Being in the present moment allows a person to become more solution oriented to what changes and actions they may take to enhance their recovery.
Meditation teaches a person to become an observer. This may be about noticing internal states of being or what is happening around an individual. Meditation provides a pause in the day. The idea of one day at a time may get broken down into one second at a time. Different forms of meditation are explored. This includes breathing exercises, mindfulness meditation, walking meditation or journaling.
EQUINE FACILITATED PSYCHOTHERAPY
Horses provide a barometer for people to look at self. The arena becomes the office and information generally comes up more quickly. This allows for clients to go from a head place into experiencing through interaction and observation. Horses act as a mirror providing feedback in a non-verbal way. Horses are sensitive, powerful, and for the most part live in the present moment.
By nature horses are herd animals. Within a herd there are leaders and followers. Also, horses are prey animals so they have a fight, flight and freeze response. So, the focus of many sessions is about family systems and group dynamics. This includes communication, trust building, looking at beliefs and processing emotions. During the experience, mindfulness activities are done in regards to being around horses. Safety is the top priority. All activities are done on the ground.
Our local parks and recreation locations are an excellent environment to begin to incorporate exercise, meditation and for clients to begin to challenge their thinking about what is fun in recovery. Our trips to Mt. Lemmon often include a 12 step meeting discussion or readings from 12 step texts. Our hikes to Sabino Canyon allow clients to challenge themselves in a healthy way regarding exercise with the reward of camaraderie around a waterfall or flowing creek. In this relaxed state, recovering people are often more able to discuss personal issues with ease. Observing the surroundings, connecting to nature, and being in the present moment are gifts.
People express and process information and emotions in various ways. Creative activities allow individuals to tap into their subconscious to show a visual representation of their experience.
Psychodrama is primarily a group action activity that puts a premium on showing aspects of a person’s life be it from the past, present or some future hope or fear. Group members are able to realize new ways of responding to the lifestyle changes needed as they invest themselves in their recovery. The approach at In Balance emphasizes allowing the person to find the best that is within them and in doing so allowing a person in recovery to discover or rediscover their higher power, challenge addictive and irrational thinking, express unexpressed feelings to significant people in their lives along with learning how to empathize with points of view that differ from their own. Psychodrama can be viewed as a rehearsal for living, a chance to symbolically realize something that life did not allow and a chance to gain new healthy perspectives.
Guided Imagery is a gentle method that allows a person in recovery to visualize new ways of being. This is usually done through the use of being read a script in a soothing tone of voice often accompanied by soft relaxing music while the listener sits comfortably or is in a reclining position. The benefits are endless. People in recovery are given opportunities to improve self-esteem, find answers to perplexing questions, rehearse how to handle troublesome situations, develop a fund of positive images to combat stress and visualize healthy living. At In Balance it has been successfully used with people from the ages of 18 to 65. A common response is that it helps put the day in perspective, gives much needed relaxation and opens up avenues to growth and change.
EMDR- EYE MOVEMENT DESENSITIZATION REPROCESSING
EMDR is a form of information processing that includes an eight phase approach with many procedural elements that contribute to its success. This includes identification of the problem, preparation, resourcing, assessment, desensitization, installation, body scanning, closure, and re-evaluation.
EMDR is a breakthrough therapy used to treat various types of trauma. Post Traumatic Stress Disorder (PTSD), sexual assault or abuse, anxiety, panic disorders, phobias, physical abuse, depression, eating disorders and other traumatic events can all benefit from the use of EMDR. Trauma can be devastating to an individual and cause them to have lasting effects; using EMDR can help individuals process and recover from such trauma.
When something traumatic or difficult happens a person may continue to hold onto images, sounds, feelings, sensations, and thoughts. It seems that in can be locked inside and cause ongoing discomfort depending on triggers. When working through the change process the therapist will do bilateral stimulation or the activation of the right and left hemispheres of the brain. This might mean eye movement, hand taps, auditory tones or a combination of them. EMDR provides neural integration, which helps to alleviate symptoms and allows a sense of well-being to occur.
THE FOUR ELEMENTS OF TREATMENT
Clients are taught the importance of making sure that they have the four essential elements of their being in balance: their physical, emotional, social and spiritual aspects. They learn how to implement each during their treatment at In Balance.
Often during active substance abuse and addiction the physical component of one’s health is over looked. Regaining one’s health and physical activity is addressed in the experiential portion of the program. These activities include Equine Assisted Therapy, yoga, hiking, and T’ai Chi. Not only do these activities involve exercise, but they are also beneficial in learning sober social skills, communication and most importantly- you can have fun without using drugs or alcohol- something that many people have forgotten is possible.
One common result of substance abuse and addiction is an inability to express one’s self emotionally, whether this be anger management, grief and loss issues, or even how to celebrate a success. Expression and the processing of one’s issues with emotion is addressed in the many psycho– educational activities the group completes at each session. In Balance often will utilize the benefits of Cognitive Behavioral Therapy and art expression in assisting clients to work through their emotional issues in a safe and supportive manner.
Learning how to communicate, interact with peers and express one’s self often is stifled during substance use and abuse. To assist in learning new and effective ways of a 12-step group and assist with getting acquainted with this recovery community. The above mentioned physical activities are all opportunities to practice social skills and communication as well.
This vital element of recovery is addressed every Thursday evening. Group celebrates varying lengths of sobriety with a coin ceremony and pizza for the accomplishments and successes of the participants. On these evenings, an activity is done that helps each person discover their spirit and celebrate their individuality. In teaching the importance of involvement with the 12 step community and its recovery, staff addresses individual steps and the group completes exercises in order to develop a spiritual connection with themselves, the community and a higher power of their understanding that will help them with their recovery. Each participant will complete their written 1st step based on the 12 step program of Alcoholics Anonymous, “We admitted we were powerless over alcohol, and that our lives had become unmanageable” with the group in order to understand their powerlessness over drugs and alcohol and the unmanageability in their lives.
Often times the most difficult part in the journey of giving up substances is not actually doing without the drug itself. It is far more difficult to leave behind the culture in which the drug or alcohol habit existed. When people attend 9 hours a week of group work with other people in recovery, it starts to shift their values as part of their recovery. Breaking free from the values of drug or alcohol use and the elements that make up the drug culture is essential. Because it is so critical to the stabilization process, In Balance goes to great lengths to build cohesiveness within the new culture; to create a cohesive group where clients feel safe and where they can share openly and become a support system for one another. During this phase, clients will be exposed to experiential or adventure based therapy. This enhances the ability for clients to get to know each other, to work together as a team, and to have sober fun together. For many people in recovery, this is the first time that they have had fun outside of the drug/alcohol-using experience.
Typically, clients will be in the group anywhere from 31-36 sessions, depending on the severity of their drug or alcohol use, their response to treatment and their ability to remain drug and alcohol-free.
Multi-Family Component Substance abuse effects the entire family, not just the person seeking treatment. In order to help the entire family recover, the second and fourth Wednesday of the month family members are invited to attend the sessions. The group will be educated on such subject matters as setting healthy boundaries, the addiction process, co-dependency, family systems, family roles, feeling identification and expression. Most clients that come into treatment are often supported by family members that need to understand the disease process and how they can help their loved one heal as well as themselves.
THE 12 STEP COMPONENT
In Balance utilizes the many strengths and benefits of 12 step programs such as Alcoholics Anonymous, Narcotics Anonymous and Al-Anon. The 12 step component is an essential part of a person's ongoing recovery and sobriety.
A 12-Step program offers the client an additional component to their experience at In Balance and their recovery due to its perspective on addiction being a disease which requires ongoing work and assessment of a person's attitudes and actions during the beginning stages of recovery (the Outpatient Program) and after their Outpatient program. The community, fellowship and spirituality of 12 step programs in aiding recovery has been an extremely important component of the ongoing sobriety of our many successful graduates from In Balance.
In Balance helps introduce this specific recovery community to clients by inviting members of 12 step groups to share their experience in outpatient sessions. Also, the group may attend 12 step meetings during group times to introduce clients to locations of meetings and members of 12 step communities to help make attendance more comfortable outside of the Outpatient program. In Balance also attends 12 step activities such as young peoples' events and celebrations to demonstrate how a person can learn to have fun and feel an important part of a recovery community.
During a person’s attendance at In Balance, they are required to attend 4 outside 12 step meetings. The purpose of this is to help them integrate into a long term fellowship of support and like-minded people to ensure they are rooted in solutions for their recovery. Recovery involves the support, experience and guidance of people whom have already walked this difficult path. Alcoholics Anonymous, Narcotics Anonymous and Al-Anon offer experience, strength and hope to those recovering from addiction and to those who love a person who is an addict.
RED FLAGS FOR RELAPSE INTO SUBSTANCE USE:
Fear or lack of confidence about your ability to stay sober.
Reactivating your denial system to cope with this fear or lack of confidence.
Compulsive attempts to impose recovery on others and paying less attention to yourself.
An increase in defensiveness about your problems or recovery program.
Rigid, repetitive compulsive behaviors, patterns in work and in interaction with others.
Impulsive behavior, including over-reaction to stress.
An increasing pattern of isolation and avoidance of others.
Tunnel vision- preoccupation with just one area of your life.
A decrease in realistic planning with an increase in wishful thinking with decreasing ability to concentrate.
Fantasies of escape, idle day dreams.
Feeling that nothing can be solved, that your best efforts aren’t working.
Periods of confusion.
Irritation with friends or loved ones.
Increasing episodes of anger, resentment, frustration, and irritability.
Irregular eating habits.
Irregular sleeping habits.
Progressive loss of daily structure with increasing anxiety about inability to get things done.
Development of an “I don’t care” attitude.
Cutting yourself off from available sources of help.
Dissatisfaction with life. “Things are so bad now, I might as well return to my old ways”.
Feelings of powerlessness and helplessness about initiating positive actions.
Thoughts of resuming old (and destructive) habits, patterns and styles.
Unreasonable resentments at the world, at particular people or at yourself.
Acting out in other areas, e.g. compulsively eating, drinking, shopping, smoking, gambling, etc.
Personal Success Stories
“I came to In Balance a year ago after failing four major in patient treatment centers for alcohol and drug abuse going back to 1989. I was so sick that I barely remember coming. In Balance has given me my life back. I truly feel like I have been given a second chance at life.”
“In Balance has given me a new respect for life. It’s a fun and safe place to be. I experienced many different forms of therapy to keep it interesting. Thank you everyone.”
“For me the diversity of the program was a big plus. The groups were very helpful and supportive. The experiential components were important to learn how to be active in recovery and sobriety.”
In Balance Intensive Outpatient has earned the Joint Commission’s Gold Seal of Approval® for Behavioral Health Care Accreditation. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective care.