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 AdCare Hospital 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Keeping Families and education about: • Campral - helps individuals who have Together • Their treatment teams already withdrawn from alcohol to • Anti-craving medications maintain sobriety; FAMILY AND FRIENDS INFORMATIONAL PROGRAMS • What to expect during detox • Naltrexone – blocks the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 Boston 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, May 20 at 7:00 PM of their last discharge. The patient demographic and treatment data AdCare Rhode Island 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 Town 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