HPWC recognizes that addressing alcohol and drug use can be a sensitive matter. We welcome all individuals and their families into services with respect and dignity. Substance use is a health issue that can significantly impact every aspect of a person’s life. Our objective is to help you transition into a new and healthier lifestyle.
Assessment and Diagnosis
HPWC utilizes a holistic approach to collect information to assess an individual’s current situation that reflects both strengths and limitations to personal growth. We use person-centered and evidence-based practices to develop a diagnosis and treatment plan for change. This means we value each person and our relationship with them! Then we apply practices that have been researched to be effective in solving problems for each individual. Our goal is to get each person to the right kind of help for them.
OUT PATIENT SERVICES
HPWC utilizes a variety of resources to recommend a level of care that will best work to address substance use. This is based on the recommendation from the assessment and will take a variety of factors into consideration: severity of problems, resiliency factors, existing recovery skills, scheduling, and community support systems. Some people have mandates that are inflexible, such as from a court order, and we work hard to collaborate with referents to develop a plan that will meet everyone’s needs.
Level One Outpatient Services can include up to 9 hours of treatment activities per week, but most people attend one to three groups per week and regular individual sessions throughout the month. The groups that are assigned are psycho-educational. This means groups have both educational dynamics and time to discuss and apply the information on a more personal level. Groups are facilitated by certified counselors who are invested in helping each person meet their individual goals by understanding barriers to growth and teaching skills relevant to the recovery process.
Intensive Outpatient (IOP)
IOP Services generally include 10 hours of treatment activities per week, typically with several groups and an individual session per week with a certified clinician. These groups often have some of the same members and a close-knit bond seems to develop in support of the recovery process. Groups may have more time to address individual barriers to growth and process information on more personal level. Community resources and supports are often shared at this level to strengthen the foundation of a recovery process for each person.
All participants in groups also have a personal counselor assigned to them to help them through the program. Counselors are certified in chemical dependency treatment and possess a commitment and passion for helping individuals in HPWC’s care. Each participant will develop goals with their counselor that are person to them, in addition to completing some assignments that we think will enhance skills for recovery management.
Many individuals seeking substance use treatment have other problems that impact their recovery, such as past trauma, mental health problems, or family issues that require additional support. HPWC employs a variety of experienced mental health therapists to provide each person with the amount of support they need to improve their lives, according to their personal goals and objectives.
Alcohol and Drug Information School (ADIS)
Sometimes, people seeking services are assessed and do not meet criteria for substance use treatment, but still may need a better understanding of how substances can impact their lives. We provide an 8- hour educational program on alcohol and drugs. This educational program meets the criteria for people who are required to obtain an educational course with the courts and with the Department of Licensing.
Both our Level One and Intensive Outpatient Programs meet criteria to comply with the court needs of impaired drivers for Driving Under the Influence of Intoxicants (DUII) for both Washington and Oregon. Each individual seeking this type of care must sign authorizations for HPWC to coordinate with the courts to assure progress on recovery goals
Deferred Prosecution (Washington State) & Diversion (Oregon State)
Both Deferred Prosecution and Diversion are court-ordered treatment for individuals who want to avoid a DUII on their permanent driving record. By completing treatment, HPWC can provide reports to the court that result in the avoidance of a conviction and the charge is deferred. Many people avoid a significant negative consequence of driving while impaired by addressing substance use in a structured treatment setting while also addressing health care problems that affect decision-making.
Medication Assisted Treatment (MAT)
HPWC works within an agreement with Ascension Medical Group to facilitate MAT. MAT is typically an appropriate medical response to people who have been using opiates and some other substances. All MAT referrals require collaboration and participation in treatment services.
Suboxone is used to treat opiate addiction, such as heroin and opiate painkillers, such as Vicodin and other narcotics. It prevents or reduces withdrawal systems caused by quitting these drugs. Suboxone contains a combination of buprenorphine and naloxone. Buprenorphine is an opioid medication. Naloxone blocks the effects of opioid medication, including pain relief or feelings of well-being that can lead to opioid abuse. Suboxone, in combination with substance use treatment, has been shown to be effective in helping people rebuild their lives and recover from opiate use.
Vivitrol is one of the newest medications available and can treat both opiate and alcohol addiction. It blocks other opioids from acting on the receptors in the brain and can also help ease drug cravings. By blocking the effects of other opioids it takes away the pleasurable effect, which can help with preventing relapse will a person creates a lifestyle that supports recovery.
Antabuse (disulfiram) blocks an enzyme that is involved in metabolizing alcohol intake. Disulfiram produces very unpleasant side effects when combined with alcohol in the body. Antabuse is used in certain people with chronic alcohol use. This medicine can help keep an individual from drinking because of the unpleasant side effects that will occur from consumption alcohol while taking Antabuse. In combination with counseling, Antabuse can be a supportive MAT for recovery from alcohol.
In addition to the Alcohol and Drug Information School, HPWC provides an educational class on Cannabis. HPWC supports the use of education in the community about behavioral health in relation to substance use and has providing training in a variety of settings. HPWC is available to provide community education at schools, events, and for groups.
Screening for substance use is an important part our services for two reasons. First, it is an evidence-based, objective measure to determine whether or not someone is actively using substances. This is one tool, among many, in determining progress in individual recovery goals. Some individuals seeking substance use services have secondary reasons for participation in care or could be ashamed or remorseful about substance use. As a result, some participants maybe uncomfortable in their change process and may not be fully truthful in self-reporting problems in recovery program.
Secondly, screening for substance use is a community safety measure that is required for people involved in agencies that monitor safety. For the Department of Motor Vehicles, for example, it is imperative to demonstrate a person who has previously driven impaired has addressed the issue adequately and will be safe on the road. People involved with a corrections agency also have safety monitoring, often in the form of probation or post-prison supervision. Corrections agencies want to increase public safety by monitoring drug use of the people they are supervising. Many jobs that require driving, such as the Department of Transportation, also may require safety monitoring.
HPWC works with a lab for drug testing. We have a call-in line to facilitate random urinalysis collection and screening and can order a variety of tests, depending on the substance of concern. We have a contract to provide drug screening for the Department of Children and Family Services and for Impaired Professionals. We are able to provide testing for workplace screening, one-time events, and ongoing monitoring.