Really professional and respectful staff but sometimes they tend to be so disorganized and make me upset
About Off The Square Club
The Lutheran Social Services - Off the Square Club, located in Madison, Wisconsin, is a daytime support center for adults who need mental health support, including those with co-occurring conditions, such as substance use disorder. You can visit this location to receive several different services, which range from food and computer access to peer based counseling and structured activities. Services are covered by donations and are available at no cost.
Here, you’ll find a safe and supportive place to begin your recovery journey. You can visit as often or as seldom as you need to, which might mean coming in once a day or once a year. Some clients visit just to have a warm place to stay during the winter, while others take part in the on site crisis intervention and peer support services. The providers are trained in trauma informed care and many are state certified peer support specialists who have walked through mental illness themselves and now want to help others find the same kind of healing.
In addition to food, shelter, and technology, some of the other services you’ll find at this facility include skill development training, counseling sessions, and opportunities for socialization. The team can also refer you to other recovery oriented programs and services throughout the county.
To become a member, you must be at least 18 years old, a resident of Dane County, and have a primary mental illness diagnosis. They are open from 9:00 a.m. to 4:00 p.m.
A standout feature of this program is its open door policy. All members are welcome to come in for a visit, regardless of the extent of their needs. Even individuals in an acute mental health crisis can connect immediately with specialists who will stabilize and route them to the appropriate emergency services. This demonstrates their heart for the community and the dedicated care they provide to each client.
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Location
Accepted Insurance
Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Sliding scale payments are based on a client's income and family size. The goal is to make treatment affordable to everyone. By taking these factors into account, addiction recovery care providers help ensure that your treatment does not become a financial burden to you or your family, eliminating one barrier to care.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Inpatient Inpatient rehab is designed to stabilize clients who are exiting detox or those who are in some form of crisis. They are an important preliminary step designed to prepare clients for outpatient, sober living, or community-based care. Clients live at the treatment center and engage in intensive addiction counseling. Group and family therapy is common. Many programs also emphasize recovery-focused life skills training to support clients' sustained sobriety. Some programs offer evidence-based holistic therapies, such as meditation.
Intensive Outpatient Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Aftercare Support Rehab aftercare programs support clients' long-term recovery through highly customized wraparound care aligned with clients' evolving needs. Most have been sober for a period of weeks or longer and have completed intensive inpatient rehab but may be receiving outpatient care. Many clients also receive services after being discharged from formal treatment. Long-term care plans are typically developed in collaboration with the client's case manager and care team and may include peer coaching, relapse prevention, and related services.
Treatments
Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.
Programs
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Program For Men
Men face specific challenges and concerns when seeking addiction treatment. Gender-specific recovery programs help them tackle these issues head-on in an environment that's focused, targeted, and distraction-free. It also gives them the opportunity to connect with and learn from other men who have been through a similar journey and can offer support for the next step.
Program For Women
Rehabs for women provide a safe, nurturing space for female clients to heal. These treatment programs consider the specific obstacles that women can face during recovery and place a special emphasis on mental, social, physical, and reproductive health. They explore how each woman's experience has shaped the trajectory of their substance use, addressing issues such as sexual abuse and past trauma.
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Clinical Services
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.
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.
Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.
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.
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 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.
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 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.
Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.
Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.
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.
Amenities
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Recreation Room -
Music Room -
Business Center -
Art Activities
Accreditations
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.
State License: Wisconsin
Contact Information
(608) 251-6901 
116 W Washington Ave
Madison, WI 53703
Get Help Now - 800-985-8516
Who Answers?
Who Answers?
Fact checked and written by:
Courtney Myers, MS
Edited by:
Anna Spooner
