Pathways integrates the 12-Step process throughout the treatment experience. The effect of combined therapeutic interventions and 12-Step recovery activities are proven to result in higher rates of abstinence and improved outcomes. Daily attendance at 12-Step meetings promotes new recovery orientated behaviors and helps clients build a sober support network. Through this participation, clients are exposed to the vital role that regular meeting attendance, accountability through sponsorship, and how step work plays in building a strong foundation for ongoing recovery. Additionally, therapeutic groups focusing on the first three steps help clients move through the initial denial and uncertainty that is common in the first few months of recovery. These groups include a yoga class with an emphasis on embracing the spiritual principles behind the steps. Many of the clinical staff at First Staff have long term abstinence and significant personal experience with the 12-Step principles and practices. Whether a client lives locally or returns home to another geographic area, this involvement in 12-Step activities helps ease the transition back to living in their communities.
Pathways utilizes additional manual-based cognitive-behavioral treatment strategies published by the creators of Moral Reconation Therapy (MRT) that specifically address anger management and relapse prevention. The Anger Management treatment strategy provides a cognitive-behavioral construct for understanding how anger results in destructive behaviors. The program also assists individuals with identifying healthy coping mechanisms to reduce these destructive behaviors. The Relapse Prevention treatment strategy utilizes cognitive-behavioral techniques to assist individuals with creating a thorough plan for the prevention of future relapses.
Motivational Enhancement Therapy (MET) is a client-centered counseling approach for initiating behavior change by helping clients resolve ambivalence about engaging in treatment and stopping drug use. This approach employs strategies to evoke rapid and internally motivated change in the client, rather than guiding the client stepwise through the recovery process. This therapy consists of an initial assessment battery session, followed by two to four individual treatment sessions with a therapist. The first treatment session focuses on providing feedback generated from the initial assessment battery to stimulate discussion regarding personal substance use and elicit self-motivational statements. Motivational interviewing principles are used to strengthen motivation and build a plan for change. Coping strategies for high-risk situations are suggested and discussed with the client. In subsequent sessions, the therapist monitors change, reviews cessation strategies being used, and continues to encourage commitment to change or sustained abstinence.
Cognitive Behavioral Therapy (CBT) is based on the scientific fact that our thoughts cause our feelings and behaviors, not external things, like people, situations, and events. The benefit of this fact is that we can change the way we think to feel/act better even if the situation does not change. CBT is based on the scientifically supported assumption that most emotional and behavioral reactions are learned. Therefore, the goal of therapy is to help clients unlearn their unwanted reactions and learn a new way of reacting. While CBT therapists do not present themselves as “know-it-alls,” the assumption is that if clients knew what the therapist had to teach them, clients would not have the emotional/behavioral problems they are experiencing.
For several years, Pathways recognized that many criminal justice referred clients not only present with addiction, but also bring antisocial/criminal personality traits to the treatment milieu. Moral Reconation Therapy (MRT) is a systematic treatment strategy that decreases recidivism among individuals with both substance abuse and antisocial behavior by increasing moral reasoning. The MRT cognitive-behavioral approach combines elements from a variety of psychological traditions to progressively address ego, social, moral, and positive behavioral growth. MRT is listed as an Evidence-Based Practice by the National Registry of Evidenced-based Programs and Practices. Pathways staff members are certified to facilitate this form of behavioral therapy.
Addressing the trauma through a specialized trauma treatment plan greatly improves the chances of sobriety in trauma victims. One treatment methodology is called Rapid Resolution Therapy® (RRT). Developed by Dr. Jon Connelly, RRT® eliminates the negative emotional or behavioral influence of traumatic events, whether these experiences are remembered, repressed or forgotten. It is not necessary to relive past events or experience any pain. The mind is cleared, organized and optimized. There are dramatic improvements in thoughts, feelings and behavior. Unconscious conflicts blocking desired change are pinpointed and resolved. As the root cause of problems is cleared, positive change endures.*
*Information taken from The Institute for Rapid Resolution Therapy website, www.rapidresolutiontherapy.com.
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