Intensive Outpatient Alcohol, Drug & Addiction Program

Visions provides two Los Angeles Outpatient structured programs which address all aspects of building a healthy lifestyle while preserving an adolescent’s dignity and individuality. The teen outpatient treatment center provides solution-based programs to meet clients’ objectives on an individual, group and family basis.

* Males & Females

* 13 to 18 Years Old

* Involvement Required from a Family Member or Legal Guardian.

* Los Angeles, California

1st Step Program

The 1st Step Program often is the introduction for a teen to the beginning of their treatment process. This program has also helped families and teens reintegrate into everyday life after long term treatment. In both cases, Vision’s staff supports parents by walking them through the reality of their teen’s new lifestyle and often times help them to understand what the next step might be.

* 8 Weeks of Clinical Support

* 2 to 3 Nights Per Week Including:

* 1 Individual Session

Masters Level Clinicians

* 1 Family Session

* 1 Group Session

* Drug Testing

12-Step Program Implemented for Teens with Addictive Behaviors

Intensive Outpatient Program

Visions’ intensive outpatient treatment program represents the next step on the continuum of care. Our staff in committed to opening communication up amongst the family, addressing existing co-occurring psychiatric and/or therapeutic needs and developing a solid foundation of support within the community.

* 1 Year of Clinical Support

– Primary Care Phase (Months 1 to 2)

– Continuing Care Phase (Months 3 to 6)

– Aftercare Planning (Months 7 to 12)

* Individual Sessions

* Family Sessions

Masters Level Clinicians

* Multi-Modal Group Sessions

* Parent Support Groups

* Drug Testing

12-Step Program Implemented for Teens with Addictive Behaviors

VISIONS Monday Tuesday Wednesday Thursday Friday
4:00-4:50 PM Group Therapy Family Group Break Study Hall
4:50-5:00 PM Break Family Group Break Study Hall
5:00-5:50 PM Group Therapy Family Group Group Therapy Study Hall
5:50-6:00 PM Break Family Group Break Study Hall
6:00-7:00 PM Group Therapy Family Group Group Therapy Study Hall
7:00-8:00 PM Break Family Group Break Peer Support Group
8:00-9:00 PM Group Therapy Family Group Group Therapy Peer Support Group

Treatment Team

Our treatment team consists of highly skilled professionals who use effective techniques and current modalities.  Each adolescent is assigned a personal counselor who works directly with them throughout their treatment. Clients will work with several other professionals over the course of treatment to get the maximum results.  In addition, several consultants who specialize in working with adolescents will be utilized as needed in the following areas:

* Licensed Therapists

* Psychiatrist

*  Psychologists

*  Counselors

*  Medical Doctors

* Registered Dietician

* Art Therapist

* Dialectical Behavior Therapy (DBT) Informed Programming

Please learn more about our Clinical Team on our staff listing.

Objectives & Goals

Visions aims to support every adolescent to seek out and actively become involved in community-based resources including healthy peer groups.

Mental Health

*  Encourage and motivate the adolescent to achieve and sustain a healthy lifestyle.

*  Help the adolescent to develop new, more effective problem-solving strategies.

*  Assist the adolescent with recognizing and acknowledging the existence of destructive behaviors and mental health issues and the impact they have on their family, friends and future.

*  Help the adolescent recognize and change problematic attitudes which stimulate a relapse, behavioral or otherwise.

*  Involve family and significant others in the treatment process to reduce dysfunction within the family.

*  Assess and meet the psychological and psychiatric needs of the adolescent.

*  Assess and meet the medical needs of the client, by referral.

*  Assist with adolescent in identifying unhealthy and/or negative coping mechanisms.

 

Substance Abuse & Co-Occurring Disorders

*  Encourage and motivate the adolescent to achieve and sustain abstinence.

*  Assist the adolescent with identifying situations where drugs and alcohol were used to cope with life’s problems, and in understanding that using drugs and alcohol to cope with or solve problems does not work.

*  Help the adolescent to develop new, more effective problem-solving strategies.

*  Support the adolescent to use the 12-step philosophy and encourage participation in Narcotics Anonymous (NA), Alcoholics Anonymous (AA), and/or Cocaine Anonymous (CA).

*  Assist the adolescent with recognizing and acknowledging the existence of destructive behaviors and mental health issues in their lives and the impact they have on their family, friends and future.

*  Help the adolescent recognize and change problematic attitudes and behaviors which stimulate a relapse.

*  Involve family and significant others in the rehabilitation process and reduce dysfunction within the family.

*  Assess and meet the psychological and psychiatric needs of the adolescent.

*  Assess and meet the medical needs of the client, by referral.

* Assist the adolescent to address any legal issues, which may involve criminal activity.

The adolescents themselves determine additional treatment goals.  Examples of self-selected treatment goals include pursuing educational and vocational interests, examining psychological conflicts, and exploring new or previous recreational pursuits or interests.

Therapeutic Services

Program admission involves several comprehensive assessments of each resident’s condition and specific issues or needs, including medical, psychiatric, and psychosocial status. Whenever possible, collateral information is collected from additional resources including family, schools and previous treatment providers.

;

Psychosocial Assessment

The psychosocial assessment reviews an adolescent’s medical history, family history, leisure and social functioning, developmental history, educational functioning, legal history, drug and alcohol history and any significant events that could impact a resident’s treatment process.  If indicated, additional assessments may be conducted as a result of the findings from the initial assessments.

These can include:

*  Psychiatric Evaluation

*  Psychological Testing

*  Educational Assessment

*  Neurological Testing

*  Trauma Assessment

*  Eating Disorder Assessment

*  Sexual Compulsivity Assessment

 

Substance Abuse Assessment

Visions’ substance abuse assessment interview examines psychoactive substance use, establishes a baseline and identifies areas of need. The assessment measures seven chemical dependency-related domains: drug use, alcohol use, medical problems, psychiatric issues, legal issues, family/social issues, and employment/support issues. The assessment will also help determine if there are any psychological issues that would prohibit the resident from attaining complete recovery, if there are any risks for danger to self or others and whether there is any propensity towards mood, personality or cognitive disorders.  This assessment also evaluates the teen’s treatment and recovery belief systems and determines any indication of treatment resistance.

Psychiatric Assessment

After the initial interview with the adolescent, the client will see the Psychiatric Director for a psychiatric evaluation. If a resident has been discharged from an inpatient psychiatric unit, the attending physician will be contacted for treatment planning suggestions.  A licensed psychiatrist who has experience in the areas of mental health, substance abuse treatment and in the area of adolescents has been designated as the Psychiatric Director. The Psychiatric Director will assume responsibility for ensuring that the initial psychiatric evaluation is properly performed and psychiatric services are provided as needed. Adolescents who are diagnosed with a Mental Health or Co-Occurring Diagnosis (mental health and substance abuse disorders) will be admitted to the program with approval from the Psychiatric Director.

If a resident is on psychiatric medication for a diagnosis, the Psychiatric Director will assess the adolescent every week for medication management.

Treatment Planning

Utilizing information collected during the assessment process, a Treatment Plan is created.  The plan identifies the issues to be addressed in the treatment program and the desired goals. Barring therapeutic contraindication, clients review their treatment plan with their counselor to ensure that the goals and expectations are fully understood.  Action steps and goals are generated. The adolescent meets with their program counselor to review the Treatment Plan and to ensure  the teen understands all expectations and goals.

Treatment Services

All counseling services are performed by trained personnel under the supervision of the Program Director. Individual and group counseling techniques as well as specialized groups, e.g. psycho-education group, goal setting and drug and alcohol education groups are utilized. Treatment services include but are not limited to:

* Process Group Therapy

* Goal Groups

* Substance Abuse Groups

* Individual Sessions

* Psycho-Education Groups

* Family Therapy

* Stress Management Groups

* Art Therapy

* Anger Management Group

Family Treatment

Mental Health and Substance Abuse issues affect the entire family and studies have shown that the best outcomes for treatment depend on the family’s understanding of and participation in the therapeutic process. The family component of treatment is a critical aspect of what we do.

We find that nearly 100 percent of our families feel the same way about their child’s issues prior to and during treatment.

* Fear

* Helplessness

* Hopelessness

* Anxiety

* Anger

With the support of the Visions team our families move towards:

* Hope

* Trust

* Acceptance

* Awareness

* Healthy Communication

 

Multi-Family Group

This group is held weekly. It is facilitated by the Family Therapist. The multi-family group addresses issues that are common to all families such as communication, handling conflicts, and maintaining boundaries. Family members and clients share in a supportive atmosphere. This group also provides families with feedback and support from other family members who are experiencing similar difficulties.

Individual Family Sessions

Individual sessions with residents and their family members will be conducted by a Family Therapist primarily for the purpose of assessing family therapy needs to complete treatment goals and addressing conflicts that the family may feel too uncomfortable with to bring up in group sessions. When it is assessed that an individual family member needs additional therapeutic services outside the scope of Visions treatment, they will be referred to appropriate professionals.

Family Education

In education groups, adolescents and families are provided with information on the family progression and stages of family illnesses including adjustment/ reactions made.  These presentations also address roles, rules and interaction patterns commonly found in families. They discuss common issues parents bring into treatment when addressing their own family of origin and determining what to pass on to their children. The goal is to teach the adolescent and family members an understanding of typical roles, such as interaction patterns and family rules that people act out in dysfunctional families.

If it is determined that family involvement would not be clinically appropriate, the Family Therapist may conduct individual sessions with the adolescent.

Examples of this would be as follows:

* Working on separation/individuation issues.

* Addressing enmeshment and appropriate boundary setting.

* Working towards acceptance of relationships.

* Processing family sessions that have taken place.

 Discharge & Aftercare

The Discharge Plan is a continuing care plan that is developed by the Counselor with input from both the clients and the treatment team prior to the resident leaving the program. It addresses, as appropriate:

*  Continuing Care Needs

may include: individual and family therapy & medication management.

*  Physical and Psychiatric Needs

*  12-Step Meeting Schedule

*  Family Relationships

*  Academic Needs

*  Social Needs

*  Accessibility to Community Resources

* Indication of Anticipated Problems Following Discharge and Suggested Means for Dealing with Them.

The continuing care plan, when indicated, provides recommendations and arrangements for support services, with an identification of providers.  The Treatment Team begins developing the resident’s Final Discharge Plan and Continuing Care Plan at admission and any problems that have been deferred are addressed in the Final Discharge Plan.

Alumni

Following completion of the active treatment program phase, adolescents can benefit from continued participation in the Visions Alumni Program, The Fourth Dimension. They use what they have learned in the active phase of treatment program and bolster that learning by attending aftercare groups and continued participation in self-help groups.

*Residents Become Members of the Visions Alumni.

*Individual Sessions are Available to Alumni on a Fee for Service Basis.

Crisis Intervention or Relapse Prevention

*Support Calls Received from Visions Alumni Coordinator.

 

It is the goal to foster the resident’s utilization of community and personal resources in their new healthy way of living.

Annual Alumni Events:

*Winter Ski/Snowboard Trip

*Alumni Family Weekend

*Alumni vs. Staff Softball Game

*Knott’s Scary Farm Night

*Magic Mountain