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Durham, North Carolina

Community Alternatives

Rehab Center
Outpatient Treatment
Accredited Medical Provider
Self-payment options
Community Alternatives

Overview

Community Alternatives is a substance abuse treatment center for people seeking treatment near Durham County. As part of their treatment modalities for recovery, Community Alternatives provides cognitive behavioral therapy during treatment. Community Alternatives is located in Durham, North Carolina, accepting medicaid for treatment.

Community Alternatives at a Glance

Payment Options

  • Medicaid
  • State-financed health insurance plan other than Medicaid
  • Private health insurance
  • Federal military insurance (e.g., TRICARE)
  • Federal, or any government funding for substance use treatment programs

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

  • Young adults
  • Adults
  • Seniors

Ancillary Services

  • Case management service
  • Residential beds for client's children
  • Child care for client's children
  • Domestic violence services, including family or partner
  • Social skills development

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.

Commission on Accreditation of Rehabilitation Facilities (CARF):

Established in 1966, the non-profit organization known as the Commission on Accreditation of Rehabilitation Facilities (CARF) has a dedicated focus on accrediting rehabilitation organizations. CARF's primary mission is to assist service providers, particularly rehabilitation facilities, in upholding and promoting the highest standards of care.

Treatment At Community Alternatives

Conditions Treated

Alcoholism:

Alcohol addiction is a health problem where drinking takes control over a person's life. It affects how their brain thinks and acts, leading to strong desires to drink, bad feelings, sudden actions, and discomfort when not drinking. To help someone with this problem, there are treatments like detox, counseling, group support, and learning coping methods. While treatment can't completely cure the urge to drink, it helps people regain control of their lives and feel better overall.

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 embodies a holistic treatment approach crafted to assist individuals contending with drug or alcohol addiction. This all-encompassing rehabilitation strategy encompasses two crucial components: initially addressing the physical dependency, frequently commencing with detoxification, and subsequently confronting the psychological triggers through a diverse array of therapeutic methods. The overarching objective is to empower individuals to achieve and maintain sobriety while equipping them with essential skills and coping mechanisms for a successful reintegration into society and a life free from substance abuse.

Co-occurring Disorders:

Dual-diagnosis rehabilitation centers often offer the most suitable approach for addressing concurrent mental health and substance abuse issues. These facilities typically employ a team of medical and behavioral specialists who utilize a variety of interventions and create a conducive healing environment to support your journey toward lasting recovery. Their comprehensive treatment approach typically encompasses evidence-based therapies such as cognitive-behavioral therapy, recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy to help you achieve and maintain long-term wellness.

Levels Of Care

Hospital inpatient treatment:

Inpatient treatment involves a comprehensive residential therapeutic program where patients stay on-site for a duration typically ranging from 30 to 90 days. This immersive environment offers structured support, ensuring safety and a focus on recovery. Therapies provided include individual and group counseling, cognitive-behavioral therapy, holistic treatments, family therapy sessions, and experiential therapies. The aim is to address addiction or mental health disorders' physical, emotional, and psychological aspects, laying a robust foundation for sustained healing.

Outpatient:

Outpatient treatment in a rehab center offers flexible therapy sessions, typically ranging from 1-3 hours per week, allowing individuals to continue daily activities while receiving care. In contrast, intensive outpatient programs demand a more rigorous commitment, often involving 9-15 hours weekly, providing a more immersive therapeutic environment without the need for inpatient stays.

Long-term residential:

Extended treatment programs frequently encompass residential components, wherein patients reside within a facility throughout their treatment, tailoring the duration to their specific requirements. These programs maintain staff presence around the clock, ensuring continuous support for every patient. The duration of treatment may vary, spanning from 90-day rehabilitation stays to 6-month rehabilitation stays, 1-year rehabilitation programs, or, when necessary, even 2-year treatment residences.

Outpatient day treatment or partial hospitalization:

Outpatient day treatment or partial hospitalization level of care is a type of mental health treatment that provides a high level of care outside of a traditional inpatient setting. It typically involves intensive therapy and support services for several hours each day, several days per week. This level of care is designed for individuals who require more support than traditional outpatient therapy but do not need 24-hour inpatient care.

Intensive outpatient treatment:

Intensive outpatient programs (IOPs) support clients in maintaining long-term sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in several treatment sessions each week, typically receiving between nine to 20 hours of outpatient care weekly. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers provide a diverse range of services, such as addiction counseling, training in life skills geared towards recovery, and the option for medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.

Regular outpatient treatment:

Regular Outpatient Treatment typically involves scheduled therapy sessions that occur on a part-time basis, allowing individuals to receive the necessary support and guidance while maintaining their daily routines. These outpatient sessions are generally held multiple times a week, with the exact frequency tailored to the individual's needs and progress. The number of sessions per week can vary, but it commonly ranges from two to five sessions, providing a flexible and effective approach to addiction recovery and mental health treatment.

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

Cognitive behavioral therapy:

Cognitive Behavioral Therapy (CBT) is a evidence-based psychological treatment that focuses on identifying and challenging negative thought patterns and behaviors. It aims to develop coping strategies and promote healthier thinking to address a variety of mental health issues, such as depression, anxiety, and stress. CBT is typically short-term and goal-oriented, emphasizing the role of thought processes in influencing emotions and behaviors.

Telemedicine/telehealth therapy:

Telehealth Therapy allows individuals to access mental health services remotely via secure video conferencing. This level of care offers qualified therapy from the comfort of one's home, removing geographical barriers and often reducing wait times. Ideal for those with mobility challenges, tight schedules, or those in rural areas, it combines convenience with consistent, high-quality mental health support.

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 is a dialogue with a counselor about your tobacco or vaping habits, examining its place in your daily life to strategize quitting. It offers interventions for individuals keen on quitting, encompassing behavioral guidance and group or one-on-one counseling. These sessions can range from short encounters (under 5 minutes) to in-depth discussions (over 10 minutes) and might require multiple meetings.

Group counseling:

Group therapy entails therapeutic sessions conducted in a collective setting rather than one-on-one. It encompasses various modalities, from support groups and experiential therapy to psycho-education and beyond. The approach focuses on treatment and emphasizes the dynamic interactions and shared experiences among group members.

12-step facilitation:

12-Step Facilitation is a structured approach employed in rehab facilities to guide individuals through a 12-step program, such as Alcoholics Anonymous or Narcotics Anonymous, to support their recovery from addiction. This facilitation focuses on acceptance, surrender to a higher power, and engagement in a community of support. By meticulously working through each step, individuals are encouraged to develop self-awareness, seek amends, and cultivate a sober, healthier lifestyle through ongoing participation in a recovery-oriented community. This method aims at ensuring a lasting recovery by instilling a sense of accountability and fostering a supportive network of like-minded individuals.

Intervention Services:

Intervention services assist families and friends of addicts in orchestrating an intervention, a meeting where concerned individuals express their worries and urge the addict to seek treatment. Expert interventionists aid in planning, assembling, and conversing with the affected individual. They direct participants on how to convey the adverse effects of the addict's actions and emphasize the need for external assistance to tackle the addiction. The ultimate goal of an intervention is to encourage the addict to enter rehab and receive the necessary help.

Contingency management/motivational incentives:

Contingency management and motivational incentives are evidence-based treatment modalities used in addiction and behavioral health programs. Contingency management involves the use of rewards to reinforce positive behaviors and change negative behaviors, while motivational incentives provide incentives to engage in treatment and sustain recovery. Both approaches are designed to increase motivation and engagement in treatment and have been shown to be effective in promoting positive outcomes.

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.

Individual psychotherapy:

In individual therapy, a person engages in a one-on-one session with a qualified therapist or counselor. This therapeutic approach is crucial in successful substance abuse treatment because it delves into the underlying causes of addiction, addressing issues the individual may encounter in their familial, social, and professional or academic environments.

Ancillary Services

Additional Services

  • Pharmacotherapies administered during treatment
  • Housing services
  • 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

Community Alternatives
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1800 Williamsburg Road, Durham, North Carolina, 27707
Updated January 30, 2023

DISCLAIMER: The facility name, logo and brand are the property and registered trademarks of Community Alternatives, 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 Community Alternatives.

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