Intensive Outpatient

Intensive Outpatient Treatment  IOP

TREATMENT is defined as GROUP and INDIVIDUAL Services offered at three locations: South Minneapolis, Apple Valley or Hennepin County Adult Correctional Facility (AFC).

C.R.E.A.T.E. uses a unique approach to problems with chemical health issues. It is often called COGNITIVE-BEHAVIORAL because we work on the thoughts people tell us they are having when they behave in certain ways.  Changing what we think about a given situation can result in how we behave in the situation.  For instance, when a baby cries: one person will run to pick him up and soothe him, one may change his diapers hoping that works, one may get angry and get a beer, one may go get someone else to care for the child.

A.  The, the Action behavior each exhibits is different.

B.  The Beliefs each is having about a crying baby are different.

C.  The Consequences of the belief that brought the action are different.

There are very few sessions where clients just sit and listen to a counselor lecture on a topic.  Rather, we like to have a topic but what it may be is up to the participants.  So, we start groups asking people to “check in” on how the last day(s) went for them.  From this check, our counselors can usually glean some common topic or issue that is happening to the participants.  So, you might say, the participants do most of the work as the counselor acts more as a facilitator of the conversation.  This stems from our philosophy that the client knows more about what work needs to be done than the staff.

Our philosophy mirrors our recovery communities concepts of what treatment should be:

v    There are many paths to recovery.  Yes, as there are no two people who are alike, there are many ways that we develop trouble with chemical health.  Therefore, it follows that there are at least as many ways to deal with chemical health concerns.

v    Recovery is defined as absence of problems related to chemical use:  This is the goal of treatment “to reach a point where you are not having problems related to chemical use.”  For some who are on the early end of the chemical health continuum, this may mean changing some of the aspects of chemical use.  Others on the later end of the continuum may do best by finding a way to attain abstinence and then, as in a diet program, maintain that abstinence.  Therefore, one of the first things we do in treatment is have the client look at where he fits on a continuum of    “ EARLY—MIDDLE—LATE”    stage chemical health concerns.  The initial assessment process is the time for the counselor and client to learn about this continuum and make a decision as to where the client fits at the time.

v    Care should be provided at the moment the client is ready for help. In an ideal world, we strive to get a new caller into our care within 48 hours of that first call.  Often, we can at least see the client for an initial assessment but the number of time-consuming tasks that must be complete before he can start the actual care part can delay treatment by as much as two weeks and as little as two days.  These tasks are out of our control as they involve having the insurance or the payer for the services authorize care after they review the assessment and speak to the assessor.  Unfortunately, if someone cannot pay for their treatment but makes too much to qualify for State funding, we cannot serve them.

v    Care should be delivered by an interdisciplinary team of professionals with supervisors that deliver regular case review and strive to always improve the delivery of care:  Our counselors meet each Monday morning as an interdisciplinary team to present cases and discuss the best practice way to deal with care issues.  Mr.Gary Schoener, training consultant for Walk–in-Counseling provides consultation as our psychologist every week . We believe that interdisciplinary means having OUTSIDE HELP in delivery of care issues in order to improve our skills and avoid the incestuous treatment concepts that arise from staying within ourselves.

v    Ethical practice will be an ongoing discussion of every practice location with clear, written guidelines regarding inappropriate/unethical behavior.  To C.R.E.A.T.E. staff, ethics are a topic of any discussion we have about issues we are having with care.  We review the guidelines of our profession whenever someone has a question about their practice or the actions of another.