Crouse Hospital is a private, not-for-profit institution that has been taking care of Central New Yorkers since 1887. For the last 50 years, Crouse Hospital’s Chemical Dependency Treatment Services has been aiding these same people by offering detox, residential and outpatient addiction treatment for a variety of special populations. With an experienced, multidisciplinary healthcare team, Crouse Hospital offers a program that includes evidence-based treatment for addiction and co-occurring disorders, combined with the 12 steps.
Accommodations and Food
Crouse Hospital’s 40-bed adult inpatient program is located at a satellite facility, less than 10 miles from the main hospital (pictured). The exterior of the residence looks like an office park, but inside, the rooms are simply decorated and comfortable. All rooms are double occupancy with a full en suite bathroom, twin beds, and a shared desk and dresser. The facility also has a recreation room with a TV, board games and books, an exercise room, industrial kitchen and communal dining area. All counseling rooms are furnished comfortably, with sofas and overstuffed chairs.
Meals are served three times a day and prepared by licensed dietitians with a strong focus on health and nutrition. All meals have the four basic food groups: breakfast consists of hot and cold cereals, fruit, eggs, coffee and juice. Lunch has meat and a vegetarian option, as does the evening meal. A salad bar is offered at dinner. Special dietary requests are accommodated but must be discussed at intake.
Treatment and Staff
Clients often begin treatment in the eight-bed detox at the main hospital facility, where Librium and methadone are used for alcohol and opiates respectively. The registered nursing staff monitors clients around the clock and a physician oversees all medication.
Detox can last from five to seven days, after which clients begin treatment at the residential facility. This program lasts for 30 days and is comprised of individual and group therapy, experiential therapy, education and exercise. Clients begin their days at 6 am with breakfast at 6:45. Group and individual therapy sessions begin at 8 am. CBT is the main treatment modality and group topics include addiction education, family dynamics, stress reduction, goals groups and gender-specific groups often focused on trauma. There is a basic group exercise class that takes place on-site three times per week that includes working out with free weights, calisthenics and stationary cycling. All clients see their individual therapists once a week, while those with co-occurring disorders see psychiatrists in addition to individual therapy. Residents also attend on-site 12-step meetings three nights per week.
The treatment staff consists of CASACs, MFTs, nursing staff, a psychiatrist, treatment assistants and a physician. Client-to-staff ratio is six-to-one.
The outpatient facility for Crouse Hospital is located just down the hill from the main hospital. Outpatient services can be used as a step-down in treatment for residential clients, or primary treatment for those who don’t require 24-hour supervision. The most structured level of outpatient care at Crouse Hospital is day treatment; clients meet Monday through Friday for five hours a day, typically for 16 weeks. Clients meet with Master’s-level therapists once a week and, just like with inpatient, a physician oversees all medication.
CASACs facilitate all the outpatient groups, which max out at 14 participants, and all sessions are 60 minutes. Group topics include self-esteem, peer pressure, spirituality, stress management and coping skills, developing sober social networks and leisure activities, addiction studies and relapse prevention.
The last stage of outpatient care is approximately 12 weeks. Clients continue with the treatment protocol, but only meet once per week. Crouse Hospital also offers specialty outpatient services. The adolescent outpatient program works with clients between the ages of 13 and 17. Groups meet twice per week and individual therapy is on a case-by-case basis. Group treatment is similar to the adult program, with emphasis on peer pressure, communication and coping skills. Parents or guardians must also meet with counseling staff every two weeks. There is also a track for pregnant and post-partum women. They are offered group and individual therapy, education and parenting classes, in addition to health assessments with registered nurses. And specialists with experience in the treatment of chemically dependent older adults staff Crouse’s Outpatient Older Adult Recovery Service (OARS). Group and individual therapy topics include physical health, nutrition spirituality and family and social relationships. OARS clients meet once per week and if necessary, CSAC counselors meet clients in their own homes.
Experiential therapy in the residential program consists of yoga, acupuncture and expressive drawing.
The Relapse Prevention Group could be considered aftercare at Crouse Hospital, where clients meet for group therapy once a week for six months or longer. This group is facilitated by a CSAC and group topics include role-playing, trigger identification and skill building.
The family program takes place on Saturday from 11 am-3 pm. Classes in addiction studies and family dynamics go from 11 am until lunch at 12:30. Families then meet with counselors from 1:30 until 3 pm for group therapy, with clients present.
Crouse Hospital provides affordable, comprehensive treatment for adults and adolescents struggling with addiction and co-occurring disorders. It is always a bonus when residential clients have the opportunity to extend their care well into sobriety by utilizing the outpatient services offered by the same institution as their inpatient care. Prospective clients looking for a place which understands that people’s issues differ with age—teenagers and grandparents aren’t facing the same pressures in sobriety—will appreciate the care here.
Crows Hospital Admissions
736 Irving Ave
Syracuse, NY 13212
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