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AdCare Hospital of Worcester 107 Lincoln Street AdADCARE HOSPITCaAL OF WORCESreTER NEWSLEAdTTER I SPRINGviso 2016 VOLUME 22 NOr 2 Worcester, MA 01605

Pilot Program “Taking Steps” Sets the Standard for Patient Care

n A pilot program at called Taking Steps is raising the bar for patient- centered treatment. With a goal of decreasing Talk to Your the instances when clients leave treatment Treatment Team! early, Taking Steps aims to improve patient How will you stay clean satisfaction, comfort levels, and aftercare after discharge? among 18-30 year old opioid-dependent patients while they are withdrawing from opiates. Anti-craving Medications New displays have been constructed that New programming on the unit utilizes explain the medication protocols, comfort motivational assessment and enhancement and anti-craving medications. Handouts therapies to engage patients in treatment, about anti-craving medications for use with as well as to better orient patients to detox counseling and support are readily accessible by providing them with more information to patients on the floor. Medications include: Keeping Families and education about:

• Campral - helps individuals who have Together

• Their treatment teams already withdrawn from alcohol to • Anti-craving medications maintain sobriety; FAMILY AND FRIENDS INFORMATIONAL PROGRAMS • What to expect during detox • Naltrexone – blocks the effects of opioids • Next steps such as rehab and aftercare and reduces alcohol craving. n AdCare’s complimentary Family and • Suboxone – a combination of Friends Program is designed to educate Meditation and mindfulness resources are buprenorphine and naltrexone – helps loved ones about substance use and provide incorporated in the treatment day as a way people reduce or stop their use of opiates support for family members. The Program to help patients stay in the moment and such as prescription pain medications is available at all of our locations (see map), reduce stress and anxiety while building and heroin. to anyone concerned with the substance use resiliency. Family-involvement in treatment of a family member or friend. is also strongly encouraged by counselors • Vivitrol – an extended-release form of when permission to contact family is Naltreone – reduces the craving for AdCare Outpatient indicated at point of patient admission. alcohol. For those who are addicted to 1st & 3rd Wednesday of the month, 6:30 PM opioids, Naltrexone works by blocking Taking Steps Initiatives the effects of drugs like heroin and AdCare Quincy Outpatient On day one during the assessment process, cocaine in the brain. 1st & 3rd Thursday of the month, 6:00 PM nurses encourage patients to talk with their • Antabuse (Disulfiram) – conditions the treatment team about their treatment needs mind and body to develop an aversion to AdCare North Dartmouth Outpatient such as withdrawal symptoms, medication alcohol and is one of the first anti-craving 2nd & 4th Wednesday of the month, 6:00 PM requests, and next steps. Handouts describing medications developed. the treatment team members and their roles AdCare West Springfield Outpatient are readily accessible to patients. 2nd & 4th Wednesday of the month, 6:00 PM YOU HAVE CHOICES Meet the Team AdCare Worcester Outpatient Placement will recommend viable 2nd Wednesday of the month, 5:00 PM Each patient is assigned a treatment team. Treatment/Placement options. 4th Wednesday of the month, 6:00 PM Treatment teams are comprised of: • A physician who evaluates patients and AdCare Warwick RI Outpatient orders medications Placement: You have options! 2nd & 4th Tuesday of the month, 6:30 PM • A nurse who helps manage overall care A bulletin board welcoming patients explains the placement process and prompts patients FAMILY AND FRIENDS SUPPORT • A counselor who provides counseling and GROUP assists with setting up aftercare to think about what they need and to pick up a placement packet. The placement staff is • A case manager who helps with insurance readily available to educate patients about AdCare Hospital issues and healthcare benefits continued on page 2 Every Thursday at 6:30 PM The articles in this publication should not be considered specific medical advice, as each individual circumstance is different. Should you need medical advice, consult your physician. Entire publication © AdCare Hospital, 2016. All rights reserved. Reducing 30-Day Patient Please Join AdCare for  Re-admissions Food, Fellowship and Guest Speaker n Over the past three years, a treatment program targeted for patients WALLY P who are re-admitted within thirty days of discharge has lowered AA Historian and Author of re-admission rates for this high-risk patient population. Back to the Basics of Recovery “It’s all about saving lives” As part of the 30-Day Re-admission Program, AdCare clinical staff identifies and tracks patients who are re-admitted within thirty days Friday, 20 at 7:00 PM of their last discharge. The patient demographic and treatment data AdCare Rhode Dining Room gathered such as the use of aftercare plans, medication compliance, 1950 Tower Hill Road, North Kingstown, RI home environment, and history of AMAs is integrated into specialized treatment plans. “Significant improvements in re-admissions have Saturday, May 21 at 6:30 PM occurred since the introduction of the program,” says Jessica Noto, Worcester Historical Museum LMHC, CADCII, LADCI, primary counselor.” Fletcher Auditorium 30 Elm Street, Worcester, MA Patients found to be most at risk for re-admission within thirty days are On the corner of Elm & Pearl Streets those who do not follow through on aftercare plans and/or are discharged Parking at the Pearl Street Garage is $1 for the evening to an unsafe home environment.“Last year, 41.8 percent of patients in this 30-day chronic relapse and re-admission category, left with an RSVP: [email protected] or [email protected] aftercare plan,” says Ms. Noto. Counselors continue to use SOCRATES, 508.799.9000, ext. 4058 Stages of Change Readiness and Treatment Eagerness Scale, to help patients identify the changes including aftercare that they need to make to move forward in recovery. Counseling and Placement staff help individuals without a safe haven to return to find viable options. For “Taking Steps” continued from page 1 some patients, halfway houses, extended rehabilitation facilities, and sober houses are necessary next steps. resources, offer viable options, and assist them in completing the screening process. Once a placement is obtained, the placement staff facilitates the patient’s transition to this next level of care.

How ready are you for treatment? AdCare staff administers SOCRATES, the Stages of Change Creating New Pathways to Readiness and Treatment Eagerness Scale, used to measure Treatment an individual’s level of readiness in treatment by gauging AdCare Partners with of Hopkinton to Recognition, Ambivalence, and Taking Steps. The primary counselor will score and review the SOCRATES with the patient, Provide Treatment, Support, and Education then follow up by identifying with the patient changes they need to make to take steps towards recovery. n As part of a Substance Abuse Prevention Grant, AdCare has partnered with the Town of Hopkinton to provide individuals and families with What’s stopping you from achieving your goals? greater access to substance abuse education, support, and treatment services. Counselors use Motivational Interviewing, which is a style of counseling that can help patients resolve the ambivalence AdCare services will include referrals to intervention and treatment preventing them from realizing personal goals. This approach within the AdCare system, as well as other treatment providers by an works on facilitating and engaging intrinsic motivation within the AdCare Patient Care Coordinator. The Coordinator will also make the patient in order to change behavior. initial contact with resources and assist individuals and families in navigating the scheduling and intake process. A way to stay in the moment! Meditation is simply emptying the mind of extraneous thoughts For those individuals and families who may not be ready to initiate and focusing on breathing to feel better and more relaxed. treatment, but are seeking support and information, an AdCare Mindfulness is a psychological state in which people have an Community Support Staff Member will be available to offer empathic increased awareness of their sensations, thoughts, and feelings. support, as well as information about addiction, treatment options, Meditation and mindfulness videos are available to patients as a interventions, and support groups. way to help them stay in the moment.

Additionally, educational sessions on a variety of substance use topics Family Matters will be available to the community at large or professional groups within Individual family sessions assist the family in addressing the community such as nurses, counselors, psychologists, and case individual concerns as the patient prepares for discharge. Sessions managers. are encouraged and arranged through the patient’s counselor. For more information about AdCare treatment and support services, or to schedule an educational session, please contact Community Services Follow-up after Discharge at 508.345.3068 Counselors encourage all patients to follow up with AdCare after discharge and to join our Alumni program.

For more information about Taking Steps, please contact Clinical Services at 508.453.3040. Community Services on the Move

APRIL over the past 40 years to enhancing JUNE treatment opportunities for persons April is Alcohol and and families struggling with substance June 3 use disorders. Learn what AdCare and CASA, Court Appointed other providers are doing to relieve Drug Awareness Special Advocates for Children, the opioid crisis in . Month Training Florian Hall, Dorchester AdCare Hospital is pleased to sponsor these events and conferences. , 7:15AM Labor Assistance Professionals April 9 April 15, 8:30 AM to Noon (LAP) Golf Tournament Scituate FACTS, Families, A Forum on the Health Crosswinds Golf Club, Plymouth Adolescents and Communities Insurance Portability and Together against Substances Accountability Act June 17 “Healthy Boundaries and Southcoast Behavioral Health MA/RI Employee Assistance Communication” presentation by Hospital, Dartmouth, MA Professionals Association Karen MacDonald, LADC-II, Arise HIPAA: Legal Considerations (EAPA) Symposium Interventionist, AdCare Community presentation by Jeffrey Hillis, JD, MAY Waltham, MA Services Representative for MBA, AdCare Hospital President Southeastern, MA and General Counsel, May 6 June 22-25 NASW CT Chapter Conference National Association of Social April 12, 5:30-7:45PM April 15-16 Crowne Plaza, Cromwell, CT Workers (NASW) Conference Organization for Rhode Island Academy of , DC Addiction Recovery (MOAR) Family Physicians Conference May 20, 8:30 AM start Statewide Alcohol Awareness Hyatt Regency, Newport, RI Massachusetts Association of Month Meeting Alcohol and Drug Counselors Mechanics Hall, Worcester, MA April 27, 5-8 PM (MAADAC) Golf Tournament Substance Abuse Awareness Heritage Country Club, Charlton, MA April 13, 11 AM-2PM Panel and Resource Fair RECEIVE THE ADCARE College of the Holy Cross Millbury High School, Millbury, MA May 25 ADVISOR ONLINE. Wellness Fair Featuring Guest Speaker Chris Western New England Social Help us do our part in keeping Hogan Center, Worcester, MA Herren, former Celtics player & Work Conference the planet green. RECEIVE substance abuse prevention advocate. Western New England University THE ADCARE ADVISOR AdCare will be represented on the Springfield, MA Presentation on ONLINE by emailing panel by Jim McKenna, LCSW, substance abuse and treatment [email protected] LADC I, BRI II, Vice President of by Annie Park, MSW, LICSW, Special Projects, AdCare Rhode Director of AdCare Outpatient West Island. Jim has dedicated his career Springfield

Check us AdCare Welcomes Kate Toomey, out online: AdCare.com Community Services Representative for 5 1 7 4 n Worcester resident, Kate Toomey has nearly 6 a decade of experience in the healthcare industry and almost three decades of experience in INPATIENT PROGRAMS community and external affairs. Ms. Toomey, 8 who is serving her sixth two-year term as a AdCare Hospital Worcester 1 3 Worcester City Councilor, has also served on 107 Lincoln St., Worcester, MA 9 the Worcester School Committee. 508.799.9000 2

2 AdCare Rhode Island  “Helping people get the treatment they need to recover is rewarding,” 1950 Tower Hill Rd., North Kingstown, RI says Ms. Toomey, who assists individuals and families, as well 401.294.6160 as employee assistance, healthcare and other treatment providers OUTPATIENT PROGRAMS access care. “When a family is in crisis, it is difficult to ascertain the 3 I North Dartmouth, MA 88 Faunce Corner Rd., 508.999.1102 appropriate course of action, and AdCare Hospital has a myriad of 4 I Quincy, MA 1419 Hancock St., 617.328.0639 choices to fit the needs of those impacted by addiction.” 5 I Boston, MA 14 Beacon St., 617.227.2622 6 I West Springfield, MA 117 Park Ave., 413.209.3124 Ms. Toomey, a former art therapist and secondary education 7 I Worcester, MA 95 Lincoln St., 508.453.3053 instructor, graduated from Regis College in Weston, MA with a 8 I Warwick, RI 400 Bald Hill Rd., 401.732.1500 bachelor’s of arts degree. She is a member of District Attorney 9 I North Kingstown, RI 1950 Tower Hill Rd., 401.294.6160 Early’s Opioid Task Force, which was formed to address the pervasive problem of heroin and prescription drug addiction. PRESORTED STANDARD U.S. POSTAGE PAID PERMIT #315 WORCESTER, MA

AdCare Hospital of Worcester 107 Lincoln Street AdADCARE HOSPITCaAL OF WORCESreTER NEWSLEAdTTER I SPRINGviso 2016 VOLUME 22 NOr 2 Worcester, MA 01605

New Treatment Options: AdCare Rhode Island

n Spring is a season of new AdCare Rhode Island also has an beginnings and a perfect time Outpatient Program and a Family for exploring new and valuable Program offering education and treatment options such as AdCare support to families in a therapeutic Rhode Island! setting.

Nestled on a 30-acre campus in The AdCare clinical team uses North Kingstown, AdCare Rhode cognitive therapies and focuses Island offers a transformative on helping individuals and families recovery experience for individuals develop solid coping strategies and and families struggling with healthy decision-making related to substance use. substance use. The program includes a holistic approach to wellness Levels of inpatient care provided by offering yoga, acupuncture, art at the 46-bed state-of-the-art facility therapy and recreational activities. include: Most insurance plans are accepted. • Medically-monitored detoxification For admission, please call 800-ALCOHOL. For more information • Crisis Stabilization for and a tour of AdCare Rhode Island, individuals with please call Community Services at co-occurring disorders 508.345.3068. • Acute Residential Program to help support a healthy and ongoing recovery

The articles in this publication should not be considered specific medical advice, as each individual circumstance is different. Should you need medical advice, consult your physician. Entire publication © AdCare Hospital, 2016. All rights reserved.