VA Southern Nevada Healthcare System – Southwest Primary Care Clinic

Dual Diagnosis

In Nevada, dual-diagnosis addiction treatment programs provide integrated care for individuals with co-occurring substance use disorders and mental health conditions. Outpatient and inpatient programs generally include individual and group therapy, recovery support groups, dialectical behavioral therapy, trauma-informed care, and skills workshops to treat both disorders successfully. Dual-diagnosis treatment can improve long-term recovery success and improve mental health, making your life and sobriety more manageable.

Mental Health

Addiction and mental health disorders are often present at the same time, a condition that is known as dual diagnosis. The reasoning behind that is twofold. Firstly, using drugs and alcohol is a way to self-medicate many of the most stressful aspects of mental health. On the other hand, having an addiction vastly increases your chances of developing a mental health disorder.

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Outpatient

Outpatient rehabs provide addiction treatment aligned with clients’ unique schedule and evolving needs. Many programs offer evening, night, morning, and weekend services to accommodate clients who are working professionals or full-time caregivers. They also provide a full continuum of care, including psychotherapy, recovery-focused life skills training, and, for clients in alcohol and/or opioid recovery, medication assisted treatment (MAT).

Intensive Outpatient

Clients receiving addiction treatment in an intensive outpatient program (IOP) typically have completed inpatient rehab or have chosen to forgo hospitalization following detox. The high-level care provided by intensive outpatient rehabs is particularly suited to clients in early recovery, those in crisis, and those at an elevated relapse risk. Clients engage in nine to 20 hours of treatment per week on average. Common services include psychotherapy, recovery education, holistic therapies, and medication assisted treatment (MAT).

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.

Partial Hospitalization Program

A partial hospitalization program (PHP) provides short-term, intensive rehab for individuals that require intensive care but don't require it 24/7. PHP treatment offers structured programming, often involving a combination of individual and group therapy sessions. Typically, a partial hospitalization program meets for an average of 90 days with sessions taking place 3-5 days a week for a minimum of 20 hours. While some PHP treatment provides on-site accommodation, others allow you to return home.

Medically Assisted Detox

Ridding your body of alcohol and drugs in a medically supervised environment is known as medically supervised detox. During this period of inpatient care, you are monitored by a team of medical professionals whose job it is to help keep you as safe and comfortable as possible while addressing any withdrawal symptoms. Medically supervised detox is typically the first step in the recovery process, and usually takes an average of 5-7 days.

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.

Sober Living Homes

Sober living homes in Nevada provides a place to stay where individuals in recovery have a supportive community to start a new life free from substances. While living in this type of setting, residents agree to abstain from substance use and participate in 12-step programs. Typically, each halfway house has set rules about individual chores, shared living areas, visitor hours, and curfew.

12-Step

Participants in 12 step programs receive intensive peer support, including one-on-one mentoring from a self-selected sponsor. They also regularly participate in 12 step meetings, which are free, anonymous, open to the public, and available multiple times a day in most communities. The steps of recovery involve spiritual principles designed to enable participants to address the sources of their addiction, take responsibility for their life choices, and accept the circumstances they cannot change.

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).

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.

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.

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.

Rational Behavior Therapy

Rational Behavior Therapy (RBT) is a form of cognitive behavioral therapy meant to be short-term and comprehensive. It was intended to help clients become more self-sufficent and move forward without the need for expensive, ongoing therapy. It includes an emotional self-help method called “rational self-counseling,” the purpose of which is to give clients all the skills needed to handle future emotional issues by themselves, or with significantly less professional help.

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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