Four Rivers Behavioral Health – Fuller Center

Outpatient

Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.

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.

Intensive Outpatient

Intensive outpatient programs (IOP) specialize in high-level care for clients requiring robust support. This includes those in early recovery, those in crisis, and those stepping down from inpatient care. Clients typically participate in a minimum of nine treatment hours per week, but many intensive outpatient rehabs offer up to 20 hours of service weekly. Their primary treatment modalities generally combine psychotherapy and recovery education. Medication assisted treatment (MAT) for alcohol and/or opioid recovery is widely available.

12-Step

Participants in 12 step programs attend regular group meetings, which are free, anonymous, and open to the public. Most communities offer multiple meetings daily, with specialized formats, including programs for seniors, teens, and families, widely available. 12 step recovery prioritizes participants' spiritual, emotional, and psychological growth and healing to support their sustained sobriety. Participants also receive one-on-one mentoring from a self-selected sponsor as they work through the 12 steps of recovery.

Intervention Services

Intervention services provide an experienced professional to guide families through a drug intervention in Kentucky. The interventionist starts with an introduction, then acts as a mediator as family members share their concerns with the substance user. This addiction expert can then guide the family in appropriate next steps based on the outcome of the intervention. They can offer ongoing support for the intervention process, whether the individual chooses treatment or not.

Partial Hospitalization Program

Often beneficial for individuals who don't require 24-hour supervision, a partial hospitalization program (PHP) can be an alternative to inpatient rehab or a transitional option. PHP treatment typically involves 6 to 8 hours of treatment per day, up to 5 days a week for an average of 90 days. PHP treatment often includes relapse prevention strategies, medication management, and other behavioral therapy interventions. While the cost of a partial hospitalization program can vary, it is often covered by insurance.

Medically Assisted Detox

Medical detox is the process of weaning your body off addictive substances in a medically supervised environment. An on-site medical team may include physicians, nurses, therapists, and other clinical staff whose job it is to monitor your vitals and provide medications if necessary to alleviate withdrawal symptoms. Their goal is to keep you as safe and comfortable as possible throughout the process.. Medically assisted detox programs are individualized to meet your specific needs and can vary in length, but they tend to last 5-7 days.

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

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.

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

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

Typically, dialectical behavior therapy (DBT) in Kentucky involves four types of therapy sessions. You'll participate in a pre assessment, skills training in groups, individual therapy, and telephone crisis coaching. The goal is to improve your skills for coping with daily emotions and life challenges.

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.

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.

Motivational Interviewing

Several techniques are key to motivational interviewing in Kentucky. Your therapist will use open ended questions, affirm your strengths, reflect your responses back to you, and summarize your responses. This allows you to identify any discrepancies in your current situation and your future goals, which can motivate you to make changes.

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.

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.