The Alcohol and Drug Recovery Center (ADRC)

The ADRC provides a multi-disciplinary team approach to the evaluation and treatment of chemical dependency. We offer inpatient and outpatient treatment, day hospitalization and family programs to make recovery a way of life. Our treatment options emphasize:

• Education about the illness of chemical dependency
• Realization of the consequences and potentially fatal nature of chemical dependency
• Recognition of symptoms of the illness and triggers that lead to chemical use
• Physical healing, beginning with detoxification and close medical evaluation and monitoring, as needed
• Practical lifestyle change strategies
• Emotional and social restoration, supported by family education and therapy as well as therapeutic and educational groups
• Twelve-step program participation and follow-up care to provide on-going support
• Relapse prevention skills
• Extensive Volunteer Program

We treat people from highly diverse backgrounds and at different stages of the illness continuum. Confidentiality is maintained for those participating in treatment. Our program is designed to support patients as they build truly new lives, free from alcohol and drugs.

The first step to successful recovery begins with a comprehensive assessment of the patient's condition. A thorough medical, psychological and laboratory assessment is completed and an individualized course of treatment is then prescribed. Assessments are available for adolescents and adults whose use of drugs and/or alcohol:

• Is interfering with work, school or relationships with others; and/or
• Is resulting in problems with the legal system; and/or
• Represents a danger to oneself or other

The Alcohol and Drug Recovery Center directly supports Cleveland Clinic's mission to provide world-class quality patient care in a setting of education and research. The ADRC provides a multi-disciplinary team approach to the evaluation and treatment of chemical dependency. The Center's cost-effective, affordable services are designed to help patients confront and overcome their chemical and/or alcohol dependency, and to assist them in developing strategies for maintaining a chemical-free lifestyle to enhance their quality of life.

Our complete, confidential inpatient and outpatient services emphasize a restoration of health and total patient well-being. Based on completely customized treatment planning and implementation, our comprehensive continuum of care incorporates traditional components – compassion, understanding, a thorough understanding of the disease process and a 12-step philosophy – in an environment that fosters creative, innovative treatment strategies.

Cleveland Clinic's Alcohol and Drug Recovery Center is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for the treatment of chemically dependent individuals. The ADRC is also accredited by the Ohio Department of Alcohol and Drug Addiction Services (ODADAS) and the Substance Abuse and Mental Health Services Administration (SAMSHA). We are also licensed by the Drug Enforcement Agency (DEA).

Inpatient treatment is often necessary for patients who need close medical supervision, detoxification and individualized attention to medical or psychiatric needs. Our patient-staff ratio allows for close medical supervision and individualized care. The decision for inpatient treatment is generally made after a comprehensive evaluation of the physical, emotional, family and social needs of each patient. Inpatient care usually begins with a thorough physical and psychological examination.

Services offered:

• Psychiatric evaluation and treatment as needed
• Medical evaluation and treatment as needed
• 24-hour medical nursing supervision
• Psychological testing as needed
• Access to all Cleveland Clinic specialists
• Sobriety-oriented rehabilitation therapy
• Group therapy
• Community self-help groups
• Family educational sessions
• Alcoholics Anonymous treatment philosophy
• Stress management
• Physical and occupational therapy
• Pastoral, nutritional and vocational services as needed
• Complex medical issues
• Legal & social issues
• Dual diagnosis
• Pain medication dependence
• Pregnant patients (less than 20 weeks gestation)
• Suboxone induction
• Methadone detoxification (we do not provide Methadone maintenance)
• Professional programs

The Inpatient Treatment Program is generally appropriate for patients requiring more intensive therapy. The majority of patients seen at the ADRC receive treatment on an outpatient basis. Inpatient treatment options include:

• 23-hour observation
• Detoxification for patients requiring medical supervision as they withdraw from drugs and/or alcohol use – the average inpatient length of stay for detoxification is 3.5 days

Ambulatory detoxification is offered to patients requiring medical supervision during withdrawal, but who do not need inpatient care. Ambulatory detox is usually offered in conjunction with day treatment.

Our three-day, six-week intensive outpatient programs include:

• Primary Outpatient Program (POP) – an intensive outpatient treatment program designed for patients whose family and job responsibilities permit them to participate in morning treatment. POP meetings begin promptly at 9 a.m. and last until Noon every Monday, Wednesday and Thursday for six weeks.
• Primary Evening Program (PEP) – an intensive outpatient treatment program held in the evening. This program allows patients to recover while maintaining job and family responsibilities during the day. PEP meetings begin promptly at 6 p.m. and last until 9 p.m. every Monday, Wednesday and Thursday for six weeks.

Services offered:

• Group therapy
• Orientation community self-help groups
• Informational lectures
• Family educational sessions
• Alcoholics Anonymous treatment philosophy
• Stress management
• Occupational therapy
• Pastoral, nutritional and vocational services as needed

The Intensive Outpatient Programs are for patients who understand that they are dependent on alcohol or drugs and have taken the initiative to seek treatment. Patients must commit to attending at least 6 weeks of treatment. Upon completion of the Intensive Outpatient Programs, individuals will make a transition into a series of 6 weekly follow-up (aftercare) meetings.

The Unit Intensive Outpatient Program (UIOP) is focused on relapse prevention, re-integration into family and work and maintenance of sobriety. The UIOP is designed for patients who have completed detoxification for chemical dependency, but continue to experience moderate difficulty adapting in social, medical, family and/or vocational functions. The UIOP is especially designed for patients who might have dropped out of treatment more than once or who have repeatedly relapsed following treatment. The program activities are customized to meet patient needs.

While the schedule of the UIOP is flexible, most patients attend the program for 3 to 6 hours a day for four weeks. The program is offered from 9 a.m. – 12 p.m., or later as needed, on Monday through Friday.

Day Treatment Program

Patients who do not require the close medical and nursing attention of the Inpatient Detoxification Treatment Program can enter the Day Treatment Program. This partial hospitalization program includes the same range of services as the Inpatient Treatment Program, except for 24-hour medical and nursing supervision.

Patients in the Day Treatment Program participate in all Inpatient Program activities, lectures and groups during the day. In the evening, patients return home or stay in one of three hotels located on our campus at a discounted rate. This program is for medically stable patients living in a supportive environment. It is also for patients who have the alternative of staying in dormitory accommodations.

Patients can enter Day Treatment immediately if detoxification is not required or outpatient detoxification is appropriate. Alternatively, patients may enter Day Treatment once inpatient detoxification is complete. Day Treatment is also suggested for patients requiring a transitional phase between their inpatient treatment and outpatient care.

While the schedule of the Day Treatment Program is flexible, most patients attend the program for 12 hours a day for an average of 5 days. The program is offered from 8:30 a.m. – 8:30 p.m. (However, these hours can be adjusted to meet individual needs when necessary).

The ADRC offers the following treatment services for adolescents:

• Assessment – A two-hour outpatient evaluation to determine the appropriate level of care. Conducted Monday through Friday.
• Group counseling for at-risk teens – Separate weekly groups are available for male and female adolescents who are experiencing consequences from their use/abuse of alcohol or drugs.
• Family and school involvement – ADRC counselors work closely with family members and school personnel to assure effective collaboration and support.
• Random urine testing for drugs – Group participants are required to provide weekly supervised urine samples while in treatment.

Our adolescent program is designed for adolescents who do not meet the diagnostic criteria for a diagnosis of chemical Dependency:

• Is interfering with work, school or relationships with others; and/or
• Is resulting in problems with the legal system; and/or
• Represents a danger to themselves or others

Family involvement is a critical component of chemical dependency treatment to help families heal along with their loved one. The Family Program allows the spouse, children, significant others and extended family members of chemically-dependent people to recover together, encouraging new understandings and healthier attitudes toward the illness of chemical dependency. Family education activities focus on the nature of addiction, co-dependency, addictive family systems, and 12-step community support groups such as Al-Anon and Ala-Teen.

Family Support Group Schedule

• Family Group on Tuesday's 6:30 p.m. - 8:30 p.m.
• Family Self Help group on the 2nd and 4th Monday 7 p.m. - 8 p.m. in the P68 conference room

Co-dependency is a mental, emotional, physical, behavioral, and spiritual disorder. It most often affects individuals raised in an addictive or dysfunctional family environment. People who are co-dependent often lack consistent self-esteem, have difficulty setting limits, and are overly concerned about the needs of others while being unable to take care of their own needs. Co-dependent people often cannot express their feelings appropriately. These individuals are often "other-focused" and try to control others in an effort not to lose self-control.

The ADRC offers individual and family therapy focused on issues of co-dependency. Co-dependency treatment is appropriate for someone involved in a relationship who places the other person's needs first, putting him or herself in jeopardy. This group may include the spouse, children, parents, extended family, employer and/or close friends of chemically dependent people.

Studies have shown that aftercare is essential to recovery, since patients actively involved in aftercare significantly improve their chances of recovering from chemical dependency. Our Aftercare Program helps prevent relapse and promotes patient growth and development.

Services offered:

• Individual, marital and group counseling
• Employer consultation
• Justice system liaison

Our wide range of aftercare services is offered at convenient times throughout the week. Most patients attend the Aftercare Program once or twice a week.

For groups of patients with similar backgrounds who have completed treatment here at Cleveland Clinic or elsewhere, our Recovery Groups offer support from others who have had similar experiences. Aftercare groups help strengthen the positive impact of treatment.

Some of our Recovery Groups include:

• Executive Inner Circle – Designed to meet the needs of executives and other professionals whose sobriety can be undermined by their high stress work environments.
• Women in Recovery Group – Supports on-going sobriety and relapse prevention by addressing chemical dependency concerns that are unique to women, such as the balance between work and family, assertiveness skills and parenting issues.
• Men’s Recovery Group – Supports on-going sobriety and relapse prevention by addressing chemical dependency concerns that are unique to men, including interpersonal skills development and stress management.
• Inner Circle for Professional Athletes – Treatment that focuses on athletes’ highly specialized needs. Inner Circle provides the flexibility that athletes’ demanding travel schedules require.
• Medical Professionals Group – Provides group therapy for health care providers whose work has been compromised by their chemical dependency. This Group includes intensive psychotherapy to enhance professional performance as well as advocacy with licensing boards, employers and family members to secure the restoration of full professional responsibilities.
• Transplant Patient Group – Provides support while promoting abstinence and compliance for solid organ transplant candidates and recipients with addictive disorders.