Connected Care. Complete Health.

Psychotherapy or talk therapy is a way to help people with a wide variety of mental health disorders or emotional difficulties. This therapy aims to enable patients or clients to understand their feelings and what makes them feel positive, anxious, or depressed.

Therapy models used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Sensorimotor, Moral Reconation Therapy, Narrative Exposure Therapy, and more evidence-based and emerging practices.

We offer both individual and group therapy options.

Targeted and Intensive Case Management

Case managers help people live their own best lives by assisting them with identifying strengths and needs, providing necessary supports to access resources, and teaching necessary life skills that lead to improved functioning in the community. Areas with which case managers frequently assist people include: applying for, obtaining, and maintaining housing; applying for financial and medical benefits (such as Medicaid, Social Security Benefits, General Assistance); coordinating medical and health needs; and obtaining food, clothing and transportation.

Case managers help people complete and keep track of paperwork and support them through coordination with other agencies and advocacy. Case managers also help people develop the skills they need to increase their functioning and independence. This may include developing budgeting, communication and time management skills through training, prompting and practicing these at JAMHI, in the person’s own home, and in the community.

Medication-assisted treatment (MAT) is an effective response to Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD). It is the use of medications, preferably in combination with behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders. Individuals receiving MAT often demonstrate dramatic improvement in addiction-related behaviors and psychosocial functioning.

JAMHI offers MAT at our Salmon Creek clinic. Call us today to find out more at 907-463-3303.

JAMHI offers a variety of substance use treatment programs that reflect the varying stages of change people experience with addiction.

JAMHI’s Substance Use or Integrated Behavioral Health Assessment identifies substance use problems and determines the most appropriate ASAM level of care. If a client requires residential treatment, a referral will be made. If a lower level of care is indicated, however, JAMHI can provide the following:

ASAM Level .5 Early Intervention Services

Participants are considered at risk for further problems with alcohol or other drugs and could benefit from education to stop the progression. This is provided by our Alcohol & Drug Information School (ADIS) operated through the Juneau Alcohol Safety Action Program (JASAP), which is a part of JAMHI.

Follow these links for important information about JASAP:

• JASAP Intake Packet Instructions

• JASAP Fees

• ADIS by Correspondence – Course Ordering Instructions

• JASAP Intake Packet

• ASAP Online Orientation Instructions

Treatment

Our outpatient substance use treatment is best provided in a group setting, though individual therapy is also available to treat substance use disorders.

The substance use group JAMHI offers is based on a biopsychosocial model and incorporates strategies from several evidence-based therapies, including:

• Cognitive-Behavioral Therapy

• Dialectical Behavior Therapy

• Moral Reconation Therapy

• Gottman Method Couples Therapy

• Motivational Enhancement Therapy

The program uses a topical rotation of five modules and is designed in such a way that new group members can start at any point in the rotation. Treatment is based on a total abstinence approach to recovery, although the prescribed use of Sublocade, Vivitrol, and other medications to treat addiction is welcomed.

ASAM Level 1 Outpatient

Motivational Enhancement Therapy (MET)

Admission criteria match ASAM Level 1. Participants are not at risk for severe withdrawal symptoms, can at least temporarily abstain from alcohol and other drugs, but need motivation and support to help nurture and sustain recovery. Therapy occurs in a group format, one hour per week, with a curriculum that averages 8 weeks.

Twelve Step Facilitation (TSF)

Admission criteria match ASAM Level 1. In addition to a need for motivation and structure, this program serves as a bridge between treatment and natural supports in the community. Therapy occurs in a group format, one hour per week, with a curriculum that averages 6 weeks.

ASAM Level 2.1 Intensive Outpatient

Cognitive Behavior Therapy (CBT)

Admission criteria match ASAM Level 2.1. Participants are at high risk of relapse; any withdrawal symptoms can be managed on an outpatient basis, but they need frequent structure, education, and recovery support. Therapy occurs in a group format, two hours daily, Monday through Friday, with a curriculum that averages 4 weeks. Individual and/or family sessions occur at least monthly.

While some people may start with Motivational Enhancement Therapy, step up to Cognitive Behavior Therapy, and then finish with Twelve Step Facilitation, each therapy is distinct and does not require a linear progression. In design, MET utilizes a harm reduction approach, whereas total abstinence is the goal for CBT and TSF. The curriculum for all three therapies draws on evidence-based practices from the following sources:

• Hazelden/Dartmouth Medical School Integrated Co-Occurring Disorders Program

• Dialectical Behavior Therapy

• Seeking Safety

• Moral Reconation Therapy

• John Gottman Institute