Download Following completion of the IOP program, you may be eligible for

The Right Track
Intensive Outpatient Substance Abuse Treatment
Program Description
YCSP provides an intensive outpatient program for substance abusing/dependent adult men and women. We
also provide services to individuals who may also have a co-occurring mental health issue along with their
addiction. Our program is called “The Right Track” and we are pleased to offer it to you.
We believe when people have addiction or chemical dependency problems, somewhere along the line, they
find themselves on the wrong track. As the consequences of using get worse, as choices become more
difficult, and as you begin to feel hopeless and helpless, it becomes difficult to get back on track alone. We
believe everyone wants to succeed, everyone wants to be accepted, and everyone wants to be happy;
sometimes they just don’t know how to do all that. By coming here, you have taken a huge step towards your
recovery and we are honored to be a part of your recovery journey. Thank you for choosing us.
Background:
YCSP was started in 1979. We are a dually licensed treatment agency with multiple years of experience
working with individuals who have chronic addiction and mental health problems. We have operated
residential programs for many years that have helped thousands of people address their chemical
dependency, mental health concerns, and their homelessness. Following discharge from the residential
program, we provide on-going community based support to those who desire such. We identified a need for
outpatient services and have been providing those since 1995. We also operate two half-way houses for men,
one in Portland and one in West Newfield.
Our staff has over 30 years of experience working with people who have addiction problems. We are creative,
compassionate, and firmly believe in your ability to make good choices for yourself. It is possible to recover
and we hope you find our ability to help you in this process of benefit.
Our Services:
The primary services provided through our Intensive Outpatient Program (IOP) are both individual and group
counseling. Sometimes, group work will be of an educational nature with a structured agenda to provide you
with specific information. Other times, group process focuses on your personal feelings and experiences that
the entire group can provide feedback or insight about. You can plan on spending 2-3 hours, 3 days per week,
engaged in group activities, for the course of the 6 week program. Periodically, we will bring in other experts
from the surrounding community to share educational information with you that we believe is relevant.
Speakers include parenting experts, peer support and recovery coaches, HIV prevention professionals, tobacco
cessation counselors, and nutrition counselors.
York County Shelter Programs, Inc. does not discriminate in the rental of housing, the provision of services, or in any
matter, based on race, color, age, religion, sex, ancestry, national origin, disability, familial status, sexual orientation or
status as a recipient of public assistance.
In addition, every individual will have an assigned counselor who can help you identify specific goals while in
treatment with us. While the primary goals will focus on recovery and aftercare, you may also have goals
relating to family issues, completion of education, securing employment, or reunification with your child(ren)
that you wish to work on. Through the combination of individual counseling, goal setting, and consistent
group attendance, we believe you will learn a lot about your dependency issue, a lot about yourself, and learn
the skills necessary to avoid a relapse into substance usage.
An individual, comprehensive, life assessment will be conducted with every individual by their primary
counselor. This will give us a clear picture of unique needs, help us identify ancillary or additional services an
individual might need, and help us get to know you better.
Within our YCSP continuum, we have access to a psychiatrist, to medical services through the Nasson Health
Center, to case management, vocational training, and housing. Should you need any of these supports, as a
member of our IOP, you are eligible for an internal referral to such.
It is our hope, at the completion of the program, that you will have an increased understanding of your illness
and the unique ways it affects you. When you graduate from the IOP, we believe you will have a renewed
sense of hope and know you can go on from here and lead the kind of life you want for yourself.
Our work with you will be time limited and very specific to your recovery process from substance
abuse/dependency. The program is designed as a 6 week program, however, you may find full benefit in only
4 weeks. Participants typically get 1-2 hours of individual counseling weekly, but you may find you only need
individual counseling every other week. We will generate an individual plan of action and focus on that plan
and attaining those goals. Once completed, our work will end, and you will graduate. Please refer to the
“Program Schedule” for additional information regarding when the groups meet.
Following completion of the IOP program, you may be eligible for aftercare services in the form of outpatient
substance abuse counseling. Typical outpatient care following completion of an IOP would be 1 hour a week
of individual counseling for 4-8 weeks as you make your transition.
Target Population Served: adult men and women with substance abuse/dependency problems who have low
to no income, and who may also have a co-occurring mental health issue. IOP is paid in full by Maine Care.
We also have some grant funding available to support individuals with no insurance. We also accept selfpayment, and private insurance. The fee will be established as a daily rate and will be payable at the
beginning of each week of service. The cost per day for IOP is $100.00 a day, or $1800.00 for the entire six
weeks. All services delivered are a part of that cost and included in the fee. We are happy to discuss
payments options with you.
Priority population will be individuals in our own continuum (Shelter, half-way house, tenants in housing,
those referred through MAT program, those referred through DEEP). We will also accept individuals from the
surrounding community, and will prioritize pregnant, injection drug users, as per contract. When necessary, a
waiting list will be established, as well as referrals made to alternative programs that currently have openings,
in an effort to reduce the waiting time for help.
Eligibility: the following is the eligibility criteria for intensive outpatient services:
1. Male or female, age 18 or older;
2. Self-identified addiction issue with drugs, alcohol, or both (substantiated by assessment) OR
3. Previously diagnosed with a substance abuse/dependency issue that is causing issues presently OR
4. Anyone who is concerned they may have a substance abuse issue and is in need of an assessment for
such (may or may not result in full enrollment into IOP).
5. Individuals are not in need of a level of care higher or lower than intensive outpatient counseling (refer
to ASAM criteria);
6. Are willing to work with a substance abuse counselor, both individually and in group setting;
7. Are committed to remaining clean and sober;
8. Agree to attend appointments as scheduled free from mood altering substances;
9. Can make the commitment to full attendance, 3 days per week, over the next 6 weeks
10. Will permit the billing of Maine Care if applicable;
11. Has a mechanism for paying for services if has no reimbursement/insurance
12. Currently reside in York County;
Services: the following are the services an individual could receive through this program:
1. Full substance abuse/dependence assessment, including diagnosis of a substance use disorder
2. 3 day per week group treatment, facilitated by Licensed Alcohol and Drug Counselors and/or Certified
Alcohol and Drug Counselors
3. Education about addiction, relapse prevention skills, drink/drug refusal skills, co-occurring disorders,
the effects of trauma on an individual, and supportive counseling as it relates to substance abuse
issues
4. Written assessment/recommendation/plan for legal reasons, as requested (i.e. probation officer
requests a substance abuse evaluation, court ordered assessment, child protection/custody issues)
5. Treatment planning-the counselor will work with individuals to identify what goals they have relating
to their addiction issues and come up with a plan specifically for them
6. Referral-if an individual is in need of services beyond what this program can and does offer, we will
identify appropriate resources and assist him/her in connecting to those providers within our own
continuum or through another agency
7. Family meetings-while enrolled, individuals in the IOP are considered the primary focus, but as
appropriate, we will work with their family (children and significant others) to understand and resolve
issues relating to their addiction and concerning behaviors as per the family
Desired Outcomes: depending upon your unique situation, the following are some desired outcomes we
would hope to see:
1.
2.
3.
4.
5.
6.
7.
Reduction of use, with the ultimate goal of abstinence for a continued period of time;
Reduction of desire to use substances;
Increased ability to identify relapse triggers;
Increased ability to manage day-to-day activities without substances;
Integration of skills to address co-occurring disorders;
Increased usage of community based supports (AA, NA, support groups);
That you have established a support system and use it consistently;
8. That you display recognition of the consequences of continued use;
9. That you indicate a decreased need for intensive outpatient services;
10. That you have increased self awareness of how their illness manifests itself in them (e.g. anger,
frustration, dishonesty);
11. An increased ability to recognize when you may be heading towards a relapse;
12. Solid drink/drug refusal skills;
13. Self-report of “feeling better” about multiple aspects of your life
14. A return to work, school, or volunteering in your community
15. Avoidance of any futher legal issues or charges (when applicable)
Discharge Criteria: while not an inclusive list, the following are some of the reasons our services with you will
end:
1. You have determined you have completed treatment;
2. You have successfully attained all of your goals and have no additional goals to work on;
3. If you have to miss a scheduled treatment day, we ask that you call and let us know as we plan the day
based on the number of people we expect to show up. Frequently missing group days will result in
termination of services
4. If you miss more than 3 consecutively scheduled treatment days and have failed to contact us, we will
assume you have dropped out of treatment
5. If it is determined that the level of care needed is higher or lower than what we offer, we will advise
you of the reasons why and work on a referral for service elsewhere
6. When you no longer meet the eligibility criteria specified above
7. If you become violent, show up under the influence and are disruptive, or bring alcohol/drugs into the
treatment environment it will jeopardize your services
8. If you engage in illegal activity on YCSP property
9. If it has been determined a potential or actual conflict exists in continuing your care, we will problem
solve about alternative options
Next Steps:
1. Set up initial appointment by calling 324-1137 and asking for intensive outpatient substance abuse
counseling
2. We will schedule a screening date and time to talk more about what you are looking for and what we
offer.
3. If we can help and our program seems like a good fit to the client, we will admit for service during the
screening appointment. The first day of group activities will be dependent upon availability and the
cycle of the group
4. Complete admission paperwork (intake form, releases of information, TDS form)
5. Complete a Bio-Psycho-Social Assessment
6. Generate a treatment plan
7. Participate in substance abuse programming as scheduled
If you have any questions about any of this, please speak with your counselor or the Supervisor of Substance
Abuse Programs at 324-1137.
The Right Track
Program Schedule
The typical course of group runs every 6 weeks, on a rotating schedule. Clients may be admitted into the
program at any place in the rotation, provided there is availability. Typically, there are no more than 12 in a
group, which is facilitated by two staff.
The program runs on Mondays, Wednesdays, and Fridays, beginning at 9am and ending at 1:30pm. Lunch is
provided and considered a part of the program activities. Clients will be scheduled for one weekly individual
counseling session with their assigned counselor. These times are scheduled based on program activities.
One counselor may lead a group while another counselor meets individually with clients.
Time
9am-10am
10-11am
Monday
Individual counseling
12 Steps
Wednesday
Individual Counseling
Friday
Individual Counseling
Healing the Hurt
Just for Men
Just for Women
Integrated Care
11am12noon
I Still Want to Drink!
What’s on Your Mind?
12-12:30
12:301:30pm
Lunch
Stress reduction
techniques
Lunch
Mindfulness activities
Lunch
Alternative Therapies
Group
1:30-2:30
Individual Counseling
Individual Counseling
Individual Counseling
Group Descriptions
12 Step Group-designed to compliment traditional 12 step programming such as AA or NA, will introduce
clients to the basics of the 12 steps, help clients apply the foundation of the 12 steps to their life
I Still Want to Drink-educational group designed to help clients identify potential triggers for relapse,
encourage responsibility for self, and provide specific cues to relapse and assistance in planning how to avoid
a relapse
Integrated Care-specific focus will be on dealing with more than one disorder or illness at a time. Many clients
have substance abuse and mental health issues, which can complicate their recovery process. Integrated Care
group will address how co-occurring illnesses interact with one another and why it is crucial to address and
understand both.
Healing the Hurt-addiction not only hurts the individual who struggles directly with it, but also those around
us. In addition, the individual with addiction problems may have multiple issues of trauma, emotional abuse,
neglect, or other painful situations that have contributed to their usage. This group is designed to help
participants realize they are not alone, they can make different choices and stop hurting themselves, and they
can learn to forgive. Specific curriculum will be presented, however, it is expected based upon the
participants, that they will define what needs to be discussed.
What’s On Your Mind-opportunity for clients to discuss anything on their mind relating to recovery and the
recovery process. Things “left over” from earlier groups could be discussed, attitudes of or about recovery,
difficulty with recovery process, resentments, feelings of guilt and discussion of loss would all be acceptable
and expected topics to arise.
Just for Men/Just for Women-separate groups designed for the unique needs of men and women. Group
participants will be separated, with one facilitator for each group, conducted simultaneously. The groups will
focus on topics and issues related to the specific sex of the group.
Stress Reduction Group-one of the triggers to relapse includes stress and our response to it. Generally,
people in the early stages of the recovery process have no understanding of the role stress plays nor do they
know how to effectively deal with it. This group will provide a basic introduction to stress reduction and stress
management techniques. Specific tools taught will include deep breathing, guided imagery, pacing self,
general self care, and journaling.
Mindfulness Activities-designed to compliment Stress Reduction Group, mindfulness includes being aware of
self and how one feels. It is crucial in the recovery process to establish a relationship with self and understand
how you work. Mindfulness activities will include reflection, learning how to be present in the moment, and
learning how to recognize different feelings and how to deal with uncomfortable feelings appropriately.
Alternative Therapies Group-will introduce clients to a variety of techniques designed to help them learn
what they like and don’t like regarding hobbies and interests. The ultimate goal will be to introduce clients to
a multitude of creative activities and expose them to alternative ways to have fun without drinking or using
drugs. Specific groups will include “Creativity Through Collage,” construction of a recovery journal, making a
recovery quilt, sand tray play, gentle exercise and stretching, scrapbooking, introduction to drama, cooking,
and making clay masks.