VA San Diego Healthcare System – Imperial Valley CBOC

Dual Diagnosis

In California, dual-diagnosis addiction treatment programs offer comprehensive care for individuals with co-occurring mental health and substance use disorders. Programs include medically assisted detox, intensive outpatient, outpatient, residential rehab, and partial hospitalization. Using an evidence-based approach, clinicians utilize therapies like cognitive behavioral therapy, or dialectical behavioral therapy and mindfulness to address substance use disorders and co-occurring mental health challenges. Additional services include 12-Step recovery, group therapy, family counseling, and relapse prevention to promote sustained recovery.

Mental Health

Inpatient treatment for drug and alcohol addiction with a focus on mental health is a good fit for people who need closer monitoring and care. Treatment may occur in a hospital setting, a clinic, or a luxury rehab center. Mental health counselors and staff are available 24/7. Therapies typically include group and individual counseling, relapse prevention education, and emotional coping skills training.

• Financial aid
• Military insurance
• Free
• Private insurance
• Per session
• 90 day cost: $1,316
• Self-pay options
• Medicaid
• Financing available

• Adult program
• Elderly program
• HIV/AIDS program
• LGBTQ program
• Military program
• Program for men
• Program for women
• Young adult program

Outpatient

Clients receiving treatment at an outpatient rehab typically do not require hospitalization or intensive supervision and support. Outpatient addiction counseling and recovery education are often offered during the morning, evening, night, and weekend, allowing clients to tailor treatment to their own schedule. Partial hospitalization (PHP) and intensive outpatient (IOP) programs are the most time-intensive and are designed for clients who are at an increased relapse risk and/or who need more robust therapeutic support.

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).

12-Step

Participants engaged in 12 step programs receive intensive peer coaching (sponsorship) and community support. Spiritual development as a means of achieving psychological and emotional healing and growth is the cornerstone of 12 step recovery, but religious affiliations are not required. Meetings are free, anonymous, and open to the public, though specialized formats are available, including groups for seniors, teens, and family members. Evening, night, and day meetings are conducted year-round in most communities.

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.

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.

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