Hello, firebird-ga!
The type of residential treatment facilities most suited to your
friend are called "Dual Diagnosis Facilities." These facilities treat
individuals with mental illness combined with substance abuse. Don't
let the "Substance Abuse - Addiction" treatment portion of the
facility descriptions scare you off! Although many of these facilities
do have a large proportion of clients with alcohol or drug addiction
problems, they also treat patients whose main problem is mental
illness combined with substance abuse. Mental illness and addiction
(of some sort) usually go together. In your friend's case, there is an
element of addiction associated with her dependency on prescription
drugs.
The problem is that there is a preponderance of drug and alcohol
residential recovery centers. There are also a some very good
inpatient psychiatric hospitals for those who are critically
diagnosed. But there are very few treatment centers classified as
"in-between," which offer inpatient treatment for moderate mental
illness combined with prescription drug abuse.
Rehabilitation facilities merely for drug and alcohol addiction do not
fit your friend's needs. Neither do acute care mental hospitals that
do not focus on the prescription drug abuse. She will actually benefit
most from a dual diagnosis treatment modality. I have also
included a few critical care psychiatric hospitals for you to
evaluate. However, these facilities often require a doctor's referral
and I am not sure your friend needs this type of acute care treatment.
.
The price offered for an answer to your question does not allow me to
spend the time and expense necessary to make long distance phone calls
to talk to a director of each facility. Also, the extent of issues
associated with the your friend's condition need to be discussed with
the admissions director at length. Without direct conversations with
admissions or the facility director, it is hard to get definitive
answers to all aspects of your question from online searching. For
instance, whether there are residential psychiatrists on site the
"full 24 hours", the extent of follow-up treatment including
employment, and the length of the program is sometimes difficult to
discern.
Therefore, it would be most expedient if you actually contacted the
facilities for the required information that is not available online.
I realize that a direct conversation with the facility admissions
director may weed out some of the facilities . However, you may also
be given some references which are not available online.
There are 1233 listings for mental health services in California
alone. Many are geared toward children, or are primarily outpatient
services. Unfortunately, there are no website links for the
facilities. If you are interested, the listings may be found at
"Substance Abuse and Mental Health Services Administration (California
Facilities)"
http://www.mentalhealth.org/databases/MHDMappoint.asp?D1=CA&Type=MHDR
Following are the best facilities I have discovered in my research!
San Gabriel Valley Medical Center
**********************************
438 West Las Tunas Drive, San Gabriel, CA 91778-1507
Phone: (626) 289-5454 or (800) 900-7172
http://www.sangabrielvalleymedctr.org/index.asp?catID=au&pg=au_history
Dual Disorders Program
http://www.sangabrielvalleymedctr.org/index.asp?catID=ps&pg=ps_behav_dual
What is a Dual Disorder?
Also known as "SAMI" (Substance Abusing Mentally Ill), a Dually
Disordered individual has a diagnosable mental illness plus one or
more clinical issues stemming from substance abuse. Frequently the
person doesn’t realize that their drug use is only making things
worse. The individual may experience medication compliance and drug
interaction problems, prescription drug addiction (especially to
benzodiazepines and opiate derivatives), illicit drug abuse or
addiction, and alcoholism.
The problem is not uncommon yet it commonly goes untreated. It is
estimated that more than 43% of patients at Chemical Dependency
Treatment facilities and over 50% of those in Psychiatric settings
are, in actuality, dually diagnosed. This population experiences
exacerbated symptoms, compromised lifestyles, frequent relapses and,
unfortunately, severe disability and death.
We welcome patients with prior treatment failures. We also welcome the
first-timer, the skeptical, and the discouraged. We hope to help you
break the pattern.
An Integrated Approach:
Mental health problems and substance dependence problems frequently
overlap. These are complex disorders that can tear individuals and
families apart. San Gabriel Valley Medical Center (SGVMC) recognizes
that recovery from these 2 disorders is most successful when the
medical, psychiatric, and chemical dependency aspects of treatment are
integrated, and provided in an extended structured program.
No more running from one specialty center to the next. The Dual
Disorder Program at SGVMC offers step-down levels of care, and a
potential for recovery program lasting up to 12 months. Levels of care
include: acute hospital stay, intensive outpatient treatment
referrals, on-going aftercare groups, MD visits, and sober living for
a limited number of residents, 12-step recovery meetings are held
on-site nightly.
The Dual Disorders Program is San Gabriel Valley’s first fully
integrated and comprehensive treatment setting. Emotional stability,
increased functioning, and sobriety or a drug-free lifestyle are
attainable. Feel hope, joy, and acceptance. A chance for a new
beginning… like never before!
A Staff That is Truly Multidisciplinary
Psychiatrists/Psychologists
Medical Doctors
Certified Drug/Alcohol Counselors
Peer Counselors
Physical/Occupational Therapists
Social Workers
Nurses
Case Managers
Inpatient Programs
Complete Assessment
Medical
Psychiatric
Chemical Dependency
Special Needs
Detoxification
Medical Detoxification
Prescription Medication Detoxification
Complete Medical Services
Medication Stabilization
Program Services
Individualized Treatment Planning
Structured and Intensive Program Schedule
Relapse Prevention
Medication Education
Group Therapy
Developing New Coping Skills
Family Groups
Spiritual Needs Groups
Mental Health and Chemical Dependency Education
Extensive Discharge Planning
Residential, Day Treatment and Outpatient Transfers for Extended
Treatment
Sober Living apartments and placements available
Board and Care Placements
Therapist/Counselor Referrals
Continuing Care Groups
Relapse Prevention/Cravings Management
On-site nightly 12-step Meetings
==============
Bay Recovery Center
********************
2206 Balboa Ave.
San Diego, Ca 92109
858-274-6633 phone
800-375-7263 toll free/24hr line
http://www.bayrecovery.com/contact.html
About Recovery
http://www.bayrecovery.com/recovery.html
"We offer a continuum of services including hospitalization, chemical
dependence treatment, dual diagnosis and pain treatment tracts, as
well as residential living."
Bay Recovery Centers Inc. offers a unique blend of medical, social and
psycho educational models. Residents are required to perform daily
therapeutic duties such as maintaining their own living quarters.
Laundry and cooking duties are also a part of the regimen.
Responsibility for these daily living skills offers residents the
opportunity to be held accountable for their own living patterns and
to cope with everyday tasks, as well as challenges. Treatment is
offered in a real-life setting, making the transition into independent
living more manageable.
The secret of our success lies in a balanced and proven program that
encompasses intervention, expert primary treatment and continuing
support through the difficult period of early sobriety. To further
enhance the recovery process and reduce the risk of relapse, our
multi-disciplinary staff focuses on the development of constructive
life skills. These skills are developed through individual
consultation, restorative duties, group therapy, education, and
self-exploration, which are supported by the principles of a 12-Step
Program. We address the developmental milestones necessary to achieve
long-term sobriety and give instruction in relapse prevention skills.
Staff:
http://www.bayrecovery.com/staff.html
More detailed information on Bay Recovery Center's Long Term Recovery
Program can be found on the Addiction Resources Guide website:
http://www.addictionresourceguide.com/listings/randrecovery.html
Average length of stay: 3-6 months
==
Chapman House
*************
Address: 1412 E. Chapman Avenue
Orange, CA 92866
(866) 288-9779
http://www.chapmanhouseinc.com/outpatient.htm
Chapman House accepts both men and women who suffer from Alcoholism,
Chemical Addiction, Sexual Addiction, Eating Disorders or Dual
Diagnosis Issues. We are Licensed and Certified by the State of
California.
If a Dual Diagnosis problem exists with a Chapman House participant, a
consultation will be conducted by our licensed Psychiatrist. The
Chapman House Psychiatrist will evaluate the participant to determine
any additional problems that need to be addressed during treatment.
Our Psychiatrist may order medication to be dispensed throughout the
treatment program. In addition, the participant may be scheduled for
weekly visits with our Psychiatrist. This would be done to insure
ongoing medical/psychiatric management. Chapman House Staff monitors
all prescribed medications.
More information about Chapman House can be found at:
http://www.addictionresourceguide.com/listings/chapman.html
Approach to Dual Diagnosis:
"After testing by a clinical psychologist, those deemed appropriate
are treated through medication, group sessions and workbooks while
continually being monitored by the psychologist, RN's and support
staff."
===
Sanctuary Psychiatric Centers of Santa Barbara (This sounds
wonderful)
**********************************************
Director of Clinical Services
Sanctuary Psychiatric Centers of Santa Barbara
P. O. Box 551
Santa Barbara, CA 93102
(805) 569-2785
http://www.spcsb.org/index.html
Programs:
http://www.spcsb.org/programs/spchom~1.html
Sanctuary House
http://www.spcsb.org/programs/sanc.html
For adults who do not need (or prefer an alternative to) psychiatric
hospitalization but who are unable to live independently, Sanctuary
House provides attractive surroundings with an ideal combination of
privacy and family atmosphere. The facility is an historic,
beautifully furnished late-Victorian house, which offers a warm,
home-like environment.
The Sanctuary House Program serves a maximum of twelve adults who are
experiencing emotional difficulties; the program focuses on teaching
clients independent living skills and socialization skills necessary
for successful community living. In addition, Sanctuary House provides
a comprehensive clinical program designed to help clients cope with
intra-psychic issues that interfere with an independent lifestyle.
Satellite Program:
http://www.spcsb.org/programs/satlite.html
The Satellite Program provides a semi-independent living environment
for mental health clients who are ready to make the transition from a
highly structured residential treatment setting to independent living.
It serves as a viable treatment/living option for clients after their
stay in the Sanctuary House Programs, offering a more independent
environment and allowing clients to practice living skills acquired
while in residential treatment.
The Satellite Program offers shared housing at affordable rates,
individual and group counseling, and educational services to aid with
issues of group living and other social, practical and emotional
issues. The level of support and involvement in the program is
flexible according to the needs of the individual. Participation in
the Sanctuary Psychiatric Centers Outpatient Services Program is also
available to Satellite clients.
In addition to providing direct services to the clients, the Satellite
Program Director monitors each client's level of regular activity (in
employment, education, day treatment, etc.), assuring compliance with
program requirements.
Whiteside Manor
***************
2743 Orange Street
Riverside, CA. 92501
1-800-300-RECOVER (CA)
http://www.whitesidemanor.com/index.htm
Dual Diagnosed Residential Programs:
http://www.whitesidemanor.com/dual_diagnosis.htm#dualDiagnosis
Whiteside Manor has a very strong capability to treat individuals
with a substance abuse problem and associated mental illness. Not only
is there a specialized, full service residential dual diagnosis
facility but also all the other Whiteside Manor programs effectively
treat dually diagnosed people. Staff is especially sensitive to Dual
Diagnosis indications and issues. The ready availability of licensed
therapists working within the programs improves these characteristics.
The Dual Diagnosis programs have all the same elements listed under
Residential Treatment as well as components that support the
medication needed and enable clients to understand and overcome their
mental health issues. Medical personnel handle all the medication
matters. The fact that Dual Diagnosis clients are often a regular part
of programs helps them adjust to normal circumstances and benefit from
the more usual and intense Chemical Dependency program. A spiritual
track is also available.
Transitional Program:
The transitional program specializes in giving residents support
beyond the traditional sober living program. In addition to strong
vocational training, groups and individual sessions are held weekly.
Vocational rehabilitation specialists provide community base
employment opportunities and vocational rehabilitation services that
are tailored to meet the needs of each client. Each vocational plan is
governed by assessments of the individual's skills, knowledge,
abilities and personal preferences. Eligible clients are assisted in
applying for Social Security Disability, which will provide future
entitlement income.
Located in single family homes near the main treatment homes, the
community housing program includes many elements. Among these are
support for job search, continued family and couple counseling,
relapse prevention and aftercare groups. Staff is also available to
help integration into the community resources
Length of inpatient stay: Approximately 90 days.
Insurance: Inpatient treatment is covered by many insurance plans.
Insurance and insurance arrangements may be made through our financial
counselors.
Contact Information
http://www.whitesidemanor.com/contact.htm
==
Lakewood Regional Medical Center
********************************
3700 East South Street
Lakewood, CA 90712
Ph: (562) 531-2550
http://www.lakewoodregional.com/CWSContent/lakewoodregional
New Beginnings Program:
http://www.lakewoodregional.com/CWSContent/lakewoodregional/ourServices/medicalServices/New+Beginnings+.htm
Psychiatric/Dual Diagnosis Treatment for Adults
Welcome to New Beginnings - our acute, short-term program for adults
with special needs.
Patients admitted to New Beginnings have an acute primary psychiatric
diagnosis and may also have problems with a substance abuse.
The program is voluntary and serves adults who are cognitively able to
participate in a structured program. Care is provided in a secure and
therapeutic environment 24 hours a day.
Based on a 12-Step philosophical approach, we offer a variety of
treatment modalities seven days a week that promote a healthy life
including:
Group Therapy
Individual Therapy
Family Counseling
Recreation Therapy
Music Therapy
Educational sessions
More information can be found on the Dual Diagnosis Recovery site:
http://cgibin.erols.com/ksciacca/cgi-bin/db.cgi?file=74&nums=10,35,36,56,63,74,129,140,141&search=state%2Ctype&city=&state=ca&progname=&system=&type=e&sched=&keyword=
"We are a licensed voluntary psychiatric inpatient unit that has an
established reputation for the specific treatment of the dually
diagnosed person. Presently over 90% of our patients have a dual
diagnosis. "
"An established and well known inpatient program for clients above age
18 who are unable to function outside of the hospital due to
psychiatric symptoms and/or chemical dependency. Additional experience
treating the dually diagnosed older adult. A structured program that
includes psychotherapy, group therapy and 12 Step modalities as well
as patient education and other medical modalities, including detox."
(There was not any real information on the site regarding integration
and employment after treatment)
Sober Living By The Sea Treatment Centers
*******************************************
http://www.soberliving.com/programs.htm
2811 Villa Way
Newport Beach, CA 92663
1-800-647-0042
We begin by assessing the most appropriate level of care. Treatment
plans are then developed to meet the client's specific needs and
goals. These plans include three phases: Extended Care, Continuing
Care and Transitional Care.
Dual Diagnosis Track
http://www.soberliving.com/dual_diagnosis.htm
Dual diagnosis is a term used to describe clients who have an ongoing
disease process, characterized by more than one diagnosis. Since
chemical dependency and other disorders have a habit of walking hand
in hand, it is not uncommon for a client to enter one of our programs
seeking treatment for an addiction and in the process finds that
another disorder is present. In fact, up to 70 percent of chemically
dependent individuals may suffer from undiagnosed and untreated
secondary diagnoses.
Our Dual Diagnosis Program is well suited for clients who require help
with more than one problem. In addition to treatment for chemical
dependency, we offer individual and group therapy for trauma
resolution, gambling problems, eating disorders, and more. We also
provide medication management and individual counseling for a wide
range of mental illnesses, and other personality and behavioral
disorders.
Counseling is an important part of care. Our clients receive
individual and/or group therapy for any additional diagnosis that may
accompany chemical dependency. Our medical director, a board-certified
psychiatrist, performs all initial client evaluations. Our clinical
director, who also specializes in marriage and family counseling,
coordinates our clinical program. In addition, we have on staff a
specialist who helps clients in the areas of trauma resolution and
post-traumatic stress disorder (PTSD). Our chemical dependency
counselors are certified in many areas of counseling. These include
the treatment of gambling, eating disorders, life skills and relapse
prevention. These highly skilled and qualified people act as our case
managers, and they provide an important one-on-one link with each of
our clients and their families.
Our entire clinical staff meets weekly to review the progress of every
client in our facility. We have found that a client's progress is best
determined when a multidisciplinary team approach is used. If it is
determined that a client needs assistance with any other diagnosis or
disorder, he or she is referred to the appropriate individual and
group counselors for appropriate sessions.
Sometimes medication is a necessary part of treatment, especially in
cases of dual diagnosis. Our medical director is a prescribing
psychiatrist. He performs initial evaluations and monitors each client
who requires medication.
At SLBTS, we treat a wide variety of clients and dependencies.
However, once in awhile a client comes to us with a diagnosis beyond
the scope of our care. In such instances, we can refer the client to
an expert in their required specialty outside our treatment centers.
We help these special-needs clients find qualified specialists and
even provide the transportation and supervision that may be required
to get the client to and from an outside therapist's office.
Staff
http://www.soberliving.com/prostaff.htm
====
Del Amo Hospital
****************
23700 Camino del Sol
Torrance, CA 90505
800-533-5266
http://www.delamohospital.com/middleprofile.html
Facility Virtual Tour:
http://www.delamohospital.com/middlevirtual.html
Welcome to Del Amo Hospital, a 166 bed private psychiatric hospital
that is located near the warm, sunny beaches in Southern California.
Del Amo has distinguished itself through a wide range of programs that
are individually tailored to each patients particular needs, such as
crisis stabilization, dual disorders, trauma-based disorders, sexual
disorders, and alcohol and drug detox.
The Del Sol Adult Program is designed to help individuals achieve
their treatment goals within a secured setting with 24-hour
supervision by registered nurses, licensed vocational nurses and
trained mental health assistants. Treatment goals are set with
individual participation and our treatment team which includes the
physician, nursing staff, social work and adjunctive therapy.
Programs:
http://www.delamohospital.com/middleprogram.html
Del Amo Hospital provides a continuum of care, from the preliminary
assessment and diagnosis through intensive treatment, long-term
maintenance, cultivation of a rapport between patients and providers,
education and relapse prevention and aftercare that helps ensure
continuing contact with the appropriate professionals and support
services.
Del Amo Hospital's staff has expertise in the diagnosis and treatment
of behavioral health problems caused by cognitive impairment, mood
disorders, personality disturbances, anxiety disorders, somatoform
illness, impulse-control dysfunctions, substance-related problems,
trauma-related impairment, borderline personality disorder, eating
disorders, dissociative disorders, and psychotic illness.
==========
Sierra Vista Hospital
********************
8001 Bruceville Road
Sacramento, CA 95823
(916) 423-2000
Sierra Vista Hospital is an acute care psychiatric hospital providing
a full range of both inpatient and outpatient services for adults and
adolescents. Located just south of downtown Sacramento, Sierra Vista
has played an important role in meeting the region's mental health
needs since the 1980's.
Inpatient Care:
http://www.bhcsierravista.com/CustomPage.asp?guidCustomContentID={6F897F3B-6F98-11D4-81F3-00508B1249D5}
===
Baker Places
*************
310 Townsend Street
Suite 400
San Francisco, CA 94107
Tel: (415) 546 9946
Fax: (415) 546 9947
http://www.bakerplaces.org/contact.html
Services:
http://www.bakerplaces.org/what.html
ACUTE RESIDENTIAL:
Grove Street House:
An intensive crisis residential treatment program focusing on up to
10 adults who have been "dually diagnosed" with co-occurring mental
health and substance use disorders. Grove Street House can offer up to
60 days for stabilization and future treatment planning.
(Read entire page for transitional and follow-up services)
===
I hope the references I have given you provide a very good start
toward the evaluation and selection of a facility for your friend. As
the sibling of a brother with a life-long battle with schizophrenia, I
thoroughly understand the time and effort it takes to find the right
treatment options.
I commend your efforts to stand by your friend and help her with her
struggles. There are far too many who would just walk away. You
deserve a very special "thank you" from all of us who have loved ones
suffering from mental illnes.
umiat-ga
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