DBT is designed to help the individual overcome the challenges they face in order to increase problem-solving skills and cognitive reasoning.Adherent DBT
Individual psychotherapy, as a practice, refers to a therapy method involving one treatment provider and one individual receiving treatment.Individual Psychotherapy
When patients are supported in their treatment and recovery by family members, they significantly increase their chances of long-term success.Family Intensive
Programs At Futures
- Extensive and High Quality Individual Psychotherapy: To address underlying emotional issues that are often associated with an addictions or eating disorder problems, we offer psychotherapy with an experienced Ph.D. level psychologist four times per week, giving a person a minimum of 16 hours of treatment per month with their individual therapist. This amount of individual therapy positions Futures to be able to work with dual-diagnosis or trauma issues that can often derail the recovery process and that underlie the addition.
- Family Program: The client works with an additional therapist one day per week on family/relationship issues, preparing them for intensive treatment that will include the entire family during a two-day “Family Intensive” that occurs toward the end of their treatment stay.
- Adherent and Thorough Dialectical Behavior Therapy (DBT) Program: The client is involved in three skills groups per week, as well as an individual session per week devoted to address all of the four main skills modules contained in DBT treatment, including Mindfulness, Distress Tolerance, Emotional Regulation, and Interpersonal Effectiveness.
- Emotional Regulation Program: In addition to the DBT skills training, the client will be exposed to individual sessions focusing on advanced emotional regulation skills, including biofeedback, hypnotherapy, stress management, meditation, and other mindfulness skills. The goal of this multifaceted program is to assist the client in developing tangible strategies to regulate their emotional responses to a more manageable level, whether dealing with the daily stressors of life, or deeper more underlying emotional issues.
- Meal Planning and Support: Every client receives an evaluation by a Registered Dietician, and a creation of an individualized meal plan. Those clients with disordered eating will benefit from ongoing weekly dietician sessions, as well as benefit from “mealtime support” with a staff member. The goal of the mealtime support is to model appropriate eating behaviors and to provide structure and encouragement to adhere to an individualized meal plan, restoring the client back to healthy eating patterns.Similar to a restaurant, the client will be able to choose from a menu of excellent meals for breakfast, lunch, dinner, and a snack. Because each meal is broken down into its individual nutritious components (e.g., the amount of protein, fats, carbohydrates, etc.), the client and the dietician can create a meal plan that specifically meets the client’s dietary and health needs.
- Wellness Program: The Future’s philosophy includes an overall Wellness approach, with group and individual treatment interventions focused on healthy mind and body, including a fitness center with a physical trainer at least two times per week, meal planning with a dietician, healthy gourmet cooking classes, psycho-educational groups, Spa amenities offering massage, yoga, acupuncture, and other adjunct treatments.
- A Detailed Relapse Prevention Program: Each client completes an individualized written relapse prevention plan, teaching the behavioral, cognitive, emotional and motivational coping techniques to support long-term recovery, whether from addictions, disordered eating, or other problematic negative behavioral patterns.
- Life Satisfaction Program: Utilizing the Life Satisfaction Questionnaire © and Workbook©, the client evaluates their present level of satisfaction in 12 key areas, and then creates a Life Plan to increase their level of satisfaction over the next year and beyond. Through the use of personal assessment, values clarification, and experiential activities, the client is guided to create a meaningful and fulfilling lifestyle centered on a wellness approach that creates a balanced state of social, mental, emotional, and physical health.
- Year-Long Follow-up Recovery Program: One of the strongest predictors of recovery is appropriate aftercare following a treatment program. Our program includes a certified Recovery Coach who works with the client via Skype or other electronic media device for an entire year following program completion, (one time per week for the first two months, and then once every other week for the remaining 10 months) keeping the client accountable and on track with their Relapse Prevention Plan and Life Plan. The Recovery Coach also assists with planning and organizing other aspects of the client’s aftercare, including involvement in ongoing therapy, the establishment of a solid support system, and the continuation of the health and wellness habits that were established during the residential portion of their treatment.
Specific Modalities and Staff supporting a wellness approach to treatment include:
- Individual Psychotherapy with a clinical psychologist four times per week.
- Psychiatric Care: Psychiatric Evaluation and individual sessions once per week.
- Hypnotherapy, augmenting the psychotherapy and emotional regulation, with a licensed hypnotherapist.
- Cognitive Rehabilitation, improving memory, attention, and problem-solving.
- Personal Training and exercise program, with a certified personal trainer.
- Individualized Relapse Prevention Counseling with either an eating disorder counselor or a chemical dependency counselor, focusing on the development of the relapse prevention plan and other individualized case management issues.
- Nutrition and Diet evaluations and interventions with a registered dietician.
- Educational and Process Groups, providing important psycho-educational information on the addiction process, and providing a therapeutic milieu to address emotional and interpersonal issues.
- Family Program in which the person’s family or support system are brought into the program during the late stages of treatment, and involved in psycho-educational and family therapy with a licensed psychologist.
- Ongoing Recovery Coaching, for one year with a certified Life Coach.
- Psychiatric/Medical interventions to address medication or medical issues with a Board Certified addictions physician.
- Experiential Therapies such as Equine Therapy and Ropes Course Experiences.
- Other ancillary supportive therapy such as acupuncture and massage with a licensed acupuncturist and massage therapist.
For the addictions track, Futures also offers a detox program, staffed with nursing services 24 hours per day, and individualized physician care every day. This program is set up to provide a medically supervised detoxification process for clients with mild to moderate withdrawal symptoms. If the client is experiencing more severe withdrawal symptoms, or has significant medical complications, the client will be treated in a more intensive inpatient setting in the community that offers a medically managed level of detoxification, before being transferred back to the Futures residential setting.
The program has several major components which are specifically identified in the research as being related to recovery for addictions and eating disorder issues, and that help Futures stand out as a highly developed treatment program. These include:
All services provided are appropriate for the treatment of the client’s identified problems as outlined in the multidisciplinary treatment plan. The program will assist in the improvement of the client’s level of functioning to aid in the prevention of future relapse. Programming is individualized within the context of the many individual sessions provided. As the client improves, aftercare planning is developed to assist the individual after discharge. Aftercare planning, as with the program, is based on the needs of the individual, with input from the client in the development of their personalized treatment plan.
The treatment planning process involves the establishment of an initial client centered Personal Plan. This plan is developed by the entire multidisciplinary team and the client. This master plan is developed with the specific needs of care of the individual in mind.
Within seven days of admission a master treatment plan will be developed to allow for inclusion of all initial assessments and evaluations to be reflected in the overall plan. The ongoing plan will be reassessed every seven days or sooner if needed. The Personal Plan will be reviewed and revised if appropriate any time there is a significant change in the client’s behavior or status.
Program Goals and Expected Outcomes
The objectives of the Residential Treatment Program are as follows:
- Clients served will be able to verbalize a basic understanding of the addiction and/or disordered eating process, as well as understand the specific factors that contributed to the initiation and maintenance of their addiction or eating disorder.
- Each participant will develop a specific relapse prevention plan, containing concrete behavioral, cognitive, emotional and motivational coping strategies to support long-term abstinence.
- Each participant will develop an understanding and awareness of available recovery community resources.
- Each participant will demonstrate the ability to either abstain from substances and/or disordered eating patterns for one year.
While the client is in treatment, program objectives and expected outcomes will be measured on a weekly basis through questionnaires given to the clients and therapists at the end of each week, through progress measured on the client’s individual Personal Plan, and through urine drug screen results. Following discharge, the client will be contacted at 90 day intervals and given additional self-report questionnaires by their recovery coach, and, for clients suffering from substance abuse, asked to participate in voluntary urine drug screens.