Therapeutic Intensives
Residential treatment has long been thought of as the gold standard of care for the treatment of addictive disorders and traumatic injury. While it has been and still is prudent to pursue residential treatment when medical detoxification or close psychiatric observation is required, it is not wise to assume that it will be the appropriate level or standard of care for you or meet the needs of a loved one. This is because residential treatment is not intended to be individualized.
Generally speaking, residential treatment programs have always designed the course in treatment to match the average number of days they could expect their patients’ insurance carrier to pay for. The typical patient’s length of stay was generally determined by a program driven model of 28 or 42 days. It is common that the therapeutic needs of prospective admissions are expected to be addressed by a “one size fits all” design; in part because of the fallacious expectation that all addicts or trauma victims are pretty much alike. While each admission typically has an individualized treatment plan, the therapeutic interventions and modalities provided are the same for every admission. Every admission attends the same lectures, groups, recreational therapies and have the same number of individual therapy sessions per week – generally not more than 2 times per week. In other words, most programs offer “canned treatment” marketed as individualized care.
Additionally, many residential models have attempted to set themselves apart from the competition by creating a specialty boutique of therapeutic entrees. The treatment buffet would include everything from bio-feedback and obstacle courses to movement therapy and opportunities to interact with wolves. These fairly expensive models create the appearance of being more client focused but unfortunately, a widely diversified or exotic menu of items does not promote individualized care. Paying a king’s ransom for treatment should not suggest a gold standard of care.
While it is true that residential treatment settings can offer valuable therapeutic benefits which various outpatient models could not possibly replicate, we propose that the only way to get the gold standard of care is to create a model for treatment that has been designed to address the specific needs of the individual.
We offer therapeutic intensives for individuals and couples impacted by addiction or trauma that are designed around the evaluated and expressed needs of each participant.
The Course in Treatment
The course in treatment represents the specific plan that has been designed in collaboration with the client to determine the length, scope and depth of the intensive in a framework that keeps it in line with the budget the client has selected. The following treatment courses represent examples of intensives that we have developed for couples, individuals and families. Any resemblance to people that you might know is clearly coincidental because the profiles below reflect a composite of many different cases.
The Course in Treatment
The course in treatment represents the specific plan that has been designed in collaboration with the client to determine the length, scope and depth of the intensive in a framework that keeps it in line with the budget the client has selected. The following treatment courses represent examples of intensives that we have developed for couples, individuals and families. Any resemblance to people that you might know is clearly coincidental because the profiles below reflect a composite of many different cases.
Couples Intensives
We have worked alongside couples who are:
- Couples considering help in constructing a course in treatment that explored the sources of familial abuse, oppression and emotional neglect that would have threatened the enduring bond they longed for had they failed to develop a personalized plan from mitigating the threats they would face.
- Romantic partners, struggling with the impact of traumatic childhood sexual abuse, developed strategic tools to bring relief from the PTSD-like symptoms that were awakened by the vulnerability of their union in a way that set the foundation for an emotional bond that was sufficiently strong enough to reduce current and future threats to their partnership.
- Victims of marital betrayal associated with sexual addiction have learned to view each other as a source of mutual support and accountability as they share the responsibility for healing their traumatic injuries as they moved through a mutually designed disclosure process.
- Marital partners attempting to crawl out from beneath the wreckage of Alcoholism and other addictive disorders learned how to share the same “side of the street” which enhanced each other’s recovery efforts, enabling them to obtain measurable traction.
- Were “engaged to be divorced” but were willing to find the tools necessary to build emotional intimacy and reunite the great divide that had grown in their marriage as a result of enduring the deep conflict of being raised in parental addiction.
- Couples recovering from an addictive disorder who came looking for a referee and an endorsement for divorce learned how to walk side by side in the recovery process and remain united while awaiting the miracle.
- Parenting challenges had left partners adrift in bitterness and resentment and their course in treatment lead them back to the lost romance that they had been afraid of hoping for.
Individual Intensives
We have worked alongside individuals who are:
- The adult children of alcoholics who have been haunted by the fear of becoming just like their parental nemesis have shared in the development of a course for evading the self-fulfilling prophecy that would aid in the construction of a solid foundation for their own recovery.
- Addicts struggling with the challenges of navigating a course to sustained abstinence from his or her addictive disorder have discovered the sober waypoints that would avoid relapse into active addiction.
- Those who had spent years looking for a voice to keep from being overrun by the emotional bullies in their lives have shared in the design and implementation of a plan for to promote the establishment and maintenance internal and external boundaries.
- Individuals who find the gauntlet of social and emotional challenges in early addiction unbearable, worked to implement a course of treatment that would develop a firm foundation from which to make the character changes that would empower them to develop deep roots in his or her respective fellowships.
- Sober addicts struggling to get the desired “promises” from completing Steps Four through Nine have supported in a task-oriented model designed to preventing the end user from becoming bogged down in emotional quicksand.
- Individuals struggling with anxiety and obsession have found relief in the design and implementation of a plan to address the historical antecedents and present threats to emotional safety.
Family Intensives
We have worked alongside family members who are:
- Because of their love for an un-surrendered addict, have found an intervention plan that would enable them to construct a team to successfully intervene on their loved one adrift in the storm of addiction after following the model they would be proposing to the addict.
- As siblings, have worked together to identify and understand the developmental sources of maladaptive coping strategies that served only to promote further isolation in their relationships and a diminished capacity for coping with discomfort.
- Couples have worked to provide their minor children with a model for benefiting from the recovery gains that they have made individually and collectively.
The Cost
We have no set fee for intensives. The pricing for an intensive is driven by the scope and the depth of the course in treatment that is designed, the budget that our clients are working with and the fee scale of the treatment team members participating in the intensive. The course in treatment is constructed around the expressed and assessed needs of the client/s.
The Cost
We have no set fee for intensives. The pricing for an intensive is driven by the scope and the depth of the course in treatment that is designed, the budget that our clients are working with and the fee scale of the treatment team members participating in the intensive. The course in treatment is constructed around the expressed and assessed needs of the client/s.
The course in treatment can span from one to four weeks depending on the mutually agreed upon goals and objectives. Once the pre-admission evaluation process is complete and the client’s preferred scope for the intensive is determined, we will select the treatment team members whose expertise is best suited to address targeted issues within the plan while adhering to the parameters of the budget.
If we are not able to build a course in treatment to address the identified needs, within the budget presented, we will work with the client/s to identify alternative ways of getting their needs met without undertaking the cost of an intensive. If we are able to separate the goals and objectives into meaningful groups that would allow the intensive to be undertaken over a series of modules to spread out the billable hours, we will introduce that option as well. We will never negotiate a price or attempt to influence anyone to spend more than they have planned for. Likewise, we will never propose or undertake an intensive model that would be less than therapeutic in an attempt to bring the cost down and “close the sale”. We are generally able to conclude the pre-admission process with the presentation of a therapeutic plan that is under the proposed budget.
The Treatment Team
Our treatment team is comprised of licensed clinical social workers with 14 to 52 years of experience and a combined professional clinical tenure of 135 years. Each team member presents with a very vested and personal interest in recovery from addictive disorders and traumatic injury with a combined investment in personal recovery of over 140 years.
We function like a team rather than a group of independent practitioners with weekly individual and group supervision, daily collaboration and mutual accountability. During an intensive that coordination, collaboration and supervision is elevated beyond the level that one would expect of a residential treatment team. The course of treatment is developed by the administrative team and clinical supervision is insured on a session by session basis. This level of mutual support and monitoring allows us to make adjustments to the goals and objectives needed to respond to the emerging needs of our clients with a fluidity that enables our clients to feel like they are in a therapeutic intensive care unit.
Prior to the start of the intensive the team receives an in-depth briefing on the results of the evaluation and the goals and objectives that will guide their work. Once the intensive is underway, our clients are keenly aware that every team member has real time access to what has developed in all the previous sessions of that day as well as any changes that have been proposed to the course in treatment. Throughout the intensive all sessions are supervised remotely by the intensive design team. The ability to review the client’s progress in real time allows for a highly differentiated course in treatment that undergoes numerous modifications prior to the conclusion. The Discharge Conference is the last event of the intensive to review progress and make specific recommendations for maintaining progress after the intensive is concluded.
Clients have the options of continuing in after or ongoing care with a member of the treatment team, returning to their own private clinician or enhancing the support group that they had established prior to beginning the intensive.
How to Begin
All intensives follow the same developmental process from expressed desire through to the discharge conference and continuing care focus. Each step will be highlighted below for your reference.
- Expressed Desire
While you or your fellow participant/s might have been encouraged to consider a therapeutic intensive by your therapist it will be your responsibility to express to a member of the LCCS team your desire for a more intensive program for addressing the therapeutic needs that you have.
- Developmental Team
The developmental team will be comprised of those LCCS supervisors selected to participate in the assessment and treatment planning process. Generally, the team will consist of the Primary Partner, John V. Leadem, LCSW and the Clinical Director, Shawn Leadem, LCSW, CSAT, CMAT.
- Assessment
The assessment process begins with a thorough review of course in treatment that all each of the prospective participants have traveled at LCCS to date. If a prospective participant has been in primary therapy outside of LCCS the review of his or her previous treatment will occur during the evaluation or treatment planning process. Once the brief assessment period is concluded a mutually agreed upon date for the evaluation will be scheduled for a pre-determined block of time.
- Evaluation
The evaluation could be an event or a process if multiple steps are required. The evaluation includes an in-depth review of each participant’s biopsychosocial developmental and experiential history, an identification of historical and current internal and external emotional threats that could pose challenges to the satisfactory achievement of the short and long-term goals of the intensive, and sources of meaningful support outside of the treatment team. Every effort will be made to determine evaluation resources that are needed prior to the evaluation.
During the course of the evaluation event or process each participant will be alerted in real time to sources of concern that have been identified and what each participant might consider addressing if they were not going to continue in the intensive treatment process. The participants are invited to raise questions with expectation of a real-time response at any point in the evaluation event or process. The evaluation will conclude with a mutually agreed upon date for receiving the findings and establishing the goals and objectives for the intensive. A projected LCCS proposal for the length, depth, scope, and cost of the intensive will be presented for consideration before moving on to the treatment planning process.
- Treatment Planning Process & Report
The Developmental Team will review all the evaluation findings and prepare a proposed set of Goals and Objectives to review with the participants. The challenges identified in satisfactorily achieving the goals and objective will be reviewed in depth. The meeting will include a review of the LCCS staff that have been identified to participate in the delivery of the intensive. Any budgetary concerns of modifications will be addressed prior to the setting a date for the intensive and accepting the down payment to lock in the date.
- Intensive Course in Treatment
It is understood that the goals and objectives might need to be adjusted if emotional obstacles are encountered on the part of any of the participants. The budget for the intensive will not be changed because of the additional work that may need to be done in exchange for removing treatment objectives. The clients will be permitted to request additional time be added to the existing schedule and if the team’s schedule permits enhancements can be added to the time and budget.
- Discharge Planning
Therapeutic issues that warrant addition attention following the intensive will be suggested during the course in treatment and reviewed in the discharge meeting. During that time all outstanding therapeutic concurs will be reviewed with the participants. If the client’s primary therapist is outside of the LCCS system that person is welcome to attend the conference at the participants expense to share in the review process.
Counseling Services
- Therapeutic Intensives
- Marriage Counseling
- Family Counseling
- Children Counseling
- Adolescents Counseling
- Sex Addiction Counseling
- Co-Dependency Counseling
- Alcohol Addiction Counseling
- Drug Addictions Counseling
- Food Addiction Counseling
- Online Counseling
- Intervention Training
Contact Now
- 732-797-1444
- corporate@leademcounseling.com
- 668 Commons Way, Bldg. I Toms River, NJ 08755