Substance Use Intensive Outpatient Program
The Addiction Treatment Program provides a comprehensive evaluation service and an Intensive Outpatient Program (IOP) for adults. We offer state-of-the-art evaluation and treatment, and referral services for people seeking help for substance use and related disorders.
- Comprehensive evaluation
- Individual outpatient therapy
- Co-occuring treatment
- Psychiatric evaluation & psychopharmacology
The treatment program is focused on developing new knowledge through research. We serve as an evidence-based resource for knowledge about optimal treatment and prevention approaches. We work closely with community resources to ensure the continued health and growth of our patients, our community, and our field.
About the program
The Addiction Treatment Program is located at 85 Mechanic Street, Suite 3-B1; Lebanon, NH.
The program is open Monday through Friday, with clinical services provided Monday through Thursday. Evaluations are available through open access. Patients do not need a referral. Evaluations are available mornings and afternoons, Monday through Thursday. While no appointment is necessary for an evaluation, please call 603-653-1860 to verify availability on any given day.
Groups are offered throughout the day, including during evening hours. Individual treatment sessions are available by scheduled appointment.
Our evaluation service is designed to assess an individual's needs and match the person to the appropriate type of treatment. Evaluation includes evidence-based computerized assessments, a clinical interview focused on substance use history, medical interview as needed, urine toxicology, and breath analysis. The person being evaluated and the referring physician (if any) receive timely feedback regarding treatment recommendations.
Our program believes everyone can get better. After assessment, the treatment recommended is matched to the severity of the identified addictive disorder. The Intensive Outpatient Program covers a period of time that allows patients to make significant progress if they attend as scheduled and participate in the group and individual sessions. Treatment combines motivational, behavioral, relapse prevention, and 12-step facilitation. Our program also offers Medication Assisted Treatment (MAT) with buprenorphine for patients with opioid use disorders.
The Motivational Model used in treatment theorizes that everyone who enters the program will be at some degree of readiness to change their substance use behavior. The "stage of change" will be somewhat different for each participant. The model allows each person to move through"stages of change" at a pace that works for that person, while not compromising others in the group.
The program also involves Cognitive-Behavioral Therapy and Relapse Prevention. These parts of the program are designed to help patients restructure their thoughts, learn new coping skills, participate in replacement activities, and form new social support networks to motivate healthier lifestyles.
The Addiction Treatment Program's Intensive Outpatient Program is delivered in three phases:
- Intensive treatment (4-6 weeks)
- Transition to recovery (2-4 weeks)
- Continuing care (4 weeks)
Interventions will be based on the models described, and can include psychiatric evaluation and pharmacotherapy. Formats combine individual, group and multifamily sessions, one to three times per week, dependent on the phase of treatment. Participants will be expected to join and increase participation in a self-help program of their choice over the course of treatment, and work with clinicians to create a continuing recovery plan after treatment.
The Addiction Treatment Program Intensive Outpatient Program (IOP) is a 12 week program consisting of the following groups:
Group Couples Behavioral Therapy (GCBT)
The Family/Couples Group Therapy theorizes that significant others have the ability to help patients be more likely to succeed in treatment. With guidance from the treatment team, the individual and family learn to move in the same direction toward recovery making change possible.
The goals of these sessions are to:
- Build support for abstinence
- Increase relationship cohesion
- Teach communication skills and effective conflict resolution strategies.
Components of the family/couples therapy involve: a recovery contract, setting up daily abstinence trust discussions, increasing awareness of positive behaviors, sharing rewarding activities, learning how to negotiate for requests, and teaching effective communication using "I" messages and reflective listening.
Mindfulness/Interpersonal Effectiveness (MIE)
The Mindfulness skills training group utilizes Marsha Linehan's DBT material whereas the Interpersonal Effectiveness skills training utilizes a structured skills training guide specific to interpersonal issues for those who have substance dependence. The goals of these structured sessions are to learn mindfulness skills (e.g., Wise Mind and Clear Mind vs. Negative Emotion Mind and Addict Mind) as well as skills focused on dealing with interpersonal conflict situations effectively.
Motivational Enhancement Therapy (MET)
The MET group is designed to help patients enhance motivation for change by setting goals, examining decisions and building self efficacy. Members are to complete a log assignment during the week. The expectation is for participants to bring their completed logs to the group in order to check in around specific skills taught in session (e.g., deep breathing, mastery/replacement activities, and tracking cravings/urges). During the evening's check-in, the group members will be asked to give feedback on the quality of the other group members' engagement, participation in their own recovery activities, and their efforts in their recovery in general. This is meant to be an opportunity for self-reflection and offering others vital support.
Cognitive Behavior Therapy (CBT)/Relapse Prevention
CBT will help teach participants to restructure their thinking patterns, learn new coping skills, participate in replacement activities, and form new social support networks to motivate healthier lifestyles. Groups will contain a check-in on recovery efforts to date, including the use of avoidance, replacement, and coping skills. Members will be asked in group to fill out activity schedules of their weekly activities. Schedules will contain a review of the past week and record recovery "activities" (e.g., deep breathing, yoga, running, self help group, mastery hobbies etc.). Group members will be asked to present schedules to each other and receive constructive feedback.
Relapse Prevention Group
Groups will include a focus on continuing avoidance, replacement activities and coping skills. Weekly check-in around slips, urges, self help, the four pathways to recovery, living in balance, and high risk situations. The expectation will be that participants strengthen their commitment to recovery by beginning to initiate continued care planning, involving oneself in self help and or making a connection to counseling. Participants are also expected to actively engage in discussions and provide/receive feedback from others to help boost relapse prevention strategies.
The IOP is for adults ages 18 and older, who need treatment for alcohol or drug addiction more than once per week but are not in need of a residential or hospital program. The program is for people who have developed dependence to alcohol or some other type of substance, whose medical complications from this dependence can be managed in an outpatient setting, and who are able and willing to attend the three times per week sessions.
The cost of participating in the ATP is much less than the cost of inpatient or residential treatment. Most major insurance carriers are accepted.
- Services at DHMC
- Crisis and Consultation Services
- Substance Use Intensive Outpatient Program
- Perinatal Addiction Treatment Program
- Inpatient Services
- Adult Outpatient Services
- Mood Disorders Service
- Child & Adolescent Outpatient Services
- Geriatric Psychiatry
- Facts About Mental Health Problems and Their Treatment
- What to Expect When You Come in For Outpatient Care
- More Appointment Information
- Services at Hanover Psychiatry
- Services at NH Hospital
- Services at WRJ Veterans Administration
- Services at West Central Behavioral Health
- Glossary of Terms
- Our Team