PROFESSIONALS TREATMENT AT PROMISES CREATING EXTRAORDINARY LIVES WELCOME Professionals Treatment at Promises (PTP) has been designed to provide exceptional service to clients and referring professionals. Our goal is to deliver a new level of excellence by building on the tradition of success achieved over the past 25 years by State Physician Health Programs (PHPs). Evaluations are thorough but efficiently conducted and based on validated diagnostic criteria. Each client is given a highly individualized treatment plan with clearly defined treatment goals. Effective communications and teamwork are vital to referents and are core principles of Professionals Treatment at Promises. Our application of these principles is our commitment to you to deliver the highest quality of care available anywhere and will differentiate us from other professionals programs. The program also addresses co-occurring addictive behaviors and mental health issues as needed. Outstanding treatment for spouses, significant others and children is offered through Promises family programs. “I was given the foundation and the tools to begin my recovery”. -Promises Alumni MEDICAL LEADERSHIP For more three decades, Dr. Greg Skipper has been an influential leader in shaping and developing the professionals health movement. Prior to joining Promises Dr. Skipper served as: • • • • • Medical Director, Alabama Physician Health Program Medical Director, Springbrook NW Advisor, Betty Ford Center, Licensed Professionals Program Consultant, Food and Drug Administration Member, National Advisory Council, Center for Substance Abuse Treatment, appointed by the secretary of Health and Human Services. Dr. Skipper is directly involved in the day-to-day care of every professional client. Dear Colleagues: One of my primary motivations for joining Promises Treatment Centers is to utilize what I have learned running both professionals treatment programs and a state physician health program to help clients achieve the best possible treatment outcomes. State Physician Health Programs (PHPs) have always sought to achieve the very best treatment outcomes for their participants. In the process, these programs have developed the most effective system of care that has ever existed for addicted individuals. Prior to joining Promises, I was privileged to serve as principal investigator in a national study of these programs, how they function and their outcomes. Our study showed a relapse rate of less than 21% over an average of 7.2 years. That is less than a 3% relapse rate per year. This incredible finding proves the amazing success of these programs. Our study also showed that this system of care is a team effort between State Professional Health Programs and specialized treatment centers. I believe the care offered at Promises Treatment Centers is second to none. We look forward to working with you and/or your patients to assist in the journey to build successful long-term recoveries. Sincerely, Greg Skipper, MD FABAM Director of Professionals Health Services WHO IS A PTP CLIENT? Professionals Treatment at Promises offers profession specific treatment to healthcare professionals (physicians, dentists, pharmacists, nurses and behavioral health clinicians), attorneys, airline pilots, other licensed professionals, business executives and clergy. However, the PTP is not limited to the professionals listed above. It is also open to any adult (25 and over) who seeks this optimal level of care with its associated high success rates. CONTINUUM OF CARE PTP clients spend most of their stay at Promises in our residential day treatment program; however, a full continuum of care is available including: • • • • • Detox Services / Hospital Care Assessment & Evaluation Residential Day Treatment Extended Care Intensive Outpatient Treatment TREATMENT SETTINGS Promises Professionals Residences are located halfway between Beverly Hills and the Pacific Ocean. The residences provide clients a tranquil homelike setting to start their recoveries in a safe and friendly environment. Our Los Angeles location affords clients opportunities to integrate “real world” experiences into treatment with access to a gym, sports facilities, movies or other daily activities. TREATMENT TEAMS Treatment teams will include but are not limited to: Detox Experts Psychiatrist Attending Physician Clinical Psychologist Primary Therapist Marriage & Family Therapist Nursing Spiritual Counselor Process Addiction Specialists CHEMICAL DEPENDENCE / CO-OCCURRING DISORDERS TREATMENT Promises Treatment Centers programs are abstinence based and are rooted in 12 step recovery. No clients leave treatment utilizing harm reduction or habit forming maintenance drugs or stimulants. All clients undergo a comprehensive psychiatric evaluation; participate in individual psycho therapy and group therapy including: addiction education, relapse prevention, process groups, and gender specific groups. PTP TREAMENT FEATURES (See insert at back of brochure for details) In addition to the components of their CD / co-occurring disorder treatment program, professionals clients’ treatment plans will also include: • Weekly Consultation with Director of Professional Health Services • Professionals Facilitated Process Groups • Profession Specific Facilitated Support Groups (with local professionals already in recovery) • In-Site Therapy - volunteer work at local, healthcare facilities (See insert at back of brochure for details) • Profession Specific “Self Help” Meetings • Practice Assessment • Transition Planning – to provide seamless integration of continuing care recommendations with: state monitoring programs, hospital wellbeing committees, practice partners and other work situations • Post-discharge Monitoring and Drug Screening is available “Promises opened the door to a way of living that I couldn’t have ever imagined”. -Promises Alumni PSYCHO-SEXUAL EVALUATION & TREATMENT We also offer specialized, advanced services to address professional boundary issues related to sexual misconduct or sexual compulsivity. Promises’ parent company, Elements Behavioral Health recently acquired the Sexual Recovery Institute (SRI). Located in Los Angeles, SRI is headed by founder, Robert Weiss, LCSW, CSAT-S who trained under Dr. Patrick Carnes. When appropriate, our patients will receive specialized evaluation and treatment for psycho-sexual issues. SRI also accepts primary referrals for professional boundary issues and / or relationship and sex addiction. LENGTH OF STAY Our program provides individualized client-oriented treatment (as opposed to “program-oriented”). No other illness is managed in a “one size fits all” manner and addiction should not be an exception. Specific recovery performance behaviors are identified and clear goals are set and monitored. We also recognize that high functioning professionals, especially those in safety-sensitive positions, are wise to achieve considerable stability prior to returning to work. ADMISSIONS Admissions specialists are available twenty four hours a day, seven days a week (including holidays) to speak with referring professionals clients or family members and can be reached on our toll free number: (800) 5958779. Clients may admit in two ways: 1. Direct admission to Treatment – Clients can be admitted twenty four hours a day, seven days a week (including holidays) 2. Intensive Diagnostic Evaluation (IDE) – some clients may be required by state agencies or other referral sources to complete a diagnostic evaluation prior starting a treatment program. Each IDE will be completed in approximately seventy two hours or as expeditiously as possible. Transportation will be provided from any Los Angeles area airport. WHY CHOOSE PROFESSIONALS TREATMENT AT PROMISES With over twenty years of experience, Promises has cared for many professionals and returned them to healthier and more productive professional and family lives. • World-class addiction treatment medical leadership • Thorough and credible evaluation process, based on criteria • State-of-the art treatment concepts for best outcomes • Highly individualized care with low client to primary therapist ratio • Vast treatment resources in Los Angeles for care of co-occurring disorders • Comprehensive family program • Structured continuing care plans with post discharge monitoring and drug screening available • Experienced staff that understands and assists with complex return to work issues • Compassionate care in nurturing, confidential healing environment • Cost competitive CLIENT RETURN VISITS Clients who successfully complete the program are invited to return for a one week follow-up visit. During this week they will meet with their therapist and participate in all aspects of treatment with current clients. There is no charge for this follow-up treatment week. For more information, a consultation or assistance with admissions, you may contact us 24 hours a day: 800.595.8779 www.promises.com CREATING EXTRAORDINARY LIVES™ a family member of Elements Behavioral Health™ PROFESSIONALS TREATMENT TEAM Director Professional Health Services Greg Skipper, MD, FABAM Phone: (310) 633-4595 Email: [email protected] Professionals Program Manager Jamie Deans Phone: (310) 633-0294 [email protected] Asst. Director Professionals Healthcare Robert Martin, M.D. DFAPA Evaluation Coordinator Chris Weber Primary Therapist Susanne Tarleton, PsyD Family Therapist Katherine Sorensen, MFT Healthcare Process Groups Rodney Collins, MD Healthcare Support Groups Jim Conway, MFT Legal Specific Process Groups Legal Specific Support Groups Lee Ann Teaney, MFT Medical Polygraph Testing John McGavock Psychological Testing Tracy Zemansky, PHD Psychological Testing Laura Dorin, PhD Promises Senior Executive Director Jason Levine, PhD TREATMENT SERVICES By treating the whole person and total condition, not just the symptoms, PTP clients are given the opportunity to achieve lasting recovery. • • • • • • • • Alcohol Cocaine Codeine Heroin Marijuana Methamphetamine Oxycodone ADD/ADHD • • • • • • • • Grief/Loss issues Prescription medications Trauma Depression and anxiety Co-dependency Sexual compulsivity Sleep disorders Other addictions and disorders TREATMENT MODALITIES Firmly rooted in the 12-Steps, Promises Treatment Centers use a variety of evidence-based treatment modalities to address all aspects of a person’s life. • • • • • • • Medically-monitored detox • Psychiatry Individual psychotherapy • Group therapy Family therapy • Psycho-educational groups Cognitive-behavioral techniques • Dialectical Behavioral Therapy (DBT) Relapse prevention • Stress management strategies Psychodrama • Somatic therapy Spiritual Counseling • Yoga/meditation Additional modalities may include but are not limited to: • • • • • Neuro Feedback Fitness and nutritional counseling Eye Movement Desensitization and Reprocessing (EMDR) Art & Equine Therapies Acupuncture & Massage Tue Wed Thurs Fri Sat 6:45 Wake-Up Wake-Up Wake-Up Wake-Up Wake-Up Wake-Up Wake-Up 7:00 Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation 7:30 Breakfast Breakfast Breakfast Breakfast Breakfast Breakfast Breakfast 12 Step Meeting Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist And/Or Gym And/Or Gym And/Or Gym And/Or Gym And/Or Gym Group Group Group Group Group 8:30 9:00 10:00 10:30 11:00 Family Workshops 11:30 12:00 Lunch Lunch Lunch Lunch Lunch Lunch Lunch 1:00 Free Time Free Time Free Time Free Time Free Time Free Time Family Sessions Visitors 1:30 Group Group Group Group Group 2:30 Assignments Free Time Free Time Assignments Free Time Professional Process Group Professional Process Group Free Time Free Time Dinner Dinner 3:00 Group 3:30 4:00 Travel 4:30 Professional Support Grp 5:00 Dinner 6:00 Travel Family Dynamics Travel Professional Support Grp Free Time Dinner Dinner 12 Step Mtg Travel 7:00 12 Step Mtg 12 Step Mtg Caduceus Mtg 12 Step Mtg 12 Step Mtg 12 Step Mtg 8:30 Free Time Free Time Free Time Free Time Free Time Free Time 10:00 10th Step 10th Step 10th Step 10th Step 10th Step 10th Step 10th Step TREATMENT SCHEDULES Mon Sample Weekly Schedule (Phase 1 / 1- 30 days) Sun Tue Wed Thurs Fri Sat Wake-Up Wake-Up Wake-Up Wake-Up Wake-Up Wake-Up 7:00 Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation Check-In Reading Meditation 7:30 Breakfast Breakfast Breakfast Breakfast Breakfast Breakfast Breakfast Insite Therapy Insite Therapy Insite Therapy Insite Therapy Insite Therapy Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist Dr. Skipper Mtg Therapist And/Or Gym And/Or Gym And/Or Gym And/Or Gym And/Or Gym 8:30 9:00 10:00 Palisades 12 Step Meeting 10:30 Family Workshop 11:00 11:30 Travel Travel Travel Travel Travel 12:00 Lunch Lunch Lunch Lunch Lunch Lunch Lunch 1:00 Free Time Family Sessions & Visitors Free Time Free Time Free Time Free Time Free Time 1:30 Group Group Group Group Group 2:30 Free Time Free Time Free Time Free Time Free Time 3:00 Group 3:30 Assignments 4:00 Travel 4:30 5:00 Dinner 6:00 Professional Support Grp Professional Process Group Professional Process Group Free Time Free Time Dinner Dinner Travel Assignments Family Dynamics Travel Professional Support Grp Free Time Dinner Dinner 12 Step Mtg Travel 7:00 12 Step Mtg. 12 Step Mtg Caduceus Mtg 12 Step Mtg 12 Step Mtg 12 Step Mtg 8:30 Free Time Free Time Free Time Free Time Free Time Free Time 10:00 10th Step 10th Step 10th Step 10th Step 10th Step 10th Step 10th Step TREATMENT SCHEDULES Mon Wake-Up Sample Weekly Schedule (Phase 2 / 31- 90+ days) Sun 6:45 PTP SPECIFIC TREATMENT ELEMENTS Consultations with the Director of Professional Health Services Clients meet a minimum of once each week with Dr. Skipper to discuss treatment progress and goals, issues of focus for the coming week and practice assessment, transition planning and a continuing care planning as discharge approaches. Professionals Facilitated Process Groups Clients meet twice per week to process addiction issues, recovery challenges and relapse triggers which are specific to their individual profession. A particular challenge facing all professionals is understanding how to communicate with colleagues, patients and clients when they return to work. These groups also serve as a forum for education and discussion of the legal issues and disclosure requirements when working with state agencies and insurance providers. Profession Specific Facilitated Support Groups Many professionals come to treatment fearing that their reputations have been irreparably damaged by their disease and that their careers may be over. PTP clients meet twice weekly in clinically facilitated groups made-up of Los Angeles based professionals in their own field who have recently been to treatment or who are completing their required two to five years of post discharge monitoring and drug screening. During these meetings they learn about the real world challenges other group members are facing and solutions for solving them. Clients report these groups leave them better prepared to return to work and effectively manage their recoveries. In-Site Therapy In-Site provides clients the opportunity to work as volunteers at one or more healthcare facilities in West Los Angeles including, public addiction treatment facilities, hospital admissions or detox units, nursing homes or at a hospice. Clients do not work in their professional areas (e.g. as a physician or lawyer) but, are available to each facility’s staff to perform a wide variety of clerical or administrative tasks or comforting patients or clients in that facility. In-Site offers Promises PTP SPECIFIC TREATMENT ELEMENTS clients the opportunity to work on three important treatment goals: 1) overcoming difficulties with denial and lack personal insight that accompany the disease of addiction. 2) developing gratitude and beginning to re-learn how to be of service to others. 3) balancing being a humble, recovering person and a go-to decision maker at work. Profession Specific “Self Help” Meetings These weekly meeting are restricted to professionals of specific professions. Healthcare Professionals have Caduceus Groups; attorneys attend meetings often referred to as “The Other Bar” and airline pilots “Birds of a Feather” meetings. These meetings provide a safe forum for professionals to discuss the specific challenges and solutions to issues facing other recovering professionals in their field. Practice Assessment Each professional undergoes evaluation for fitness to return to duty and an assessment is made, in partnership with the referring agency and/ or employer(s), regarding timetables to return to work, restrictions in activities or hours, supervision required and follow-up as indicated. Transition Planning Continuing care planning is extremely important. We believe that long-term outcomes are optimized when treatment is conducted in partnership with the referring agency, especially when it involves transition planning. Post-discharge Monitoring and Drug Screening Addiction is a chronic illness and should be treated like one, which means long-term monitoring and follow-up are vital to optimal outcomes. At Promises we work hard to creatively utilize leverage to assist in the development of monitoring agreements. A unique feature of the PTP is that whenever possible we begin drug testing during the In-Site phase of treatment utilizing the TPA and/or testing protocols that the client will use when they return home. This makes sense because we can assess their compliance and they can become adept at their monitoring process before returning home.
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