Fargo VA Health Care System – Dickinson CBOC

Dual Diagnosis

Dual-diagnosis addiction treatment programs in North Dakota provide comprehensive care for individuals with co-occurring substance use disorders and mental health conditions, in both inpatient and outpatient programs. You can typically expert treatment to include a mental health assessment and individualized treatment plan, individual and group therapy, evidence-based therapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and skills development classes that address both disorders and promote overall mental health and well-being.

Mental Health

Dual diagnosis programs offer specialized care in the treatment of mental health disorders and addiction simultaneously. Expert mental health therapists help you manage both conditions and improve your overall well-being. Seeking help through a dual diagnosis program can be a crucial step in your recovery journey, as experts agree both conditions must be treated at the same time or the chances of relapse exponentially increase.

• Medicaid
• Private insurance
• Self-pay options
• Financial aid
• Medicare
• Military insurance
• Daily
• Per session
• 90 day cost: $1,316

• Adult program
• Elderly program
• LGBTQ program
• Military program
• Program for men
• Program for women
• Young adult program

Outpatient

Outpatient rehabs offer clients the freedom to remain in their home and community while receiving treatment. Many facilities also provide transitional support for clients who are stepping down from intensive inpatient care. The primary treatment modalities for most outpatient programs include addiction counseling, recovery-focused life skills training, and medication assisted treatment (MAT) for alcohol and/or opioid dependency. Integrative facilities also provide holistic therapies, such as meditation, acupuncture, and massage.

Medically Assisted Detox

Medically assisted detox involves weaning your body off alcohol and drugs in a medically supervised environment. This is often the first step in the addiction recovery process. Abruptly stopping intake of alcohol and some drugs (like benzodiazepines and opioids) can cause uncomfortable side effects. In severe cases, withdrawal symptoms can even be dangerous. To minimize risks and discomfort, a team of medical professionals will monitor you 24/7, and may provide medications if necessary to ease potential withdrawal symptoms.

Intensive Outpatient

Clients receiving treatment in an intensive outpatient program (IOP) often require higher-level support than those in standard outpatient (OP) programs. They are usually in early recovery or are experiencing crisis situations that increase their relapse risk. Intensive outpatient treatment generally involves nine to 20 hours of treatment weekly and may include a combination of addiction counseling, recovery education, medication assisted treatment (MAT), and holistic therapies, such as meditation, acupuncture, and massage.

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.

Partial Hospitalization Program

In a partial hospitalization program (PHP), you'll experience intensive rehab with the ability to return home each day. PHP treatment is recommended for those with moderate to severe addictions that don’t require 24/7 care. A partial hospitalization program serves as an alternative to inpatient hospitalization or as a step-down option. Throughout the week, you'll attend meetings for 4-8 hours each day, up to 3-5 days a week, for an average of 90 days. Medication management, evidence-based therapies, and relapse prevention are typical components of PHP treatment.

24-Hour Clinical Care

At certain points in the recovery process, it's important to have support available 24/7. 24-hour clinical care offers a safe environment in which to recover from drug or alcohol addiction in peace, knowing medical detox and other treatment will happen with professionals on hand.

12-Step

Recovery models based on 12 step programming combine intensive peer support with an emphasis on personal growth. Participants are expected to select a peer sponsor to mentor them through the recovery journey. 12 step recovery strategies are rooted in spiritual principles to promote self-compassion, acceptance, and accountability. Regular attendance at group meetings, which are free, anonymous, and open to the public, is expected. Specialized formats, including programs for seniors, youth, and families, are available in most communities.

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.

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.

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.

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.

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