Founded over 25 years ago in Richland, Washington, Choices and Changes offers outpatient services for those dealing with substance abuse issues, integrating traditional talk therapy and evidence-based treatment, specifically CBT, as protocol. It welcomes those who have had multiple relapses, believing they need understanding and respect. Choices and Changes’ theory is this is a more effective way of helping addicts achieve life long recovery than reprimanding them for their “failure” to stay clean and sober.
Treatment and Staff
Prior to admission, clients meet face-to-face with a counselor and receive a comprehensive assessment based on age, physical and mental health, medical history, level of chemical dependency, tolerance for certain medications, previous therapies or procedures, personal expectations and preferences for treatment. Upon completion of the assessment, clients receive individualized treatment plans. Treatment is typically 90 days.
Weekly Intensive Outpatient (IOP) treatment includes a combination of one-hour individual therapy, three-hour group sessions and hour-long educational classes. Group topics include life skills, coping, anger management, stress management, and feelings. CBT is the primary therapeutic technique. The rehab believes that a group dynamic reduces the isolation that is a prevalent dilemma for alcoholics and drug addicts and is crucial to recovery. When a client suffers from a crisis, Choices and Changes utilizes group therapy (if appropriate) as well as individual therapy to support and help the individual. Dual diagnosis support is provided for those suffering from co-occurring disorders.
Educational topics include an introduction to the 12 steps, and the effects of substance abuse. The latter class delves into educating clients on the damaging biochemical reactions caused to the human body and the brain by drugs and alcohol. While clients are introduced to the 12 steps and encouraged to attend meetings, the rehab does not necessarily employ a spiritual approach.
The facility employs six licensed chemical dependency counselors. The number of clients averages at 100. A sliding scale fee is provided for the financially challenged.
A family outreach and therapy program is provided for those who seek support in dealing with loved ones who suffer from substance abuse issues.
Choices and Changes offers aftercare through their Continuing Recovery program. Clients are taught how to reintegrate into society while maintaining their abstinence.
Substance abuse treatment and educational classes are provided for DUI and criminal justice clients.
A one-day, eight-hour class ADIS (Alcohol and Other Drugs Information School) is available to those with no evidence or history of substance abuse. The class is intended to teach people how to avoid high-risk behaviors that might cause them to drink or use. No assessment is necessary, and the purpose is to educate, not to treat. The cost is $75.
Those seeking more intensive services, including medication-assisted treatment, might not find Choices and Changes to be the right fit. For those who are in a recovery support group such as AA and just looking for additional therapy, however, this could be the perfect choice.
Choices and Changes
1236 Columbia Park Trail
Richland, WA 99352
Choices and Changes Cost: Sliding Scale. Reach Choices and Changes by phone at (509) 735-7899 or by email.
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