Substance Use Services
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A substance use disorder (SUD) is a disease that occurs when the recurrent use of alcohol and/or drugs causes significant impairments in an individual’s life. Impairments may include physical or mental health problems, disability, and failure to meet primary responsibilities at work, school, or home. Substance use disorders can range from mild to severe. It can sometimes be difficult to recognize when substance use becomes a disorder (abuse and/or addiction).
Signs of a substance use disorder may include:
- Reliance on substances (drugs or alcohol) to get through the day
- Needing more of the substance to experience the same effect
- Needing to continually use to avoid symptoms of withdrawal
- Continuing to use even when you know it’s causing problems in your life
- Spending more than you can afford to maintain a supply of substances
The first step in getting help for substance use is to complete a comprehensive assessment. At CACS, our qualified SUD staff can provide assessment services and treatment recommendations. Treatment recommendations for substance use disorders are individualized to the person’s needs through various professional and natural supports such as outpatient treatment, support groups, and peer specialists.
Recovery from substance use disorders will look different from person to person. Recovery is a process of change through which an individual improves their health and wellness, lives a self-directed life and strives to reach their full potential. It involves overcoming or managing their symptoms and making informed, healthy choices to support physical and emotional wellbeing, having a stable and safe place to live, meaningful daily activities and relationships and social networks to provide support. At CACS, all substance use services apply evidence-based practice (EBP) which involves the integration of clinical experience, patient preference, and research evidence.
Adult Treatment Options
ASSESSMENTS
An assessment is the first step to seeking help for substance misuse and substance use disorders.
An assessment includes an interview with a certified or licensed substance use counselor and identifies an individual’s strengths and needs, determines the individual’s motivation and readiness for change, and engages the individual in the development of an appropriate treatment relationship in which an individualized treatment plan can be developed.
SUD PUBLIC SAFETY DUI PROGRAM
The South Dakota Public Safety DUI Program was put into practice in 2004 to provide the judicial system with an adult education program for DUI first offenders that is standardized and evidence-based. The purpose of the program is to promote public safety by reducing the harmful effects of substance misuse, especially driving under the influence of alcohol and other drugs. The course encourages responsible decision-making and the reduction of recidivism by providing participants with accurate information about alcohol and other drugs and assisting them in making changes to their substance use and driving behavior. The focus of the program is “Don’t Drink and Drive”. Three years after completing the DUI First Program, those who participated in the program were 25% less likely to have recidivated then the control group.
- Duration: 12 hours
- Cost: $350
- offered three times annually
Substance use prevention places a focus on helping people develop the knowledge, attitude, and skills they need to make good choices about harmful behaviors of substance use. Substance use prevention is tailored to the needs of their community, using effective community-based, school-based and/or individual evidence-based programs.
EARLY INTERVENTION
Early intervention is for those presenting with substance use problems or mild disorders with the goal to prevent more severe substance use disorders.
Early intervention consists of providing information about substance use risks, normal or safe levels of use, and strategies to quit or cut down on use and use-related risky behaviors and facilitating patient initiation and engagement in treatment when needed.
ADULT INTENSIVE OUTPATIENT TREATMENT (IOP)
Adult Intensive Outpatient Treatment (IOP) is for those with a diagnosed substance use disorder. IOP is a combination of individual, group, and/or family counseling two or more times per week to each individual. Individuals attending IOP at CACS will attend at minimum, nine hours of programming per week.
CACS’s IOP program utilizes the MATRIX Model curriculum which focuses on Relapse Prevention, Early Recovery Skills, Social Skills and Family Education.
RECOVERY MANAGEMENT
Recovery management is for those who have achieved initial recovery through a primary treatment program (inpatient or outpatient) for a diagnosed substance use disorder.
CACS’ recovery management focuses on Relapse Prevention Planning, Emotional Wellness, Physical Wellness, Social Wellness, and Intellectual Wellness.
COGNITIVE-BEHAVIORAL INTERVENTIONS FOR SUBSTANCE ABUSE TREATMENT (CBISA)
Developed by the University of Cincinnati Corrections Institute, Cognitive Behavioral Interventions for Substance Abuse (CBISA) is designed for individuals that are moderate to high need in the area of substance use and well suited for criminal justice populations.
CBISA places heavy emphasis on skill building activities to assist with cognitive, social, emotional, and coping skill development. Such cognitive behavioral strategies have routinely demonstrated high treatment effects, including when used with a correctional population.
The components of CBISA include Pretreatment, Motivational Enhancement, Cognitive Restructuring, Emotional Regulation, Social Skills, Problem Solving, and Relapse Prevention.
MORAL RECONATION THERAPY (MRT)
Moral Reconation Therapy (MRT) is a systematic treatment strategy that seeks to decrease recidivism among adolescent and adult criminal offenders by increasing moral reasoning. Its cognitive-behavioral approach combines elements from a variety of psychological traditions to progressively address ego, social, moral, and positive behavioral growth.
MRT uses structured group exercises and prescribed homework assignments. The MRT workbook is structured around 16 objectively defined steps focusing on seven basic treatment issues: confrontation of beliefs, attitudes, and behaviors; assessment of current relationships; reinforcement of positive behavior and habits; positive identity formation; enhancement of self-concept; decrease in hedonism and development of frustration tolerance; and development of higher stages of moral reasoning.
MRT is available for both adolescents and adults.
DIALECTICAL BEHAVIOR THERAPY (DBT) FOR SUBSTANCE MISUSE
Dialectical behavior therapy (DBT) is a structured program with a strong educational component designed to provide skills for managing intense emotions and negotiating social relationships. DBT for substance use incorporates concepts and modalities designed to promote recovery and to reduce the length and adverse impact of relapses.
DBT covers the following skill modules: Mindfulness, Distress Tolerance, Interpersonal Effectiveness, Emotion Regulation and Addiction Skills.
Youth Treatment Options
ASSESSMENTS
An assessment is the first step to seeking help for substance misuse and substance use disorders.
An assessment includes an interview with a certified or licensed substance use counselor and identifies an individual’s strengths and needs, determines the individual’s motivation and readiness for change, and engages the individual in the development of an appropriate treatment relationship in which an individualized treatment plan can be developed.
EARLY INTERVENTION
Early intervention is for those presenting with substance use problems or mild disorders with the goal to prevent more severe substance use disorders.
Early intervention consists of providing information about substance use risks, normal or safe levels of use, and strategies to quit or cut down on use and use-related risky behaviors and facilitating patient initiation and engagement in treatment when needed.
MORAL RECONATION THERAPY (MRT)
Moral Reconation Therapy (MRT) is a systematic treatment strategy that seeks to decrease recidivism among adolescent and adult criminal offenders by increasing moral reasoning. Its cognitive-behavioral approach combines elements from a variety of psychological traditions to progressively address ego, social, moral, and positive behavioral growth.
MRT uses structured group exercises and prescribed homework assignments. The MRT workbook is structured around 16 objectively defined steps focusing on seven basic treatment issues: confrontation of beliefs, attitudes, and behaviors; assessment of current relationships; reinforcement of positive behavior and habits; positive identity formation; enhancement of self-concept; decrease in hedonism and development of frustration tolerance; and development of higher stages of moral reasoning.
MRT is available for both adolescents and adults.
ADOLESCENT SUBSTANCE USE DISORDER TREATMENT- ICBT & CBISA
Adolescent Substance Use Disorder Treatment serves youth between ages 12 and 18. This treatment focuses on providing support and information about coping and to help each individual with substance-related problems.
Sessions allow each adolescent a chance to practice a variety of coping skills and get feedback from others while building resilience to peer pressure and avoiding high-risk situations.