Phase III

Alcohol Drug Addiction Treatment Oral Amino AcidIn Phase III, the client continues to receive full clinical services, but does so within the context of a transitional living environment.  During Phase III, clients reside in a residence that is not fully supported by residential staff.  The client is expected to provide for their own daily needs, such as cooking, meal preparation, shopping, and establishing a healthy daily routine.  During this phase of treatment the client is provided the opportunity to experience both the privileges and obligations of life on their own while continuing to have the structure of full clinical programming throughout the week.  Clients experience a return to the real world with the simultaneous ability to fully process daily stresses, interpersonal and interfamily dynamics, relapse warning signs, and the experience of sober life within the group and individual process.

We balance the objectives of exposure to growing independence and autonomy with clinical checks and balances to ensure the health and wellbeing of our Phase III clients.  Although unsupported by fulltime residential staff, the residential environment is monitored both routinely and randomly.  Facilities staff ensures the cleanliness and safety of the environment several times throughout the week.  Clinical staff randomly visits the house to monitor client compliance during evening and weekend hours.  In addition, the clients are held accountable to a firmly established set of rules and requirements for continued residence and participation in Phase III (i.e. abstinence, curfew, nutritional guidelines, prohibitions regarding weapons, acts of aggression, and sexual activity).

One of the primary objectives of Phase III is to expose clients to real life in early recovery with its associated freedoms and obligations.  Part of the Phase III curriculum includes implementation of relapse prevention interventions in the face of actual relapse warning signs.  We rely on frequent urinalyses – both random and as warranted by circumstances – to ensure abstinence.  In the contract signed by each client entering Phase III, they agree that in the event of substance use or pattern of noncompliance, they will return to the higher level of residential care (Phase I or Phase II, as circumstances warrant).

Clients are held accountable by providing written weekend plans to the clinical team by the preceding Thursday.  The plans are informative only (not subject to clinical approval) but may be the basis for a group process.  The forms for the written plans require identification of Alcoholics Anonymous/Narcotics Anonymous 12 step meetings (required daily), plans for sponsor contacts, and emergency telephone numbers that the client will use in the event of any cravings/problems.

An on call phone is dedicated for the exclusive use of Phase III clients.  The phone is carried by a clinician 24/7.  Clients are instructed and expected to use the phone for any concerns but particularly to notify clinicians on a timely basis of any rule infraction.  Pursuant to the Phase III client contract, failure to report noncompliance of a peer is also subject to consequence.  In the event a Phase III client uses any mood-altering substance, the clinical director is contacted and immediate steps are taken to remove the impaired individual from the community.

Alcohol Drug Addiction Treatment Art Therapy transition to sobrietyIn addition to the controls provided by BTG, Phase III clients are exposed to the concepts of peer support and peer governance.  Phase III clients are required to participate in a 1 hour peer encounter group each week in which each client is provided an opportunity to process any concerns regarding compliance and/or sobriety.  The second half of the session is designed for peer-to-peer confrontation in the event that an individual has failed to self-disclose an issue.  In addition, Phase III clients also attend continuing care to further acclimate to sober living and benefit from a milieu with more sober time outside of the context of daily treatment structure.

During Phase III, clients continue to fully participate in all of the programming of Phase II.  In addition, treatment objectives are added to address a plan for re-assimilation to real world demands.  Clients develop employment and/or education plans, identify and coordinate necessary resources, and begin to implement this plan.

Phase III clients continue to work with the same multidisciplinary team.  Clients continue to receive medical care from our medical team, prepare and eat meals in accordance with nutritional guidelines, and receive alternative treatment modalities (yoga, massage, Reiki, and acupuncture detoxification).   Clinically, the client continues to work with their assigned primary counselor in individual and conjoint sessions.

Successful completion of Phase III is demonstrated when a client has finalized a discharge plan based upon the education and/or employment strategy discussed above.  At that time, a treatment taper is offered if the client is remaining in Winchester or relocating to an area in close proximity.  In such cases, the client will begin to attend clinical programming for half the day and implement their job strategy in the afternoon.  The number of half days attended may begin at five days a week for a period of time, and then drop to three half days for an additional time.

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