Columbia Community Mental Health – Pathways

Alcoholism

Alcoholism is characterized by tolerance to alcohol and withdrawal symptoms if drinking suddenly ceases. To overcome alcohol addiction, some people may require intensive alcohol rehab in Oregon. This treatment is highly structured and typically includes medical detox, behavioral therapies, and 12-step programs. Support systems are crucial during and after rehab, so involvement in support groups typically continues after rehab treatment is complete.

Drug Addiction

Drug rehab in Oregon offers a full continuum of care for those struggling with addiction. From detox, to inpatient, to outpatient, to aftercare, Oregon residents can find the support they need for recovery. This treatment empowers individuals to replace drug use with positive alternatives and develop a healthier lifestyle.

Dual Diagnosis

In Oregon, dual-diagnosis addiction treatment programs provide integrated care for individuals with co-occurring substance use disorders and mental health conditions. Specialized programs include outpatient, inpatient, and partial hospitalization options. Using a combination of individual and group therapy, psychoeducation, and skills training, a team of clinical addiction and mental health experts can treat the underlying causes of your addiction and improve your mental health.

Mental Health and Substance Abuse

If you're in Oregon and seeking help for both mental health and substance abuse, dual-diagnosis rehabs may offer the comprehensive care you need. Dual-diagnosis means having two mental health disorders at the same time, like addiction and anxiety. Both the outpatient and inpatient programs are staffed by medical and addiction experts who use a combination of therapy, education, recovery groups, and 12-step programming to support your recovery process and improve your mental health.

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.

• Medicaid
• Private insurance
• Self-pay options
• Financial aid
• Sliding scale payment assistance
• Daily

• Adult program
• Hearing impaired program
• HIV/AIDS program
• Program for men
• Program for women
• Young adult program

Outpatient

Clients who wish to remain in their homes while in recovery may elect to enroll in an outpatient rehab, many of which offer evening, night, and weekend services to accommodate clients’ schedules. Most outpatient facilities provide multiple levels of care to align with clients’ evolving needs, including partial hospitalization (PHP) and intensive outpatient (IOP) for clients who require robust support and supervision. Addiction counseling and recovery-focused life skills training are the most common treatment modalities.

Medically Assisted Detox

Medical detox is the process of weaning your body off drugs and/or alcohol under 24/7 medical supervision. Suddenly stopping use of addictive substances can have negative side effects, and in severe cases, it can be extremely dangerous or deadly. In an inpatient environment, a medically assisted detox provides you with a team of medical professionals whose job is to help alleviate potential withdrawal symptoms and keep you safe and comfortable. After this process, you’ll likely transition to an inpatient treatment program or other form of continued care.

Intensive Outpatient

Intensive outpatient programs provide robust, high-frequency care for clients in early recovery and those at an increased risk of relapse. Clients are generally expected to participate in nine to 20 hours of treatment per week, with the number and duration of sessions decreasing as clients stabilize. Intensive outpatient treatment often combines psychotherapy, including individual, group, and family counseling, with addiction and recovery education. Medication assisted treatment (MAT) and holistic therapies are also common.

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.

Sober Living Homes

Is a sober living home in Oregon right for you? If you’ve recently completed a rehab program but don’t feel ready to fully re-enter your life, this setting offers a good option. A halfway house can provide the structure you need to practice recovery skills in a substance-free environment before you enter mainstream society. During your stay, you’ll participate in 12-step meetings, help with household duties, and receive mutual support from others in recovery.

Partial Hospitalization Program

A partial hospitalization program (PHP) is a more intensive form of outpatient and can be a step-down service in substance use disorder treatment. During PHP treatment, which lasts 4-8 hours per day and up to 5 days a week, you'll participate in daily therapeutic services (relapse prevention, medication management, and behavioral therapy) for an average of 90 days. The cost of PHP treatment varies, but it is typically covered by insurance providers.

12-Step

Persons engaged in 12 step programs receive intensive and ongoing peer support as they work through the recovery journey. They’re expected to regularly attend 12 step meetings and to select a peer sponsor for one-on-one mentoring. Meetings are free, anonymous, and accessible multiple times a day, 365 days per year, in most communities. Religious affiliation is not required, though these programs are rooted in the belief in a higher power as a foundation of personal growth and long-term sobriety.

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).

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.

Creative Arts Therapy

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

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.

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.

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.

Recreational Therapy

Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.

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.

• Residential setting
• Private setting
• Private transportation
• Recreation room
• Art activities