Aleda E. Lutz VA Medical Center

Dual Diagnosis

Michigan's dual-diagnosis addiction treatment programs provide specialized treatment for individuals with co-occurring substance use disorders and mental health conditions. Levels of care include outpatient, inpatient, and partial hospitalization options. Using a combination of evidence-based therapies, trauma-informed care, group therapy, and psychoeducation, clinicians can help you address the underlying cause of your addiction, treat both disorders, and promote overall mental health and well-being. You’ll also develop a support network and enhance your coping skills.

Mental Health

Inpatient addiction treatment includes mental health services designed to help you succeed in recovery or avoid relapse. Standard treatments include individual and group therapy sessions, relapse prevention education, and coping skills training. One of the main goals of therapy in rehab is to help you improve your mental health, eliminate patterns of unhealthy thinking that tend to drive or support self-destructive behaviors, and replace unhealthy patterns with healthy and rational thought patterns.

• Military insurance
• Medicaid
• Medicare
• Free
• Sliding scale payment assistance
• Self-pay options
• Financial aid
• Private insurance
• Per session
• 90 day cost: $1,316

• Adult program
• Elderly program
• Hearing impaired program
• HIV/AIDS program
• LGBTQ program: The Aleda E. Lutz VAMC is proud and committed to serve Lesbian, Gay, Bisexual, and Transgender (LGBT) Veterans in a supportive and affirming environment. They recognize that diverse populations have distinctive needs, and we are training our staff in culturally and clinically-competent care for LGBT Veterans.
• Military program
• Program for men
• Program for women

Medically Assisted Detox

During a medically supervised detox, addictive substances are removed from your body while under the 24/7 supervision of medical professionals in an inpatient environment. This is the safest way to wean your body off of addictive substances, since quitting alcohol or certain drugs (like opioids or benzodiazepines) can be dangerous if done on your own. The program typically lasts around 5-7 days, but is highly individualized depending on your needs.

Outpatient

Clients receiving care at an outpatient rehab remain in their own homes and attend treatment as often as daily, depending on the level of need. Outpatient care generally consists of psychotherapy, addiction education, life skills training, and community reintegration support. Many outpatient treatment centers provide step-down care, including partial hospitalization (PHP), intensive outpatient (IOP), sober living, and standard outpatient services. Some outpatient rehabs also offer ambulatory medical detox and medication assisted treatment (MAT).

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

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Partial Hospitalization Program

Often known as “day treatment”, a partial hospitalization program (PHP) offers treatment during the day while allowing you to live at home. PHP treatment typically requires a commitment of at least 20 hours of treatment weekly, spanning approximately 90 days. While commuting is necessary, some programs may offer telehealth options. PHP treatment plans usually include relapse prevention, medication management, and behavioral therapy. Insurance coverage may vary, but many providers offer full or partial coverage for PHP.

Cognitive Behavioral Therapy

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.

Couples Therapy

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Eating Disorder Treatment

Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.

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.

Eye Movement Desensitization and Reprocessing

EMDR is a therapeutic modality originally developed to help process trauma. In an EMDR session, a patient is prompted to undergo eye movements that mimic those of REM sleep. This is accomplished by watching a therapist's finger move back and forth across, or following a bar of light. The goal is repetitive sets of eye movements that help the brain reprocess memory, which can significantly reduce the intensity of remembered traumatic incidents. Associated memories can heal simultaneously, leaving patients significantly calmer, more stable, and more emotionally relaxed.

Family Therapy

Sometimes, as part of a Veteran’s treatment, some members of the Veteran’s immediate family or the Veteran’s legal guardian may be included and receive services, such as family therapy, marriage counseling, grief counseling, etc. Family members might learn how to recognize symptoms and support recovery. In some treatment settings, a brief course of couples counseling or family therapy may be offered.

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.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Life Skills

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Motivational Interviewing

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.

Nicotine Replacement Therapy

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Nutrition Therapy

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Rational Behavior Therapy

Rational Behavior Therapy (RBT) is a form of cognitive behavioral therapy meant to be short-term and comprehensive. It was intended to help clients become more self-sufficent and move forward without the need for expensive, ongoing therapy. It includes an emotional self-help method called “rational self-counseling,” the purpose of which is to give clients all the skills needed to handle future emotional issues by themselves, or with significantly less professional help.

Trauma Therapy

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.

• Wilderness setting
• Residential setting
• Private setting