Substance Abuse & Addiction

Recognizing there are many facets of substance use and addiction, Region Ten offers several different types of services to address the community's needs. We respond to those in crisis, those considering a change, those referred by courts and those looking for support in their recovery with services ranging from individual and group therapies to acupuncture and resource management. Feel free to read about the different services we provide. To access services, call 434-972-1800 to schedule an appointment.

(Access to all programs: call (434) 972-1800)

 
Emergency

Crisis services are available 24 hours a day, 7 days a week. The services include counseling and phone consultations with or for people in crisis, as well as admission screenings for Region Ten’s crisis stabilization center, psychiatric hospitalizations, and/or substance abuse inpatient treatment. Services may be provided over the telephone or face-to-face and may occur in clinics, detention centers, police departments, hospital emergency rooms or other locations. Some of these services may be provided in association with the judicial commitment process. In all cases, the least restrictive means to help a consumer in crisis is used.

Populations served: Emergency Services serves all individuals, of any age, ethnicity or disability, who are in crisis due to mental illness or substance abuse.

 
Medical

An array of center-based medical and associated nursing services that focus upon pharmacological evaluation, treatment, management, and monitoring of DSM IV disorders. This service is provided in conjunction with case management/care coordination and is not a stand-alone service.

Specific services include psychiatric evaluation and assessment; psychiatric medication management; laboratory and ancillary services; provision of medication education and informed consent; and dispensing of medications and other pharmacy related activities.

Population Served: Outpatient medical services are appropriately provided to adults having confirmed or suspected DSM IV disorders thought to be in need of pharmacological evaluation, treatment, and/or monitoring and who choose and desire to receive such services.

Access to Program: Appointments may be scheduled through a case manager or care coordinator.

 
Outpatient Counseling

Region Ten provides outpatient counseling as requested and is available. Typically, we provide counseling in blocks of counseling sessions, referred to as "episodes of care." Each block consists of eight to 10 sessions with very clear and achievable goals.

Each person regularly reviews their progress and need for therapy with his or her clinician. As additional needs develop, new episodes of care may be initiated.

Our approach is empathic, person-centered and flexible. We believe that the therapeutic relationship is one of the most important tools at our disposal in treatment and recovery. We encourage supplementing individual therapy with group work to maintain recovery.

We use well-researched and proven treatment such as stages of change, motivational interviewing and enhancement therapy, cognitive behavioral therapy, psycho-education, psychodynamic, family systems, and dialectical behavioral therapies. In addition, we use workbooks and other educational and reinforcing materials.

We encourage active participation in one's own recovery!

 
Resource Management

Often individuals seeking outpatient counseling have needs other than therapeutic ones. Resource Managers help those receiving services at Fourth Street and the Mohr Center identify those needs and work on their resolution. Without help, the unmet needs can stop a person from succeeding.

When someone is referred for Outpatient Services, he or she identifies barriers that might hinder their treatment success. He or she meets with a Resource Manager who begins working immediately to address these barriers. Additional appointments are scheduled as new needs are identified. Resource managers make themselves available before and after most groups to facilitate "drop-ins."

Typical needs that are addressed are: finding furniture, securing childcare, finding permanent housing, locating temporary shelter, paying back utility bills, obtaining fuel assistance, filing for medication assistance, budgeting, getting dental care, applying for benefits,writing a resume, finding employment, accessing Legal Aid, filing a complaint with a magistrate, filing for custody or visitation, filing for child support, finding transportation, getting voting rights reinstated, accessing inpatient services, getting a birth certificate, ID card, or driver's license, getting out of a violent relationship, getting food, getting into an GED or Adult Ed class, applying for financial assistance at UVa for medical care.

 
Group Therapies

Choices: An SA Education/Motivational Interviewing Group - provides 12 weeks of substance abuse information to individuals. A specially designed one-hour Motivational Interviewing group follows the educational component. Many participants are pre-contemplative for change and this group allows them to begin the process of identifying where their use of substances falls on the continuum of use to dependence as well as identifying consequences of their use. Fee is $225 for the series.

Acupuncture is offered twice a day Monday through Thursday and once on Friday. It is a pre-treatment SA group offering auricular acupuncture to reduce cravings and ameliorate withdrawal symptoms. There is no fee for this service.

Intensive Outpatient Program (IOP) meets for 2 hours and 15 minutes per day/four days a week and is for individuals needing intensive SA outpatient treatment. The focus is on getting clean, stabilizing one's self, and accepting one's addiction. The women's IOP uses a Substance Abuse and Mental Health Services Administration (SAMHSA ) approved Matrix model of treatment. Participants in the IOP's attend a minimum of 48 sessions. Sliding fee scale applies. It is appropriate for individuals who are in any stage of change, other than maintenance.

Twice a week groups meet for 90 minutes per day/two days a week. The focus is on developing a recovery plan. They attend a minimum of 24 sessions. This group is often a follow-on to the IOP, but individuals may also be referred directly into it. Sliding fee scale applies. This group is appropriate for individuals who are in the action stage of change.

Living Sober groups meet for 1 hour per day/one day a week. The focus is on relapse prevention and developing life-long skills for living a sober lifestyle. They attend a minimum of 12 sessions. This group is usually a follow-on for the twice a week group, but may also be a part of aftercare recommended by inpatient facilities Also is appropriate for individuals who had previously maintained a significant period of sobriety and who have experienced a recent relapse or who want ongoing support. Sliding fee scale applies.

Recovery Group provides treatment to chemically dependent individuals who also have a Post-Traumatic Stress Disorder. Sliding fee scale applies.

Dual Recovery Group provides treatment to individuals who are chemically dependent and who have at least one other Axis I disorder. Meets once a week for 90 minutes. Sliding fee scale applies. Appropriate for individuals in the contemplation, preparation or action stage of change.

Parenting in Chemically Addicted Families provides parenting education and skills practice to those who are raising children in an environment that includes, or did include, the use/abuse of alcohol and other drugs. Fee is $50 for the series. The Judge can also refer directly into the court when children appear before him on a "Child in Need of Supervision or Services" (CHINS) petitions. They can be brought before the court by DSS, the child's school, other social services type agencies, or the parent.

 
Mohr Center

The Mohr Center provides a 10-bed intensive residential treatment program for individuals recovering from addiction. The program is for men who need supervised drug-free housing while participating in treatment and living skills training at the Mohr Center. The goals of the program are: teach residents how to live free of mood altering chemicals; enhance emotional, physical and financial wellbeing; help residents find and maintain employment.

Applicants must be detoxified and free of any medical condition that will interfere with compliance with substance addiction treatment and must be willing and able to comply with all program requirments. The applicant's behavior must be stable at the time of admission.

Access to Program: Admission is by referral from a Region Ten service provider. Persons who are not served by Region Ten must call (434) 972-1800 to schedule an assessment.

The Mohr Center Public Inebriate Shelter provides a five-bed sobering up shelter for adult males that functions as a law enforcement diversion program for men who are at risk for arrest for public intoxication. The following services are available: assessment and monitoring for possible medical complications associated with withdrawal; monitoring of vital signs at admission and periodically throughout their no more than 24 hour stay; referral to emergency medical/psychiatric treatment, and/or referral to other housing, treatment and self-help groups.

 
Project Link

Project Link was established by the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMRMHSAS) in 1990 to address the issues of addicted pregnant women. Region Ten was one of five CSBs in Virginia awarded implementation grants. Project Link provides assertive case management for women who are pregnant or parenting small children and abusing drugs or alcohol. Providing support, treatment, advocacy, and referrals are a significant part of Link's mission.

Women are referred by Access, their current case manager, or group facilitator. Women are assigned to a Project Link clinician who helps them identify barriers to establishing or maintaining a recovery program. Transportation, rental assistance, and help using community resources is offered to all Link participants.

 
Drug Court/Jail Based

James River ASAP ­ we partner/contract to provide substance abuse treatment for individuals who are referred usually after their second or third DUI arrest. We usually have between four and six groups (10 members each) running at all times. We have capacity for one Spanish-speaking class as needed. Participants do not get released from James River ASAP until they complete their treatment at Region Ten.

Jail Based Services ­ we provide two clinicians, each of whom provide 20 hours per week in the jail’s Therapeutic Community. The other 20 hours per week is used to provide services in the general jail population (Drug Court assessments, SA assessments, and Boxwood prescreens as requested by attorneys, family members, etc.) or to provide similar services on an outpatient basis.

OAR ­ we provide 1 clinician for 8 hours a week to conduct SA evaluations and make treatment recommendations on-site for OAR clients as referred by their OAR case manager.

Anger Management ­ we provide 10 weeks of anger management education to primarily court referred participants.

VIEW/TANF ­ Two full-time clinicians provide mental health and substance abuse services to the VIEW/TANF recipients at the Charlottesville and the Albemarle Departments of Social Services.

 
Substance Abuse Diversion & Recovery Support

Substance Abuse Diversion
The substance abuse diversion program prevents whenever possible admissions of consumers with primary substance abuse problems to state psychiatric facilities. SA Diversion ensures that consumers with primary substance use disorders will be served in the least restrictive community setting that can meet their treatment and safety needs. Crisis intervention, assessment, preadmission screening and funding for detoxification and inpatient care is provided. Supportive counseling and basic case management of needs to support the individual in the community setting is also provided.

Recovery Support
Recovery support provides peer support to those with a substance use disorder diagnosis and/or a co-occurring mental health disorder. Support services are provided to people in locations across the Region Ten catchment area: in our various clinics, people’s homes, in other agencies, in the hospitals or in the street. Services are provided by those in recovery. We partner with other service providers to maximize those we can reach.