Jonathan M. Wainwright Memorial VA Medical Center – La Grande VA Community Based Outpatient Clinic

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

When you experience a co-occurring drug or alcohol addiction and a mental health disorder, a dual diagnosis treatment center offers the specialized services needed to address both conditions at the same time. By treating both disorders at once - under the same roof and with 24/7 access to mental health professionals – you drastically increase your chances of being successful in long-term recovery.

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

• Adult program
• Elderly program
• Military 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.

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).

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.

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.

Electroconvulsive Therapy

ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.

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