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THE MATRIX MODEL AND HOW WE COMPARE
The Matrix IOP Model grew from the need for a structured, evidence-based treatment program for patients who were abusing or had become dependent upon stimulant type drugs. The model incorporates elements of relapse prevention, cognitive-behavioral therapy and psycho educational and family approaches as well as 12-Step program support (Obert et al. 2000). The effectiveness of the Matrix IOP approach has been evaluated numerous times since its inception (Rawson et al. 1995; Shoptaw et al. 1994). The model was developed with an awareness of the diversity of factors that contribute to drug and alcohol problems and has been found equally beneficial for clients abusing or dependent on substances other than stimulants. SAMHSA found the results of these studies promising enough to warrant further evaluation (e.g., Obert al. 2000; Rawson et al. 2004).
The original model provides substance abuse treatment professionals with a yearlong intensive outpatient model for clients and their families: The Addiction Recovery Center for Adults has modified the model to accommodate patients and third party payers. Our Intensive Outpatient Program use has extended the patients Length of Stay in treatment to meet the time frames of the original model. Additionally, the extended model of six weeks in intensive treatment followed by Aftercare twice a week at no cost to the patient reserves financial resources and, at the same time, exceeds the suggested year of treatment for those motivated to continue the process of recovery. Patients receive information, assistance in structuring a substance-free lifestyle, and support to achieve and maintain abstinence from drugs and alcohol. To produce the best opportunity for success, the needs of the individual patient are considered in the design of each treatment plan. The elements chosen to create optimal treatment for adults include strategies and methods that have been demonstrated to be effective. The Palmetto Health Behavioral Care Adult Recovery Program is comparable to the most prestigious Adult Substance Abuse Treatment Programs as evidenced by the following criteria:
Therapist Support – "Matrix outcome reports have consistently found that the empathetic and directive support of a professional therapist is critical in developing a successful program of recovery." Adult Recovery Program clinicians provide each patient with positive direction and empathetic support.
Group/Individual Participation – "Matrix follow-up research has identified participation in group and individual activities during treatment to be highly related to long-term success. The regular four-month Matrix treatment protocol consists primarily of group sessions." The Adult Recovery Center provides intensive group therapy for six weeks followed by Aftercare Groups twice a week for the lifetime of the patient.
12-Step or Other Spiritual Group Involvement – "Numerous outcome reports with clients in inpatient, rehab or outpatient treatment have demonstrated that those clients who are involved in 12-Step and/or other support group recovery activities have far better outcomes than clients who are not involved in this recovery program." The Adult Recovery Center requires patient attendance at a minimum of three -12-Step support groups weekly during the six week treatment phase. Ninety meetings in ninety days are recommended for the first three months post treatment.
Relapse Prevention and Education – "Substance abusers benefit from learning information about how they have become addicted, how they have been affected by their addiction, what they need to do to prevent a relapse and what to do if they should return to drug and/or alcohol use." The Adult Recovery Center integrates Relapse Prevention Strategies into treatment planning for each patient. Additionally, we have included into our program an option for medication assisted relapse prevention methodology in the form of VIVITROL; injectable Naltrexone requiring one dose (injection) every 30 days for those who opt to receive injections.
Family Involvement – "There is substantial research that clearly indicates superior treatment outcome for clients whose families are involved in the treatment process." The Adult Recovery Center firmly believes in family involvement in the patient's treatment. Furthermore, family education is provided from the position of addiction being a family disease. Families assist in the patient being accountable for carrying out a plan of recovery; a staple for sought after long term abstinence.
Structure – "Outpatient addiction treatment requires an explicit framework giving patients a clear understanding of the treatment schedule and requirements." The Adult Recovery Center provides patients with treatment expectations in addition to providing with an orientation to the program.
Comprehensive, integrated treatment approach – "Program services should address all aspects of a patient's life." The Adult Recovery Center is proficient in developing comprehensive treatment planning addressing all problem areas in the life of the patient.
Qualified staff – "Staff should be trained in human development, substance abuse and addiction in addition to occurring mental disorders." Adult Recovery Center staff are Masters prepared and above. Each has undergone rigorous training in areas required for the delivery of quality treatment. Continuing education requirements are strictly upheld.
Gender and cultural competence – "Programs should address the distinct needs of women as well as men in addition to being proficient in addressing cultural differences." Adult Recovery Center staff is given every opportunity to broaden their awareness of cultural differences of the various races and genders admitted to treatment.
Treatment outcomes – "Rigorous evaluation is required to measure success, target resources, and improve treatment services." The Adult Recovery Center utilizes quality measures endorsed by the corporate Quality Assurance Team to track patient outcomes.