Keystone Hall is a non-profit organization that provides comprehensive residential and outpatient substance use disorder treatment, prevention, and recovery supports to New Hampshire community members, including men, women, adolescents and families. . ID: 157946
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Annette Escalante, MSW, MLADC Vice PresidentSlide3
Keystone Hall is a non-profit organization that provides comprehensive residential and outpatient substance use disorder treatment, prevention, and recovery supports to New Hampshire community members, including men, women, adolescents and families.Slide4
Keystone Hall is a member of the Partnership for Successful Living. A collaboration of six affiliated not-for-profit organizations providing southern New Hampshire’s most vulnerable community members with access to housing, health care, employment and supportive services.Slide5
Southern NH HIV/AIDS Task Force Milford Regional Counseling Services Welcoming LightHarbor Homes Healthy at HomeKeystone HallSlide6
All programs at Keystone Hall are evidence-based, gender-specific, culturally competent and follow a recovery oriented systems of care model.
Substance use disorder/dual diagnosis assessments & evaluationsAdolescent Outpatient Program Gender specific intensive outpatient program Individual and group counselingImpaired driver intervention and aftercarePrevention servicesRecovery maintenance and aftercareAll services available in SpanishNo appointments needed
DetoxificationTransitional HousingCynthia Day Family Center90 Treatment for Co-Occurring28 Day Treatment Program for Co-OccurringAll clients in the residential communities receive mental health counseling as part of their treatment.
Programs Offered in ResidentialSlide9
Clients stay between 3-5 days Clients come in detoxing from all substances to include alcohol, opiates, cocaine, marijuana, prescription medication, etc.Awaiting license for medical detox unit.
PsychiatryPrimary and preventive health care to anyone over 15 years oldLow IncomeNo IncomeNo InsuranceWith private insurance – Harvard and Anthem Blue CrossInsured by Medicaid/MedicareHomeless or at Risk of Homelessness
Harbor Care Wellness CenterSlide12
Why are we here?Slide13
Substance Abuse Costs Our Nation More than $484 Billion per Year
The Costs of Drug Abuse are as Substantial as that of other Chronic Conditions:
Diabetes costs society $131.7 billion annually
Cancer costs society $171.6 billion annuallySlide14Slide15
Assessment/evaluation for both substance abuse and mental health Severity of detoxificationSeverity of mental health disorderMedication compliance Medication assisted treatmentOn going psychiatric careCriminal recordFamily system
The Cynthia Day Family Center is funded by the NH DHHS/Division of Community Based Care Services, Bureau of Drug and Alcohol Services.Slide18Slide19
Pregnant Post Partum Woman & Infants and Parenting Women with ChildrenThe Center is designed to provide a holistic, family centered approach to the treatment of women while allowing them to care for their young children.
Cynthia Day Family CenterSlide20
For the past 25 years, Cynthia Locke Day has been known as
the lady who wears sparkles in her hair.” Once the Vice
President of IDAK Corp, and a supervisor of 27 medical
facilities, Cynthia’s life became consumed by alcoholism and her marriage ended in divorce. Within two years, Cynthia was unemployable. Down to her last $10, she happened to glancedown at the sidewalk and there, in the hardened cement, was scrawled the message: “Expect a miracle!”Slide21
Our dual program offers a unique and comprehensive approach in the treatment of chemical dependency and psychiatric disorders.recognizes that many of our patients suffer from a variety of psychiatric and psychological problemsSlide22
Must be over 18 years old.Primary diagnosis must be substance abuse.Family reunification.NH resident.Pregnant woman get priority.
Overview of CDFCSlide23
Substance AbusePsychiatryParentingMedicalTraumaDomestic violenceLife skillsHousingEducational/VocationalFinancialLegal
Services provided at CDFCSlide24
Mental health issues surface after client has been abstinent.Mental health diagnosis is inaccurate. (Bath slats, meth).Medical issues during pregnancy.Primary caregiver of children.Children’s issues.
Numerous health and social problems
requiring costly care
• Risk for homelessness and incarceration
• Women are at risk of being victims of
sexual abuse and domestic violence
• Parents with co-occurring problems risk
encounters with child welfareSlide26
Studies in substance abuse settings have found that from 50% to 75% of consumers had some type of mental disorderStudies in mental health settings have found that between 20% 50% of their consumers had a co- occurring substance use disorderExperts in this field assert that co-occurring disorders should be the expectation, not the exception in any behavioral health care setting
Prevalence of CODs in treatment
Essential for consumers who are significantly impaired by both kinds of disorder
Essential for consumers whose mental disorder interferes with treatment of their substance use disorder
Essential for consumers whose substance use disorder
interferes with treatment of their mental disorderSlide28Slide29
Brain disordersLack of insightChronicImpacts familyShame and guiltRequire treatment
Common Factors of Mental
Illness and Substance AbuseSlide30
Why focus on dual disorders?
• Substance use disorders are common in
people with severe mental illness
• Mental illness is common in people with
substance use disorders
• Dual disorders lead to worse outcomes and
higher costs than single disordersSlide31
Jaime Gormley LICSW, MLADCLindsay Herdman, MSW
Integrated Dual Diagnosis Treatment (IDDT)Slide32
Assist persons with both a severe mental illness and a serious substance abuse problem.
Integrated Dual Diagnosis Treatment (IDDT)Slide33
Integrated Dual Diagnosis Treatment (IDDT)
Integrated Substance Abuse Specialist
Stage-Wise InterventionsAccess for IDDT Clients to Comprehensive DD Services
Substance Abuse CounselingSlide34
Integrated Dual Diagnosis Treatment (IDDT)
Group DD Treatment
Family Education and Support on DD
Participation in Alcohol & Drug Self-Help GroupsPharmacological Treatment
Interventions to Promote Health
Secondary Interventions for Substance Abuse Treatment Non-Responders
High intensity servicesSlide35
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