Lexington VA Medical Center – Berea VA Clinic

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

Inpatient rehab is designed primarily for clients exiting detox, those in early recovery, and those in crisis situations that may increase their risk of relapse. Clients reside at the inpatient treatment center for the length of the program, which may range from two weeks to more than 18 months, depending on the program design. Inpatient treatment typically includes 24-hour clinical care and extensive addiction counseling and recovery education using CBT, DBT, RBT, motivational interviewing or other psychotherapeutic approaches.

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.

Aftercare Support

Rehab aftercare programs ensure clients' access to continuing care after the completion of intensive inpatient treatment. Outpatient care is often considered a component of drug rehab aftercare, but most clients continue to receive support services after being discharged from formal treatment. Service portfolios are customized to clients' unique and evolving needs and are often designed in collaboration with clients' case managers and care teams. Peer coaching, career counseling, relapse prevention, and 12 step program induction are standard.

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

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.

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.

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.

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.

Couples Therapy

As you begin couples therapy in Kentucky, you'll outline the goals for therapy. Your therapist will then arrange to meet with you in weekly joint sessions and, in some cases, individual sessions. You'll receive homework assignments to practice each week between sessions that will help you reach your goals.

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.