; Drug treatment, alcohol rehab approach - Gateway Alcohol and Drug Rehab
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Evidence-Based Practices

Gateway focuses on providing the most effective therapies and clinical approaches throughout an individual's treatment; this includes the use of evidence-based practices. Evidence-based practices are treatments that integrate professional research and clinical expertise to achieve the best outcome for an individual. Gateway is a recognized leader in the use of evidence-based practices, treatment models that work.

What does "Evidence-Based Practices" mean to you?

It means Gateway will make decisions about your treatment based on knowledge that is backed by research, which makes it easier for us to determine the optimal treatment plan for you.

Evidence-Based Practices help our treatment team provide the right care for your unique circumstances, as opposed to trying something that may or may not be as beneficial.

Listed below are the evidence-based practices that are most commonly used by Gateway's treatment.


Clinical Approaches and Therapies

> Motivational Interviewing
Professional counseling to help individuals enhance their motivation for positive life-style change.

> 12-Step Facilitation and 12-Step Recovery
Introducing and acquainting individuals to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).

> Family Involvement
Family therapy can have a huge impact in conquering the substance abuse that has most likely affected every aspect of an individual's family life.

> Medication-Assisted Treatment
Medications that can treat cravings and other withdrawal symptoms, depression, anxiety and sleeplessness.

Other Curricula-Based Therapies

> Improving Adolescent Social Skills (Boys' Town)*
Teaching adolescents the appropriate skills for different types of social situations.

> Cognitive Behavioral Therapy
Learning to be mindful, expanding perspectives, and improving coping skills in ways that help value-oriented living.

> Co-Occurring Disorders Program
Expertise in treating individuals with mental health and substance abuse problems.

> Seeking Safety
Teaching the skills needed to cope with stressful situations without alcohol or drugs.

> The Matrix Model and Teen Matrix Model**
Providing a treatment foundation and framework to individuals in outpatient programs.

*Utilized at Treatment Centers with Adolescent Residential Programs. **Utilized at Treatment Centers with Intensive Outpatient Programs


Motivational Interviewing

Professional Counseling to Help Individuals Enhance their Motivation for Positive Life-Style Change.

Highly Effective Treatment

Motivational Interviewing is a highly effective therapy for individuals who are ambivalent about quitting alcohol and other drugs, with more than 300 professional journal articles reporting favorable research outcomes.

The counselor respects the person's autonomy - that only he or she can decide and make the change. The Motivational Interviewing process is a collaborative one, in which the pros and cons of change versus no-change are explored. Ultimately, through reflection and growing awareness, very few people will choose to continue a path toward further self-destruction. Commitment to and planning for recovery guide the way toward healthy living.

Gateway Foundation is a leader in Motivational Interviewing, employing a cadre of 16 trained trainers. Gateway's members of the Motivational Interviewing Network of Trainers (MINT) provide ongoing trainings to community clinical professionals.

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Twelve-Step Facilitation (TSF) and Twelve-Step Recovery

Introducing and Acquainting Individuals to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA)

Many people, including substance abusers and family members, may have heard of twelve-step peer support groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). Yet they may be anxious or reluctant to attend their first and second AA or NA meetings, even though it is well documented that involvement in these groups increases a person's success in maintaining abstinence from alcohol and drugs.

Individuals in Gateway's program are encouraged to attend twelve-step meetings while in treatment, and given referrals to meetings and resources as part of the discharge process.

Twelve-Step Facilitation is an Evidence-Based Curriculum - That is, It Leads To Successful Outcomes:

  • Explains the basic concepts of the twelve-step approach
  • Actively supports initial involvement in AA/NA
  • Reduces anxiety about attending meetings
  • Facilitates participation and helps individuals learn to turn to AA/NA as a resource in times of crisis.

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Family Involvement

Family involvement in treatment can have a huge impact in helping the individual overcome the substance abuse that has most likely affected every aspect of an individual's family life.

Family InvolvementSubstance abuse can isolate a person and cause him or her to keep secrets from family members, steal money, even lose custody of their child. Yet it is the love, support and understanding of family members and healed interactions between family members that can play a pivotal role in lasting recovery. That is why Gateway programs involve families in two related ways: Multi-family groups and family counseling.

Multi-family groups educate families about alcohol and drug addiction and abuse in a group setting. These groups provide support and an opportunity for families to discuss their situations, while hearing how others have coped with substance abuse problems in their loved ones. Sessions are held weekly, and sometimes more often.

Gateway also provides Family Counseling for individual family support, and to guide each family in ways that best assist their loved one in recovery

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Medication-Assisted Treatment

Medications that Can Treat Cravings and Other Withdrawal Symptoms, Depression, Anxiety and Sleeplessness

Medication-assisted addiction treatment -
New and highly effective medicines are now part of holistic treatment of physical and social substance abuse problems. These medicines reduce cravings and lessen symptoms related to withdrawal from alcohol and other drugs. When clinically indicated for an individual, a Gateway program physician may prescribe medication to assist addiction recovery for those 16 years of age or older.

Psychiatric Medications -
Many individuals with substance abuse problems also have mental health disorders. Psychiatric medications may be prescribed as clinically indicated to assist in the treatment of co-occurring mental health problems, including depression and anxiety.

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Improving Adolescent Social Skills (Boys' Town)*

Teaching Adolescents the Appropriate Skills for Different Social Situations

Improving Adolescent Social Skills (Boys' Town)*

A Curricula-based therapy used in Gateway's Adolescent Residential Treatment Programs.

We use social skills every day, such as greeting co-workers, asking a clerk for help or telephoning a friend. When we use these skills appropriately, it greatly influences how other people treat us and how we get along in the world. If we have learned a wide variety of social skills, we can effectively handle more situations and get along better with more people.

This curricula-based therapy teaches adolescents how to refine their social skills and learn the more complex skills necessary to interact with their peers and to successfully transition to adulthood. It helps boys and girls develop the skills needed to communicate and react appropriately with adults and society in general.

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Cognitive Behavior Therapy (CBT)

Learning to be mindful, expanding perspectives, and improving coping skills in ways that help value-oriented living.

Several CBT approaches are used in Gateway programs to assist individuals in learning new, healthy and effective ways of understanding and coping with life situations and challenges. CBT involves education about substance use and mental health problems, developing new perspectives on life, and building better skills. CBT approaches are used to help individuals plan their recovery and prevent substance relapse.

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Co-Occurring/Dual-Diagnosis Disorders Program (CDP)

Committed to Quality Care

Gateway maintains an ongoing relationship with a Dartmouth College initiative committed to maintaining quality in treating co-occurring substance abuse and mental health problems.

Expertise in Treating Individuals with Mental Health and Substance Abuse Problems

Co-occurring mental health problems such as anxiety, depression and bipolar disorder are common among those with substance abuse problems. Effectively treating these problems at the same time provides the best results for both.

All Gateway programs provide group treatment which includes the CDP. The CDP was developed by faculty from Dartmouth Medical School and is the first comprehensive program on how to provide evidence-based, integrated mental health treatment services for people with substance abuse disorders. Gateway measures the effectiveness using established tools to modify treatment as needed.

Through continuous performance improvement, Gateway's programs are assessed on their capacities to treat co-occurring mental health problems using the Dartmouth-led instrument "Dual Diagnosis Capable in Addictions Treatment" (DDCAT) Scale. Using this national standard, all Gateway residential programs rate as "Dual Diagnosis Capable or Enhanced."

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Seeking Safety

Teaching the Skills Needed To Cope With Stressful Situations Without Alcohol Or Drugs

Research shows that many persons with substance abuse problems have experienced some sort of traumatic event, and that 12-59% of individuals in substance abuse treatment suffer from Post Traumatic Stress Disorder (PTSD). Research also confirms that untreated issues related to trauma greatly increase the risk of substance abuse relapse. Seeking Safety helps individuals realize they may have abused substances as an attempt to cope with overwhelming emotional pain.

Dr. Lisa Najavits of Harvard University developed "Seeking Safety" as an approach to treating trauma issues for persons with substance abuse disorders. Many of Gateway's professionals have received Seeking Safety training directly from Dr. Najavits. All Gateway programs provide Seeking Safety group treatment for clients with trauma issues.

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The Matrix Model and Teen Matrix Model

Providing a Treatment Foundation and Framework to Individuals in Outpatient Programs

Matrix Model and Teen Matrix Model

Curricula-Based Therapy used in Gateway's Outpatient Treatment Programs

Individuals who abuse substances often have issues understanding and setting proper boundaries, limits and frameworks for achieving sobriety and behaving appropriately within the family and society.

That is why Gateway offers approaches to help those in treatment work within a supportive, appropriate framework or "matrix." The Matrix Model is a core component of Adult Intensive Outpatient Treatment, and the Teen Matrix Model is a core component of Adolescent Intensive Outpatient Treatment.

The goal of the Matrix Model and Teen Matrix Model is to provide a framework to help persons:

  • Stop substance use
  • Stay in treatment
  • Learn about issues critical to addiction and relapse
  • Receive direction and support from a trained therapist
  • Receive education for family members affected by the addiction, and become familiar with the self-help programs

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