OUTPATIENT SERVICES: Acknowledging the common needs of the chemically dependent person, our outpatient services provide education on substance abuse and physical health through individual, group, and family counseling. In addition, CMCSB’s Substance Abuse Program also encourages the individual to become involved in some type of community support system, i.e., a 12-Step recovery program, while developing a long term plan for recovery. Specialized tracks and programs are offered to address individual needs. Variable lengths and levels of care are provided and determined by individualized assessment. Outpatient services for adults are predominately provided by masters level staff or staff with substance abuse certifications. Children and family services are provided by masters level staff who have received cross training in substance abuse and mental health issues. Most children presenting with alcohol and drug problems are usually experiencing trauma related to physical, sexual, or emotional abuse that also needs to be addressed in counseling. Outpatient services are provided at four different locations: Main Center (adjacent to SWCC), Tazewell County Satellite Office (Tazewell), Russell County Satellite Office (Lebanon), and Buchanan County Satellite Office (Grundy).

CASE MANAGEMENT SERVICES: Case management services provides linkage with other service providers or between systems (such as the criminal justice system and the treatment program), in an effort to assist the client with his or her special needs. Case management involves collaboration and networking with other agencies in the community to fill the gaps in services not offered by the treatment program. The range of supplementary services may include domestic violence services, medical care, dental care, housing assistance, mental health treatment, childcare, legal, educational, and vocational services. Helping the client and family negotiate the various service systems and coordinating the referral process are vital aspects of case management. Case management is an important part of all of our outpatient services for adults and children. Specialized case management tracks are provided for individuals referred from the criminal justice system and children living in substance abusing homes.

RESIDENTIAL DETOXIFICATION AND REHABILITATION: Detoxification occurs when addictive substances are naturally eliminated from the body after ceasing drug use. It requires physical and medical support. Clients requiring detoxification may be treated at The Laurels. A client’s particular psychosocial circumstances, personal characteristics, or addiction may mandate residential care. The process begins with an assessment of the client’s need for detoxification. In severe cases of alcohol or drug addiction, residential detoxification allows for withdrawal in a supportive and supervised environment. Residential detoxification should be considered if one or more of the following indications are present:

• A risk of severe withdrawal symptoms, such as epileptic seizures or extreme agitation.
• Deficiencies in the home environment, such as inadequate support or the influence of other drug users.
• Homelessness.
• Person is currently residing in a crisis shelter.
• Failed community detoxification.

The Laurels also provides a short term residential component that focuses on assessment, discharge planning, and appropriate community referral. The clinical and nursing components of the program function as a multi-disciplinary treatment team to maximize the chances of recovery for each patient.

Residential Recovery is a crisis stabilization program located at The Laurels facility. Residential Recovery provides psychiatric treatment for individuals with mental health or co-occurring disorders. Residential Recovery serves as an alternative to hospitalization and allows individuals to remain in the community and close to their family and support systems. Residential Recovery provides a supportive and safe environment while delivering multidisciplinary services and mobilizing community resources and support systems. Residential Recovery empowers individuals with psychiatric symptoms and/or addiction to recover.

Recovery Support Services target individuals with substance abuse disorders and supplement and support the continuum of treatment services. Recovery Support Services provide an alternative for individuals who are not ready for treatment. These support services are peer driven and are provided by Recovery Coaches who are in recovery. Recovery Coaches provide follow up, information, and emotional support and provide a link to community based support services, including 12 Step (i.e., AA and NA) and faith based support groups (i.e., Celebrate Recovery).  

PREVENTION SERVICES: Youth receive contradictory, double-bind communications from society as a whole regarding alcohol and other drug use. It is impossible to watch a sports event, go to the movies, or read a magazine without being confronted with advertisements. The abuse of alcohol and other drugs is a national health problem. As with other public health problems, we see evidence of the enormous cost to society long before we pinpoint the causes of the problem. Although research has not yet identified for us all the causes of alcohol and drug problems, we have identified factors that are correlated with subsequent substance abuse and protective factors that moderate the effects of exposure to risk. These factors can be classified as being rooted in characteristics of five domains: the individual, the family, the school, peer groups, and the neighborhood/community/society. These are factors that place youth at risk for using alcohol and other drugs. The more risk factors that apply to the youth in a target population, the greater chance these youth will use alcohol and other drugs. Cumberland Mountain Community Services Board has offered community and school-based prevention programming since 1990. We define prevention as activities that involve people, families and communities and systems working together to promote their strengths and potentials. Prevention is aimed at substantially reducing the incidence of alcohol and other drug dependency and abuse. The emphasis is on the enhancement of protective factors and the reduction of risk factors.

PowerPoint Presentations:

• Appalachian Substance Abuse Coalition - Prevention and Treatment
  (2.5 MB)
   
• Methamphetamine - Sect Presentation DMHMRSAS 9-14-06
  (324 kb)
   
• Project REMOTE
  (225 kb)