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TREATMENT AT CORNERSTONE WHO, WHAT, WHEN, WHERE, HOW, & WHY…

Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

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Page 1: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

TREATMENT AT CORNERSTONEWHO, WHAT, WHEN, WHERE, HOW, & WHY…

Page 2: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

OUR HISTORY• Founded on Sept. 22, 1989 by Bill Hood – we had 18 beds and 22 staff members

• Our core philosophy has been built upon and around the 12 steps - therapeutic community, abstinence

based, long-term treatment model built around a continuum of care – detox, residential, sober living,

intensive outpatient, continuous care/aftercare

• We are still owned by the Hood Family. – (Bill’s children and grandchildren own the company.)

• We have grown to be the largest private employer in Blount County (240 employees)

• We have outgrown our facilities twice so, are now in our 3rd location. We have over 160+ licensed beds

at Cornerstone. We started another program, Stepping Stone to Recovery, to occupy our previous

location.

• We are an in-network facility with most major insurance companies and several smaller insurers.

Page 3: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

MISSION, VISION AND VALUES

• MISSION – To save lives, families, and jobs by providing hope, healing, and recovery for those impacted by the disease of addiction.

• VISION – To be a national leader and trusted partner for addiction treatment.

• CORE VALUES – Integrity, Compassion, Team Work, and Personal Growth

• 5P’s of Quality – People, Program, Place, Price, and Post-Treatment

Page 4: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

WHAT IS YOUR DEFINITION OF ADDICTION?Speak up.

Page 5: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

AD·DIC·TIONƏˈDIKSH(Ə)N/NOUN

1. the continued use of a substance in spite of

negative consequences along with the inability

to stop using the substance(s)

Involves:• Obsessive thinking• Compulsive action

* Addiction is different than Chemical Dependency

Page 6: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

CHEMICAL DEPENDENCY

• when the individual must have the substance or they

go into withdrawal

• the body is "chemically dependent" on the substance

for normal functioning

• examples - pain medications, benzodiazepines, alcohol

- also, could be anti-depressants, psychotropic meds,

etc

Page 7: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

re·cov·er·yrəˈkəv(ə)rē/noun

1. a return to a normal state of health, mind, or strength.

2. the action or process of regaining possession or control of something stolen or lost.

• An active change in attitude and behavior – requires and overall lifestyle change.• Addicts can stop using, lose the desire to use, and find a new way to live.• “Recovery from alcohol and drug problems is a process of change through which

an individual achieves abstinence and improved health, wellness and quality of life.” – SAMHSA

RECOVERY IS POSSIBLE!!!

Page 8: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

WHY IS ADDICTION A DISEASE??

Page 9: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

THE DISEASE CONCEPTAddiction meets all the Criteria that the

American Medical Association uses for Classification

1. Primary

2. Predictable

3. Progressive

4. Permanent (Chronic)

5. Fatal is left untreated

6. Treatable

According to the AMA the following guidelines were

used to define a disease “1) an impairment of the

normal functioning of some aspect of the body; 2)

characteristic signs or symptoms; and 3)harm or

morbidity.”

Page 10: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

THE CORNERSTONE TREATMENT PROCESS

Page 11: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

COMPREHENSIVE TREATMENT1. Begins with a really good assessment:

• Bio-Psycho-Social-Spiritual (over a dozen assessment tools and multiple clinical interviews)

• involvement from family members, referring clinician, EAP, Peer Support, co-workers, friends, and individual assessments

2. Treatment Planning• Comprehensive plan that addresses all barriers to recovery:

1.Physical2.Medical Stabilization (detox and post-acute withdrawal)3.Emotional4.Treatment Acceptance (readiness to change)5.Relapse Triggers and Dangers6.Social/Family7.Spiritual

Page 12: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

COMPREHENSIVE TREATMENT (CONT.)

3. Transition - transition plan for concluding treatment4. Aftercare - hugely important, can be the primary support system after

treatment, until individual gets integrated into a local support system that embraces recovery them

5. Recovery Monitoring –• usually 2-5 years• regular contact• drug screens• social/family contact with monitor• involve UMAC• yields the highest success rates (up to 92%)

Page 13: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

OVERVIEW OF RESIDENTIAL PROGRAMS

• Newcomers Program

• Recovery Renewal Program

• Young Adult Male Program

• Women’s Program

Page 14: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

TREATMENT MODALITIES AND SETTINGS

• Cognitive Behavioral Therapy• Dialectical Behavioral Therapy• Cognitive Processing Therapy• Acceptance and Integration Training• Schema Therapy• EMDR• 12 STEP• APEX ©• Physical Therapy (non-narcotic pain mgmt.)• Spiritual Advisory

• Individual • Family• Group

• Psychiatry

Page 15: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

NEWCOMERSPROGRAM

Goals

• Education about the disease of addiction, 12 steps, schemas, spirituality, and mindfulness, trauma, fitness, activity therapy, non-narcotic pain management

• Introduction and attendance to 12 step programs (daily) working on Steps 1 through 5

• Education and therapeutic assignments through group therapy, individual therapy, family therapy, schema therapy, education groups, activity groups, and progress groups

• Relapse Prevention Programming, broad and specific to profession.

• Develop comprehensive individualized aftercare plan with each patient including post residential treatment, medication management, aftercare groups, and therapy when applicable. All patients are signed up for continuous care calls.

• Continued assessment of patient needs based on their engagement or lack of engagement in treatment.

• Typical length of stay is 4-5 weeks

Page 16: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

RECOVERY RENEWAL PROGRAM

Goals

• To explore barriers to recovery and reasons for relapse

• To increase insight into the recovery process

• Focus on self-examination

• Create, repair or improve healthy family recovery dynamics

• Typical length of stay 4-5 weeks, also common for Extended Care (IOP and SLF)

Page 17: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

YOUNG ADULTMALE PROGRAM (AGES 18-26)

Goals

• Motivate young men towards a lifestyle of recovery by teaching them healthy behaviors, coping skills, and supportive social relationships

• Lay a foundation of recovery

• Increase Family participation in healthy recovery for themselves and their young adults

• Provide experiential interventions and activities

• Allow for separation from drug use to aid in recovery thinking

• Typical length of stay is 4-5 weeks

Page 18: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

WOMEN’S PROGRAM

Goals

• Explore Women’s barriers to recovery and reasons for relapse

• Increase knowledge and insight into the recovery process

• Provide a safe place for women to address trauma related issues

• Typical length of stay is 4-5 weeks

Page 19: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

INTENSIVE OUTPATIENT AND SUPPORTIVE LIVING

Goals

• Continue the work that was started in residential treatment

• Enhance knowledge and application of recovery principles in a less structured environment

• Provide a safe place to practice and reinforce recovery coping skills

• Assist families in healing

• Provide support for individuals who are early in recovery

• SLF Minimum length of stay is 2 months

• IOP 32 sessions in an 8-week period (AM/PM sessions offered 4x per week )

Page 20: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

A HIPAA COMPLIANT VIDEO CHAT SOLUTION FOR GROUPS AND INDIVIDUALS

AFTERCARE AND RECOVERY COACHING

Page 21: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

OTHER SPECIAL PROGRAMS, POPULATIONS & PROBLEM AREAS

Professionals Program

Individuals monitored by a state board or agency

who have safety sensitive positions

i. e. pharmacists, doctors, nurses,

attorneys, dentists

Aviation Program

pilots, flight attendants, agents, ground crew

FAA and DOT regulated

Railroad Program

Locomotive engineers, conductors, mechanics,

trackmen, etc

FRA and DOT regulated

Veterans

Trauma Treatment

Moral Injury

Spiritual Adviser

Pain Management

Increase understanding of how pain works.

Physical Therapy, in partnership with Blount Memorial, Don Reagan

sees patients on Cornerstone of

Recovery’s campus

Relationship Addiction

sex, love, relationship addiction

infidelity issues

intimacy issues

Page 22: Treatment at Cornerstone...• Relapse Prevention Programming, broad and specific to profession. ... Cornerstone of Recovery’s campus. Relationship Addiction. sex, love, relationship

CARMEN MCINTOSH, DIRECTOR OF NEW BUSINESS DEVELOPMENT

• Cell: 865-585-6623

[email protected]