The following is a brief description of the addiction-related services that are provided by CACS (generally in order of least to most intensive). All individuals and families with substance addictions and/or mental health issues are welcomed for care. In all addiction services, individuals and families will be helped to use their strengths to address all their issues in order to achieve their goals.
Addiction And Mental Health Screening
Addiction screening is a quick process using a validated instrument called the SASSI (Substance Abuse Subtle Screening Inventory) to identify the individual's "probability level" of having a substance abuse and/or dependence disorder. Results of the SASSI are "low probability" or "high probability". Two versions of the SASSI are used; one specific to adults and one specific to adolescents. Counselors use the SASSI results to determine if further assessment is needed or if prevention/diversion (i.e. education but not treatment) programming is appropriate.
The adult version of the SASSI identifies substance dependence disorders with an empirically tested accuracy of 94%. The SASSI is also 93% accurate at identifying those who do not have a substance dependence disorder. The SASSI is accurate 95% of the time with adolescents who have a substance use disorder (i.e., substance dependence or substance abuse) and 89% accurate with adolescents who do not have a substance use disorder.
In addition, a mental health screening is utilized to determine if a co-occurring disorder exists in order for individuals to receive appropriate treatment to meet all of their needs. The term Co-occurring disorders (COD) refers to co-occurring substance-related mental health disorders. Individuals who have COD have one or more substance-related disorders as well as one or more mental health disorders.
Substance abuse or dependence disorders are identified by nationally defined criteria and through the use of The Diagnostic and Statistical Manual IV Ed. An Addiction Evaluation is a process using diagnostic tools and a clinical interview to determine if an individual meets or does not meet the criteria for abuse or dependence disorders. The assessment process also identifies what types and levels of services will most likely help the individual resolve their substance use/abuse/dependence as well as a co-occurring and/or mental health disorder.
The South Dakota Public Safety DUI Program was developed to promote public safety by reducing the harmful effects of substance misuse, especially driving under the influence of alcohol and other drugs. The class participants receive a variety of educational experiences, which culminate with each participant developing and implementing a "Personal Change Plan" to avoid future problems with alcohol and/or other drugs while driving. This Program is part of a statewide demonstration project, which includes an outcome study to determine the effectiveness of the class. The program is 12 hours in length and is offered through four 3-hour group sessions. The class is offered every other month.
Intensive Outpatient Treatment (IOP)
The purpose of primary treatment is two-fold. The first goal is to educate an individual about their addiction. Short-term goals include understanding that addiction is a disease and recognizing the symptoms of addiction. The second goal for the individual is to recognize their symptoms of addiction and become motivated to accept the recommended treatment of abstinence. When able, the individual will develop healthy coping skills to aid in their sobriety. In addition individuals are educated on mental health issues and provided individual counseling for co-occurring disorders.
CACS primary addiction treatment servicesAccessible Community Treatment (ACT) (aka Intensive Outpatient Treatment)
Adolescent Accessible Community Treatment (AACT) (aka Outpatient Treatment)
18 years or older
Primary diagnosis of substance abuse or dependence, or compulsive gambling
Group meets at least nine hours weekly
Individuals view orientation videos prior to beginning group
The client completes treatment when their individualized plan is accomplished
Individual counseling sessions are offered as needed
Continued Care (aka Aftercare)
13 to 18 years of age
Primary diagnosis of substance abuse or dependence.
Groups are open meetings 3 days a week.
Groups meet less than 9 hours weekly.
The client completes treatment when their individualized plan is accomplished.
Individual counseling sessions are offered as needed
Parents and other supports are involved in the treatment process.
The group participates in Teen AA meetings.
Continued Care is a variety of groups held weekly for individuals who have successfully completed primary treatment and now need to develop an addiction-free lifestyle. Research on recovery rates from the Caron Foundation indicate that "patients with 28 days of treatment, along with a minimum of six months aftercare, with groups meeting a minimum of three times a week, that there is in excess of 80% recovery rates. 'Staying connected' to the recovery process and with others in recovery is the theory behind these success rates and plays a significant role in sustaining one's own recovery. Clients share their experience, hope, and strength."
Continued Care groups assist individuals in developing coping skills. Individuals have a higher rate of relapse when these coping skills are not developed. The SD Division of Alcohol and Drug Abuse have identified the required components for Continued Care services, which are: Relapse Prevention, Spirituality, Responsible Thinking, Social and Recreational Skills, and Family Relationships.
Relapse Prevention - focuses on educating the individual about the relapse process, helping them identify their relapse warning signs, and developing a personalized relapse prevention plan. In addition, individuals are educated on mental health issues and coping skills to aid in recovery.
Spirituality - focuses on developing and incorporating a strong sense of personal (individual) spirituality into their recovery plans. This spirituality component complements the Twelve Steps of support groups such as Alcoholics Anonymous.
Responsible Thinking - focuses on recognizing irresponsible thoughts and replacing them with responsible thinking.
Social and Recreational Skills - focuses on building social skills and to provide opportunities for substance-free recreational activities. The goal is to learn how to maintain friendships and recreate without using substances. This group is less formal and encourages healthy interaction with others.
Family Relationship - focuses on developing healthy communication styles, resolving past patterns of unhealthy behaviors and making sobriety a family-based solution.
Individual sessions are offered when needed to promote healthy lifestyles for individuals who have co-occurring disorders. Clients need to meet with an addiction counselor prior to starting Continued Care services.