Clinical Services and Curricula

At West Coast Rehab, we know that every person is unique, and we tailor our treatment to the specific needs of each and every client that walks through our doors. Our Clinical Services and Curricula offer a variety of evidence-based treatment modalities to address our client’s specific needs. Offerings include:

  • Group Therapy: We offer an intensive group therapy program in correspondence with psychoeducation, which entails the didactic presentation of information on addiction. Group therapy is a standard component of addiction treatment and is provided by a qualified clinician utilizing group processes and dynamics to facilitate the treatment process. Before participating in group therapy clients are oriented regarding appropriate behavior in the group, as well as other group rules such as attendance, participation, honesty, feedback to others, and confidentiality. Group therapy serves to break down isolating tendencies and gives clients a reference point from which to explore the fears and anxieties they experience as they contemplate a drug free life-style. The dynamic of peer confrontation and support can be fully experienced only in a group setting.
  • Cognitive Behavioral Therapy / Self-esteem (CBT): is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel. Cognitive behavioral therapy can be thought of as a combination of psychotherapy and behavioral therapy. Psychotherapy emphasizes the importance of the personal meaning we place on things and how thinking patterns begin in childhood. Behavioral therapy pays close attention to the relationship between our problems, our behavior and our thoughts.
  • Dialectical Behavior Therapy (DBT): Generally 2 1/2 hours a session and led by a trained DBT therapist, where people learn skills from one of four different modules: interpersonal effectiveness, distress tolerance/reality acceptance skills, emotion regulation, and mindfulness skills are taught. Weekly psychotherapy sessions that emphasize problem-solving behavior for the past week’s issues and troubles that arose in the person’s life. Self-injurious and suicidal behaviors take first priority, followed by behaviors that may interfere with the therapy process. Quality of life issues and working toward improving life in general may also be discussed. Individual sessions in DBT also focus on decreasing and dealing with post-traumatic stress responses (from previous trauma in the person’s life) and helping enhance their own self-respect and self-image.
  • Seeking Safety: In Seeking Safety, safety is taught through Safe Coping Skills, a Safe Coping Sheet, a Safety Plan, and a report of safe and unsafe behaviors at each session. For example, Safety as the priority of treatment, Integrated treatment of Post-Traumatic Stress Disorder (PTSD) and substance abuse, A focus on ideals, Four content areas; cognitive, behavioral, interpersonal, and case management. Seeking safety is designed to begin at the start of treatment. Given both the powerlessness inherent from both PTSD and substance abuse, empowerment is key and the major focus. It does not require clients to delve in the past only when combined with trauma processing methods.
  • Family Based Education and Counseling: Family member participation is increasingly viewed as a critical area of substance abuse treatment. Didactic and experiential sessions are provided for family members and significant others of clients enrolled in our program. These sessions help engage client’s families in treatment and help enhance family members understanding of the treatment and recovery process. Topics that are covered in the family educational session include: The dynamics of addiction, treatment, and recovery in the family, relapse and relapse prevention, family issues common in addicted families, enabling and denial, healthy family functioning, healthy detachment and “tough love,” communication and problem solving in the family, management of family social functions, introduction to Al-anon, Alateen, and other relevant support systems for family members. Family counseling provides the structure to support stabilization in the family and to assist the family in making changes that support the recovery of the client and all members of the family while providing the opportunity to identify and address personal family dynamics and issues associated with the identified clients substance use disorder (SUD) and to develop solution based strategies for change to support recovery from alcohol and drug abuse.
  • Motivational Interviewing (MI) Skills Development: In this group process we teach, “Motivational Interviewing” in which the 6 stages of change are delineated by Prochachaska and Decremented (1984). The client’s stage of change will dictate which group models and methods are appropriate at a particular time. Theoretical orientations also have a strong impact on the tasks the group is trying to accomplish, what the group, and the types of interventions that the group leader will initiate. Before the group model is applied in treatment the group leader and the treatment team decide on the theoretical frameworks to be used because each group model requires different actions on part of the group leader. The purpose of this group is learning new coping skills, attempt to cultivate these skills clients need to achieve and maintain abstinence. Skills development group typically emerge from a cognitive behavioral-theoretical approach that assumes that people with substance abuse lack needed life skills.
  • Interpersonal Process Group Therapy: This therapeutic approach focuses on healing by changing basic intra-psychic (within a person) or interpersonal (between people) psychological dynamics. Purpose. Interpersonal process groups use psychodynamics, or knowledge of the way people function psychologically, to promote change and healing. The psychodynamic approach recognizes that conflicting forces in the mid, some of which may be outside ones awareness, determine a persons behavior, whether healthy or unhealthy. The interpersonal process group raises and re-examines fundamental developmental issues. As faulty relationship patterns are perceived and identified, the group participate can begin to change dysfunctional, destructive patterns. The group member becomes increasingly able to form mutually satisfying relationships with other people, so alcohol or drugs lose much of their power and appeal.
  • Psychoeducational Groups: These groups are designed to educate clients about substance abuse, and related behaviors and consequences. This type of group presents structured, group-specific content, often taught by lectures, along with video therapy. Frequently, an experienced group leader will facilitate discussions by first providing information designed to have a direct application to client’s lives – to instill self awareness, suggest options for growth and change, identify community resources that can assist clients in recovery, develop an understanding of the process of recovery, and to take action on their own behalf. The major purpose of psychoeducational groups is an expansion of substance abuse. Another prime goal is to motivate the client to enter the recovery ready stage. Psychoeducational groups are provided to help clients incorporate information that will help them establish and maintain abstinence and guide them to more productive choices in their lives. These groups are also used to counteract clients’ denial about their substance abuse, increase their sense of commitment to continue treatment, effect changes in maladaptive behaviors (such as associating with people who actively use drugs), and supporting behaviors conducive to recovery.
  • COPE: The goal is to create a step by step study guide to develop social skills, problem solve and manage activities of daily living, challenge unhealthy thoughts and solve problems. This group is geared towards those with a range of psychotic disorders.
  • Relapse Prevention: Relapse prevention group focuses on helping clients maintain abstinence or recover from relapse. This kind of group is appropriate for clients who have attained abstinence, but who have not necessary establish a proven track record indicating they have all the skills to maintain a drug-free state. Relapse prevention also can be helpful for people in crisis or who are in some way susceptible to a return to substance use. Purpose of relapse prevention groups help maintain their sobriety by providing them with the skills and knowledge to “anticipate, identify, and manage high risk-situations” that lead to relapse into substance use “while also making security preparations for their figure by striving for broader life balance.” Thus relapse prevention is a double-level initiative. It aims both to upgrade a client’s ability to manage risky situations and to stabilize a client’s lifestyle through changes in behavior.
  • Expressive Groups: This category includes a range of therapeutic activities that allow clients to express feeling and thoughts- conscious or unconscious- that they might have difficulty communicating with spoken words alone. Expressive therapy groups generally foster social interaction among group members as they engage either together or independently in a creative activity. These groups therefor3e can improve socialization and the development in a creative activity. These groups can therefore improve socialization and develop creative interests. Further by enabling clients to express themselves in ways they may not be able to in traditional talking therapies, expressive therapies can help clients explore their substance abuse, it origins, the effect it has had on their lives, and new options for coping. These groups can also help clients reduce trauma (like child abuse or domestic violence) that may have been a progenitor of their substance abuse
  • Art Therapy: This group uses art projects as a means to identify emotions and express them in creative ways. It is especially for clients who are non-verbal and have difficulty expressing themselves. Art projects have included building a Zen garden and making a recovery quilt.
  • Communal and Culturally Specific Groups: Restoring lost cultural ties or providing a sense of cultural belonging can be a powerful therapeutic force in substance abuse treatment, and in important ways, substance abuse is intimately intertwined with the cultural context in which it occurs. Groups and practices that accentuate cultural affinity help curtail substance abuse by using a particular cultures healing practices and tapping into the healing power of a communal and cultural heritage.
  • Relaxation and Health: This goal of this group is to assist clients with stress reduction. Various activities are utilized including mindfulness, progressive muscle relaxation, stretching, and visualization exercises.
  • Individual-based Therapy: The individual focused group concentrated on individual members of the group and their distinctive internal cognitive and emotional processes. How the client interacts in the world at large and not on the agenda. The group instead strives to modify client’s behavior. This model is used with a range of technical and theoretical approaches to group therapy, including cognitive therapy, expressive therapies, psychodrama, transactional analysis, re-decision therapy, Gestalt, and reality therapy. The group is conceived as an aggregate of individuals in which the group leader generally works sequentially with one group member at a time. While one individuals issues are addressed, the other group members serve as observers, contributors, alter egos, or significant others. Individually focused groups are useful to identify the first concrete steps in coping with substance abuse. They can help clients become more aware of behavior and it causes, and at the same time, they increase the client’s range of options as to how to behave. The ideal end result is the client’s freedom from an unproductive or destructive behavior.’
  • Healthy Living: The purpose of this group is to develop a dialogue on a variety of health topics such as nutrition, stress reduction, smoking cessation, disease prevention and weight management and build skills for improving client’s wellness and ability to create a healthier lifestyle.
  • Problem-Focused Groups: In addition to the five models of therapeutic groups and three specialized types of groups discussed above, groups can be classified by purpose. The problem-focused group is a specified form of cognitive -behavior group used to eliminate or modify a single particular problem such as shyness, loss of a loved one, or substance abuse. Problem solving groups are directed from a cognitive behavioral framework. They focus on problems of daily life for clients in early middle recovery, helping group members learn problem solving skills, cope with everyday difficulties and develop the ability to give and receive support in a group setting. As clients discuss problems they face, these problems are generalized to the experience of group members, who offer support and insight. Problem-focused groups’ primary purpose is to “change, alter, or eliminate in a group members self-destructive or self-defeating target behavior. Such groups are usually short term and historically have been used with addictive types of behavior as well as when the focus is on symptom reduction or behavioral rehearsal.
  • Mindfulness-based Relapse Prevention: Increasingly recognized as an effective way to improve mental and physical health, mindfulness is also an important component of addiction recovery and maintenance. To be mindful is to be completely attuned to your current surroundings and the task in front of you. Recovery Institute Of America’s addiction treatment program will teach you how to be mindful by recognizing thoughts and actions that may lead to relapse. Mindfulness is the state of being present. Increasingly recognized as an effective way to improve mental and physical health, mindfulness is also an important component of addiction recovery and maintenance.
  • The Act of Mindfulness Meditation: Mindfulness meditation promotes the development of stability, inner calmness, and non-reactivity of the mind. It is a type of meditation that allows you to face and embrace your addiction which in turn enables you to become more compassionate, aware, and attuned to your recovery needs. Mindfulness meditation helps to disentangle you from habitual thoughts, emotions, and behaviors and helps you to connect with yourself and others in a healthier and deeper way.
  • Becoming Aware: Mindfulness Meditation is the practice of being fully present in the moment. It is a meditation designed to examine the body by focusing on one aspect of the body at a time. It is also a basis for concentration building. This group-based support system integrates evidence-based practices from mindfulness-based interventions and cognitive-behavioral therapy. During most sessions, our meditation instructor will teach you to use your breath as an object of awareness. You learn to follow the physical sensations of the breath as it flows in and out of your body. This type of awareness teaches you to develop healthy responses to stress and cravings.
  • Mindfulness for Relapse Prevention: For those suffering from addiction, mindfulness can foster an increased awareness of those events and circumstances that may trigger destructive choices. By becoming present, the opportunity is created for you to break habitual patterns and replace them with choices that align with health and happiness. Everyone has habits, both positive and negative. Replacing a “bad” habit with a “good” one does not happen overnight. Breaking habits requires establishing new patterns of behavior. Mindfulness acts as an invaluable tool in this process by creating awareness of thoughts and actions in the present moment and recognizing those thoughts and actions that may lead to relapse.
  • Eliminating Destructive Patterns of Behavior: Mindfulness is an acquired skill that keeps your focus on your highest goal: living a healthy life free from substance abuse. This often times involves more than eliminating destructive patterns of behavior and requires learning entirely new ways of thinking, interacting, and reacting. While making amends to those you may have injured along the way can play a valuable role in your healing process, dwelling in the past, or being fearful of the future, is not compatible with a successful recovery.
  • Spiritual Care and Healing: Spirituality emphasizes the highest capacity of human beings: to create meaning and purpose in life. This capacity is beneficial in addiction recovery as we seek to address not only the psychological, physical, and social aspects but the spiritual needs of a client as well.
  • Re-Connecting to Your Beliefs: For many, recovery from addiction is a spiritual awakening. Spirituality is not synonymous with religion, and can mean different things to different people. Spirituality is defined as deeply held beliefs that bring meaning to your life. Recovery from addiction involves re-connecting to these beliefs. Successful long-term recovery from substance abuse requires a perspective shift, and this shift can only be achieved through a spiritual transformation. However one relates to spirituality, it can be an important facet of the recovery process.
  • Renewed Sense of Purpose: Regardless of where your spiritual power is derived from, it is a tool that allows for lasting healing. The path of addiction is often times a path of isolation and detachment. A renewed sense of purpose provides the opportunity to recognize the reality that you are not alone on your journey. Countless people have successfully walked this path before you and you can too. With greater meaning comes a greater commitment to lasting success. By recognizing the power of a greater purpose and interconnectedness with others, individuals often choose to give back to their community in various ways. This creates a renewed sense of self-worth and purpose while maintaining an addiction-free lifestyle.
  • Eliminating Fears and Anxiety: Individuals in addiction recovery report that treatment programs that include spiritual care and healing provide them with a more optimistic, hopeful outlook on life. These individuals experience an increased sense of social support, less anxiety, greater resilience to stress and a deeper desire to overcome addiction. At West Coast Rehab, our spiritual care and healing programs both serve to treat addictions and to help you reconnect with your beliefs. If you feel that your addiction may have been caused by a lack of connection to a higher power, by seeking and adding this higher power back into your life, the urge toward addictive behavior will be reduced.
  • Self-Discovery and Meaning: At West Coast Rehab, we support this process of transformation by helping you identify and reconnect with those aspects of your life that you hold closest to your heart. For some, it is a meaningful relationship with God, and for others it is a devotion to helping others recover from addiction. It is this connection to a higher purpose that is critical in transforming the addict into a recovered person who abstains from addictive substances.