Comprehensive Healthcare offers a range of adult substance use disorder services designed to support individuals at every stage of recovery.
Integrated Dual Disorder Treatment
Integrated Dual Disorder Treatment (IDDT) is a specialized program that takes a co-occurring approach to SUD treatment, addressing both substance use and mental health disorders simultaneously. “We work with individuals who have serious mental illnesses with significant functional impacts,” explains Kenneth Braconnier, the Supervisor for the Community Support Services program in Yakima. “The IDDT program provides a low-intensity outpatient treatment that includes group sessions one to three times a week, depending on the individual’s needs.”
These sessions utilize evidence-based curricula, such as the Hazelden Matrix and Living in Balance, tailored to the unique needs of clients with cognitive deficits or psychosis. The program’s flexibility allows individuals to attend as many sessions as they require, ensuring they receive the appropriate level of care.
Rehabilitation (Rehab)
The Rehab program offers primary case management services for adults with SUD. Unlike traditional outpatient programs that focus on therapy, the Rehab program emphasizes community-based support. “We work a lot on community resources and living skills,” says Braconnier. “These are people who need a bit more help – whether it’s with medication adherence, finding housing, securing SSI benefits, or even basic tasks like grocery shopping. Our goal is to ensure they have the resources and guidance they need to build a stable and independent life.”
The Rehab team operates mainly within the community, meeting clients where they are – whether in their homes, shelters like Camp Hope and the Union Gospel Mission, or even through WebEx services for those unable to leave their residences. Some are unable to come in for services simply because they don’t have anywhere to leave their pets when they come in. “We want to reduce as many barriers as possible, so we go to them if they can’t come to us,” Braconnier emphasizes.
Supportive Living
Supportive Housing is another vital component of Comprehensive Healthcare’s adult SUD services. This program is designed for individuals with chronic mental illnesses who require assistance in developing the skills necessary for independent living. Clients can stay in supportive housing for up to two years, during which they receive weekly case management to work on budgeting, cooking, cleaning, and other daily living skills.
The Supportive Housing program aims to prepare clients for independent living. However, if a client is unable to transition to independent living, they may be referred to a higher level of care, such as Crossroads or Gleed Orchard Manor, which offer more supportive environments.
Medication Assisted Treatment
For many individuals, MAT can be a critical component of their recovery journey. Comprehensive Healthcare offers MAT as part of our adult SUD services, providing medications that can help reduce cravings, manage withdrawal symptoms, and prevent relapse. Our medical team closely monitors our MAT program, ensuring that clients receive the right medication and dosage as part of their overall treatment plan.
Sub Acute Detox Facility
One of the first steps towards sobriety is completing a Detox program to safely withdraw from substances. During withdrawal, having a secure and supportive environment is essential. That’s why Comprehensive Healthcare’s Detox program operates 24/7, seven days a week. Program Manager Kim Clemmons highlights the program’s accessibility: “If they meet criteria and we have a bed available, we do their intake, whether it’s three in the afternoon or three in the morning.”
In addition to providing individuals a safe place to withdraw, the detox program partners with the local ER to initiate medication-assisted treatment.. The team also uses Comprehensive Healthcare’s Walk-in Clinic to help clients address basic health needs. While the average stay is three days, the program is flexible, tailoring care to the individual’s needs. Following their stay in the detox facility, clients are referred to treatment when appropriate, often partnering with local centers like Triumph to ensure smooth transitions. Although follow-up treatment is recommended, clients going through the program have no obligation to enroll in treatment after they finish the program.
The program fosters a supportive and communal atmosphere, where staff members share meals with clients, teach recovery and coping skills, and engage in group activities like crafts to build rapport. The Detox program offers a safe and welcoming environment for all. As Clemmons explains, “We treat every single person that walks through our door as a basic human being. We make sure they feel seen, heard, and respected.”
Opioid Treatment Program and Mobile Medication Unit
Our Opioid Treatment Program (OTP) and Mobile Medication Unit (MMU) offer support to clients who need help with opioid addiction. We provide two main services: prescribing and managing medications for opioid use disorder (MOUD), such as Methadone or Suboxone, and substance use disorder treatment.
Our licensed medical providers oversee the entire process, from prescribing medication to monitoring its effects during different treatment stages – induction, stabilization, and maintenance. Initially, our nurses conduct thorough assessments to handle withdrawal symptoms and ensure medication is given safely. We also offer individual and group counseling, case management, and peer support, all customized to fit each client’s specific needs and goals. Medication management is based on best practices, with dose adjustments made as needed to ensure clients are comfortable and stable.
Hub and Spoke
Comprehensive Healthcare’s Hub and Spoke program is a critical initiative in the fight against opioid use disorder (OUD) in Central Washington. This state-funded program is designed to expand access to medication-assisted treatment (MAT) by leveraging the strengths of Comprehensive Healthcare, the central “hub,” and its network of smaller, community-based “spokes.” “Our goal is to provide medication-assisted treatment (MAT) to individuals, reducing the potential for fatality from overdose by 50%,” said Hub and Spoke Program Manager Marc Shellenberger. “We believe that combining medication with comprehensive treatment and therapies enhances the chances of long-term abstinence and stability.”
Through this collaborative approach, the program ensures that individuals struggling with OUD receive comprehensive, integrated care that includes medication, counseling, and vital support services.
In addition to providing medication-assisted treatment (MAT), Hub and Spoke has a team of Navigators dedicated to addressing the unique and complex needs of individuals in this high-risk population by focusing on three key areas. First, they conduct outreach by engaging with people in the community, including on the streets, in residential treatment programs, hospitals, jails, and syringe service program (SSP) sites. They build relationships with opioid users, educate them about treatment options, screen for eligibility, and facilitate their induction into MAT services. Second, they provide motivation through one-on-one in-person or over-the-phone meetings with individuals who have started MAT, helping them overcome barriers to fully engage in their treatment and achieve stability. Third, they offer ongoing case management, linking MAT patients to additional services such as health care, mental health support, housing, and financial assistance to support their recovery journey.
This emphasis on patient engagement and tailored care lies at the core of the program’s success. Understanding that effective treatment starts with meeting individuals at their specific stage of change, the program’s dedicated Navigators work to build trusting relationships with each person. Understanding that early disengagement can hinder progress, the team prioritizes efforts to help patients maintain their connection to treatment. “We want to help people retain their connection to medication-assisted treatment in the critical first 90 days,” says Shellenberger. “By doing so, we can significantly reduce the risk of relapse and enhance the long-term success of their recovery.”
The Hub and Spoke Program serves as a beacon of hope, providing evidence that with an integrated approach, focused engagement, and access to medication-assisted treatment, recovery from opioid use disorder is attainable.
