449 Recovery

Outpatient

Clients receiving treatment at an outpatient rehab typically do not require hospitalization or intensive supervision and support. Outpatient addiction counseling and recovery education are often offered during the morning, evening, night, and weekend, allowing clients to tailor treatment to their own schedule. Partial hospitalization (PHP) and intensive outpatient (IOP) programs are the most time-intensive and are designed for clients who are at an increased relapse risk and/or who need more robust therapeutic support.

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

Aftercare Support

Rehab aftercare programs offer clients in addiction recovery a robust continuum of care after clients have completed active treatment. These services address recovery as a life-long process and are designed to evolve with clients' changing needs. Clients may partner with their case managers and/or addiction recovery team to identify the rehab aftercare services that are right for them. They may receive career counseling, housing assistance, peer coaching, 12 step program induction, among many other services.

12-Step

Participants engaged in 12 step programs receive intensive peer coaching (sponsorship) and community support. Spiritual development as a means of achieving psychological and emotional healing and growth is the cornerstone of 12 step recovery, but religious affiliations are not required. Meetings are free, anonymous, and open to the public, though specialized formats are available, including groups for seniors, teens, and family members. Evening, night, and day meetings are conducted year-round in most communities.

Sober Living Homes

Sober Living Houses (SLHs), aka sober homes or halfway houses, are safe, substance-free, supportive living facilities for those recovering from substance abuse. Ideal for those who've just been through inpatient or outpatient treatment, SLHs are supervised environments with rules that support sobriety, such as curfews, shared chores, and therapeutic meetings. Residents are also often trained on life skills and coping skills to make it easier to transition into society. SLHs also provide a strong sense of community that can lead to the kind of deep and lasting connections with other sober individuals that supports a new, healthy lifestyle.

Partial Hospitalization Program

Commonly known as "day treatment," a partial hospitalization program (PHP) is an intensive form of outpatient treatment where clients meet during the day and return home in the evening. PHP treatment doesn't require 24-hour care and often serves as an alternative to inpatient hospitalization or a step-down after a residential program. With PHP treatment, you can receive daily support for 6 to 8 hours which includes evidence-based therapies and medication management. The cost of PHP treatment typically varies but averages 90 days.

24-Hour Clinical Care

During the first phase of recovery – detox – it is crucial to have 24-hour clinical care in California. This care provides constant monitoring in order to ensure your safely and comfort as you progress through the withdrawal process for drug or alcohol addiction. Licensed professionals prescribe medications to treat withdrawal symptoms and provide frequent monitoring to ensure your safely as addictive toxins leave your system.

Alcoholism

The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.

Drug Addiction

Drug rehab in California teaches participants constructive ways to stay clean and sober. Treatment revolves around helping individuals stop using the substance they are addicted to and learn healthy habits to avoid relapse.

Dual Diagnosis

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

Mental Health and Substance Abuse

A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.

Opioid Addiction

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

Adult Program

Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.

Young Adult Program

Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.

LGBTQ Program

Recovery is most successful when clients feel accepted and validated by their peers and treatment providers. Facilities that offer LGBTQ-inclusive programming are committed to creating a safe space where everyone can grow and recover without fear of judgment or discrimination. They will have dedicated policies in place to create a safe and supportive environment that fosters free expression.

Cognitive Behavioral Therapy

Often referred to as CBT, is an approach used most often with clients with underlying, untreated depression. It guides clients through solving the problems regarding their behavior and thought patterns that are no longer useful in sobriety. Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members. 449 recovery groups are expressive in nature and are designed to help the recovering addict deal with social events, express their feelings, and better describe their most difficult challenges. They believe there is no single approach that is better than another. While they have a basic foundational approach through the various elements of our 449 plan, the plan itself lends room for a large amount of variety for their group therapy.

Individual Therapy

The private counseling sessions at 449 recovery give the patient an opportunity to express things they may be uncomfortable discussing at a group level. It also provides the chance to vent their frustrations and give their counselor an opportunity to gauge their progress. When an individual takes part in a drug addiction counseling program, he or she has the opportunity to address the psychological component of his or her dependency. This is one of the key areas that keep people from using drugs or alcohol again following their treatment program.

Motivational Interviewing

Used to establish goals for the client and to weigh the pros and cons of change within themselves. Counselors use non-judgmental, open-ended questions to assist clients to identify and take action on habits that may be detrimental to sobriety. Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.

Couples Therapy

The goal of couples therapy in California is to strengthen the couple's relationship. The therapist may take one or more approaches to counseling which may include the Gottman method, emotionally focused therapy, behavioral therapy, and psychodynamic couple's therapy.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation. Most often used during 449 recovery family group therapy sessions. The client is asked to recall how they felt about their family growing up. Peers are assigned to roleplay as family members while the focus client arranges them in a sculpture based on their emotions. The process is cathartic for both the client as well as the family and peers, and guides the processing of past trauma.

Creative Arts Therapy

The goal of creative arts therapy in California is to encourage growth and transformation. It can be used in individual and group settings with both children and adults. Options include movement, music, and painting.

Experiential Therapy

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.