When dealing with In-patient clients dealing with substance abuse, it is understood that many deal with co-occurring disorders, such as depression, bi-polar and other mental illnesses. The …show more content…
As Santiago sets up a group there is no guidelines or limits to participants, as groups are mixed. Though it is not often that the whole unit will participate in group therapy, the clients are all welcome none the less. Through the process of treatment, there are multiple options for continued care and Santiago often encourages continued interaction with 12-step groups, Intensive Out-Patient (IOP), follow up with Primary Care Physician, individual therapy, and case workers that will assist in finding sober living homes after release. There are situations in which a patient is not able to be treated in a group setting and may need to be terminated from the group, Santiago follows a protocol of reviewing the client’s reluctance to change with a doctor and other clinicians to determine transfer of …show more content…
Though the therapist may see a potential benefit to focus a group on a particular path, such as more SUD treatment and awareness than education of co-occurring disorders. This is determined based on unit assessment, but Santiago is adamant that treatment is not selective. Determining the client’s needs is done during admittance to treatment through an assessment and this determines what treatment follows for the best success to recovery. Though there are strong similarities in symptoms of mental illness, there may be need for specialized treatment through detox or medication that must be addressed first before a group may benefit the client. This process of assessment is not perfect, and sometimes clients may need to have particular behaviors addressed in the midst of treatment. These patients are brought to a team level for review and a therapist will re-asses the client for proper changes