I used to love this program but it's getting to be like all the rest. The administration does not pay the counselors enough money so they are constantly leaving for a better paying job. How can you recover having a new counselor every 2-3 months. In almost 6 years I have had ...
About Lafayette Medical Approach
The outpatient program accepts appointments but walk-ins are also welcome. You receive either daily or weekly counseling alongside medication-assisted treatment and referrals to local resources including mental health, vocational, and educational rehabilitation.
They do not offer detoxification but do refer to community resources for this service. They are licensed by the New York State Office of Alcoholism and Substance Abuse Services and are CARF accredited. They accept many managed care plans, Medicaid, and Medicare, and will help you work with your insurance company for payment.
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Other Forms of Payment
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.
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.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
Addiction Treatments
Levels of Care
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.
Clients who enroll in an intensive outpatient program (IOP) are typically either in early recovery or are experiencing a crisis that increases their relapse risk. These programs promote clients' sustained sobriety through robust support, including multiple, extended care sessions per week. Intensive outpatient treatment often encompasses an array of services, including psychotherapy, recovery education, and evidence-based holistic therapies, such as acupuncture and meditation. Many outpatient rehabs also offer medication assisted treatment (MAT).
Clients in rehab aftercare programs receive a customized portfolio of services designed to promote their sustained sobriety. These clients have completed high-level treatment, are typically exiting detox and/or intensive inpatient care and are reintegrating into their home, workplace, and community. Rehab aftercare services address addiction disease as a chronic condition requiring continuing care. Clients typically work with case managers and recovery teams to access necessary resources, such as peer coaching and 12 step program induction support.
Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Treatments
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
When you choose drug rehab in New York, you'll participate in a variety of treatments that are designed to help you live a drug-free lifestyle. Common methods of treatment include group, individual, and family counseling, medication management, nutrition, exercise, and management of co-occurring mental health disorders.
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.
Substance rehabs focus on helping individuals recover from substance abuse, including alcohol and drug addiction (both illegal and prescription drugs). They often include the opportunity to engage in both individual as well as group therapy.
Programs
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 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.
Clinical Services
Cognitive behavioral therapy (CBT) in New York is a short term therapeutic method used to treat substance use and mental health disorders. CBT typically lasts from five to 20 sessions, based on the individual's needs.
During dialectical behavior therapy in New York, you and your therapist will look for triggers and patterns that are guiding your emotions. This involves keeping a diary of your emotions and situations and sharing this each week with the therapist. This information will determine what you work on in each session.
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.
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.
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.
Staff & Accreditations
Staff
Robert Degiarde
Executive Director
Christian Casac
Clinical Director
Robin Mitchell
Clinic Supervisor
Accreditations
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.
SAMHSA Listed: Yes
Contact Information
233 Lafayette Street
New York, NY 10012