|
96-Hour Assessment
The Talbott program pioneered the 96-Hour Assessment for the comprehensive life evaluation of professionals. We regularly obtain requests for 96-Hour Evaluations from Professionals Wellness Programs, state licensing authorities, hospitals or state bars, as well as family and concerned friends. When clinically indicated, a 96 Hour Assessment provides a full multidisciplinary evaluation of an individual. The core of the multi-disciplinary assessment team includes:
- Attending Physician
- Psychiatrist
- Clinical Psychologist
- Internal Medicine Specialist
- Addiction Medicine Specialist
- Assessment Coordinator
The team may also include a pain specialist, a neurologist, a spiritual counselor, a behavioral medicine specialist or a sexual boundaries specialist as needed. When additional areas are evaluated, the 96-Hour Assessment may extend past the usual four days.
During the 96-Hour Assessment, the evaluated individual obtains:
- Internal medicine evaluation / physical exam
- Psychiatric evaluation
- One or more addiction medicine evaluations
- Bio-psychosocial self-assessment
- Laboratory work and drug screens
- Comprehensive psychological testing
- Neuropsychological testing, as indicated
- Collateral data collection from multiple external sources including colleagues and supervisors, patients (for health professionals), family and friends.
The results of the evaluation are shared with the individual at the close of the evaluation session, with input from the team. With proper release and permission, results are sent back to the referring agency.
Detoxification & Stabilization
Inpatient stabilization is available for patients requiring a more complicated detoxification and/or behavioral containment to interrupt the downhill spiral of their addiction. At the time of admission, patients requiring Level IV care are admitted to our sister facility-Anchor Hospital-which sits on the same campus as TRC. Level IV care is under the direct care of a physician who specializes in addiction treatment.
Partial Hospitalization Program (PHP with boarding)
Following admission or transfer from detox and stabilization, each patient undergoes a thorough evaluation if he/she has not obtained an evaluation previously. The evaluation assesses the patient's physical, psychiatric, psychological, social, spiritual, and family needs to determine the most appropriate level of care.
The Assessment includes:
- Internal medicine evaluation / physical exam
- Psychiatric evaluation, if indicated
- Addiction medicine evaluations
- A Bio-psychosocial self-assessment
- Laboratory work and drug screens
- Comprehensive psychological testing
- Neuropsychological testing, if indicated
Treatment Planning
During the assessment process, members of TRC's staff (with patient approval) will contact family members, friends, healthcare providers and referents to collect key collateral data for integration into the patient's treatment plan. In our experience, patients (including those presenting with psychiatric co-morbidity) respond better to treatment, medications and recovery when every aspect of their lives has been addressed in the development of their treatment plan.
Upon completion of a patient's assessment, the treatment team, led by the attending physician, develops an individual treatment plan for each patient and meets regularly to review each patient's progress and to update treatment goals. The clinical case manager works closely with each patient, family counselor and the family to ensure the treatment plan is meeting the patient's changing needs. Soon after treatment begins, the patient's continuing care coordinator will begin the process of identifying his/her discharge needs.
Treatment Modalities
The Professionals Program utilizes many of the following therapeutic techniques:
- Group therapy
- Medication management (of mood disorders)
- Individual therapy
- Procedural learning on how to use the 12-Steps
- Psychoeducation group
- Profession issues group
- Profession-specific groups for doctors, dentists, nurses, pharmacists, attorneys and pilots
- Relapse prevention
- Life skills
- Family therapy
- Family Program
- Spirituality group
- Trauma group
- Sexual Issues Group (men’s & women’s)
- Gender issues group
- 12-Step recovery meetings on campus
- EMDR (Eye movement desensitization and reprocessing) for trauma issues
- Meditation and mindfulness training
Family Program
The Family Services Department at TRC provides patients and families support and education on the disease of addiction, cross addiction and the impact on the family. The Family Program is designed to assess the family's needs, educate about chemical dependence and offers ongoing family support during and/or after the patient's treatment. The family program is the first step many addicted families make towards healing. Once a patient is admitted to TRC, a family counselor is assigned to respond to any questions or concerns. That family therapist works both at a distance and close up with our families when they attend the family program.
The family program consists of approximately five family sessions and a family workshop during treatment. The family workshop is a four-day educational and supportive experience. The workshop provides education on the disease of addiction and cross addiction and offers an opportunity to address questions and concerns. For more details about the Family Program and a sample schedule, please click here to visit the Family Program section of this website.
Intensive Outpatient Program (IOP)
After completing the partial hospitalization phase of the Professionals Program, patients move to the Mirror Image phase of treatment. Extended Mirror Image may be recommended for patients when indicated.
Mirror Image Treatment
Mirror Image is an addiction treatment innovation created and first implemented by TRC founder, Dr. Douglas Talbott. Mornings, three days a week, TRC Mirror Image patients go to other treatment facilities in the Atlanta area and work with newly admitted alcoholics and addicts at that facility. The purpose is to assist TRC patients to overcome the myopia that often accompanies the disease of addiction - patients can see the affects of the disease of addiction in others but are unable to see those same affects in themselves. Patients consistently report that his/her experience in Mirror Image has a profound affect on his/her recoveries. Mirror Image patients return to TRC for afternoon groups and appointments with physicians and clinicians.
Continuing Care
Talbott Recovery Campus is committed to helping our patients and their families build a long term, self-sustaining recovery. TRC's continuing care process assists patients and families develop a program of recovery and a support system that will provide a solid foundation to achieve that goal after they leave our facility.
At Talbott, we believe that continuing care actually begins prior to the patient arriving for treatment. Whoever refers a particular patient to TRC becomes the starting point for communication with our treatment team and continuing care coordinator. This begins a process of communication that our coordinators build on throughout the course of treatment. Each patient is assigned a continuing care coordinator that will work with them throughout the treatment course to:
- Serve as the referent liaison with our referral sources and the clinical treatment team
- Gather collateral information and provide written and verbal updates to referents
- Assist the patient with any work, licensure or legal issues
- Participate in the multi-disciplinary treatment team to assess patient's progress
- Identify unresolved treatment issues to be included in discharge planning
- Plan Extended Therapeutic Leaves (ETL) for the patients prior to discharge
- Establish a clinical team to assist with patient's long term recovery post-discharge
|
