Community Resources and Self Help—know as CRASH—has been providing substance abuse and related services since 1970. A CARF accredited and community-based non-profit, CRASH provides several prevention, outpatient and residential treatment options for adults in San Diego County. Two short-term residential programs—Short Term I and Short Term II—were established with support from the County in 1990 to accommodate men and women separately. In addition to these intensive substance abuse programs, CRASH offers community education and outreach services, as well as support for co-occurring disorders.
Accommodations and Food
Both the men’s and women’s facilities are converted residential homes that accommodate a total of around 45 clients. Dual-occupancy rooms are furnished with twin beds, some with bunks and have shared bathrooms. Clients can relax in the lounge areas on the couches and watch TV. A cook prepares healthy but simple meals and serves them communally in the large dining rooms.
Treatment and Staff
Clients may be referred to CRASH by individuals, medical professionals or organizations. An initial intake evaluation is required and determines the most suitable program for treatment. Though medically monitored detox services were offered in the past, clients requiring this level of supervision are now referred elsewhere, and are encouraged to enter a CRASH program once they are physically stable. New clients must also attend an orientation session that outlines program expectations, rules and requirements. This helps everyone understand his or her rights and responsibilities while in treatment.
Both Short Term I and II are suitable for adults aged between 18 and 64 and require a minimum 60-day stay, though most stay for 90. Though called short-term, these programs are actually longer than the standard 28 or 30-day programs generally offered. The length allows clients to firmly establish new behavioral patterns and begin to tackle core emotional issues. Those with co-occurring disorders receive integrated support that includes targeted individual counseling and medication management. For all clients, medical and psychiatric services are organized off-site.
Treatment focuses on establishing individual responsibility in recovery, and is aimed at helping clients maintain productive lives when they reenter the community. Clients participate in their own recovery planning in individual counseling sessions that monitor progress toward recovery goals. Using a 12-step approach, clients also attend daily group counseling and problem-solving sessions, with weekly drug and alcohol education workshops. Many sessions focus on relapse prevention and building healthy communication techniques.
Case managers and LADCs facilitate the bulk of treatment, with program coordinators and support staff offering assistance. A shift manager is always present during overnight hours, and volunteers perform many important services, such as clerical, administrative, fund-raising and planning.
Aftercare services include referrals to 12-step groups and community resources as well as regular check-in phone calls.
Vocational services, job readiness and life skills training assist with reentry to independent living. Additionally, clients participate in recreational activities like movie nights and group games. For loved ones, family night and supervised visitations with children are organized.
The Short Term I and II programs offered by CRASH are great for men and women serious about establishing a new way of living. The therapeutic options are basic but solid, providing little distraction from recovery. Self-pay rates are capped at $8,000 a month, but no service will be refused for those unable to pay.
CRASH Short Term I (Men’s)
4161 Marlborough Ave
San Diego, CA 92105
CRASH Short Term II (Women’s)
2410 E St
San Diego, CA 92102
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