Jonathan M. Wainwright Memorial VA Medical Center – Richland VA Community Based Outpatient Clinic

Dual Diagnosis

Washington's specialized dual-diagnosis addiction treatment programs provide inpatient and intensive outpatient care for individuals with co-occurring substance use disorders and mental health conditions. Treatment generally includes psychiatric evaluations and individualized treatment planning, evidence-based therapies, mindfulness-based programming, and group therapy address both disorders and promote mental health. Treating both disorders simultaneously can improve long-term outcomes and sustain sobriety.

Mental Health

If you have both a substance abuse problem and a mental health disorder like depression, bipolar disorder, or anxiety, it is known as a co-occurring disorder or a dual diagnosis. Dealing with substance abuse, alcoholism, or drug addiction is already difficult, but it becomes even more difficult when you combine addiction with mental health problems. That’s why it’s essential to treat both conditions at the same time.

• Private insurance
• Self-pay options
• Daily
• Per session
• 90 day cost: $1,316
• Military insurance
• Medicare
• Financial aid

Adult program

Elderly program

Military program

Program for men

Program for women

Young adult program

Outpatient

Clients enrolled in an outpatient rehab program typically engage in multiple therapeutic sessions each week, but reside in their own homes and communities while receiving care. Outpatient treatment typically involves extensive addiction counseling, including family and group therapy. Most programs also emphasize recovery-focused life skills training and medical, mental health, and social support services to promote clients’ sustained sobriety. Evening, night, weekend, and virtual services are widely available to accommodate the schedules of working professionals, students, and caregivers.

Medically Assisted Detox

Medical detox is often the first step in addiction recovery and involves ridding the body of drugs and/or alcohol in a supervised inpatient setting. If you’ve become physically dependent on substances like alcohol, benzodiazepines (like Xanax), or opioids, quitting abruptly may cause uncomfortable or even dangerous side effects. In medically assisted detox, a team of medical professionals will help manage any potential withdrawal symptoms with the aim of keeping you as safe and comfortable as possible.

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

Aftercare Support

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Sober Living Homes

A sober living home in Washington allows individuals in recovery to be independent while providing structure and accountability. Residents are expected to be responsible for themselves. They must pay for room and board and do everything they would do for themselves if they lived in a regular home. Typically, residents can live in a men’s or women’s sober living home for as long as they want, as long as they follow the house rules.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Couples Therapy

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Creative Arts Therapy

Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.

Electroconvulsive Therapy

ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.

Experiential Therapy

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Life Skills

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Nicotine Replacement Therapy

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Nutrition Therapy

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Trauma Therapy

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.

• Residential setting
• Private setting