MENTAL HEALTH TREATMENT

Mental  Health TreatmentLasting Recovery has been treating mental health issues alongside addictions since we opened in 2004.  Upon admission, only 54% of our clients suffer from substance use addictions only. A full 46% have been struggling with mood and anxiety disorders along with other mental health problems.

An untreated mental health diagnosis and related problems contribute to substance use relapse, which in turn often leads to severe relationship issues, divorce, violence, loss of employment, incarceration, or death.

People experiencing co-occurring health problems such as chronic pain from fibromyalgia, diabetes, lower back pain, and cirrhosis suffer from depression as a side effect of their ongoing medical condition.

Treatment for addiction and these co-occurring disorders leads to improved physical health, increased enjoyment, and an overall healthier lifestyle.

Measuring Treatment Effectiveness

Lasting Recovery offers both mental health and substance abuse treatment. Successful treatment involves two goals. The first goal deals with the removal or reduction in negative symptoms that cause people distress, such as anxiety, depression, or the addictive use of alcohol and/or other drugs. The second goal seeks to improve an individual’s overall quality of life. Clients who participate in our mental health program often report significant dissatisfaction with the quality of their lives as well as disabling levels of anxiety and/or depression. In addition, many of our clients who receive mental health treatment also have problems with alcohol and/or other drugs, which we address at the same time.

To assess and monitor the removal/reduction of negative symptoms of anxiety and depression in our clients, Lasting Recovery uses two widely-used standardized scales: the GAD-7 and the PHQ-9. The GAD-7 is a seven-item scale designed to assess and monitor Generalized Anxiety Disorder, or GAD. The scale is also moderately good at screening for three other common anxiety disorders: panic disorder, social anxiety disorder, and post-traumatic stress disorder. The PHQ-9 is a nine-item scale designed to assess and monitor Major Depressive Disorder, or MDD.

anxiety treatment effectiveness among Lasting Recovery clients

At baseline in 2019, 80% of LR clients in the PHP program reported experiencing some anxiety, with 75% suffering from anxiety in the moderate to severe range (N = 60). Table 1 shows the effectiveness of Lasting Recovery in helping clients reduce their anxiety. At baseline, those who suffered from moderate to severe anxiety had a mean score of 16.3 on the GAD-7 with a two-tailed, 99% confidence interval of +/- 1.2. An average score of 15 or higher indicates that the individual is suffering from severe anxiety. After treatment, these clients had a mean GAD-7 score of 8.2 with a two-tailed, 99% confidence interval of +/- 1.6. This shift represents nearly a 50% reduction in anxiety.

At baseline in 2019, nearly 82% of LR clients reported experiencing some clinically significant amounts of depression, with 81% suffering depression in the moderate to severe range (N = 67). Table 2 shows the effectiveness of Lasting Recovery in helping clients reduce their level of depression. At baseline, those who suffered from moderate to severe major depression had a mean score of 16.4 on the PHQ-9 with a two-tailed, 99% confidence interval of +/- 1.5. An average score of 15 or higher indicates that the individual is suffering from moderately severe depression. After treatment, these clients had a mean PHQ-9 score of 8.3 with a two-tailed, 99% confidence interval of +/- 1.6. Like the shift observed for anxiety, the decline in the PHQ-9 score also represents nearly a 50% reduction in depression.

depression treatment effectiveness among Lasting Recovery clients

Lasting Recovery also uses a standardized inventory to assess and monitor satisfaction with the quality of life experienced by our clients: The Quality of Life Inventory (QOLI). The QOLI asks clients to rate the importance of and satisfaction with 16 important areas of life. Table 3 shows the effectiveness of Lasting Recovery in helping clients increase their quality of life. In contrast with the previous two Tables, we measured the quality of life of both IOP clients who received substance abuse treatment as well as the quality of life in PHP clients receiving both substance abuse and mental health treatment. At baseline in 2016, a sample of our clients completed the QOLI at intake and discharge. Both IOP (N = 38) and PHP (N = 30) clients reported that their overall satisfaction with their quality of life was very low. The average QOLI score for clients entering the substance abuse IOP was 0.7, which when compared with the members of the normative sample for the QOLI, fell at the 9th percentile; similarly, the average QOLI score for clients entering the integrated mental health/substance abuse PHP was 0.1, which, when compared with the members of the normative sample for the QOLI, fell at the 4th percentile. By the end of treatment, the average QOLI score for clients in both groups was 2.7, which, when compared with the normative data, indicated that life satisfaction fell in the 51st percentile, right in the middle of the average range for life satisfaction.

measuring quality of life among Lasting Recovery clients

Individuals who experience alcohol and/or substance use disorders typically experience low quality of life. Many individuals with alcohol and/or substance use disorders often suffer from co-occurring psychiatric disorders which adds significant psychological distress to low quality of life. Overall, 86% of our clients suffered from either anxiety, depression, or both when they entered treatment. Lasting Recovery helps clients to lay the foundation for a sober lifestyle, to remove or significantly reduce their psychological distress, and to continue the process of improving their quality of life. Clients who complete the program still need to participate in on-going self-help groups that promote abstinence from alcohol and drugs to maintain their hard-won sobriety. Some may also need individual therapy and psychiatric support to complete the removal/reduction of their negative psychological symptoms.

Lasting Recovery’s dedicated and caring staff are committed to using a wide range of effective, evidence-based methods to help our clients achieve lives worth living.

Lasting Recovery – “Where Wellness Begins…”

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