Day treatment is recommended when a person needs a high degree of structure and accountability but still has a home environment that is supportive for recovery. Many persons are admitted directly to day treatment when they have had difficulty getting off of drugs or alcohol. This level of care is ideal for those who lack routine or support in their daily life, often due to the loss of job, school or family. GAADS delivers this service in three models, from three to six to 13 hours per day. Because they often meet criterion for disability and need support against relapse and impulsivity, the most used path is 13 hours per day. Persons admitted to day treatment undergo extensive assessment by a physician, a nurse and counselor or therapist. Twelve-step recovery participation is required. Following is a typical full day of day treatment at GAADS.
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Time
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Activity
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Participants
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8:45 a.m.
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Arrive at the Treatment Program
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Patient
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9:00 - 9:45 a.m.
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Individual Reading Assignments
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Patient
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10:00 - 11:30 a.m.
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Relapse Prevention, Yoga,
Spirituality or Diet
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Patient and Group
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11:30 a.m. -1:00 p.m.
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Lunch Break and Writing Time
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Patient
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1:00 - 2:30 p.m.
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First Step Group (Presenting
Written First Step Guide)
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Patient and Group
(typically about 20
written pages)
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2:45 - 4:15 p.m.
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Process Group (Presenting
Written Treatment Objectives)
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Patient and Group
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4:15 - 6:30 p.m.
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Dinner Break and Writing Time
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Patient
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6:30 - 8:15 p.m.
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Process Group or
Multi-Family Therapy
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Patient, Group, Family
Members (presenting
written treatment
objectives with
family members)
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8:30 - 10:00 p.m.
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AA Meeting
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Patient, Group and
Outside Recovery
Community Members
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10:00 p.m.
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Depart for Home/
Recovery Home
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Patient
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Successful completion of Phase I of day treatment usually happens following three to four weeks of this schedule, or can be coupled with a transition to intensive outpatient. Discharge from these levels of care occurs upon completion of a written first step and treatment plans, education, 12-step recovery goals, family involvement and discharge planning. Continuing care is structured in three phases of six weeks, four months and six months. During Phase II and III, we offer multi-family therapy, couples group and three opportunities per week for patient groups led by a counselor or therapist. A special commencement ceremony takes place at six months, followed by weekly patient groups and a codependency group is included for family members alone. Continuing care is included in the price of day treatment.
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