About Astor Services for Children and Families – Satellite MS118
If you’re in the Bronx and need help with substance use, Astor Services for Children and Families on Tilden Street provides services for addiction recovery. Located in a central part of the Bronx, the facility is easy to access whether you’re taking public transportation or driving. It’s open five days a week making it easier to fit into busy schedules.
Astor provides behavioral health assessments, substance use screenings and treatment planning. They also offer discharge planning and crisis management. For those needing additional assistance the facility also offers psychiatric care apart from regular therapy.
Family Based Treatment
Astor doesn’t just offer basic therapy sessions. When it comes to addressing substance use they provide a mix of individual therapy and family counseling. This is particularly helpful because substance use doesn’t just affect the individual—it can ripple out and impact the whole family. They offer services like home, school, or community-based sessions; family therapy; and individual therapy.
MAT for Dual Diagnosis
If someone is dealing with mental health issues like anxiety or depression along with substance use then medication can be an important part of the treatment. They keep a close watch on how the medication assisted treatment (MAT) works, checking in often to ensure it’s helping and making adjustments if needed.
Personalized Case Management
Case management here is about much more than just offering advice. Families get the guidance they need from case managers who help them connect with the right services and make sure there’s clarity about what to do moving forward in recovery.
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Other Forms of Payment
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Sliding scale payments are based on a client's income and family size. The goal is to make treatment affordable to everyone. By taking these factors into account, addiction recovery care providers help ensure that your treatment does not become a financial burden to you or your family, eliminating one barrier to care.
Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.
Addiction Treatments
Levels of Care
Outpatient
Intervention Services
Aftercare Support
Treatments
Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.
Clinical Services
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.
Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.
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.
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 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.
Parents are provided with one-on-one or group counseling, home visits, and referrals to special services that support parental-skills development. Family counseling is aimed toward meeting the child’s development needs and strengthening the affection between all family members.
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.
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.
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.
Staff
Yvette Bairan
CEO
Nancy Santiago
CFO
Katherine Bagshaw
Chief Human Resources Officer
Denize Da Silva-Siegel, MD
Medical Director for Child & Adolescent Psychiatrist
Alan Fong
Clinical Director for Clinical Services
Todd Karlin, PsyD
Chief Program Officer
Sarai Manuel, LMFT
Chief of Strategic Initiatives & Development
Sean McLaughlin
Assistant Executive Director for Agency Operations
Contact Information
750 Tilden Street
Bronx, NY 10467