The Esperanza Center

Dual Diagnosis

Maryland's addiction experts understand the importance of dual-diagnosis addiction treatment in their inpatient and outpatient recovery programs. Dual-diagnosis means having two mental health disorders at the same time, like addiction and depression. By treating individuals with co-occurring substance use disorders and mental health conditions simultaneously, they can enhance recovery outcomes and improve overall health, reducing the risk of relapse. Programs include evidence-based therapies, family counseling, recovery support groups, and skills training. Additional services may include medically assisted detox, 12-Step facilitation, equine therapy, complementary treatments, and alumni programs.

Mental Health

Treatment for drug and alcohol addiction often centers on improving mental health. Inpatient care is ideal for people who need closer monitoring while receiving therapeutic and mental health services. Standard therapies include group and individual counseling, relapse prevention education, coping skills training, cognitive-behavioral therapy (CBT), motivational interviewing and family support groups. With all critical therapies combined, there is a greater chance for improving mental health and achieving sustained recovery.

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• Adolescence program
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• Program for men
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• Young adult program

Outpatient

Clients who are exiting detox or intensive inpatient treatment often enroll in outpatient rehab programs to ensure a robust continuity of care. Outpatient programs allow clients to remain in or return to their homes and workplaces while continuing to receive treatment, which typically includes addiction counseling and recovery-focused life skills training. Clients in opioid and/or alcohol recovery may also receive medication assisted treatment (MAT), including medication induction and maintenance, at an outpatient facility.

Medically Assisted Detox

Quitting drugs and alcohol on your own can cause uncomfortable and even dangerous side effects caused by the withdrawal process. In medically assisted detox, a team of licensed medical professionals will monitor your health, provide medication for potential withdrawal symptoms, and work to keep you safe and comfortable. Most people transition to an inpatient program or a maintenance program that uses medication assisted treatment (MAT).

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.

Intensive Outpatient

Clients who are leaving inpatient rehab often choose to transition into an intensive outpatient program (IOP) to receive high-level support as they reintegrate into their home, workplace, and community. Intensive outpatient rehab also benefits those at risk of relapse. Clients typically participate in nine to 20 hours of treatment weekly, with modalities ranging from psychotherapy to addiction and recovery education. Many programs also provide medication assisted treatment (MAT) and complementary care, such as nutrition counseling, and acupuncture.

Inpatient

The Child and Adolescent Psychiatry Inpatient Service offers comprehensive diagnostic evaluation and treatment of children and adolescents (typical age ranges from 5-17 years old) with a variety of emotional and behavioral problems including mood disorders, anxiety disorders, psychotic disorders, severe disruptive behavior, and suicide attempts. The General Psychiatry Inpatient Unit accepts adult patients over the age of 16 on a voluntary basis only. Their expert inpatient treatment team is comprised of an attending psychiatrist, a resident psychiatrist, nurses, a social worker, a case manager, and several occupational therapists, all of whom are trained to provide of a wide range of psychiatric services to patients with diverse needs.

Intervention Services

Intervention services helps family or friends of addicts stage an intervention, which is a meeting in which loved ones share their concerns and attempt to get an addict into treatment. Professional intervention specialists can help loved ones organize, gather, and communicate with an addict. They can guide intervention participants in describing the damage the addict's behavior is causing and that outside help is necessary to address the addiction. The ideal outcome of an intervention is for the addict to go to rehab and get the help they need.

12-Step

12 step programs provide accessible peer coaching for participants at all stages of their recovery journey. Meetings are peer-led, anonymous, free, and available multiple times per day in most communities. Participants also receive one-on-one mentoring by a self-selected sponsor. 12 step recovery is based on spiritual principles, which enable participants to understand their disease, accept responsibility for their choices, and relinquish control over that which is unchangeable. Religious affiliation isn’t required and specialized formats are available.

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

You’ll typically find a sober living home in Maryland located in a peaceful, quiet neighborhood. These private residences are designed to offer a low-stress but structured environment where residents can focus on their ongoing recovery efforts and receive support to maintain sobriety. Several individuals, all of whom are in recovery, share the halfway house. This type of communal living helps decrease relapse, increase employment rates, and helps individuals hone their recovery skills.

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.

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.

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.

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.

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.

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