Among those who do, there is a high attrition from initial contact through screening, assessment, and admission, and even greater attrition when this process involves a waiting list for services (Loveland, 2003). The BHRM model seeks to infuse front-end, or pretreatment, recovery-support services into the community (Loveland, 2003). The goals of such pretreatment services are to:
1) "encourage the self-resolution of AOD problems through natural or mutual aid resources as an alternative to professionally directed treatment, 2) intervene at early stages of problem development before high-intensity services are needed, 3) intervene in severe forms of AOD problems before recovery capital is fully depleted, (4) reduce the attrition in sobriety-seeking and help- seeking experiments, 5) help individuals use community-support systems (Loveland, 2003), 6) engage individuals within their current developmental stage of change. In short, these services are designed to jump-start the recovery process via motivational interventions -- what we have come to call recovery priming (Loveland, 2003)."
Because of this information it is important that when people call for help and decide they want to enter a treatment program that they are able to obtain services as soon as possible.
To this end the center plans to provide as many beds as possible so that fewer people have to be turned away when they are seeking treatment for their gambling addiction.
Overall the center will have a large number of beds available that will be divided into a male side and a female side. Due to the statistical research indicating that more men report gambling addictions than females there will be a large male population possible than female population probability (Loveland, 2003).
With regard to how the building will be configured several elements went into the decision making process. While it would be easier to place a group and therapy on each floor, thereby making supervision of the clients relatively simple, it was decided that it would not produce the most optimum results for recovery. The first problem with such a setting is that it would feel very institutionalized for the clients to be placed on one floor and have them remain on that floor for most if not all of their residential treatment experience (Riessman, 1998).
Part of the vision for this center is to incorporate the serene backdrop of the country setting to help clients begin to work through their addiction issues.
Therefore it is important that they be encouraged to walk on the grounds, and take in the serene atmosphere and environment that it offers.
In addition, the basis for the program is a social setting and having the clients remain on the floor they are sleeping on isolates and discourages that idea (Riessman, 1998).
Finally, if the center is geared so that the clients remain on their floor for all aspects of treatment the center is dependent upon constant capacity filling even in the beginning. If the center has all but three bed filled but those three bed happen to be on the same floor, then those who are also on that floor will be more isolated and have smaller groups to work with.
The key element in the treatment of drug addicts is the power of peer principle, although there are various options on how to undergo treatment that will suit any level of addiction. A mutual aid concept raised by Bill Wilson, co-founder of Alcoholics Anonymous, became the basis of an international movement on preventing alcoholism. The concept suggests that people who share the same problem or condition are more likely to listen to each other (Riessman, 1998).
On the surface, there seem to be competing orthodoxies in the field of addiction treatment (Riessman, 1998):"
You are an alcoholic so you must be abstinent. Alcoholics can drink socially.
You must turn your problem over to a higher power. You can quit on your own (Riessman, 1998)."
You need to get into residential treatment. You can overcome your addiction while maintaining your work and personal life (Riessman, 1998)."
These elements of addiction will be best served through social mingling which led the center administrators to determine co-mingling the activities and clients throughout the center and its property would be the most optimum choice.
The groups arenas will be held on the main floor of the building while the sleeping and some of the social areas will be maintained on various center levels (Riessman, 1998).
Americans have seriously inadequate access to addiction treatment, according to experts (Kertsz, 1997). The American Society of Addiction Medicine and...
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