The 10 Best Rehabilitation Centers to Watch in 2019

Vol.4|Issue-5

www.insightscare.com April 2019

The

Best

Rehabilitation Centers to Watch

Dr. Cheryl Wilkie COO

FARNUM Saving Lives O n the Front Lines of the Opioid Epidemic with ‘Health Realization’

The da Vinci Surgical System

da Vinci is powered by robotic technology that allows the surgeon’s hand movements to be scaled, ďŹ ltered and translated into precise movements of the EndoWrist instruments working inside the patient’s body.

STROKE REHABILITATIO N A CRUCIAL PART OF RECOVERY AFTER STROKE

‘Recovery is an acceptance that your life is in shambles and you have to change it’- says Jamie Lee Curtis, an American actress, author, and activist.

It is rightly said that giving a new start to your life after despair is in many ways a difficult task.

Likewise, recovering and rebuilding confidence within themselves after having a stroke is a tough, yet an important task for the patients. Here, stroke rehabilitation plays a pivotal role in regaining independence in patients’ lives. As per scientific research, stroke rehabilitation is the promising treatment that aids optimize recovery for an improved outcome.

After a stroke, some of the patients experience some improvement in brain functioning, while most of them experience some neurological deficits after a stroke. Often, stroke survivors possess problems with balancing, thinning of muscles, the stiffness of muscles due to brain damage, etc. While these problems remain at the verge of recovery, stroke rehabilitation offers a safe way to use the functions successfully with the help of an organized exercise plan. Hence,

Editor’s Column

rehabilitation therapy is designed in such a way that it would increase the diďŹƒculty level of exercises with time, giving the stroke survivors a secure feel of improvement.

Various new techniques are introduced in stroke rehabilitation that subsumes mirror therapy, and music therapy. Though most of the development takes place within a short span, the brain may continue to learn and re-learn the old tasks as long as one lives. After completing visits to the rehabilitation center, the patient may ask to continue the exercises given by the physical therapists.

Lastly, rehabilitation is not a cake-walk. It may seem daunting and physically discomforting task.

Basically, scientiďŹ c research studies conclude that a successful and meaningful recovery can only be obtained with the optimism and high-level of the motivation of the participants during the rehabilitation process. It is normal for people to feel exhausted when recovery seems to be at a standstill. However, in situations where improvement seems sluggish, the whole outcome turns out to be way better in the long-term after rehabilitation therapy. This way, stroke rehabilitation takes us through the journey from stroke to the complete recovery.

eshpande D .

S i in hw S. AsAshwini Deshpande

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Healthcare Management Healthcare Systems are Complex and Need Strong Management

CXO

22 Article Drug Addictions Types of Drug Addiction and How to Identify Them

Cover Story

recoverystartsher e

Saving Lives On the Front Lines of the Opioid Epidemic with ‘Health Realization’

08

Content s

D’Amore Healthcare Transforming the Landscape of Psychiatry with the Finest Healthcare Services and Training

18

DARA Thailand A World-class Drug and Alcohol Addiction Treatment Center Providing High-level Individual Care

LIVENGRIN Foundation Building Recovery with Effective and Affordable Recovery Solutions

26

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Royal Life Centers An Accredited Facility Rendering Spotless Rehab and Detox Services

Solution Based Treatment and Detox A Lively Residential Treatment Center Inspiring a Healthy Lifestyle

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1 Rehabilitation Centers 0 The

Best

to Watch

Wings of Freedom to Combat Addiction

Dr. Howard Rusk, the father of rehabilitation, wrote in his autobiography, “...Once a person overcomes a disability through his own courage, determination and hard work, he has a depth of spirit which you and I know little about.. Rehabilitation is a branch of medicine in which the patient has more power than the doctor in setting the limits and possibilities...”

Rehabilitation becomes mandatory when an individual loses his track and falls onto a wrong path and it becomes a tough task to bring him back to the right path. It is a hard situation where the patient must learn to live an addiction free life after completing the treatment. This is when a rehabilitation center comes in as a savior. These are the centers that provide the complete treatment and training to the clients, wherein they are given vocational, occupational, and physical therapy depending up on patient’s needs.

In this regard, we have come up with the issue ‘The 10 Best Rehabilitation Centers to Watch’ Project which features the leading rehab centers that deliver astounding services to its client.

In this issue, we have incorporated FARNUM on the Cover Story. Farnum is the leading organization committed to providing effective and finest care and support to adults seeking recovery from drugs and alcohol.

We have also presented D’Amore Healthcare which is a dual diagnosis and the mental health treatment center for men and women; Dara Thailand which provides exceptionally effective therapy in resort-like settings, and comfortably affordable for the average individual or family; Livengrin Foundation which provides patients, their families, communities, employers, and insurers with an effective, affordable, 360° recovery solution; Royal Life Centers, an accredited facility, specializing in drug detox, drug rehab, alcohol detox, alcohol rehab, and continued care for staying sober; Solution Based Treatment and Detox is the leading residential treatment center that empowers individuals suffering from addiction to reach their highest potential; Shadow Mountain Recovery; The Springboard Center; Mt Sinai Wellness Center; and Alina Lodge & Haley House.

To make the issue more exciting, our in-house editors have created an inforgraphic article ‘Types of Drug Addiction and How to Identify Them’ that will help you to have a view of various drug addiction types.

Also, we have encompassed CXO Standpoint of ‘Healthcare Systems are Complex and Need Strong Management’ written by Udai Kumar, the Chairman & CEO of OHUM Healthcare Solutions.

So, flip through the pages and make a journey through this magazine!

Editor-in- Pooja M. Bansal Chief Senior Anish Miller Editor Ashwini S. Managing Deshpande Editor Stella Andrew Contributing Editors Aishwarya Visualiser Executive David King Editor Amol Kamble Art & Design Head Art & Design Poonam Assistant

Co-designer Paul Belin

Art & Picture Editor Nagesh Tembhekar Peter Collins

Business Development Manager

Marry D’Souza

Marketing Manager Business Development

Ma rk Williams John, Bill, Amy, Sarah

Executive

Jacob Smile Sal Pratiksha Assistant Technical Head Patil Technical David, Robert es Executives Consultants Digital Marketing Te Alina Sege chnical Head Manager Assistant Digital Prashant Chevale Marketing Manager SME-SMO Executives

Manoj, Gemson Eric Smith Tanaji

Research Analyst Circulation

April, 2019 Manager Insights Success Media and Technology Pvt. Ltd. Off. No. 22 & 510, Rainbow Plaza, Shivar Chowk, Pimple Saudagar, Pune, Maharashtra 411017 Phone - India: +91 7410079881/ 82/ 83/ 84/ 85 Email: info@insightscare.com For Subscription: www.insightscare.com

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Dr. Cheryl Wilkie

Cover Story

Psy., MLADC, Chief Operating Officer

re co ve r y s ta rSaving t sLives On the Front h Lines e r ofethe Opioid Epidemic with ‘Health Realization’

“Helping individuals and families find their way to a life free of alcohol and other drugs through comprehensive treatment and recovery services open to all.”

10 The

Best

Rehabilitation Centers to Watch

”

Farnum, Recovery Starts Here.”

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or an issue that has impacted millions of families across the country, the opioid epidemic has been particularly hard on New Hampshire families. In the past this small state has one of the highest rates of opioid overdose deaths in America. Recently the tide began to turn, and Farnum played a major role in the positive shift.

Farnum, a drug and alcohol treatment and rehabilitation center, stepped up in response to the opioid epidemic and expanded services to meet a growing need. Located in Manchester and Franklin, New Hampshire, Farnum is a well-established and well-known treatment center that offers a wide variety of services for alcohol and substance misuse. Farnum is the largest state treatment provider in New Hampshire.

Farnum’s success is found in its unique approach to treatment. It is the first center in the Northeast to incorporate Health Realization, also known as The 3 Principles. Farnum is making a difference in responding to the disease of addiction by teaching clients that they have everything within themselves to overcome the challenges they face. This program offers an empowering and long-lasting approach for clients of every background.

In the last three years, Farnum added outpatient and inpatient services, enhanced detox, increased capacity, and expanded its locations. To help those in need, Farnum provides financial aid to NH residents who need

treatment. In 2018 alone, Farnum provided $2,907,955 in free and subsidized services to their clients.

Through successful programs and exhaustive efforts, Farnum has made tremendous strides in saving lives while shattering the stigma surrounding addiction.

What makes Farnum Different?

Health realization is a very significant and distinctive approach that Farnum has adopted for treating its clients. The center practices what it preaches; employees are encouraged to nurture their own innate health, resilience, and they attend lectures every month.

Farnum’s Philosophy What is Health Realization? Farnum integrates the 3 Principles of Mind, Thought, and Consciousness, which is also termed as ‘Health Realization’. This helps to assist the clients in accessing a healthier perspective on life, allowing them to leave their past behind.

Farnum’s Health Realization approach is based on the 3 Principles philosophy founded by Sydney Banks. The center started implementing this approach five years ago by calling the authors of the books that it was using to master the 3 Principles and having them come in to teach the staff this approach. This is a person-centered approach, and it allows people to see that outside events do not create their feelings; it is how they think about the events that create the feeling.

Health Realization explains that

individuals possess a natural state of well-being or innate health that will spontaneously emerge when circular thinking subsides. To elaborate this theory, the center gives an example‘Have you ever driven in the car and out of nowhere, you think of a solution to a problem that’s bothered you all day? That’s your innate wisdom at work! While driving you had a quiet mind; a new thought was available that let you come up with the solution.’

Farnum’s Health Realization approach has been immensely successful. A testimony to this is the ceaseless progress of its clients, who have gained a fresh perspective on life; a life free from addiction. Clients begin their path to recovery at Farnum and learn to access wisdom to help make decisions that come from innate health instead of the external world.

About the Compassionate and Dedicated Leader Dr. Cheryl Wilkie, COO of Farnum, has been in a longtime recovery from alcohol and drugs. Cheryl has supported several clients who came to Farnum in search of recovery. Having faced it all herself, she has compassion for those who are trying to find their innate health.“In my early recovery, I heard people in meetings talking about their lives and mine was the same.

There was a great deal of violence and a lot of craziness happening when I was using drugs and alcohol, and they were sober and sane. So it gave me hope that if they could do it, maybe I could, too,” expressed Wilkie.

That was the turning point of her life.

Thereafter, Wilkie found a path towards recovery and happiness. She geared her experience and dedicated her life to working with others who wanted to discover the inner peace within them without relying on drugs and alcohol. She has a deep and broad personal knowledge of recovery. In addition, she holds a Doctorate in Forensic Psychology along with a

The principles of Mind, Consciousness, and Thought explain how thoughts determine the way we experience life. Our approach helps clients access their innate health and gain an understanding of their substanc e use disorder.”

2015

2016

FARNUM endorsed with ‘2015 Business Excellence Winner ’ by NH Business Review

FARNUM awarded ‘Excellence in Nonprofit Management’ in 2016 by NH Charitable Foundation

Masters in Human Service Administration. Her vast knowledge allowed Wilkie to implement her education, love, and compassion for people in providing services over the years and expand to a very successful program.

2017

2018

Cheryl Wilkie, the COO of FARNUM was recognized with ‘2017 President’s Award’

Wilkie has worked in the treatment and recovery domain for nearly three decades, providing direction, help, and solutions to countless people throughout the country. She is a fierce and dedicated advocate for treatment

FARNUM won the ‘2018 Health Care Business of the Year’ award by the Business NH Magazine

and works every day to shatter the stigma around addiction. She works closely with a variety of other community service agencies such as Families In Transition and The Mental Health Center of Greater Manchester.

She also works meticulously with the

Farnum VPs

“We are dedicated to helping people who struggle with addiction.

We care about every person who walks through our doors seeking treatment and work hard to give the absolute best care possible.” state, municipal, and non-profit health services agencies around the state to ensure clients have access to any and all relevant treatments.

The Journey of Farnum It all started when Wilkie was experiencing a severe trauma due to the fact that she was homeless and had lost everything, including her threeyear-old twins. Then, in 1986, she decided to attend a treatment program located in a hospital setting, for which she considers herself very fortunate.

When she attended the treatment center, the staff treated her with the utmost dignity and respect, which made her sail through the traumatic phase.

When she was asked to take on the position at the Farnum Center, Wilkie wanted to create the same experience through a safe and dignified treatment program; similar to the one she had experienced at the treatment center she attended. When she took the position, Farnum had 32 beds, and no medical detox existed in the State of NH. She watched the clients suffer from withdrawal, and no hospitals were willing to take in those withdrawing from alcohol and drugs, except for the ones with severe medical conditions.

Looking at this situation, she realized that Farnum would have to create a safe medical facility for those in NH

suffering from substance use disorders who were willing to be treated.

Farnum then succeeded in opening the first medical detox in NH and from there, it has expanded to 140 beds, with a continuum of care, meetings for families, and other support.

Assorted Services under One Roof In response to the challenges of the nation’s opioid crisis, Farnum has dramatically expanded its services and treatment available to families throughout New England. The center offers a full range of services to its clients that encompass Detoxification, Inpatient, Partial Hospitalization Programs, Medication Assisted Treatments, Intensive Outpatient, Outpatient, Family Services, Stabilization Unit, and Transitional Living. Recognizing the depth of the grips of this disease, Farnum also provides programs designed to support families and loved ones to ensure that all those involved are getting the help they require/need. Ÿ Partial Hospitalization Program

(PHP) - It is a level of care offered for clients who require more support than intensive outpatient, but do not meet criteria for inpatient services. By engaging in PHP, clients can continue maintaining their outside

responsibilities while having the support of professionals and peers five days a week.  Open Access- It is a walk-in

service where clients are assessed by a skilled clinician to determine their program placement. Once the assessment is complete, the recommendation for placement in the appropriate level of care is discussed with the client and together they form a plan. The assessment consultations are on a first come, first serve basis with limited availability.  Medical Detoxification Unit- T shi

unit serves individuals who are of age18 and older, seeking help to safely and medically stop using alcohol and other drugs. The average length of the stay is around six days. Once screened and accepted, a specific medical treatment plan is developed as per the established protocols. Then, each protocol calls for a certain medication to help alleviate the symptoms of withdrawal. The center has a strong relationship with CMC (Catholic Medical Center), which handles the client’s physical issues not generated by the withdrawal from alcohol and other drugs.

 Medication Assisted Treatment

(MAT) - This service is for the people with opiate use disorders.

Clinic participants are required to meet regularly with a medical doctor or nurse practitioner who specializes in addiction medicine and is specifically trained in the use of Suboxone and other MATs, such as Vivitrol.  Intensive Outpatient Programs

(IOP) - This provides clients, who do not require a residential or PHP level of care, the opportunity to receive intensive treatment services. These programs allow clients to accomplish their daily responsibilities such as parenting, working, or pursuing educational goals. In the first phase of IOP treatment, clients participate in the educational programs on Mondays, Wednesdays, and Fridays, for three hours each day, over the course of approximately one month. The program consists of group health realization education, group therapy individual counseling, friend/family education, aftercare planning, and case management.  Transitional Living (TL) - This

approach followed by Farnum provides each client with an individualized care plan. It also allows them to take a step forward

in building a sober network. Here, the length of stay can range from 112 months, depending on the client needs.

The center provides its clients with groceries, guidance on resume building, and interview skills for employment, personal budget strategies, and more. The TL facility is within walking distance from the center and it offers various recovery resources, employment opportunities, and recreational activities. Ÿ The Stabilization Unit- It is a 1 6bed, clinically-licensed, short-term residential treatment program.

 Outpatient Services- These

services are available to clients who are transitioning from a higher level of care, or to those who may need brief services for a specific purpose. These purposes include license restoration, court-ordered LADC evaluations, or the solution of personal issues.  Inpatient Residential Services-

With these services, clients learn about their own innate capacity for health, insight, and happiness during their stay.

Throughout the day, residential clients participate in the ‘Health

At Farnum, we realize the importance of having access to treatment as soon as you are willing to take that first step towards recovery.

We Provide

Real Help, Right Now.”

“The path to recovery starts at FARNUM.” Realization’ or The 3 Principals’ focused groups, counseling, and other recovery programs & activities. The inpatient facilities provide clients with three nutritious meals a day, prepared by the in-house team of chefs. When its clients aren’t participating in group activities, they enjoy socializing, meditating, gardening, participating in recreational sports, and other fun and productive activities during their free time.

Elevating its Success Ratio Farnum Center takes pride in reporting that through increased access and efficiencies, the outpatient services department could increase the assessments provided to new clients by 13%, over 2,300 in 2018. The prime focus of Farnum from 2013 to 2018 was to increase its capacity to serve individuals in need. In these years, inpatient bed capacity grew from 32 to 140. Two free-standing residential programs, Ray House and Webster Place, were renovated, clinically licensed, and staffed. Both of these programs served approximately 1,400 individuals, respectively.

Farnum Center operates the only freestanding medical detox in the state of New Hampshire. This 27 bed-unit served 1,011 individuals in 2018. It provides dignified, lifesaving support, to those starting the journey of recovery, that has to be monitored during the acute withdrawal period.

“Withdrawal from certain substances, including alcohol, can be lethal. We consider each admission into the Medical Detoxification unit a success,” asserted Wilkie. Further, she adds, “We are invested in our clients. We offer a unique approach to treatment through Health Realization that focuses on the mental aspect of addiction.”

Adopting Ethical Practices Farnum’s Stabilization Unit is an example of ethical excellence.

A year ago, the city of Manchester, NH, was lacking a treatment facility that would help keep the popular Safe Station program alive. Safe Station is a program whereby anyone in need can walk into a Manchester fire station seeking help to overcome substance misuse. Firefighters will offer a quick, non-judgmental assessment within their scope, and then send the individual to receive treatment either at a hospital or other treatment facility.

With Cheryl’s guidance as well as the dedication of Christine Weber and many other staff members, Farnum Center agreed to receive the recipients of Safe Station’s care because it was the right thing to do. Farnum Center had the space, staffing, and a desire to help those in need.

Farnum’s Stabilization Unit is registered as a residential facility, meaning that medical staff is not required. The clients can enter the facility 24/7 and have a warm, safe place to stay while they wait for an assessment for care. “These clients are typically on the unit for a short amount

of time. However, after seeing how sick these people were, it became clear that the ethically right thing to do would be to provide them with medical care and comfort while they start their recovery.

Many of these clients do not have insurance, so, at a considerable cost to Farnum Center, my team and I invested in medical staffing because ethically, this is what was needed.

Sometimes, putting people ahead of profits is necessary,” stated Wilkie.

Future Prospects Using its unique Health Realization approach, Farnum helps people realize their inner strength by considering that every human being has a healthy internal core that is fully accessible to them.

For years, Farnum has shown its clients that everyone is innately resilient and has the ability to bounce back and overcome the adversity. Upon asking her about future plans, Wilkie asserted, “We will work to expand access to care, through partnerships with other non-profit providers, hospitals, clinics, and the state of New Hampshire. Our work establishes a balance between those in need, who seek care through Medicaid, along with those who have health care coverage and come to us through different avenues. We offer real help, right now.”

10 The

Best

Rehabilitation Centers to Watch

D’Amore Healthcare

Transforming the Landscape of Psychiatry with result, suicide, homelessness, unemployment ocated in the sunny, beach the Finest Healthcare Services and Training

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communities of Southern California, D’Amore Healthcare is an eminent healthcare center. They are a 36 bed integrative residential mental health care provider focusing on thorough screening, ongoing assessment, comprehensive treatment planning, positive reinforcements, and life-affirming professionalism. The center believes that the real D’Amore Difference lies in the story of patients dissolving self-limiting beliefs, selfregulating, finishing strong and reuniting with loved ones. D’Amore specializes in the intervention, acute stabilization and residential treatment of mental health disorders and addiction for men and women.

Besides having licenses from the Department of Social Services, the centers are certified by the Department of Health Care Services. Their diverse facilities have been a refuge for those who have experienced the stigma and suffering from mental illness and addiction. The centers focus on addressing minute details. As a

18 |April 2019|

and broken families create less pain in local communities.

About the Veteran Leader

“Mental health is the axis point to individual resilience, marketplace innovation, intimacy, and chronic disease prevention,” delivers Devereux. As one of the Founders of D’Amore Healthcare, Britten Devereux’s mission is to bring dignity into the details of healthcare. Devereux revitalizes some of healthcare’s old and demeaning ways of getting things done by building up a collaborative workforce.

Managing 6 facilities that lift up integrated care, D’Amore Healthcare takes workplace cross- functionality and feedback loops to a new level. D’Amore provides all direct care associates with training around the D’Amore Difference for every task relative to job descriptions and required competencies.

They strive to leave no room for interpretation or quality variance. “We ensure patients receive a level of safety and

Britten Devereux CE O |April 2019| 19

Our mission is to reduce ER, ICU and psychiatric unit load by providing the best trauma-informed acute and chronic psychiatric care. comfort that builds trust and engagement. Patient trust is our most important pursuit”, says Devereux.

Grand Canyon State University and Arizona State University Alumni, Devereux, the CEO of D’Amore Healthcare describes that, “It’s time to change the landscape of psychiatry. This starts with screening, everyday courtesies and education.” An area that Devereux spends time researching is the role screen time plays in emotional dysregulation and relationships.

Assorted Services D’Amore Healthcare offers diverse services, such as group work, conservative detoxification, exercise, nutritional assessment, pain assessment, nutrition education, nursing plan of care and psychiatric appointments as much as needed. The centers also offer one on one therapy twice weekly, family therapy once weekly. Primary modalities include DBT therapy, CBT therapy REBT therapy and equine therapy.

Upon request, D’Amore provides training to hospitals or urgent cares throughout the United States. The main goal is “to share what we’ve learned”. Training topics include frustration tolerance, customer service, informed consent, crisis prevention, therapeutic interventions, self- care, and human learning and motivation. The center trains patients dealing with relapse through education, prime, prompt, and praise from the very first day. Early and often support is a key tenant of what they call “gracious redundancy.”

Before Change, Inc.’ to help patients identify what they need and to increase self-efficacy through online coaching and counseling. Not everyone qualifies for inpatient care, not everyone can afford it. The stages of change for any patient promise anxiety and resistance, which can create danger or despair for most patients suffering from addiction, depression, anxiety. Many patients need a practical guide in habit development.

Space Before Change helps patient find another layer of mental health care.

On asking her the way she coordinates with the team members to guarantee patient satisfaction, Devereux says, “Our unique caliber of patient care can be attributed to 3 non-negotiables: checks and balances, compassion fatigue workshops and ‘how.’ How we deliver support to staff or patients matters just as much as what we do.”

Envisaging a Content Future with Optimism “Our capital expenditures and community linkages are about looking at the long term health of families,” stated Devereux. They wish to work closely with Alaska and a handful of other states to serve adults who cannot access in-state sub-acute mental health services. D’Amore endeavors to unify others around a vision to improve public health by treating mental illness with extraordinary care. D’Amore Healthcare currently serves adult men and women who are utilizing a combination of out of pocket and/or insurance to finance treatment.

Website : www.damoreca.com

Exceptional Work Over and Above In 2018, Devereux launched a second company, ‘Space

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Drug Addictions

|April 2019| 23

Alcoho l

Nicotine

Marijuana

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Amphetamine

Hallucinogens

Narcotics

Prescription Drugs

— Aishwarya Nawandhar Editors |April 2019| 25

A World-class Drug and Alcohol Addiction Treatment Center Providing High-level Individual Care

Darren Lockie CEO

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ased on the beautiful island of Koh Chang in the Gulf of Thailand, Dara Thailand is a boutique rehabilitation center that treats clients with substance abuse and mental health issues. The center accepts 30 clients at once and is fully licensed by the Thailand Ministry of Public Health and staffed by International Therapists from around the world.

Dara Thailand provides treatment for most substance abuse, including drugs, alcohol and prescription medication.

It also offers a dual diagnosis for co-occurring disorders and works with most mental health conditions as well.

Dynamic Pillars of Dara Dara was started by the two founders, Darren Lockie and Martin Peters.

Today, Darren Lockie is the CEO and runs the business side of Dara while Martin Peters, another helm of Dara, is the Program Director and manages the clinical focus of the center.

26 |April 2019|

Darren has been managing rehabs for the past 10 years. But, prior to that, he worked in a variety of roles for Microsoft in South Asia. The skills and discipline in working for Microsoft highly assisted him in running the business of rehabilitation and marketing for Dara.

Martin started his career as a Registered Nurse and Certified Substance Abuse Therapist working in the mental health field where he worked since 1994. He has also worked in Thailand for the past 14 years developing the clinical and operational side of rehabilitation.

Dara’s Journey While asking what influenced them to start the treatment program, Darren and Martin said, “With Dara, we set to create a world class International treatment program in an inspiring and beautiful location at an affordable price. We always liked the idea of staying small and focusing on the individual and providing a high level

of individual care. To this day, we answer every phone call and inquiry ourselves. It highlights how important customer care and attention is to our vision.”

The center accepts only those clients that want to join Dara, and do not accept clients that are forced by family or the court system. The center considers the client community as a very important part of its success. Dara creates a very optimistic community and environment. Even the most challenging clients understand that Dara professionals are here to help every client on 24*7 which is a very powerful part of Dara’s success.

Distinctiveness at Its Best The clinical program at Dara has a lot of content on relapse prevention which is handled within the group therapy portion and individual therapy. The center strives very hard on discharge planning with each individual, discussing the changes they intend to make when they go home to reduce the

10 The

Best

One of the most unique features of Dara is that- Any client that completes a minimum of the 4-week program can visit the center every year for a 1-week complimentary refresher program. With this, the center fetches a lot of good data on what works and the struggles they faced that help them refine the program and content. It also allows clients that have remained sober to sit in front of current clients and share how they made it work for them and how they stayed clean. That is a very powerful part of the center’s alumni program – to show what is possible with commitment.

Dara’s Compliance Requirements and Ethical Procedures To be a legal rehabilitation center for drugs and alcohol in Thailand, one must be approved by the Thailand Ministry of Public Health. This process takes around 18 months and every part of the business is examined to ensure it meets the standards, after which, it is reviewed on a yearly basis.

Dara

“

At Dara, we allow clients to focus on recovery without being hindered

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risk of falling into old bad habits. Dara also offers weekly Skype calls with the Focal Counselor. It has been intensely observed that numerous clients continue the therapy for around 10 weeks after they leave.

Rehabilitation Centers to Watch

by deprivation or boredom.

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is fully accredited by the Ministry of Public Health and is going through its CARF accreditation from the USA to maintain its position as the most accredited rehab in Asia.

Upon asking them how they follow ethical guidelines, they said, “We try to be as ethical as we can and that is something that is instilled to every satff member in how they do their jobs and relate to clients. The clients deal with many parts of Dara and every single person needs to understand the boundaries of what is acceptable from clients and how we handle difficult situations or breaches of rules. As an example, we have to be very clear and firm on the rules of Dara. Clients will often push boundaries and we need to handle these situations diligently.”

Excellent Team Work Creating Paramount Upshots One of the effective ways Dara implements is, it tries to understand the exact needs of the client by answering every phone call to make sure that they |April are the2019| best option for that 28 person.

They often speak to the client’s families as well to get more input on the client’s needs and to assist them flawlessly.

Additionally, the center has sturdy and finest teams, be it the clinical team, nursing team or even personal training and operational staff. The center hires the very best and apt people, trains them in what Dara does along with the responsibilities of the clients and their family.

Dara emboldens consistent feedback from clients to stay in equilibrium with the client’s expectations and goals of coming to the rehabilitation center.

Also, it continually makes improvements in everything, right from food to clinical programs and undergoes review process with the respective teams to stay in sync by making the necessary changes.

Spreading Smiles and Rejuvenating Lives “Every client that walks out of our front gates is a spectacular experience.

We get clients that are really struggling and arrive in very poor physical and mental condition. After going through detox process, getting meaningful clean time, regular therapy to deal with the issues and taking advantage of good nutrition and physical training, some of the transformations are stunning and very rewarding to all of our staff and we take great pride in the work we were able to achieve,” expressed Darren and Martin.

Some of the most memorable experiences, which Dara Rehab always cherishes, are the ones that come back for their free Refresher weeks and have new jobs, new partner or baby on the way, crediting Dara for saving their lives. The center strongly believes that these are the ones that make this challenging business worthwhile.

Website : www.dararehab.com

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10 The

Best

Rehabilitation Centers to Watch

LIVENGRIN Foundation

Building Recovery with Effective a n d Affordable Recovery Solutions

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ounded in 1966 in Bensalem, Bucks County, Livengrin Foundation is the first nonhospital rehabilitation facility in Pennsylvania to treat alcoholism, aiming to bring stability to those struggling with the disease. Livengrin Foundation, Inc., is a registered 501(c) (3) nonprofit that provides treatment for substance use disorders to more than 4,000 patients per year.

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Since its establishment, Livengrin has developed a network of eight locations, including the original inpatient campus in Bensalem and seven outpatient locations throughout the Philadelphia region. The organization is licensed by the PA Department of Drug and Alcohol Programs and accredited by The Joint Commission.

It is committed to advocacy on a state and national level through participation

Our mission is to make sustainable recovery possible through accessible, professional, and successful treatment options.

in the Rehabilitation and Community Providers Association (RCPA), Drug and Alcohol Service Providers Association of PA (DASPOP) and the National Association of Addiction Treatment Providers (NAATP).

The Ardent Leader David Blenk, the President and CEO at Livengrin Foundation, has been working at the organization since April 2018. Prior to this, he served as the Executive Vice President of Corporate Planning & Business Development at Gateway Rehabilitation Center in Pittsburgh, PA and its affiliate the Neil Kennedy Recovery Center in Youngstown, OH. As a key member of the senior leadership team, David was directly involved in the strategic planning and direction setting and in the organization’s business development activities. David has worked with the management team of marketing, evaluations/assessment, utilization, outpatient services, |April 2019| 31

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facilities, dietary, housekeeping, and construction.

On asking him about the inception of Livengrin, David shares, “Livengrin was founded by Standish Forde Hansell, who purchased the former private school campus in 1960 with plans to make it a retirement home for men. In 1966, a friend recovering from alcoholic effect alked to him about opening it as a recovery center.”

World-class Recovery Services Livengrin provides men and women with a continuum of care including withdrawal management, short-term residential and partial hospitalization.

It also offers intensive outpatient counseling; general outpatient, family counseling, DUI Education, 12-Step Meetings, free community education seminars, aftercare and alumni services. The organization has also developed support programs to meet the unique needs of first responders, veterans and healthcare professionals.

Livengrin helps individuals recognize the early stages of relapse in which the chances of success are the greatest. The main focus of relapse prevention includes cognitive therapy and mindbody relaxation, which it uses to develop healthy coping skills. Besides these services, Livengrin addresses individual patient needs by assessing life stressors and life experience. It has developed support programs for first responders, health care professionals and emerging adults to complement its core treatment model.

Excellent Co-ordination Bringing Gratified Clients To bring in ultimate customer satisfaction, the organization surveys each patient during their course of treatment. This provides them the opportunity to take the feedback and utilize it for program or process improvement.

It also utilizes monthly 32 |April 2019| meetings of directors and managers in

David Blenk President & C E O

addition to quarterly all staff meetings to increase communication throughout all levels of the organization.

One of the happy patients at Livengrin shares an intriguing experience and says, “I was controlled by drugs and alcohol and I was selfish in everything I did. I would manipulate any situation so that I would reap the benefits or avoid the consequences. My motives and behaviors were always centered on myself and getting what I wanted.

While I was in active addiction my thinking was so distorted and delusional that I began to believe my own lies as facts. My mother confronted me about my drug usage and I couldn’t hide it anymore. She helped me to get into treatment by the next day. I may not have been the most vocal patient while in treatment, but

the one thing that I did was listen. I took the suggestions provided to me. I knew that I had to change everything in my life if I wanted to grow. Although the fear that I felt was nearly crippling at times, I so badly wanted to save my life. I met my sponsor while I was a patient and we got right to work.

Working the 12 steps and applying them into my life on a daily basis has undoubtedly changed me for the best.”

Future Plans Talking about the upcoming plans, David says, “Changes in healthcare laws have made access to treatment easier and resulted in rapid growth in the number of treatment facilities.

Livengrin Foundation will continue to provide quality ethical treatment.”

HEALTHCARE are Complex and Need SYSTEMS STRONG

MANAGEMENT Biography of the Author

Udai Kumar Chairman & CEO 34 |April 2019|

Udai Kumar, is the Chairman & CEO of OHUM Healthcare Solutions, is a highly successful serial entrepreneur, mentor, and investor. He brings almost 28 years of IT industry and entrepreneurial experience. As the Founder of O H U M and cofounder of QUINNOX, Udai has a deep understanding of the global delivery model and specializes in global business development, human capital management, ď€ nance, software development, Six Sigma, systems & processes. Udai holds a Masters in Business Administration from the Indian Institute of Management (IIM), Ahmedabad, India and a BS in Engineering from Banaras Hindu University, India. He was engaged in Sales, design, development & deployment of the three largest IT projects in India - Railway Reservations, Bombay Stock Exchange & Nhava Sheva Port Trust.

Udai is an active member of the Health Information Network group and is on the panel of Leadership Team at the Government of India level for healthcare technology.

Healthcare Management

I

n August 2017, parents watched helplessly as more than 60 babies, diagnosed with encephalitis from mosquito died due to lack of oxygen at a hospital in Gorakhpur, UP, because suppliers’ bills of INR 68 lakhs had not been paid. bites, Such news is made even more tragic when India, in stark contrast, claims to be the lowest cost provider of the highest quality care in the world.

Post such an event, questions get raised and the usual causes get flogged in public: corrupt administrators, low government spend, poor sanitation, incompetent or absent doctors, inadequate supplies, etc. After an appropriate period of ennui, the nation moves on until the next tragedy that is inevitable and imminent.

Gross negligence and such obvious causes, though difficult to digest, are easy to understand. Our real quest, the Holy Grail, should be to eliminate any and all errors that prevent us from delivering the best modern science has to offer and delivering the same to all. Anticipating and correcting or preventing the errors created in healthcare delivery systems is a larger systemic challenge. The healthcare system is characterized by several major factors that are enlisted below.

Many agencies have recommended that the government spend of 1.1% of GDP be increased immediately to at least 2.5% and eventually to 3% of GDP. Each year over 55 million people go bankrupt due to healthcare expenditure, most of which is due to the cost of medicines. Before we get the increased spend we need to be prudent and pragmatic in how we spend rather than how much.

Affordability

If we take a systemic view of healthcare and improved it from first principles with a strong foundation on education, sanitation, primary and preventive care, we could stretch the healthcare spend to reach millions more and lift the nation to a higher global standard that each citizen truly deserves. In order to reduce the complexity, narrow the variability, increase the availability, improve the know-how and complete the gaps in information at the point of care, we need to invest more in digital health tools than increasing beds or doctors. Ayushman Bharat is a welcome program designed to fix the twin challenges of affordability and access to 10 crore families across India.

Information is at a premium when the time is of essence. But it is often the least available when most needed. Latest lab results, adherence to current medication, a detailed symptomatic history, past medical conditions, genetic profiles, latest best practice evidence. Most of the time the healthcare provider is working with less than the full picture.

Incomplet e

|April 2019| 35

Knowledg e

Complexit y

First, there is the science of medicine. There are estimated 10,000-30,000 diseases known to us that affect humans, of which only a few (500-1,000) have a known cure.

There are over 4,000 diagnostic lab tests, over 400 imaging tests and interventions, about 12,000 drugs, approximately 600-1000 procedures. Medical practitioners build up their skills over 60 main specialties and several hundred subspecialties.

This knowledge base is constantly updated and modified so fast that even the best practitioners find it very hard to keep up.

Then we have the complexity of the vulnerable and disease-prone human system that is designed to die from the moment it is born. Over 100 billion cells, 78 organs (11 complex large organs) and 12 interdependent systems make the human body - everchanging, continuously monitoring, detecting, and self-healing. The National Institute of Health, USA now estimates that over 400,000 people die unnecessarily each year in the US alone due to medical errors making it the third leading cause of death.

hospital duringintervention which stay consists you get “managed” by over 40into diffaerent persons across A typical healthcare of a 4-day admission 400-bed Many-to-many 175-200 encounters.

This takes place across multiple specialties, multiple diseases, Interactions

multiple drugs, procedures, and tests. None of these result in absolute guarantees. A reasonable large variance in each encounter can result in the same event being interpreted, acted, and monitored in completely different ways by different persons (the knowledge and competency of and tools available to doctors, nurses, technicians, management, ward boys, pharmacists etc.) Finally, there is the inherent lack of congruence on motivation on the part of the patient (the consumer) and the rest (the payer and the provider). Efficiency vs. effectiveness, today vs. tomorrow, cost vs. profit, need vs. greed, and the strange but compulsive desire by all humans to outsource their mistakes and seek a free ride on someone else’s goodwill.

Availability

36 |April 2019|

Hospitals operate 24/7 but are not fully functional at night or weekends. Patients, on the other hand, need urgent instantaneous care (be it advice, first aid, trauma, or acute pain). Patients often commute for 1-24 hours, wait for 15-45 minutes, only to see a doctor for 2-15 minutes.

What gets measured gets improved. The complexity that arises in healthcare leads to an enormous list of metrics all which claim to improve health care: Beds per 1000, doctors per 1000, cost of an inpatient stay for each procedure, toilets per family, nets in mosquito-friendly regions, lab tests per person, out-of-pocket spend, Healthcare spend as a percent of GDP, infant mortality rates, and maternal mortality rates.

Metric s

The 910 bed Bokaro General Hospital (BGH) run by SAIL has one of the best neonatal care facilities in Asia, but has one of the worst records for neonatal deaths.

Just 10 minutes away is the Sadar Government hospital that had the best record for neonatal deaths: ZERO. The entire result can be attributed to the well-meaning, Good Samaritan intervention of the rickshaws near the government hospital who nightly transfer high-risk women in severe distress to the better facility at BGH. A few get saved, many die as it is too late but the government hospital manages to keep its record intact. What can be counted doesn’t always count, and not everything that counts can be counted.

Last, but not least, we have the environment; viruses, fungi, and protozoa. Add to this diet, sunlight, exercise, nutrition, stress, sleep, road accidents, murders, and natural calamities.

This vastly-complex intersystem of medicine, the human body and environment is also both dynamic and fast changing. The human body is subject to more stresses, less rest. The environment is more toxic, the air more polluted, the food more artiďŹ cial (with high sugars and high hormones), medicine is more segmented and intrusive. All of this creates the market conditions for supply and demand of healthcare. We are willing to pay for the right to live a little longer. Sanitation, vaccinations, antibiotics, heart surgery, wound management, and healthier diets and environment have helped us raise our life expectancy from 30 to current 78 years.

But this is neither uniform nor guaranteed at an individual level.

Environmen t

Modern healthcare seeks to remedy this through practiced carefully prescribed established best practices that deliver near-zero errors for all aspects of healthcare: preventive, diagnostic, interventional, progressive and palliative.

The System Of Profound KnowledgeÂŽ (SoPK) propagated by W. Edwards Deming lays the foundation for any large complex system in four parts: System, Variation, Knowledge and Motivation.

Healthcare systems have a vast multitude of parameters with a range of possible values that create an inevitable variation of results built into the design, interpretation, intervention, and prognosis.

Variability

|April 2019| 37

Royal

Frank Cid Owner, Founder & C EO

Life Centers

A n Accredited Facility Rendering Spotless Rehab and Detox Services

E

stablished in 2009, Royal Life Centers is a renowned addiction treatment provider.

Today, Royal Life Centers’ highquality addiction treatment and aftercare can be found at eight locations across the country. They specialize in substance abuse, specific to alcohol and other drug addictions.

Its full gamut of care is comprised of inpatient detoxification, residential treatment, PHP, IOP, OP, Sober Living, and aftercare/alumni programming.

The centers have specifically designed its program and service delivery around the continued care necessary for staying sober.

38 |April 2019|

About the Zealous leader Frank Cid, the Owner, Founder, and the CEO, is passionate about addiction treatment and a master at organizing resources. In September of 2009, Frank Cid vowed to change the face of the substance abuse treatment industry, which gave him a kick-start to launch the center. In an area of healthcare where quality care was not the standard, he began opening expertly staffed, state-of–the-art facilities, where those seeking recovery could heal and transform their lives with dignity. In 2015, he began expanding his endeavor to change the facet of treatment and recovery by merging all

of his facilities together under Royal Life Centers Florida, Arizona, Washington, and Indiana.

Frank initially started his work as a result of living in the area and watching friends and loved ones succumb to the insidious issues. Frank has a strong passion to help others.

To follow his passion, he formed Royal Life Centers to fulfill the gaps in other care settings and thrived as a result. In addition to in-patient and residential settings, Frank created family accommodations to ensure that the family is actively involved throughout the treatment process and can visit

10 The

Best

Rehabilitation Centers to Watch

their loved ones in extended care.

Astounding Services and Facilities Royal Life Centers offers services as a multi-level treatment provider with a family of facilities (detox, residential inpatient, partial hospitalization, intensive outpatient, and outpatient), for adults 18 and older, desiring to overcome Substance use disorders and co-occurring conditions. Its program utilizes evidenced-based behavioral health modalities and additionally it offers Medication Assisted Treatment (MAT). The centers provide trainings for their staff including but not limited to the following: HIPPA Privacy and Security Training, Non-Violent Crisis Intervention, Ethics and Boundaries certification, Cultural Sensitivity Training, SMART Treatment Planning, Suicide Prevention, HIV/AIDS Orientation, Blood Born Pathogen & Universal Infection control trainings, Health & Safety training, ADA

training, and provision of First Aid/CPR Trainings and food safety.

Each of the centers’ facilities is a perfect blend of honesty, respect, humanism, and treats its guest as a first priority. It upholds the highest standard in substance use disorder treatment and guest care. Regarding it, Frank says, “Guests’ well-being and successful recovery is our priority, ‘Because We Care,’”.

At Royal Life Centers, guests can receive a comprehensive treatment program at every level of care: detox, residential treatment, inpatient treatment, outpatient treatment, aftercare, extended care, and sober living. The guests and their care are always the top priority of the centers.

Royal Life Centers takes no shortcuts when it comes to providing activities, resources, amenities, or any other type of support for our guests.

Awards & Accolades Royal Life Centers’ facilities are all dual accredited with both CARF (Commissions on Accreditation of Rehabilitation Facilities) and TJC (The Joint Commission), the leading bodies for regulation drug and alcohol treatment centers. The centers are also verified with Psychology Today and LegitScript as a leading provider in the industry, who exceeds all standards for providing care. It has acquired a number of awards and following are a few of them:  Recognized from Miami se ndC ’rlhiHospital

for its spectacular contributions of electronic tablets.  The centers have received

accolades from many families for its “Elliot Bag” Program.

Happy Clients of Royal Life Centers “Our most spectacular client |April 2019| 39

“Guests’ well-being and successful recovery is our priority, Because W e Care.”

experiences are transformative,” asserts Frank, while speaking of the valuable client experiences. Royal Life Centers has had several clients who came in broken, despaired condition, while some of them were homeless.

The centers have radically transformed their lives. Today, Royal Life Centers’ clients are its current employees and are working dedicatedly to help those who are still afflicted with substance abuse. Speaking about it, Frank continues, “This type of metamorphic change is our reason why we continue to do what we do. One guest was homeless 20 years, we found him during an outreach initiative and scholarshiped his treatment; he is now an employee with over a year and a half sober.”

Ensuring Patients’ Satisfaction with High Dedication To keep a flawless track of the patients’ needs, Frank travels to each facility on a regular basis to ask his guests in person how their treatment process is going and what else is needed for them. Frank has an open door policy with staff and guests alike. Additionally, the centers have a robust team of doctors, therapists, techs, and case managers, who are all in contact and direct communication with one another to ensure no guests and no issues, are overlooked.

Everyone works collaboratively together to meet all the individual needs of their guests. Frank implements and utilizes reporting tools and accountability through the key members of the organization to coordinate the operation and standard of services delivered.

Besides this, Royal Life Centers is also committed to detecting, preventing fraud, waste, and abuse. They have developed and implemented policies and procedures to ensure compliance with the laws that govern its operations as a healthcare provider as well as in-depth training for all employees. Being an organization, employees and contractors are strictly prohibited from any such conduct and if anyone is determined to have engaged in such acts, will be terminated.

40 |April 2019|

Royal Life Centers Compliance Program, Fraud, Waste, and Abuse Training module covers: 1. The Royal Life Centers Compliance Program 2. The Royal Life Centers Code of Conduct 3. The Understanding Fraud, Waste, and Abuse 4. The Laws that govern healthcare compliance 5. How to report suspected non-compliance Future Plans Royal Life Centers have ongoing projects that include the evolution of mobile application for tracking the cravings of individuals participating in its MAT program. The centers are also planning to expand its roots to more states across the nation as per the vision and mission of the organization.

The mission of Royal Life Centers is to provide the highest quality addiction services available as a first step towards long term healing for those struggling with the disease of addiction. Royal Life Centers envision a world where all individuals seeking recovery receive the best possible treatment in quality and practice at every licensed level of care.

Solution Treatment and Detox

Based A Lively Residential Treatment Center Inspiring a Healthy Lifestyle

B

ased in Murrieta, a suburban town in Southern California, Solution Based Treatment and Detox is an eminent organization that offers all levels of care from subacute detox, residential, and partial hospitalization to an intensive outpatient program. The organization treats patients at one of its six different treatment locations. Residential locations have six beds each, where clients are tended to at a ratio of two to one. Solution Based Treatment & Detox aims to expand its roots, by treating patients across various regions in the country.

It is aptly said that experience is the best teacher, and the worst experiences teach the best lessons. Similar is the story of Scott Brown, the CEO of the rehab center and how the idea of Solution Based Treatment & Detox

42 |April 2019|

Scott“From Brown that moment I started building a

came about. He was influenced to start CEO a treatment center after his own journey to become clean and sober.

Scott was raised around drugs and alcohol before he had the slightest idea of what they were. When he was 12 years old, his home burned down, and he bounced around to different family members. “My home life was not stable, and I began experimenting with drugs and alcohol. By the age of 15, I was on my own and at the age of 20 had already experienced jail. I was in and out of jail and prison for the next 8 years,” Scott expresses.

Ultimately, at 28, he decided to revamp his life and seek treatment. During treatment the owner of the rehab center Scott was in, took a moment to talk with him because Scott was inquisitive on how to save as many lives as he possibly could, and the owner shared with Scott the dedication it took.

treatment center in my head because I knew the feeling of being clean was amazing. I knew, if I could get clean, anybody could, and I wanted everyone to know they deserve the same second chance that I got,” states Scott.

Excellent Team Delivering Diverse Services Solution Based Treatment and Detox offers all levels of care ranging from sub-acute detox to residential treatment and (PHP) partial hospitalization program to (IOP) intensive outpatient program. Each client is assigned a counselor, a therapist, a psychiatrist as needed, and a client care coordinator. A client care coordinator helps the clients with all of their outside needs, including, but not limited to assistance with FMLA, short term disability, and

10 The

Best

Rehabilitation Centers to Watch

acquiring everyday life skills, including assistance with tasks as simple as paying bills.

The robust treatment team at the center possesses an array of qualities and strengths which allows them to provide hands on and immersed, specialized treatment with each client. Upon asking more about the team, Brown said, “Our 2-to-1 ratio helps clients get the quality care that they need and deserve. I feel like I have a family, not just employees. We are a unified clinical and medical team that truly cares about our clients and their success.”

Abiding Laws and Following Ethical Guidelines Solution Based Treatment and Detox has collaborated with certified partners to stay up-to-date with the newest and

“

“

We are a unified clinical and medical team that truly cares about our clients and their success.

most current requirements of all governing bodies. The center has designated employees in place to deliver proper compliance at all times in all locations. The center recognizes and abides by all state, Federal, Joint Commission, and IMS (Incidental Medical Services) standards of practice. The center has a multifaceted approach to ensure a multitude of individuals are involved in delivering a compliant and Ethically Operated treatment facility.

Astounding Customer Satisfaction Approach On asking him about the exceptional customer experience, Brown said, “The most spectacular experience is the change and hope in the eyes of each of our clients. A client will come in broken, beaten, discouraged, and

hopeless. After being shown love, compassion, and empathy, something changes; our client’s eyes begin to light up. This change in the client’s eyes is something that cannot be articulated words. We get to witness a first-hand miracle that families have prayed for, such as, ‘Please god, give me my child back,’ or ‘Please lord I just want my wife back.’ This is our team’s most beautiful gift that they receive from working for Solutions Based Treatment and Detox.”

Further, he adds, “I measure success when a client returns to my office a year later with his/her family still clean and sober, and shakes my hand and says thank you. To me, that is true satisfaction.”

Overcoming Different Mindsets and Challenges Solution Based Treatment and Detox believes that each and every patient that walks through its doors is a different being that has endured different pains, traumas, and experiences. At Solution Based Treatment and Detox, the treatment that they need to change their lives is tailored to fit them and their personal goals. The center believes that it is pertinent to have a very specific and personal program for each client to help them reach sobriety with success.

At the center, every team member communicates to ensure the patient gets the individualized help they are desperately asking for. Team members are in place and accessible to clients, each having specific skill sets and training to assist in working thought various types of trauma.

Website : www.sbtandd.com |April 2019| 43