Evidence-Based Practices, Therapies, and Modalities for Treating Co-Occurring Disorders
As a comprehensive treatment provider that offers a full continuum of care, Northbound incorporates a variety of evidence-based practices, therapies, and modalities for treating co-occurring disorders. Clients’ physical, mental, emotional, social, and spiritual health are all addressed to support long-term well-being and the establishment of a sustainable and thriving recovery lifestyle. Treatment plans are flexible and are adapted to fit each client’s individual needs as they progress through the program.
Staff undergoes regular training and continuing education to stay up-to-date on best practices and changes in the industry. They recognize that each client faces unique challenges and underlying issues that necessitate the use of a range of well-researched, evidence-based practices to provide the most effective treatment possible. The artful application of a variety of therapeutic modalities enables clients to work through issues relating to substance use and mental health disorders that affect all aspects of their lives. Comprehensive evaluations and assessments are conducted prior to treatment planning to help clients, therapists, case managers, and medical professionals work together to determine the right approach for their needs.
Northbound’s Approach: The In Vivo® Model
Northbound embraces an innovative In Vivo® model of treatment to help clients build the optimal foundation for long-term success in recovery. In Vivo® (or “in life”) care means that clients are afforded continual opportunities to practice the healthy coping skills they are learning in real life settings, and to engage in the real life activities, pursuits, challenges, joys, accomplishments, and setbacks that will be present for them beyond their time in active treatment. By gradually and safely exposing clients to enhanced “In Vivo®” experiences, they gain more independence, increase their community engagement, develop the priceless virtue of self-efficacy, strengthen their resolve and skills necessary for sustained recovery, and develop a thriving and comprehensive lifestyle free from drugs or alcohol. As challenges arise, they learn how to deal with them in real time with support, guidance, and accountability from Northbound staff. As appropriate, clients shop for their own groceries, attend concerts and community events, go to school or work, and learn to live their life in the least restrictive environment. This eases the transition back into society and promotes the best possible chances for long-term recovery.
Start Your Journey to Recovery with Northbound
Men and women face different challenges when it comes to recovery from addiction. Gender-specific treatment allows them to delve more deeply into these issues with fewer distractions and more personalized support. Issues that may have felt shaming or unspeakable become manageable as clients realize that they are truly not alone – many others have experienced similar struggles and are engaged in a similar recovery process. Clients experience the positive impacts of community and strong peer bonds that enhance their growing foundation of recovery. Topics of masculinity, femininity, trauma, family of origin, self-esteem, shame, and identity are processed using therapeutic techniques best suited for the individual as well as the gender specific group.
Individual Therapy and Case Management
Upon admission, each client is assigned to a therapist and a case manager. This dynamic team works with the client in tandem with medical and recovery specialist staff members to ensure that addiction, mental health, and logistical issues are all effectively addressed. Therapists specialize in addressing the emotional, psychological, and family of origin issues that underpin addiction. In both individual and small group therapy, clients delve deeply into these topics and learn to cope with life’s stressors in healthy ways. The case manager is a recovery specialist who works closely with clients as they develop their recovery lifestyle, while also coordinating logistical needs and serving as the main point of contact during the treatment process.
Small group therapy is an evidence-based technique that has been shown to be an immensely effective aspect of both mental health and addiction treatment. In group therapy, clients learn that they are not alone, that the issues that they face do not disqualify them from being worthy of love, belonging, and happiness, and how to more effectively cope with the problems in their lives. Real-time opportunities to practice effective communication, work through conflict, and learn how to develop healthy relationships are capitalized on during group. Peer-to-peer feedback, insights, support, and role modeling provide invaluable accountability, inspiration, and opportunities for growth. Therapy groups at Northbound are run by therapists, while additional addiction-focused counseling groups are facilitated by case managers, again ensuring that both addiction issues and the complex factors that underpin the addiction are effectively addressed.
An approved medical provider conducts a thorough psychiatric evaluation as a first step upon admission to Northbound. This evaluation helps to ensure that both mental health and addictive disorders are accurately diagnosed so that an appropriate and comprehensive plan of care can be developed. Psychiatric providers continue to follow up with the client as indicated throughout the course of treatment and oversee medication management where applicable.
History and Physical
To accurately evaluate and treat issues of mental illness (including addiction), a clear picture of the client’s physiological presentation and historical experiences must be established. To meet this need, a complete history and physical exam are administered. This practice ensures that clients are safe for rehab, allows for any co-occurring medical issues to be effectively addressed, and confirms that the level of service provided (detox, inpatient, outpatient) is appropriate.
Following each client’s history, physical, and psychiatric evaluation, a biopsychosocial assessment is completed. This in-depth evaluation examines the physical, psychological, and social impacts of addiction on each client’s life and is used in developing a personalized treatment plan. It delves deeply into how addiction has manifested and creates a clearer picture of the individual’s overall needs.
Nursing and Monitoring
Client safety and well-being are a top priority. There is nursing staff available around the clock to check client vitals, monitor their health, and provide medical assistance where needed. The detox facility is staffed by qualified nurses 24/7. Additionally, Northbound employs a full-time healthcare team that handles referrals and ensures all medical needs are attended to throughout the course of treatment.
Motivational interviewing is an evidence-based therapy that uses intentional questioning to guide clients in identifying their own goals and direction for their future. Clients are encouraged to think critically about their actions and behaviors and whether these choices move them closer to their goals or further away. It helps clients to shift away from a focus on immediate gratification and see the bigger picture while empowering them to make healthier choices.
Dialectical Behavioral Therapy – DBT
While dialectical behavioral therapy is commonly used to treat personality disorders, it has more extensive applications as well. Anyone who experiences difficulties regulating their emotions can potentially benefit from DBT therapy. There is a strong emphasis on mindfulness, recognizing the potential for seemingly opposed truths (or “dialectics”) to exist simultaneously, boundary setting, and learning to self-soothe. These tactics are effective in dealing with psychiatric symptoms, cravings, and relationship issues, while simultaneously enhancing relapse prevention efforts. Northbound offers DBT skills groups and DBT-trained practitioners to support recovery.
Cognitive Behavioral Therapy – CBT
Cognitive-behavioral therapy explores the connection between our thoughts, beliefs, and actions. Clients learn how to challenge maladaptive thinking patterns and develop more proactive ways of thinking about themselves and their circumstances. This can be a very empowering form of therapy and reduce reactive behaviors and impulsivity.
Eye Movement Desensitization and Reprocessing – EMDR
EMDR therapy is used primarily with clients who have experienced trauma, but can be implemented to assist with a wide variety of issues such as craving management, anxiety reduction, and impulse control. The EMDR protocol was initially designed to desensitize traumatic memories while reprocessing them to help move clients towards trauma resolution. Clients work with Northbound’s full-time Trauma Therapist on establishing safety and grounding skills, reprocessing traumatic memories, and developing resilience. Many clients report immense relief in relatively short amount of time after engaging in EMDR.
Psychodrama and Experiential Techniques
Psychodrama incorporates experiential and active techniques to help clients access and address the underlying issues at the core of addiction. Many individuals struggling with co-occurring disorders have built up walls to protect themselves from the potential pain of processing through past hurts, current anxieties, and future fears. They may have used drugs or alcohol to numb their feelings, but now they are getting in touch with these emotions and dealing with them in a constructive way. Psychodrama helps clients access these difficult topics in a safe, supportive, and collaborative fashion. Family sculpting, sociometry, and empty chair work may be used as additional experiential techniques.
Talk therapy is a pivotal part of addiction treatment but can also be exhausting. Expressive arts allow clients to express themselves in non-verbal ways through different mediums. They create pieces of work that represent their feelings and true selves in a raw yet less intimidating way. Their art can help them to express that which they can’t put into words.
Mindfulness teaches clients to focus on the present and live in the moment. It takes the mind off of things that have happened in the past or may happen in the future and brings the attention to the present moment – which is the only moment we have agency over. Mindfulness-based work enables clients to become more aware of stress, anxiety, and negative thoughts and view them in a non-judgmental and more constructive way. Developing a mindfulness practice has been shown to be highly correlated with stress reduction, improvements in mental focus and clarity, and alleviation of depressive and anxious symptoms.
Music is a very powerful tool and form of expression. In Northbound’s Music Program, clients have the opportunity to compose and record original pieces of music, explore the impact that being a musician has had on their addiction, and develop real-life coping strategies to empower them to continue in their musical pursuits while choosing to abstain from drugs and alcohol. Once a month, gender-specific music program groups are given eight hours at a recording studio to record their art. Supervised recreational outings to local music venues and shows are available once a client has earned these privileges. Some clients choose to enroll simultaneously in our Collegebound or Careerbound® programs, where numerous musically focused scholastic and internship opportunities exist.
Partnering with Providers
Northbound partners with providers who have treated clients before, whether they are physicians, therapists, interventionists, or other service providers. With client permission, they keep these providers updated on progress and consult on areas of concern for a full continuum of care.
Get Help Today and Experience the Evidence-Based Treatment at Northbound
Northbound offers clients a wide range of evidence-based treatment options to support them in being as successful as possible in their recovery. Addiction impacts all aspects of a person’s life from their physical and mental health to their relationships and career. By incorporating multiple approaches to treatment and diverse therapies, clients build the strategies and resources they need to establish a lifestyle conducive to recovery. They are able to be more proactive in balancing their addiction recovery and mental health to reduce risk of relapse and enhance their quality of life. Maximize your potential and experience all that Northbound has to offer.