VA Caribbean Healthcare System
Overview
VA Caribbean Healthcare System is a substance abuse treatment center for people seeking treatment near San Juan County. As part of their treatment modalities for recovery, VA Caribbean Healthcare System provides 12-step facilitation, family counseling, and individual psychotherapy during treatment. VA Caribbean Healthcare System is located in San Juan, Puerto Rico, accepting cash or self-payment for treatment.
VA Caribbean Healthcare System at a Glance
Payment Options
- Cash or self-payment
- Federal military insurance (e.g., TRICARE)
- State-financed health insurance plan other than Medicaid
- Sliding fee scale (fee is based on income and other factors)
- Medicaid
Assessments
- Comprehensive mental health assessment
- Comprehensive substance use assessment
- Screening for tobacco use
- Interim services for clients
- Outreach to persons in the community
Age Groups
- Young adults
- Adults
- Seniors
Ancillary Services
- Case management service
- Integrated primary care services
- Suicide prevention services
- Acupuncture
- Domestic violence services, including family or partner
Accreditations
The Joint Commission:
The Joint Commission accreditation for addiction and behavioral health is a prestigious recognition signifying a facility's commitment to delivering high-quality care and safety for individuals dealing with substance abuse and mental health issues. It involves rigorous evaluations and assessments, ensuring patients receive evidence-based treatment and exceptional care. This accreditation demonstrates a facility's dedication to continuous improvement and ethical practices, building trust among patients and healthcare professionals seeking top-tier addiction and behavioral health services.
SAMHSA certification for opioid treatment program (OTP):
SAMHSA's Opioid Treatment Programs (OTPs) accreditation is a rigorous recognition process that signifies an OTP's commitment to providing high-quality care for individuals dealing with opioid use disorders. It assures patients, families, and the community that the program adheres to evidence-based practices, employs qualified staff, and maintains a safe treatment environment. This accreditation is a symbol of quality and accountability, offering confidence in the program's ability to support individuals on their path to recovery from opioid addiction.
Hospital licensing authority:
The Hospital Licensing Authority is responsible for granting licenses to healthcare facilities, ensuring that they meet the standards and regulations set by the government. Accreditation is a process of evaluation and recognition by a third-party organization, confirming that the hospital meets specific quality and safety standards.
Federally Qualified Health Center:
Federally Qualified Health Center (FQHC) accreditation is a process of evaluation and recognition by the federal government for community health centers that provide comprehensive and accessible healthcare services to underserved populations. FQHC accreditation is essential for centers to receive federal funding and to ensure that they meet standards for quality, patient-centered care.
Treatment At VA Caribbean Healthcare System
Conditions Treated
24-Hour Clinical Care:
At certain points in the recovery process, it's important to have support available 24/7. 24-hour clinical care offers a safe environment in which to recover from drug or alcohol addiction in peace, knowing medical detox and other treatment will happen with professionals on hand.
Mental health treatment:
Mental health facilities offer a safe space for individuals to get specialized care. Trained experts create personal plans using therapies, possibly including medication. The goal is to help individuals cope better and lead fulfilling lives, with constant support and a community feel.
Alcoholism:
Alcohol addiction is when a person becomes physically and mentally dependent on alcohol, leading to mood swings, impulsive actions, intense cravings, and withdrawal symptoms. Treatment includes supervised detox, therapy, and support groups. It's important to note that rehabilitation doesn't "cure" alcoholism, but it helps individuals better manage their addiction, regain their ability to function in daily life, and improve their overall well-being.
Opioid Addiction:
Opioid rehabilitation centers are dedicated to assisting individuals on the path to recovery from opioid addiction. They provide specialized care for those struggling with addiction to substances like heroin and prescription opioids such as oxycodone. These facilities offer a comprehensive approach, including medical detoxification, ongoing medical assistance (including medication-based treatment), and therapeutic support to address the root causes of addiction.
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 specialize in the treatment of individuals who suffer from a co-occurring mental health disorder and a substance use disorder. This complex interplay between addiction and mental health can make recovery more challenging, as each condition may exacerbate the symptoms of the other. Dual-diagnosis rehabilitation centers offer an integrated approach that addresses both issues simultaneously and often includes a comprehensive assessment for an Integrated Treatment Approach through Holistic Therapies, including family therapy and aftercare treatment.
Levels Of Care
Partial Hospitalization Program:
A partial hospitalization program (PHP) is a short-term form of intensive rehab, usually for those with acute symptoms that are hard to manage but don’t require 24-hour care. PHPs have structured programming (i.e. individual and/or group therapy), and usually meet 3-5 days a week for around 6 hours (i.e. 9am-3m). Some PHPs are residential (patients sleep on site) and some are not, so patients sleep at home. PHPs can last from 1-6 months, and some offer transportation and meals.
Hospital inpatient/24-hour hospital inpatient:
The 24-Hour Hospital Inpatient for Addiction Treatment program offers comprehensive, round-the-clock medical care and support for individuals grappling with substance use disorders and addictions. Situated within a medical hospital environment, this specialized inpatient program is designed to address both the immediate and long-term needs of patients, ensuring their safety, stabilization, and comprehensive recovery.
Intensive outpatient treatment:
IOP, or Intensive Outpatient, is a structured level of care for addiction, mental health, or other conditions. Unlike inpatient care, it allows individuals live at home and maintain daily responsibilities. They attend multiple weekly sessions totaling 9-20 hours, including individual and group therapy, family counseling, and skill-building classes for symptom management and relapse prevention.
Detoxification:
Detoxification (detox) is the process of clearing the body of drugs or alcohol that an individual has consumed. The purpose of detox is to safely manage withdrawal symptoms when someone stops taking drugs or alcohol. It denotes a clearing of toxins from the body of the patient who is acutely intoxicated and/or dependent on substances of abuse. Detoxification seeks to minimize the physical harm caused by the abuse of substances.
Aftercare:
Finishing a drug or alcohol rehab program is not the conclusion of substance abuse treatment but rather a pivotal step toward long-term recovery. Aftercare encompasses devising a sustainable recovery plan coupled with enduring support. It may include sober living environments such as halfway houses, career counseling, and connecting patients with community support programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). This holistic approach ensures a smooth transition into a substance-free life while bolstering resilience against relapse.
Halfway house:
A sober living residence provides a nurturing atmosphere where individuals in recovery offer each other mutual support while sharing household duties. Residents actively engage in 12-step programs and hold one another accountable for maintaining sobriety. To continue residing in either a men's or women's sober living environment, individuals must stay free from drugs and alcohol, actively contribute to household responsibilities, attend support group meetings, and contribute to the living expenses of the home.
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.
Hospital inpatient treatment:
Inpatient treatment comprises a thorough residential therapeutic program, during which patients reside on-site for a period generally lasting from 30 to 90 days. This immersive setting provides organized assistance, guaranteeing safety and a dedicated approach to recovery. The array of therapies available encompasses individual and group counseling, cognitive-behavioral therapy, holistic interventions, family therapy sessions, and experiential therapies. The primary goal is to address the physical, emotional, and psychological facets of addiction or mental health disorders, establishing a strong foundation for enduring healing.
Outpatient detoxification:
Outpatient Detoxification denotes a medical procedure wherein individuals grappling with substance dependence undergo a systematic and secure withdrawal from these substances while receiving medical oversight without the need for hospitalization or admission to an inpatient facility. This method empowers patients to detoxify from drugs or alcohol within a less confining setting, often permitting them to uphold important daily obligations like work or familiar responsibilities, in addition to being more cost-effective compared to inpatient detox.
Outpatient methadone/buprenorphine or naltrexone treatment:
Methadone maintenance treatment (MMT) offers an alternative to those battling opioid addiction. This regimen centers on the prolonged administration of methadone, an artificial opioid, aiming to decrease or halt the intake of unauthorized opioids like heroin. Coupled with the right dosage, counseling, and supplementary services, MMT can play a pivotal role in anchoring patients' lives, curtailing illicit substance consumption, and minimizing hazards associated with drug misuse, including overdoses and the spread of infections.
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.
Hospital inpatient detoxification:
Hospital Inpatient Detoxification provides intensive care for individuals withdrawing from addictive substances. Patients receive 24/7 medical supervision within a controlled environment, alleviating withdrawal symptoms and ensuring safety. This acute treatment is ideal for individuals with severe addictions, previous withdrawal challenges, or those who lack a supportive detox environment at home.
Treatment Modalities
12-step facilitation:
Recovery models grounded in 12-step programs prominently incorporate peer coaching, strongly emphasizing personal growth as the pathway to enduring sobriety. Regular participation in 12-step meetings, known for their anonymity, cost-free access, and daily availability, is encouraged. The 12 steps of recovery, anchored in spiritual principles, guide participants in unraveling the core issues of their addiction, taking accountability for their decisions, and coming to terms with aspects beyond their control. Chosen by the individuals themselves, sponsors offer personalized one-on-one mentorship, aiding in navigating through the recovery journey.
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.
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.
Trauma-related counseling:
Trauma therapy addresses the underlying emotional and psychological wounds that may contribute to an individual's substance abuse. Through a combination of psychotherapy and coping strategies, individuals are aided in processing past traumatic experiences, understanding the impact of trauma on their current behavior, and developing healthier coping mechanisms. This holistic approach fosters resilience, aids in the resolution of trauma, and is fundamental in supporting individuals on their path toward sustained recovery from addiction.
Group counseling:
Group Counseling is a therapeutic approach where individuals come together under the guidance of a trained counselor to share experiences, offer support, and gain insights. This collective format promotes mutual understanding and growth, allowing participants to learn from one another's perspectives and challenges.
Marital/couples counseling:
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.
Life Skills:
Life skills training encompasses a comprehensive set of abilities essential for individuals to thrive in society. These encompass time management, career guidance, financial acumen, and effective communication. In the context of addiction recovery, true success goes beyond mere abstinence; it's about flourishing. Life skills instruction equips individuals with the practical tools needed to navigate society successfully, paving the way for a fulfilling life and, consequently, lasting sobriety.
Rational Behavior Therapy:
Rational Behavior Therapy (RBT) is a subset of cognitive behavioral therapy designed to be concise and all-encompassing. Its goal is to equip clients with the tools to become more independent, reducing the reliance on prolonged and costly therapy. A key component of RBT is "rational self-counseling," aimed at empowering individuals with the skills to address future emotional challenges autonomously or with minimal professional intervention.
Nicotine replacement:
Nicotine Replacement Therapy (NRT) provides nicotine to the system without the need for smoking. It utilizes products that deliver minimal doses of nicotine, assisting individuals in their quest to quit smoking. The therapy aims to reduce nicotine cravings and mitigate withdrawal symptoms.
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 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.
Smoking/vaping/tobacco cessation counseling:
Tobacco Cessation Counseling is a specialized form of guidance and support aimed at helping individuals quit tobacco use. Through a combination of motivational strategies, behavioral techniques, and education on the health risks associated with tobacco, trained counselors assist users in understanding their addiction, developing a personalized quit plan, and navigating the challenges of withdrawal and relapse prevention. This counseling approach can significantly increase the likelihood of successfully quitting and maintaining a tobacco-free lifestyle.
Treatment for gambling disorder:
Treatment for compulsive gambling can vary based on individual needs and available resources. Options may include outpatient, inpatient, or residential programs. Some individuals may also consider self-help approaches, like structured internet-based programs or telephone consultations with mental health professionals. In certain cases, treatment may encompass addressing co-occurring issues such as substance misuse, depression, anxiety, or other mental health concerns as part of the overall plan to effectively address compulsive gambling.
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 style aimed at promoting behavior change by helping clients explore and resolve ambivalence. Through empathetic engagement and evoking change talk, MI empowers individuals to harness their own motivation to overcome addiction, leading to a self-directed path to recovery. This approach respects individual autonomy while supporting positive change in a compassionate, non-confrontational manner.
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.
Matrix Model:
The Matrix Model involves clients in group and individual counseling, psychoeducation, and skill-building exercises to boost self-awareness, coping skills, and well-being. It prioritizes creating a supportive, collaborative therapy environment, promoting active client involvement in their recovery. This approach integrates cognitive-behavioral therapy, 12-step facilitation, family education, and relapse prevention strategies into a comprehensive evidence-based program.
Relapse prevention:
The Relapse Prevention Model is a cognitive-behavioral approach designed to help individuals anticipate and effectively cope with potential challenges and high-risk situations that may lead to a return to undesired behaviors, often after a period of abstinence or behavior change. This model emphasizes the importance of recognizing early warning signs, developing coping strategies, and building self-efficacy to sustain positive change and avoid setbacks. Commonly used in addiction therapy, it can also be applied to other areas where behavior change is sought, such as weight management or anger control.
Treatment for other addiction disorder:
Treatment for other addiction disorders typically involve a combination of therapy and medication. This may include individual therapy, group therapy, and behavioral therapy. Medications may be prescribed to help manage symptoms and reduce cravings. Additionally, support groups and aftercare programs can be beneficial in maintaining recovery and preventing relapse. The treatment modality should be tailored to the individual's specific needs and circumstances.
Ancillary Services
Languages
- Spanish
Additional Services
- Pharmacotherapies administered during treatment
- Mentoring/peer support
- Breathalyzer or blood alcohol testing
Special Programs
- Clients with HIV or AIDS
- Active duty military
- Clients who have experienced trauma
- Persons with post-traumatic stress disorder (PTSD)
- Veterans
Contact Information
DISCLAIMER: The facility name, logo and brand are the property and registered trademarks of VA Caribbean Healthcare System, 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 VA Caribbean Healthcare System.
