Frequency of Services
Frequency of services is structured differently for substance dependence and mental health. Substance dependence treatment is approximately 16 weeks in length, meeting three days a week for three hours each day. While research indicates that the longer substance dependence treatment lasts the better the outcome of services. The duration of services may be adjusted at times based on the individual’s needs and their progress in the accomplishment of the service plan goals and objectives.
Intensive Outpatient Treatment for mental health is provided a minimum of 3 days per week 3 hours per session, with the flexibility to attend up to 5 days per week 3 hours per session, with a length of service from one to six weeks. This allows treatment flexibility to tailor the structure, time frame, and intensity to meet the individual needs of the clients and allow them to return to work and life responsibilities as soon as possible when clinically appropriate.
Admission, Continued Stay, Transition and Discharge
Individuals eighteen years or older and out of high school seeking or referred for therapy services for a variety of reasons ranging from everyday life stressors to more serious emotional, behavioral or psychiatric conditions. Clients must be willing to participate in the entire treatment process ranging from the assessment to ongoing treatment and discharge planning.
Persons appropriate for Intensive Outpatient Treatment for Mental Illness may be experiencing severe depressive, anxiety, bipolar or other severe mental health symptoms to the extent that they are unable to function in daily activities (ADCs). They may be in a state of psychiatric de- compensation and are in need of greater structure and support than outpatient treatment can provide. Clients may present with suicidal ideation or self-harm but not to the extent that would require hospitalization. Other criteria includes:
- Treatment that is recommended or mandated by a referral source and prescribed by a Psychiatrist
- Individual meets DSM criteria for substance dependence and/or mental illness.
- Unable to maintain sobriety/abstinence or continuing to experience symptoms psychopathology
- Continue to experience consequences related to their substance use or mental illness that are disrupting activities of daily living
- For mental illness, symptoms disrupts daily functioning compromising independent living
- For mental illness, individual has a history of suicidal attempts or ideation but not actively suicidal
- Standard Outpatient therapy has been ineffective
Client evaluations will be conducted weekly at a minimum to determine continued need for treatment. Clinicians will continually assess for treatment progress and determine whether clients meet criteria for discharge or continued treatment. Drug screening will also be conducted weekly or as needed per request of clinician. Male screenings will be conducted with the appropriate male clinical staff while female screenings will be conducted with the appropriate female clinical staff. A third party laboratory will analyze drug screenings within 24 hours.
Clients will not be denied service due to a drug screening transition. Transitions occur when the client requests a transfer or in circumstances where the clinician feels as though the individual would be better fit with another therapist. We aim to provide a seamless transition and with the permission of our client, will provide any information that could aid in the process. We work collaboratively with the individuals to develop a transition plan.
Discharge occurs when the agreed upon treatment objectives have been accomplished and their ability to manage mental health symptoms and successfully perform activities of daily living has significantly improved.
An individual may be considered for referral or administrative discharge when they present an imminent risk of harm to self or others and meets the criteria for hospitalization. Other criteria includes:
- The individual does not follow program guidelines to the extent it interferes with the treatment of the client and fellow clients or refuses to participate in recommended treatment.
- Client requests (This option may not be available to mandated treatment clients)
- 2 missed consecutive appointments without 24 hours’ notice or too many absences to make treatment lose continuity
- Re-location or death of client
Services are provided by professionals that hold clinical Maryland licenses (LCSW, LPC, M.D.) or an individual with a minimum of a master’s degree working under the supervision of a licensed mental health professional towards licensure. Clinicians serving specialized populations will have specialized training and/or credentials to address the treatment needs of the respective populations.
Fees and Payer Sources
Dream Life LLC Intensive Outpatient Services currently accepts self-pay along with the following insurances Medicaid through Beacon Health Options.