F A Q s – Frequently Asked Questions
What is included in CHI’s scientifically based treatment program?
1. Multidisciplinary therapies, as detailed in the 360 Degree Treatment Program outlined under the Treatment Program tab
2. State-of-the-art protocols based on best practices for the treatment of alcohol and chemical addiction disorders, including holistic, combined treatments that are based on scientifically proven methods for attaining and sustaining sobriety
3. Introductory and on-going assessment tools for identifying the severity levels of addiction and social stress on the participants
4. Customization and dual diagnosis treatment plans and contingency management
5. “Total health” community reinforced enhancements, including:
- medical oversight
- family educational programs
- twelve months of case management
- comprehensive psychotherapies
- medical detox and supervision
- integrative therapies, holistic medicine
- nonprofit interfacing opportunities
- sober living environment referrals
- volunteer programs
- nutritional supplements and gym membership
*All of our treatment models are scientifically supported and recommended by The National Coalition on Addiction and Substance Abuse (CASA) of Columbia University, outlined in Addiction Medicine: Closing the Gap between Science and Practice, (2012).
**Therapeutic modalities promoted within this model include, but are not limited to: Family Systems, Cognitive-Behavioral, and Transpersonal Therapies; Somatic Release Work; Group, Couples and Family Therapies; and 12-Step Enhancement Work. Ph.D.-level psychologist subcontractors will address the needs of dual diagnosis clients. We will register as Critical Incident Reporters with local insurance providers and county agencies following a Pilot Program Study conducted in 2013-2014.
A: Do you offer detox support?
Yes! All program applicants will begin their journey with a medical examiner who will assess his or her addiction severity levels and detoxification risks. Most people do not require an in hospital medically supervised detoxification plan, and if that is you, we have you covered with an outpatient medically-supervised system of care. We offer medical intervention, pharmaceutical relief, acupuncture therapy, FAR infrared therapy, and nutritional supplements with amino acids, all included. These methods decrease clients’ cravings through gentle organ support, and increase reparation to the cells and brain regeneration. If additional support is needed, we can arrange bedside support, psychiatrist evaluation, and even lockdown facilities at an added charge.
If a patient is in a high risk category for complications from withdrawal, then he or she will be referred to Orinda Center, a free County-run detox center in Santa Rosa, California, or you may use insurance at Memorial Hospital in Santa Rosa, or Saint Helena Hospital in Napa for intensive detox support, prior to entering our treatment program. This medically supervised support is outside the parameters of our services. Once released and determined by medical staff to be stabilized these participants may initiate re-entry into our program. Should a participant elect to do a slow, self-directed withdrawal over a course of weeks, they will not be admitted into the program until they have cleared medical review of their conditions and are found to be appropriate candidates.
A: What is not included?
Hospitalizations, clinical in-patient detox, interventions, disciplinary actions, retrievals, court reporting, customization services, sober living environment expenses, blood work, added drug screening, psychiatric evaluations and follow-up, and auxiliary services or any other services outside of our agreements.
A: Can I come to this program from jail or under court order?
Well, that depends on why you want to come to us. We do not take violent offenders or people only interested in the program because they have to come. ALL of our participants are sincere in their desire to get clean and to discover their full potentials as human beings. If this describes you, then sure… let’s talk. Most judges and probation officers will accept our program as satisfying residential inpatient treatment requirements. It won’t seem like it from how the order is written, but they do. That is because our program exceeds the requirements they are attempting to meet.
A: Who are my Treatment Providers?
Your Provider Team is comprised of qualified experts in addiction recovery, and also in their own principal fields of study. A critical factor in addiction treatment success, science has shown, is the use of qualified treatment providers. CHI only sub-contracts to clinically trained, licensed, highly-educated, and skilled providers. Every member of your Provider Team—your medical doctor, your certified addiction acupuncturists, your certified nutritionists, and your therapist—are highly skilled and educationally advanced professionals. Even your Case Manager has attained higher skills or education in social work, psychology, education, or nursing. All psychotherapy is provided by Marriage and Family Therapists or PhD psychologists with focused training in Cognitive-Behavioral Therapy and Family Systems Therapy. We do not work with “Addiction Counselors” in any of our principal treatment roles.
A: All providers are self-employed, independent contract workers who are required to maintain their own building and malpractice insurances, offices, tax duties, and appointment calendars. CHI Recovery, Inc. will not accept any managerial or employer liability or obligation for any participating affiliate.
Therapeutic modalities promoted within CHI’s model include, but are not limited to: Trauma specialization, Family Systems, Cognitive-Behavioral (CBT), and Transpersonal Therapies; Somatic Release Work; Dialectical Behavioral Therapy, (DBT) Group, Couples, and Family Therapies; and 12-Step Enhancement Work. Ph.D.-level psychologist subcontractors frequently address the needs of dual diagnosis clients.
A: What are the unique qualities of this program?
CHI’s treatment program is integrated into the client’s daily life, making it more logistically practical for school-aged adolescents, parents with young ones, and the employed. A failure in current addiction treatment is the “abstinence model”—people abstain not only from their substance of choice but from their entire environment, sequestering themselves away from their home communities for 30-60 days to “get sober,” only to have the addict return home and land back on the path that leads to risk, old influences, and former ways of socially relating…and right back into drugs and alcohol!
Treating people within their own community is now thought to be more sustainable than programs that treat abusers away from their home environment, although sometimes, especially with youth abusers, isolation from their community is called for. Life-long sustained sobriety often requires a strong support community to achieve the best results. CHI helps the client develop a supportive sober living community during their entire program term. There is a strong emphasis on the creation of an entirely new social network. This is largely achieved through a strategy unique to CHI— hereafter referred to as “community reinforcement.” By combining a strong social component with behavioral and physical health management services clients can be immersed into a wide spectrum of new opportunities.
A: Why do you say you are better than most?
- Cost: CHI delivers a superior treatment program, and does so at a cost significantly below current competitors’ rates.
- Provider Education: Through shared treatment protocols, we get the various providers “on the same page” regarding treatment. This ends the battle between the therapist, who is trying to get the patient to be drug free and receptive to treatment, only to have the MD putting the patient on methadone. By providing state-of-the-art information regarding patient care, all professionals work in tandem, instead of at cross-purposes.
- Psycho-pharmacological and nutritional support: Evidence dictates that Campral, a non-addictive or emotionally-interrupting drug, assists the brain in regenerating quicker. It also helps patients by reducing the intense cravings associated with addiction. Amino acids help patients to stabilize through reparation of their digestion and absorption—also key in supportive detox and core strengthening.
- Demographic outreach: CHI™ serves individuals of all ages, 14 years old and older, and addresses associated symptoms and groupings frequently associated with addiction, including depression, dual diagnosis, and conduct disorders in adolescents, high conflict couples, blended families, LGBT clients, and extended and genetic families.
- Comprehensive 360 Degree Treatment Plan:
- Psychological therapies include individual, group, and relational counseling in addition to personalized Case Management and intensive retreats.
- Acupuncture-assisted detox and organ support: creating ease and nurturing environment for detox, and supporting total health model of care.
- Community reinforcement: Our six-month course of service provisions integrates education for the patient’s entire family/community, twelve months case management, and integrative community reinforcement; all methods scientifically evidenced to achieve successful, sustainable sobriety for addicts of all ages. “Total health” community reinforced enhancements include:
- family educational programs, live and online
- twelve months of case management
- nonprofit interfacing opportunities
- sober living environment referrals
- volunteer programs
- integrative, holistic medicine
- alternative support auxiliary menu
A: Can I select out portions of the treatment plan or add on additional treatments?
Yes! You may add services from our Auxiliary menu in order to sculpt services to meet your specific desires and needs. You may not, however, delete portions from the general treatment plan or alter the treatment in a significant way without the Program Director’s approval. Many people have unique circumstances which we can often accommodate.
A: Can I hold a job? Go to school during treatment? Still care for my kids?
The first month of scheduling for your combined therapies and appointment requirements can be intense. If you have an afternoon or night job we can help you work around your schedule. If you have a day job, this may be difficult to manage full-time during treatment…we will have to discuss your situation in detail during your Intake session. We encourage you to put your recovery first and the job second.
From your second month on, you can resume a regular part-time to 3/4 time schedule, work, and many participants have been able to take full course work at the JC in our area, because so many classes are offered throughout the day and evening! We want you to be a success in life and a great parent, so we will work with you to the best of our ability.
A: What does the Program cost?
CHI’s (IOP) Outpatient CORE Program costs $10,000 per month for the first three months, $8,000 for the 4th month, $7,500 for the 5th month, and $6,500 for the sixth. All subsequent months are custom priced according to services (averaging $4,500 month). The Residential program, (which includes two meals a day, five days per week) costs $2,000 more per month, every month. You are not required to leave the home upon graduation, unless it is encouraged by staff. The minimum enrollment term for either program is three months although the program has been proven most successful at six months–we will explain why during your intake, or by phone if you prefer.
Program fees are NONREFUNDABLE. Three months of program ($30,000) are prepaid in advance, by bank wire transfer. We understand that money often has to be moved or accounts liquidated. If this is your situation, then we may extend you the courtesy of allowing entrance into the program with a deposit of $8,000, which must be received prior to scheduling an intake appointment. (Please see our lending information on this website.)
If you leave the program prior to completion or are removed from the program for non-compliance then you forfeit any remaining balance. You will also pre-pay for all Auxiliary Services you select, which have an additional charge. Interventions, (due to failure to comply with the program,) such relapse, drug testing, or housing crisis are assisted, and charged for at an additional cost.
A: Can I make payments? Do you take insurance? Is this covered by MediCal?
Currently, Medi-Cal and Kaiser do not reimburse for any part of this program. Other health insurance may cover portions of the program expense. Please contact your healthcare carrier directly to find out how much they will contribute to services for “out-of-network providers.” We will give you the billable codes you will be using, to provide to them, in order to get an more accurate estimate. We are glad to assist you in acquiring your benefits. Be sure to mention your insurance carrier during your initial call with us so that we can direct you accordingly and manage expectations effectively.
We have Financing options available through a healthcare lending company; if you qualify for a loan, they can offer you one at reasonable rates (of course, dependant on your personal financial situation). As for your personal insurance, we are as yet, an “out-of-network provider.” This means that many of our services are generally reimbursable under some insurance policies. To discover what your insurance may reimburse you, request a list of billable codes from our office, included in the Inquiry Packet.
A: Where will I be in treatment? Can my family visit?
Your treatment will occur in beautiful West Sonoma County, mostly in the vibrant town of Sebastopol, California, just next-door to Santa Rosa. If your family and friends are supportive of your sobriety and recovery and adhere to our requirements they can be a regular part of your life–this is principally an outpatient modeled program. You manage your days and your relationships.
A: What if I don’t live nearby–where will I live?
If you are coming from some considerable distance we can recommend Sober Living Environments, aka “SLE” (temporary safe and sober housing) or direct you to other housing arrangement professionals. (See the Get Help Today tab above to apply and to receive details.) Housing costs are not included in program costs, but SLEs generally cost between $600-800 per bed per month and require a minimum stay of 3 months. We have partnered with Arcuria, the state’s licensing agency for Northern California’s SLEs so we are confident in their management.
A: What is Scientifically Evidenced Treatment?
The report, Addiction Medicine: Closing the Gap between Science and Practice, reveals that while about 7 in 10 people with diseases like hypertension, major depression, and diabetes receive treatment, only about 1 in 10 people who need treatment for addiction involving alcohol or other drugs receive it. Of those who do receive treatment, most do not receive anything that approximates evidence-based care.
Evidence–based care is medical or healthcare treatment which has been demonstrated by scientific evidence to achieve success in the treatment of what it is intending to treat. Scientifically evidenced care has been tested, and proven to work—through the use of standards applied to empirical evidence. These treatments are not based on conjecture, cost, rumor, or habit, and are not dictated by what “the competitor” offers. In making informed choices about healthcare, people increasingly seek credible evidence.
The CASAColumbia report finds that addiction treatment is largely disconnected from mainstream medical practice—or evidence-based practices. While a wide range of evidence-based screening, intervention, treatment, and disease management tools and practices exist, they are rarely employed. Furthermore, the report exposes the fact that most medical professionals who should be providing treatment are not sufficiently trained to diagnose or treat addiction, and most of those providing addiction treatment are not medical professionals and are not equipped with the knowledge, skills, or credentials necessary to provide the full range of evidence-based services.
“This report shows that misconception about the disease of addiction are undermining medical care,” said Drew Altman, PhD, President of The Henry J. Kaiser Family Foundation, who chaired the report’s National Advisory Commission. The report finds that while doctors routinely screen for a broad range of health problems like high blood pressure or high cholesterol, they rarely screen for risky substance use or signs of addiction, and instead treat a long list of health problems that result, including accidents, unintended pregnancies, heart disease, cancers, and many other costly conditions without examining the root cause.
A: What is meant by 360 Degree Treatment?
CHI’s 360 Degree Program™ focuses attention on “Whole Self Integration”; we attend to each individual’s “mind-body-spirit-society” unification goals while also fostering increased balance and compassion within. Medical oversight, psychological counseling, group therapy, acupuncture, massage, physical training, and pharmacological support are just the beginning of our treatment approach. All of these services, in addition to those not mentioned, are included in the costs associated with the 360 Degree Program. In addition to this Pilot Program package, additional services are accessed in coordination with county-wide substance abuse services within the communities we serve. This unique feature, called “community reinforcement,” allows us to integrate the participants into a more supportive larger society. Our model also allows for customized, individualized design elements: auxiliary services may be added to any individual’s program.
A: I’m gay (or lesbian, bi, transgender, undefined). Will I be comfortable here?
Absolutely! Our staff and participants fully embrace gender fluidity and identity.
Sonoma County a “queer-friendly” place. As therapists, we are conscious of the unique considerations of this community and can help you resolve any concerns you have expressing your sexuality, identity, faith, and/or healing conflicts with family.
A: Tell me about the Administrator of the Program.
CHI Recovery, Inc. is a psychological treatment coordination center which serves individuals and families, including the children of our participants by a child psychologist. We also treat youth addiction, providing customized treatment programs for them and their families, (ages 12 to 19.) We do not have a residence for youth–family members will need to provide resident support and transportation to youth participants, joining the treatment team as an active partner in recovery.
Chi Recovery’s affiliate mental health providers hold advanced degrees and have a minimum of 10 years or more in the treatment of addiction, co-occurring disorders and codependency. CHI administers the CHI Recovery Program by implementing the systems, tools, and services provided by CHI, and will conduct all interviews and hiring of auxiliary and principal participants. We are a non-discriminatory, equal opportunity contractor.
A: All providers are self-employed, independent contract workers who are required to maintain their own building and malpractice insurances, offices, tax duties, and appointment calendars. No provider is in the employ of CHI Recovery, Inc. Neither CHI Recovery will accept any managerial or employer liability or obligation for any participating affiliate.