Upon admission to Hudson Health Services, all patients meet with our physician and nursing staff to undergo a comprehensive medical evaluation to determine if withdrawal management services are necessary. Withdrawal Management, also known as detoxification, is the process of using medications to stabilize patients and address the physical withdrawal syndrome that is not only uncomfortable, but also potentially dangerous in some cases.
Withdrawal Management is a necessary first step for many patients. Because we individualize the process to meet each person’s needs, patients will be closely monitored by medical staff during the period of withdrawal management. Current withdrawal management protocols are so effective at relieving physical withdrawal that most patients are able to engage in counseling and initiate the first steps into recovery during these first crucial days.
Hudson Health Services offers Residential Treatment at our campus in Salisbury, Maryland. Known as ASAM Levels 3.7, 3.5, and 3.3, these levels of care are appropriate for patients with co-occurring medical, emotional, or behavioral disorders that are severe enough to require 24/7 monitoring, but not severe enough to warrant a hospital admission. Withdrawal Management services are often coupled with this level of care.
Patients at this level of care receive a comprehensive psycho-social and physical assessment, as well as psychiatric services when necessary. Patients participate in scheduled group therapy sessions daily, peer support, alternative therapy groups such as drumming, and individual counseling sessions at least once a week. Family sessions are also encouraged when appropriate.
Partial Hospitalization (PHP), or ASAM Level 2.5, is an effective treatment option for individuals whose co-occurring medical or psychiatric disorders are of a mild to moderate severity but have the potential to distract from treatment at a lower intensity and interfere with recovery efforts. Hudson Health Services includes the overnight stay with our PHP, allowing us to stabilize a patient’s acute psychosocial symptoms associated with their drug or alcohol use while ensuring them a safe, structured environment each evening.
Patients in our Partial Hospitalization Program receive a comprehensive psychosocial and physical assessment, including assessing the potential for withdrawal. If necessary, withdrawal management services can be coupled with this level of care. Patients also receive individual and group therapy sessions, peer support, and participate in our alternative therapy groups. If appropriate, family sessions are encouraged. Additional psychiatric services are available if needed.
The clinical component of a Halfway House, or ASAM Level 3.1, provides for weekly clinical services of an intensity determined by the patient's clinical need. Typically, these are outpatient services, with no less than 5 hours a week of clinical interaction provided in-house. Treatment in a Level 3.1 is focused on improving a person's readiness to change, level of functioning, and coping skills. Services include individual and group therapy with a licensed counselor, as well as job readiness assistance and other remedial or introductory life skills work with a dedicated case manager and a staffed live-in house manager.
The other component of an ASAM Level 3.1 is a structured recovery residence environment. Our Halfway House is staffed 24-hours a day to provide sufficient stability to prevent or minimize relapse and continued problem potential. Interpersonal and group living skills are promoted using community and house meetings.
The emphasis of community within the residence facilitates social bonding and cohesion, reinforces recovery concepts and norms, and introduces patients to the larger local recovery community and the recovery-oriented resources it provides. We also use Peer Recovery Specialists within the residence to guide our patients through some of these intimidating processes.
Our Woman with Child program in Salisbury provides a structured environment for pregnant and post-partum mothers to regain the confidence in early recovery necessary to nurture the parent-child relationship. Women in this program not only work on their recovery, but are also learning parenting skills and life management skills. Eligibility for this program is determined by The Center for Clean Start, a program of The Worcester County Health Department, which assists pregnant and post-partum women having trouble with substance abuse.
Our houses, located in Salisbury, Maryland and Georgetown, Delaware are available for individuals who require a more structured environment in the early stages of recovery. Our Recovery Housing options are available to patients who discharge from our Inpatient and Partial Hospital Programs, but individuals can also self-refer, or be referred in by other community organizations.
Residents in our recovery houses obtain employment, attend 12-step meetings, and enroll in and complete an outpatient treatment program. They contribute to the daily operations of the house and participate in all house activities. All residents have access to an in-house Employment Readiness Center to work on resumes and look for employment online.
Residents in our Delaware Recovery Houses, which are partially funded by Delaware's Division of Substance Abuse and Mental Health, receive case managment services and are offered life skills groups weekly. Residents are also encouraged to engage in social activities both in the housing setting and out in the community. Additionally, a Peer Recovery Coach is on-staff and available to every resident.
Peer Support Services
Hudson Health Services believes in the benefits of Peer Support Specialists – individuals in recovery from Substance-Use Disorders or Mental Illness. We recognize that utilizing a person’s lived experience with substance use disorders, as well as recovery, is one of the best tools we have to help our patients open up, communicate, and relate more deeply while in treatment.
Our Peer Recovery Specialists receive extensive training and are certified or working towards certification by the Maryland Addiction and Behavioral Health Professional Certification Board. Peer Recovery Specialists relate with patients in many ways that clinical staff cannot and use their own experiences to coach and guide them in these early days into their recovery. As mentors, our Peer Recovery Specialists are available to Alumni even beyond our treatment campus. In fact, we encourage Alumni to stay connected and become a part of our Alumni Association.
Drumming Off Drugs
One of the most unique alternative therapies that Hudson Health Services has implemented is the Drumming Off Drugs Program from Root Drumming Systems. A therapeutic group activity lead by certified staff, drumming has been clinically proven to reduce anxiety and depression, boost self-esteem, improve ability to follow instruction and build group cohesiveness. Coupled with rhythmic exercises, group leaders use recovery analogies to relate what is learned during drumming sessions to everyday life.
Higher Power Yoga
Yoga is well known for its ability to reduce stress and promote relaxation. It also helps to alleviate anxiety and depression, as well as reduce the effects of trauma. Higher Power Yoga is a unique style of yoga developed specifically for Hudson Health Services by Certified Holy Yoga Instructor, Heidi McNeeley. Holy Yoga is a form of yoga that worships God. However, because of the diversity we see on our campus, we wanted to be able to offer something that not only provides a good physical workout but also helps to establish a solid spiritual connection for everyone who participates. Heidi uses a blend of traditional positive affirmations and spiritual affirmations to increase a person’s connectedness to themselves, the group conscious, their environment, and their Higher Power. Read more about Higher Power Yoga here (pg. 19).
Recovery Support Groups
We believe that participation in a recovery support group is one of the determining factors in how succesful a person is in their recovery journey. We also believe that there is no one size fits all program to meet the individual needs of our patients. Therefore, Hudson Health Services provides a variety of recovery support groups on our treatment campus, including Narcotics Anonymous, Alcoholics Anonymous, SMART Recovery, and Celebrate Recovery.
Narcan, the overdose reversal drug, is available to all patients admitted at Hudson Health Services. Upon admission, all patients are offered training in recognition of the signs and symptoms of an opioid overdose and offered the option to received a Narcan kit upon discharge.
That's right. Just plain fun. We think it is important to re-introduce fun into the lives of our patients. In active addiction, many people forget how to have fun. If those in early recovery could see no joy or the possibility of fun in recovery, why would they want to seek it?
One of the biggest challenges in early recovery is the misconception that you cannot have fun without some mind-altering substance. We recognize the depths from which this thought process is born. Most addicts and alcoholics began using drugs and alcohol in social situations in the first place. This association between drugs and alcohol and fun usually begins at a very early age and many times the drug and alcohol use extends beyond the parties. It is when the drug and alcohol use becomes problematic that a person usually seeks treatment.
So, it is important that people in treatment and new in recovery understand that there is fun to be had without using drugs and alcohol. To this end, Hudson Health Services hosts weekly "scheduled fun" for our patients, including movie, karaoke, game, and comedy nights and a once monthly patient appreciation day.