The Fairfax-Falls Church Community Services Board (CSB) provides residential treatment as part of a continuum of care to address substance use disorders with or without co-occurring mental health disorders. Residential Treatment and Detox Services, a division of the CSB, provides clinically managed and medically managed high intensity residential care. The clinically managed high-intensity residential treatment program is a level 3.5 as defined by the American Society of Addiction Medicine (ASAM).
ASAM describes residential treatment programs as positive recovery environments. These programs provide a therapeutic milieu, which is structed social environment in which residents can learn from and support each other while they learn and practice prosocial behaviors. Through community interactions, residents learn the adaptive coping, social, and relationship skills necessary to build and sustain recovery. The programs provide a structured and safe residential treatment environment to adults with substance use or co-occurring mental health disorders. Daily structured activities are provided to teach recovery and life skills, assist the individual in identifying strategies to develop a supportive recovery network and foster community living skills.
Individuals that need this level of care often have ingrained, unconscious maladaptive interpersonal skills due to immersion in substance use cultures, which often results to rejection by social support networks. Individuals typically experience more significant functional limitations, including poor social skills, extreme impulsivity, emotional lability, and /or maladaptive pro-substance value systems. These limitations require comprehensive, multifaceted treatment that can address all of the individual’s interrelated problems in a 24-hour therapeutic milieu.
Initial structure, rules and guidelines help an individual progress toward development of responsible, recovery-oriented behaviors focused on healthy decision making, personal responsibility and ownership of the recovery process. Individuals are challenged to self-diagnose their substance use and/or co-occurring disorder and develop the coping skills and support systems needed to support ongoing recovery. Program participants are offered individual, group, and family counseling, psychiatric assessment as needed, medication monitoring, comprehensive case management, substance abuse education, acupuncture, bibliotherapy, and regular involvement in the 12-Step recovery communities. The clinical groups offer evidence-based treatments, including Cognitive Behavioral Therapy (CBT), Women’s and Men’s trauma group (TREM and MTREM), and Emotional regulation/DBT skills group. Sober recreation, stress reduction and exercise are also components of the program. The program addresses other core psychological issues which may impede recovery. These could include issues related to family of origin, relationships, trauma, identity and co-dependency.
The CSB offers residential treatment in various locations throughout the county.
