Eagle's Nest Regeneration is a licensed residential substance abuse treatment center for adult men. Our ten month, faith-based program is broken down into four blocks: Orientation, Regeneration, Inner Healing, and Discipleship. Prior to intake, the client will be interviewed and assessed by our counseling team to ensure he meets the ASAM criteria for Intensive Outpatient Treatment and that ENR is a good fit for him. If he does not qualify, the client will be referred to appropriate services for the level of care indicated. During the initial session, a biopsychosocial assessment will be conducted to evaluate the client’s history across multiple categories including: Presenting Problems, Social History, Family Dynamics, Medical History, Legal History, Substance Use History, and Mental Health. This initial assessment will be updated and finalized by a more comprehensive assessment such as the Addiction Severity Index within the first month of treatment. A treatment plan will be developed with the participation of the client as well as any available family members or close supports. Together, the client and the treatment team will elucidate the long-term goals and well as short-term objectives of treatment. The counselor will also describe the interventions the treatment team will employ to meet these objectives. During the initial intake session, a urine drug screen will be conducted and regular drug screens will continue twice a week through the course of treatment to ensure complete abstinence from substances. ✔ Orientation phase is our Level II.1 IOP treatment block. Following the intake interview, client assessments, and treatment planning, clients in Orientation receive our most intensive level of care as they begin their journey of recovery. For approximately two months, clients participate in small groups and classes designed to inform the client about the physiological, psychological, and relational consequences of substance abuse. Client’s begin learning the basic spiritual principles of recovery. They receive a Quiet Time Partner, to practice journaling each morning. Each man is assigned an older man in the program who will be his Big Brother, to help him acclimate to the program and help shepherd him through the early stages of his program. During Orientation Phase, motivational interviewing techniques will be employed to help establish rapport and promote self-efficacy. Motivational interviewing is particularly useful for clients who are pre contemplative (in denial about the dangers of continued use) or contemplative (considering change but lack confidence) about their addiction. Self-Efficacy is promoted by asking specific questions that provoke change talk and selectively reinforcing what clients say. It is believed that change talk may predict behavioral change as much as a year post-session (Miller 2009). Key elements the therapist will employ are: expressing empathy, developing discrepancy to resolve ambivalence, rolling with resistance, and supporting self efficacy. Empirical evidence supports the efficacy of motivational interviewing in the treatment of addiction (Hettema et al., 2005). On the last day of Orientation, client’s give their “Houses” presentation in which they tell their life story by highlighting one hundred significant memories and the feelings associated with each memory. Our clinical staff then assists the client in processing those events to yield new perspectives and new life narratives. After the first two to three months of treatment, clients enter into the Regeneration phase of our Pastoral Care Program. A primary objective of the Regeneration phase correlates with Steps 8 and 9: “We have a list of all persons we have harmed and to whom we are willing to make amends. We made it when we took inventory. We subjected ourselves to a drastic self- appraisal. Now we go out to our fellows and repair the damage done in the past. We attempt to sweep away the debris which has accumulated out of our effort to live on self-will and run the show ourselves. If we haven't the will to do this, we ask until it comes. Remember it was agreed at the beginning we would go to any lengths for victory over alcohol” (Alcoholics Anonymous, 2001, p.76). Clients learn to take personal responsibility for the damage their addiction has caused by creating a list of ten persons to whom they must write a letter seeking forgiveness. Letters are critiqued in group sessions twice a week. Upon approval, they are expected to send the letters. In instances where to do so would cause undo harm (by disclosing infidelities for example) or in cases where the person is deceased letters may be kept or symbolically destroyed. Responses to forgiveness letters will be processed in group sessions. Clients are especially encouraged to share positive feedback with the group as evidence that restoration of damaged relationships is possible. Regeneration lasts eight to twelve weeks. The third phase of treatment is Inner Healing. Here, the focus is placed on repairing the damage caused by other people, events, and situations. Cognitive Behavioral Therapy is employed in conjunction with intensive prayer ministry. CBT follows the ABC (antecedents, beliefs, consequences) model of emotion and behavior. Antecedents for substance abuse can be any number of negative events such as death of a loved one, job loss, or physical abuse. These events are associated with painful emotions. However, it is recognized that the thoughts and beliefs about these situations underly this emotional pain. Individual and group sessions focus on processing these events, exposing the faulty or damaging belief systems, and inviting the Lord to speak truth into those areas through prayer. A major objective is to help clients identify environmental cues and associated negative feelings that act as triggers for substance use. This form of CBT teaches clients new skills that they may use to reframe negative events and unhealthy beliefs, and ultimately dissociate triggers from negative emotions. Discipleship is the final phase of our program. Here the men are held to the highest standard. They are the leaders in the program, and they are expected to live as such. They are taught to focus on serving others. The disciples are given myriad leadership opportunities that should encourage a sense of worth. Some of those positions assigned are: dorm monitors, job site leaders, Quiet Time Partners, and Big Brothers. The lessons that are taught in the classroom are meant to challenge faulty belief systems about God and their own personal relationship with Him. The men also return tto small groups, where they help lead and teach the younger brothers how to write and process the forgiveness letters. Again, we are teaching important principles such as giving back and helping others. After Discipleship, the men have completed the program, and they go on to graduate.
✔ Description of Services
Eagles Nest Regeneration, Inc. (ENR) is an intensive outpatient service that is designed to stop the destructive lifestyle of substance abuse while in a safe and therapeutically conducive environment. It's goal is to educate, motivate and assist adult male clients to develop and maintain healthy, permanent, recovery-centered lifestyle changes that enable him to function in his other life areas. ENR's intensive outpatient service meets for five (5) days weekly for three (3) hours daily. Daily sessions consist of educational/instructional class times, processing/counseling group therapies, as well as individual counseling therapy.
✔ Intensive Outpatient Treatment Modalities
Educational/ Instructional Classes
Educational classes include relationally didactic lectures on the predictable, progressive course of chemical dependency and it's affects physically, mentally, emotionally, relationally, spiritually, legally, and financially on their relationships with themselves, significant others, and with God. Education on how to take responsibility for these