Substance Use Services

Wherever you may be on your journey to recovery, Arbour Counseling is here to help. 

Arbour Counseling Services offer a continuum of care including assessment, an intensive outpatient program (IOP), and Medication-Assisted Treatment (MAT). Our outpatient Suboxone and Vivitrol treatment programs may help support clients facing opioid or alcohol dependency.

Medication-Assisted Treatment (MAT)

Suboxone (buprenorphine) and Vivitrol (naltrexone) program components may include: Medication management, individual therapy, group therapy, SOAP/IOP, and referral to community programs or recovery support navigators based upon clients’ individual needs. Both the Suboxone and Vivitrol programs follow specific guidelines for stabilization and maintenance. Stabilization is characterized by no withdrawal symptoms, minimal side effects and no uncontrollable cravings; while maintenance is characterized by evidence of illicit opioid/alcohol use cessation for a period of 2-8 weeks.

Protocols for Stabilization includes:

  • Meet with program prescriber as often as medically necessary to ensure proper dose and stabilization
  • Attend individual and/or group sessions at a frequency and level of care consistent with medical necessity
  • Provide toxicological sample per program protocol
  • Protocols for Maintenance includes:
  • Provide a toxicological sample at least once monthly
  • Meet with the program physician at a frequency and level of care consistent with medical necessity
  • Attend individual and/or group sessions at a frequency and level of care consistent with medical necessity

Please note that at any point during maintenance, a client can decide to begin a tapering schedule. Factors to consider before initiating a taper may include, but are not limited to: Stable housing and income, adequate psychosocial support, legal involvement, etc. A tapering rate is determined by the client and their program physician, and can be stopped in the event that the client experiences withdrawal and/or cravings and fears relapse.

Structured Outpatient Addiction Program (SOAP) / Intensive Outpatient Program (IOP)

Services are provided to all individuals seeking treatment for new or recent sobriety. The SOAP clinical team’s primary goal is to provide a safe, therapeutic environment conducive to positive growth and change. Counseling, case management and other support services are offered to our clients and designed to address issues and concerns relevant to recovery maintenance, positive reintegration into society, and the reduction or harm to physical and emotional health.

SOAP/IOP is a 4-6 week intensive outpatient program; length of treatment is tailored to meet the needs and goals of individual participants. Clients have a variety of options to attend this program dependent on the hours offered at each Arbour site.

Program Components can includes:

  • Bio-psychosocial evaluation
  • Individual and group therapy
  • Family education (with client permission) and consultation
  • Contact and collaboration with other treatment team members, including primary care physician
  • Behavioral assessment, treatment and recovery planning
  • Case management
  • Individualized treatment planning
  • Identification of community and social support systems
  • Relapse prevention education, including structuring of time outside the program

Group therapy provides support and resources from trained professionals, along with a chance to connect with peers who face the same challenges of addictions. Group topics may include: Psychoeducational and Community Resources, Relationships in Recovery and Codependency, Early Recovery Skill Building, Self-Esteem and Stress Management and Relapse Prevention and Life Skills

MID (Massachusetts Impaired Driving)

MID, formally known as Driver Alcohol Education (DAE), is a 16-week treatment program for individuals charged with driving under the influence. The aim of the program is to raise self-awareness and foster behavioral changes, thus lowering the risk for recidivism.

Second Offender Aftercare Program (SOA)

The Second Offender Aftercare Program is a year-long treatment program, which can be completed in either individual or group therapy sessions. This program is for individuals convicted of driving under the influence for a second time, and it seeks to help clients address problems linked to alcohol and drug misuse. Discussion topics include relapse prevention, coping skills, and co-occurring disorders, as well as psychoeducation regarding addiction, community support, impulse control, and healthy decision making.

24Q Substance Abuse Evaluations

A comprehensive substance abuse evaluation that is required by the courts to provide a more thorough assessment of direct evidence that supports the presence or absence of a substance use disorder, and is completed by licensed clinicians. A substance abuse evaluation may be used to determine the extent or level of an individual’s addiction, co-occuring conditions, including physical or mental health concerns, as well as polydrug use, and/or to assess the impact of substance use on an individual’s life. Importantly, a substance abuse evaluation can help the treatment team to create an individualized plan to address a client’s needs and recovery.