Overview
Step One is an accredited mental health treatment center that provides outpatient treatment for men and women from 18+ years of age. As part of their special programs, Step One treats clients with co-occurring mental and substance use disorders, veterans, and active duty military. To help patients achieve sobriety, Step One provides intake assessments. Afterward, patients receive individual psychotherapy, cognitive behavioral therapy, and dialectical behavior therapy during treatment. Step One is located in Kingston, New York, providing treatment for people in Ulster County, accepting cash or self-payment, medicaid, and medicare.
Step One at a Glance
Payment Options
- Cash or self-payment
- Medicaid
- Medicare
- State-financed health insurance plan other than Medicaid
- Private health insurance
Assessments
- Screening for tobacco use
- Comprehensive substance use assessment
- Interim services for clients
- Outreach to persons in the community
- Screening for mental disorders
Age Groups
- Seniors or older adults
- Adolescents
- Young adults
- Children/adolescents
- Adults
Ancillary Services
- Case management service
- Education services
- Suicide prevention services
- Specially designed program for DUI/DWI clients
- Mental health services
Accreditations
State mental health department:
State mental health department accreditation refers to the process of evaluating and certifying the quality and standards of a state's mental health department, ensuring that it provides high-quality services and meets specific criteria for mental health care. The accreditation process is performed by a third-party organization and helps to improve the overall care and treatment of individuals with mental health conditions.
Treatment At Step One
Conditions Treated
Alcoholism:
Alcohol addiction is a disease that changes the way the brain works. It causes negative emotions, impulsive behavior, cravings and withdrawal symptoms. Treatment for alcohol addiction includes supervised detox, counseling and therapy, and support group participation. Rehabilitation does not cure alcoholism. Instead, it helps the individual manage their addiction, restore their functioning, and well-being.
Mental health treatment:
Mental health services are essential during treatment for drug and alcohol addiction, whether you receive treatment in an inpatient or outpatient setting. While receiving inpatient care, you can expect to have round-the-clock access to mental health therapists and medical staff. Additionally, you will likely receive a number of different therapies and mental health options like individual and group counseling, addiction and relapse prevention education, and coping skills training.
Substance use treatment:
Substance use rehabilitation represents a holistic treatment strategy tailored to aid individuals grappling with drug or alcohol addiction. This comprehensive rehabilitation method encompasses two key aspects: first, addressing the physical dependency, often commencing with detoxification, and second, tackling the psychological triggers through a range of therapeutic techniques. The ultimate aim is to empower individuals to attain and sustain sobriety while providing them with the necessary skills and coping mechanisms to successfully reintegrate into society and lead a life free from substance abuse.
Co-occurring Disorders:
Dual-diagnosis rehabilitation centers usually offer the most suitable approach for addressing concurrent mental health and substance abuse conditions. Within these facilities, a team of medical and behavioral professionals is typically assembled, employing diverse interventions and cultivating an optimal therapeutic environment to enable you to attain and maintain lasting recovery. The treatment regimen often encompasses evidence-based therapies, such as cognitive behavioral therapy, complemented by recovery support gatherings, 12-step program facilitation, skills development, and group therapy.
Levels Of Care
Outpatient:
Outpatient programs cater to individuals who are in good medical condition and are not at a heightened risk of relapse, including those who have successfully finished their inpatient treatment. These programs usually build upon clients' existing treatment strategies, providing ongoing addiction counseling and educational support for recovery. Individuals who enter outpatient care right after detoxification may also undergo medical and psychological evaluations, followed by the creation of personalized treatment plans. Most outpatient rehabilitation centers offer various levels of care tailored to meet each client's specific needs.
Outpatient methadone/buprenorphine or naltrexone treatment:
Naltrexone, an FDA-sanctioned medication, is employed to address both opioid and alcohol dependencies. It aids in curbing cravings and warding off relapses, facilitating a smoother recovery process. It's available as a daily pill (brands include ReVia and Depade) or as a monthly injection (brand name Vivitrol). Prior to commencing naltrexone, patients should be free of any illicit opioids or opioid medicines for a duration of 7-10 days, including methadone.
Intensive outpatient treatment:
Intensive outpatient (IOP) supports clients in maintaining their sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in numerous weekly treatment sessions, generally receiving between nine to twenty hours of outpatient care. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers offer a range of services, including addiction counseling, training in life skills essential for recovery, and medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.
Regular outpatient treatment:
Regular Outpatient Treatment involves scheduled therapy sessions typically held on an outpatient basis, allowing individuals to receive essential support while maintaining their daily routines. These sessions usually range from one to three times per week, providing a flexible approach to recovery that accommodates the individual's needs and progress. It offers a structured environment for therapy and counseling, enabling individuals to address addiction or mental health issues while continuing to engage in their daily responsibilities.
Aftercare:
Aftercare refers to the structured support and programs offered to individuals after completing an initial treatment phase for substance abuse or other disorders. Recognizing that recovery is an ongoing process, aftercare provides continued counseling, skill-building, group therapy, and resources to help individuals maintain sobriety, manage triggers, and reintegrate into daily life, reducing the risk of relapse and ensuring long-term success in recovery.
Treatment Modalities
Individual psychotherapy:
Individual Psychotherapy is a personalized therapeutic approach aimed at aiding individuals in overcoming addiction and its underlying psychological triggers. A licensed therapist works closely with the individual through one-on-one sessions to unearth and address personal challenges, emotional issues, and behavioral patterns contributing to their substance abuse. Individual psychotherapy lays a robust foundation for a sustainable recovery and a better quality of life by fostering self-awareness, coping strategies, and healthier behavioral responses.
Cognitive behavioral therapy:
Cognitive Behavioral Therapy (CBT) is a form of psychotherapy that emphasizes the critical role of thinking in how we feel and what we do. It aims to identify and challenge distorted or negative thought patterns and behaviors, teaching individuals to replace them with more constructive and rational beliefs. CBT is evidence-based and has been shown to be effective in treating a variety of psychological disorders, including depression, anxiety, and phobias, among others.
Dialectical behavior therapy:
Dialectical Behavior Therapy (DBT) is a cognitive-behavioral approach specifically designed to help individuals regulate emotions, enhance interpersonal effectiveness, develop distress tolerance, and increase mindfulness. In addiction treatment, DBT equips individuals with practical skills to manage triggers, cope with stressors, and build a life worth living without resorting to substance use. By addressing both the emotional and behavioral challenges of addiction, DBT fosters personal growth and long-term recovery.
Telemedicine/telehealth therapy:
Telehealth Therapy is a remote care option that allows individuals to access mental health services via digital technology, such as secure video conferencing. This mode enables patients to engage with therapists from their homes, offering flexibility and overcoming geographical limitations. Ideal for those in rural areas, with mobility issues, or tight schedules, Telehealth Therapy ensures quality mental health support is always within reach.
Substance use disorder counseling:
Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.
Trauma-related counseling:
Trauma therapy delves into past traumatic events that might be influencing a client's current life experiences. Often, trauma serves as a significant precipitant or underlying cause of addiction. Such traumas can arise from childhood sexual abuse, domestic violence, growing up with a mentally ill parent, early parental loss, and experiences of sexual assault in teen or adult years, among other circumstances. Trauma therapy aims to aid the individual in processing and navigating beyond these traumas, guided by the expertise and empathy of skilled mental health specialists.
Smoking/vaping/tobacco cessation counseling:
Tobacco cessation counseling encompasses discussions with a counselor regarding your tobacco or vape usage and its integration into your daily routine, with the goal of devising a strategy to quit. This service caters to individuals desiring to quit tobacco, offering interventions like behavioral support or counseling in groups or one-on-one settings. The counseling sessions may range from brief encounters (under 5 minutes) to more intensive discussions (exceeding 10 minutes) and may necessitate multiple sessions.
Group counseling:
Group Counseling is a therapeutic approach where individuals come together under the guidance of a trained counselor to share experiences, provide mutual support, and gain insights. It fosters a sense of community, promotes understanding through diverse perspectives, and offers personal growth and problem-solving strategies.
Family counseling:
Family Counseling is a therapeutic approach that seeks to address and improve communication, understanding, and dynamics within a family unit. By addressing conflicts, emotional distress, and behavioral challenges, a trained therapist provides guidance and tools for family members to strengthen bonds, resolve issues, and foster a healthier family environment.
12-step facilitation:
12-Step Facilitation is a structured approach to recovery used in many rehab facilities. It's rooted in the principles and practices of Alcoholics Anonymous (AA) and its 12-step program. The facilitation process promotes abstinence and supports individuals in becoming actively involved in 12-step self-help groups. The approach emphasizes personal responsibility, spiritual growth, and the importance of peer support to maintain sobriety and prevent relapse. By guiding individuals through each step, 12-step Facilitation aids participants in understanding the underlying causes of their addiction, seeking amends, and fostering a commitment to lifelong recovery.
Intervention Services:
Intervention Services are professional services aimed at addressing and amending harmful behaviors or situations, primarily in individuals struggling with addiction or other serious issues. These services guide and support both individuals and their loved ones through the intervention process, wherein a structured, solution-oriented conversation is held to encourage the individual to accept help and make positive changes towards recovery. By blending compassionate understanding with a well-formulated approach, intervention services play a crucial role in bridging the gap between acknowledgment of an issue and taking the initial steps towards resolution.
Motivational interviewing:
Motivational Interviewing (MI) in addiction treatment is a client-centered counseling approach designed to enhance an individual's intrinsic motivation to change. By addressing ambivalence and tapping into personal values, MI fosters meaningful conversations about substance use and promotes commitment to recovery-focused goals.
Anger management:
The goal of anger management is to reduce both your emotional feelings and the physiological arousal that anger causes. It is generally impossible to avoid all people and settings that incite anger. But a person may learn to control reactions and respond in a socially appropriate manner. The support of a mental health professional may be helpful in this process.
Relapse prevention:
The Relapse Prevention Model is a cognitive-behavioral approach designed to teach individuals who are trying to maintain behavioral changes (like sobriety from drugs or alcohol) how to anticipate and cope with the potential for relapse. The model emphasizes the importance of understanding the processes and triggers that lead to relapse, developing strategies to prevent initial lapse, and minimizing the severity and duration if a lapse occurs. It's grounded in the belief that relapses can be viewed as learning opportunities, helping individuals strengthen their commitment and skills to avoid future setbacks.
Ancillary Services
Languages
- Spanish
Additional Services
- Pharmacotherapies administered during treatment
- Discharge Planning
- Breathalyzer or blood alcohol testing
Special Programs
- Clients with co-occurring mental and substance use disorders
- Veterans
- Active duty military
- Members of military families
- Criminal justice (other than DUI/DWI)/Forensic clients
Contact Information
DISCLAIMER: The facility name, logo and brand are the property and registered trademarks of Step One, and are being used for identification and informational purposes only. Use of these names, logos and brands shall not imply endorsement. BetterAddictionCare.com is not affiliated with or sponsored by Step One.
