Substance Abuse
Treatment Philosophy
Preston Page LCSW, LSATP
INSIGHT: Practical Therapy - Commonsense LLC
276-734-9870
276-666-2332
Counseling
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DIGNITY
1. Substance abusers need to be treated with dignity and respect
during the course of treatment as restoring their dignity and self-
respect is essential for treatment to be successful. Part of this dignity
is recognizing the individuality of each client and the need for
treatment based on that individuality.

DISEASE CONCEPT
2. Substance abuse disorders are chronic and lifestyle-related health
problems that require consistent long-term care, keeping clients in
treatment for an adequate period of time at a level of care
appropriate to their recovery needs and making services readily
available during all stages of recovery and within a reasonable
period of requested time.

MOTIVATION
3. The motivation to use and to not use exists simultaneously in the
client. Treatment should be provided that increases the clients’
motivation to not use and reduce the motivation to use. The adverse
physical, psychological, social, legal, and economic consequences
of using and the positive effects of Recovery should both be used as
intervention points to  motivation during treatment.

ACCEPTANCE
4. Treatment should focus on helping the client make changes that
will return control of his/her life back to the client. This includes
helping the client accept their addiction completely.  Treatment
should provide the client with knowledge, understanding, and
motivation to work to take the steps to change

RECOVERY and RELAPSE
5. Recovery is a long-term developmental process that often
includes relapses. Relapse  does not mean treatment failure but is a
part of the Recovery process. Relapse prevention should therefore
be part of both treatment and aftercare activities, but not be
presented to clients as permission to relapse. Building a life of
Recovery cannot be done without a knowledge of both addiction
and recovery. Treatment should provide Recovery tools that make
such a life possible.

EVIDENCE BASED TREATMENT
6. Treatment should be evidence based and include reading
assignments, writing assignments, self-assessments questionnaires,
group and individual counseling sessions, study guides, and self-help
support groups.

CONCURRENT DISORDERS
7. Treatment of concurrent disorders, including both therapy and
medication is absolutely essential as the return of symptoms can and
will lead to relapses.

ALCOHOL and DRUG TESTING
8. Alcohol and other drug testing are part of  treatment providing
the client with concrete reasons not to use and  immediate response
to relapse.
                  
ASSESSMENTS and TREATMENT UPDATES
9. Treatment both begins and ends with assessments and treatment
plan modification.



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