Therapies & Services Available at Sierra Tucson ~ 01 Therapies & Services Addictions & Co-occurring Disorders 02 ~ Since its inception in 1983, Sierra Tucson has become an international Eating Recovery Program ~ 04 leader in the treatment of addictions, mental/behavioral disorders, Mood & Anxiety Program 06 and chronic pain. Through the various approaches available with ~ traditional, experiential, and integrative therapies, each individual Pain Management Program ~ 08 is given numerous opportunities for self-discovery and healing. Program for Trauma Recovery 10 Sierra Tucson’s comprehensive treatment programs excel at treating ~ co-occurring disorders simultaneously. Assessment & Diagnostic Program ~ 12 Family Program ~ 13 Therapies and services available at Sierra Tucson: Alumni Services ~ 14 • Full-time Medical & Psychiatric Services • Psychopharmacology • History & Physical Examination • Psychological Testing Successful Outcomes ~ 15 • Medical Detoxification (if warranted) • Psychotherapy Frequently Asked Questions (FAQ) ~ 16 • Naturopathy • Gestalt Techniques • Group Process & Individual Therapy • Psycho-educational Instruction • Twelve-Step Philosophy & Meetings • Psychodrama • Cognitive-Behavioral Therapy (CBT) • Somatic Experiencing® • Dialectical Behavior Therapy (DBT) • Creative Arts Therapy • Physical Therapy • Demo Kitchen • Safe Exercise & Movement Therapies • Sleep Restoration Plan • Hydrotherapy • Meditation & Mindfulness • Biofeedback & Neurofeedback • Nondenominational Services • Labyrinth • Integrative Medicine Consultations • Couple’s Group Therapy • Nutritional & Fitness Consultations • Family Program • Grief & Spirituality Consultations • Relapse Prevention • Eye Movement Desensitization & Reprocessing (EMDR) • Continuing Care Planning • Integrative Therapies include Acupuncture, Chiropractic, Massage Therapy, Qigong, Reiki, Shiatsu, Somato-Emotional Release Massage, Yoga, and Zero Balancing • Therapeutic & Recreational Activities include Adventure Therapy, Challenge Course, Climbing Wall, Creative Expression, Equine-Assisted Therapy, Fitness Center, Fitness Groups, Relaxation Classes, Swimming Pool Activities, Basketball, and Volleyball Alumni Services include follow-up calls, Alumni Support and Continuing Care Groups, Alumni Dinners, Workshops, “Beyond the Miracle” Alumni eNews, and the annual Alumni Retreat. 01 Co-occurriing Addictions & Disorders To achieve the most favorable recovery scenario, Sierra Tucson Addictions & Co-occurring Disorders develops a personalized treatment plan that includes elements from • Alcohol & Chemical Dependency medical, psychological, social, spiritual, family, and self-help per- • Anabolic Steroid Abuse spectives. A key part of recovery is Sierra Tucson’s Family Program, • Compulsive Gambling & Spending which utilizes the family systems theory to help patients and family • Nicotine Addiction members gain understanding of their behaviors and family dynamics. • Sexual Addiction/Compulsivity Components to the patient's treatment plan, Sierra Tucson’s bio-psycho-social-spiritual approach effectively treats a based on individual diagnosis, may include: wide range of addictions and co-occurring mental/behavioral disorders. • Complex Diagnostic Assessment & Psychological Testing In order to achieve optimum success, Sierra Tucson’s multidisciplinary • Psychotherapy team develops an individualized treatment plan for each patient’s specific needs. Treatment focuses on the presenting problems and • Experiential and group process therapies underlying issues that exacerbate the disease. As patients gain new • Education on disease, recovery, and aspects of mental disorders communication skills and learn to build healthy relationships, • Twelve-Step programs through support of written First Step work, and they can make sound decisions for a healthy quality of life and deeper attendance at appropriate Twelve-Step meetings such as AA, NA, GA, etc. connections with others. • A therapeutic process to address underlying family-of-origin issues • Alcohol & Chemical Dependency ~ Sierra Tucson’s detox protocol • A safe, therapeutic environment allowing for the release of painful feelings is based on the most up-to-date methods designed to keep patients as and shame/guilt reduction comfortable as possible and quickly engage them in the treatment • Group topics focusing on money management, repaying debt, process. The Sierra Model® has been clinically indicated for people interpersonal skills, problem solving, and conflict resolution who have multiple disorders, are polysubstance-addicted, or have • Adventure Therapy had prior relapses. Patients identify issues that have contributed to their dysfunctional behavior as they learn about family systems, • Equine-Assisted Therapy relapse triggers, and relapse prevention strategies. • Consultations for grief, loss, spirituality, nutrition, and fitness, as clinically appropriate Common co-occurring disorders may include: • Specialty groups, as needed, to address issues such as trauma, eating • Anabolic Steroid Abuse ~ Staff address the unique circum- disorders, compulsive behaviors, gambling and spending issues, stances that led a person to use steroids and guide patients in codependency, nicotine cessation, depression, anxiety disorders, etc. acquiring a healthy body image, positive fitness strategies for • Eye Movement Desensitization & Reprocessing (EMDR) optimum physical performance, and a balanced approach to life. • Somatic Experiencing® • Compulsive Gambling & Spending ~ Sierra Tucson treats • Auricular and Full-Body Acupuncture to decrease withdrawal symptoms a wide range of financial disorders, including compulsive • Integrative Therapies may also include Chiropractic, Massage Therapy, gambling and spending behaviors. Qigong, Reiki, Shiatsu, Somato-Emotional Release Massage, and Yoga. • Nicotine Addiction ~ Sierra Tucson encourages patients to • Relapse Prevention address all addictions during treatment, including nicotine. • Continuing Care assessment and planning Counseling, education, support groups, and pharmaceutical agents aid patients in detoxification and help reduce cravings. • Comprehensive Family Program • Sexual Addiction/Compulsivity ~ Although Sierra Tucson A personalized approach is also applied in the development of a has no formal/structured program or primary group focused written Continuing Care Plan. The patient and primary therapist work on sexual compulsivity, a CSAT therapist provides sexual with the referring professional to facilitate a smooth transition and compulsivity evaluation, consultations, and individual therapy. successful recovery upon the patient’s return home. 02 03 Eating Recovery Program Sierra Tucson developed and implemented the Sierra Model® of treatment to bring healing to the whole person. With this bio-psycho- The Eating Recovery Program at Sierra Tucson provides a specialized social-spiritual approach, a full range of therapeutic options are treatment focus for male and female patients suffering from anorexia, accessible to meet each individual’s specific needs. bulimia, or binge eating disorder/compulsive overeating. Sierra Tucson’s holistic treatment addresses the seriousness of eating Services available for eating disorder patients include: Eating Recovery disorders as well as co-occurring diagnoses such as depression, • Psychological Testing for early and thorough diagnosis Program trauma, or chemical dependency. Staff have expertise in developing • Education about the medical consequences of eating disorders individualized treatment plans to help uncover and heal underlying issues. Sierra Tucson’s integrative approach treats body, mind, and • Twelve-Step philosophy provides support and a spiritual foundation for recovery spirit in the context of healthy families. • Psychotherapy Designed for a 45-day length of stay, this program focuses on • Cognitive-Behavioral Therapy (CBT) educating patients, providing meaningful treatment experiences, and • Individual consultations with registered dietitian allowing for integration of treatment effects to promote long-term healing. A stepped dietary program decreases the initial side effects • Individualized food plan with meal support of beginning a normal diet. Patients are quickly engaged in treatment • Weekly nutrition groups to address food-related issues with the help of herbal and vitamin supplements to increase energy, • Nutraceuticals; herbal and vitamin supplements enhance digestion and absorption of nutrients, balance mood, and • Individualized fitness consultation and prescription for exercise ease difficulties with sleep. • Weekly body image workshop The following principles are incorporated into the • Dialectical Behavior Therapy (DBT) Skills Training Eating Recovery Program: • Therapeutic & Recreational Activities may include Equine-Assisted Therapy, Adventure Therapy, and Creative Expression • Mindfulness Training • Individual and group sessions to address co-occurring issues such as • Provision of skills and resources to replace current unhealthy trauma/abuse, PTSD, chemical dependency, mood disorders, grief/loss personal coping mechanisms issues, or compulsive behaviors • Encouragement of autonomy in relationship to food and recovery • Eye Movement Desensitization & Reprocessing (EMDR) from eating disorders • Somatic Experiencing® • Promotion of healthy lifestyle, including healthy body image • Food preparation demonstration • Restaurant outing • Mind-Body Therapies include Integrative Therapies such as Acupuncture, Chiropractic,