Adult Addiction Services
WVU Medicine offers a variety of services designed to meet the needs of adults who are experiencing problems with alcohol and other drugs.
Adults with addiction to alcohol or other drugs can find a variety of treatment services to meet their individual needs. Services include inpatient hospitalization and detoxification, partial hospitalization, intensive outpatient, outpatient individual and group therapy, and an opioid specific treatment program.
Adult Addictions/Dual Disorders Inpatient Unit
The Addictions/Dual Disorder Program is a specialized, short-term treatment and medical detoxification unit.
Chemically dependent adults, age 18 and over, who are experiencing problems because of alcohol or other drugs may enter a structured, smoke-free, abstinence-based inpatient program that includes strong family participation.
A safe detoxification; psychiatric evaluation; and individual, group, and family therapy are provided along with the 12-step self-help support groups of Alcoholics Anonymous and Narcotics Anonymous.
Life enrichment skills, medication management, chemical dependency education, relapse prevention, communication skills, and self-esteem skills help individuals get back on track to a healthy, fulfilling life.
Adults, with a primary psychiatric diagnosis, needing a more intensive level of outpatient treatment for addiction/chemical dependency and not in need of inpatient hospitalization for medical detoxification may attend a daily program while continuing to live at home.
While working toward stabilization of the primary psychiatric illness, the Partial Hospitalization program emphasizes education about alcohol and other drugs, addiction, and the skills needed for recovery. The client must commit to abstaining while in the program.
This program is designed for patients with acute psychiatric symptoms including:
- Mood disorders
- Personality disorders
- Thought disorders
- co-occurring disorders of addiction
The Partial Hospitalization program operates Monday through Friday from 9:30 a.m. to 2 p.m.
Transportation is provided within the service area, which includes:
- Monongalia County
- Marion County
- Preston County
- Harrison County
- Taylor County
Medicare, Medicaid, and commercial insurance accepted and patients can refer themselves for the program.
Intensive Outpatient Program (IOP)
The Intensive Outpatient Program (IOP) provides therapy, education, and medical treatment to drug- and/or alcohol-dependent individuals (and their family members) who wish to continue work during early recovery.
A relationship exists between the length of outpatient treatment and long-term sobriety. The largest percentage of individuals who relapse do so in the first 90 days. IOP is available to help during this critical period by presenting a forum for recovering individuals to learn and process new behavioral skills and to integrate them into daily living.
The program consists of group therapy, family therapy, and medical groups that meet three days each week. The groups offer:
- an opportunity to talk about pertinent issues
- education on the recovery process
- a chance to educate family and friends on the nature of addiction
- referral for necessary medical care.
Participants are also seen by an individual therapist regularly.
Orientation Group introduces new members to program components and rules before joining the larger groups. Self-help group orientation and schedules are distributed.
Therapy Group meets on Monday and Thursday from 4 pm to 6 pm Participants are encouraged to talk about issues related to addiction as well as those affecting daily life (i.e., marital, family, work, or financial problems).
Medical Group meets on Tuesday from 4 pm to 5 pm Members meet with a team of physicians and residents to discuss health and medical issues. Sessions include lectures on medical issues related to addictions, proper medical care, and medication issues. Referrals for further treatment may be recommended.
Family Group meets on Tuesday from 5 pm to 6:30 pm following the Medical Group. Participants are strongly encouraged to bring family members or others close to them.
It is well documented that the addicted person impacts the lives of approximately 6 other people. Information about the nature of addiction and its impact on the family is provided, and discussion is encouraged.
- Participants must want to abstain from all mood- or mind-altering chemicals.
- Participants commit to regular group attendance. If unable to attend, cancellation must be communicated.
- Participants agree to take medication as prescribed and agree to random drug screening.
- Participants agree to attend self-help meetings in the community (such as Alcoholics Anonymous and Narcotics Anonymous).
- Participants encourage relevant family members and significant others to attend Family Group meetings weekly with them.
- Participants will not have romantic involvement or relationships with other individuals participating in the IOP.
- Participants assume financial responsibility for any payment or co-payment toward treatment cost.
All meetings take place at Chestnut Ridge Center Outpatient Services.
Therapy Group 4 pm – 6 pm
Medical Group 4 pm – 5 pm
Family Group 5 pm – 6:30 pm
Therapy Group 4 pm – 6 pm
Length of participation in the IOP varies and usually lasts on an average of 12 weeks. Program staff will recommend follow-up treatment on an individualized basis.
You may join the IOP program by calling 304-598-4214 between 8 am and 5 pm Monday through Friday.
Other Addiction Groups
This weekly group is available to men who wish to explore common issues such as relationships, feelings, father/son issues, violence, and dating.
(Comprehensive Opioid Addiction Treatment)
Opioid addicts seeking recovery from substance use may be treated in a weekly clinic that includes drug screening, required self-help attendance, group therapy, and medical management. Appropriateness for the treatment will be established through an intake evaluation.
For more information or to join one or more of the addiction groups call 304-598-4214.
Comprehensive Opioid Addiction Treatment (COAT)
We believe that healing from the disease of addiction includes abstinence from alcohol and all other drugs of abuse. Recovery also requires an active recovery program that includes behavioral and cognitive changes.
Before a person can be accepted into the Comprehensive Opioid Addiction Treatment (COAT) program, he or she must complete an intake evaluation. During the evaluation, individual history and needs are considered. If the person is recommended for medication-assisted treatment, he or she will review and sign a program agreement and be given an appointment time.
Participants attend two meetings during each visit:
- Medical management
- Therapy sessions
In addition, participants are required to attend 4 Narcotics Anonymous and/or Alcoholics Anonymous meetings per week. Random urine screens may be conducted during any clinic visit. These screens may also be observed by appropriate clinic staff.
Medication Assisted Treatment
One medication approved for the treatment of opioid dependence is Suboxone®. At the right dose, Suboxone® suppresses cravings for opioids and eliminates withdrawal symptoms. The medication is a combination of two drugs that eliminates the high from opioids and has two mechanisms that protect against abuse of the medication.
Buprenorphine, the active ingredient in Suboxone®, works by strongly binding to opioid receptors in the brain. Buprenorphine attaches to the opioid receptors, activating them partially, enough to suppress withdrawal and cravings, but not enough to cause extreme euphoria.
Even when all available receptors are occupied with buprenorphine, the total opioid effect is relatively low. Therefore, even if the patient decides to misuse opioid drugs after taking buprenorphine, the effects can be blocked, depending on the dosage. The ceiling effect and the blocking ability give buprenorphine a favorable safety profile and help lower the risk of overdose and misuse.
All meetings take place at Chestnut Ridge Center Outpatient Services.
All participants entering the COAT Program start in the Basic/Beginners Group. Participants meet in this group once per week until they have 90 consecutive days without relapsing on any prohibited substance and/or alcohol. The participant must also have an active, functional sponsor from either NA or AA in order to graduate to the Intermediate Group.
All participants in this group meet twice per month. Participants meet in this group until they have 365 consecutive days of no relapsing on any prohibited substance and/or alcohol. During this year, participants work actively on their recovery program. Consideration of medication need is part of each person’s recovery plan, which is developed during an individual evaluation at 6 months.
All participants in this group meet once a month. While participating in this group, the doctor, patient, and therapist work closely together on a tapering method, if appropriate.
Relapse Prevention Group:
All participants in this group meet on a weekly basis focusing mainly on relapse prevention. Participants who relapse consistently remain in this group until otherwise recommended.
A makeup clinic is offered to participants for missed (excused) clinic appointments. Basic Groups are permitted to use this clinic once every 6 weeks, the Intermediate Group once every 3 months, and the Advanced Group once every 6 months.
As Suboxone® Therapy Begins
- A person may safely begin to use Suboxone® when they are in mild to moderate withdrawal.
- Buprenorphine (one part of Suboxone®) attaches to the same receptors as other opioids leave the person’s system. Withdrawal symptoms decrease within minutes of the administration of Suboxone®, because it attaches to the same receptors. At this time, cravings begin to reduce.
- Buprenorphine firmly attaches to the receptors and blocks other opioids from attaching. With an adequate dose, buprenorphine has a long action duration and doesn’t wear off quickly.
COAT Program Rules
- The long-term goal of treatment is to remain drug and alcohol free.
- Participants must keep and be on time for all scheduled appointments.
- Cancelled appointments without seeing the physician may result in not receiving medication. Fees and co-pays will be collected during each visit.
- Medication will be taken as directed by the physician.
- Replacement prescriptions for lost or stolen medication are not provided.
- Mixing Suboxone® with other medications, especially benzodiazepines, can be dangerous and is forbidden.
- Filling any controlled substance prescription, without approval, will result in an immediate discharge.
- Participants must behave in a courteous manner and not deal, steal, or conduct illegal or disruptive activities in the clinic or pharmacy property.
- Participants will provide their own urine for random drug screens as requested. Tampering with, buying, selling, or otherwise procuring urine will result in an immediate discharge.
- Participants understand treatment is strictly confidential and violation of other participants’ confidentiality may result in an immediate discharge.
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