The following programs, managed and operated by the Aiken Center, provide substance abuse and employee assistance services to the community and individual clients:

A.  Community Based Outpatient Counseling and Treatment (CBT)

      1. Assessment
      2. Crisis Intervention
      3. Individual Counseling
      4. Family Counseling

      5. Group

          a. ASAM Level 0.5 Group Intervention/Edutherapy

              i. AOD 101 – one 2 hour session per week, minimum of eight weeks, for individuals with problems or risk factors related to substance abuse, who have never received treatment services anywhere before and who are referred by Offender Based Intervention programs. Referral to higher level treatment available as needed.

          b. ASAM Level I.0 Group Counseling

               i. Reality Group – one 1.5 hour process session per week for individuals in the Pre-Contemplation or Contemplation phase of change. Individual/family counseling available as needed.

               ii. Open Treatment Group - one 1.5 hour process session per week for individuals in the Contemplation or Preparation phase of change. Individual/family counseling available as needed.

               iii. Continuing Care Group – once or twice-weekly 1.5 hour process sessions decreasing to one session per month for individuals in the Maintenance or Relapse Prevention phase of change. Individual/family counseling available as needed.

          c. ASAM Level II.1 Intensive Group Counseling

               i. Intensive Outpatient Program (IOP) Three 2.5 to 3.0 process sessions per week for individuals in the Action or Maintenance phase of change. Individual and family counseling available as needed.

              ii. Women’s Intensive Outpatient Program (WIOP) Three 3.0 process sessions per week for women in the Action or Maintenance phase of change. Individual and family counseling available as needed.

B. Gambling Addiction Service
Specialized services are available for individuals and families who are experiencing problems related to gambling addiction. Counselors have received extensive training in this area and provide a range of services to address the unique and critical needs of this population. Services include an individualized assessment and treatment plan for each individual. Services deal with the nature of compulsive gambling, denial and recovery, the relapse process, relapse prevention and other pertinent issues. Following the completion of services recommended in the treatement plan, referrals are to continuing care groups as appropriate (e.g., the National Council on Problem Gambling, Gamblers Anonymous and others).

C. Alcohol/Drug Safety Action Program (ADSAP)
               Provides assessment, treatment, and referral services for those convicted, in the State of South Carolina or in another state on a South Carolina driver’s license, of DUI, BUI, Zero Tolerance, Administrative License Revocation, violation of the Ignition Interlock Device (IID), habitua offenders and those forever barred.  Services include:

      1. PRIme For Life
A sixteen hour risk-reduction program to help clients reduce the           risk of any current/future alcohol or drug problems.
      2. Group Counseling
      3. Family Counseling
      4. Intensive Outpatient Program
      5. Individual Counseling

D. Adolescent Therapy Group
          Focuses on adolescent substance abusers with legal problems           (Juvenile Justice, Juvenile Arbitration, DUI, Zero Tolerance           offenders).

E. Alcohol Education Program (AEP)
Designed to combat the problem of underage drinking and
          high- risk behavior, enrollment and completion of AEP will result           in the charge being dismissed and eligible for expungement.

F. Alcohol Intervention Program (AIP)
Offered through the Solicitor’s and Magistrates’ offices, this           program is designed for youth ages 17-20 who have had more           than one underage drinking charge.Successful completion of           this program will result in charges being dismissed.

G. Youth Services Program
Provides assessment, treatment, and referral services
          for adolescents age 17 and under and/or in
          secondary school and their family members.

H. Employee Assistance Program (C&RE)
ProvidesEmployee Assistance Programs, presentations and           consultation services through contracts with industry.

I. Offender Based Intervention Programs (OBI)

      1. Offender Based Intervention
Provides a full range of intervention and counseling services for           clients referred by the South Carolina Probation, Pardon, and           Parole office and the Municipal, Magistrates and Circuit Courts.

   2. Pre-Trial Intervention
Provides intervention and counseling services for clients
          referred by the Solicitor’s Office.

J. Alcohol Abuse Outreach Program
Created for adults who are abusing alcohol in Aiken County, but           who are no seeking services through the Aiken Center and to           assist parents in dealing with their children’s use of alcohol           and/or drugs.

K. Prevention
The Prevention Services Team provides various prevention and           education programs in schools, neighborhoods, faith based           organizations, businesses and community groups with a special           emphasis on high-risk youth.

L. Alcohol Enforcement Team (AET)
Created to combat the issue of underage drinking in South           Carolina communities through the implementation of                     evidence- based environmental strategies to reduce underage           alcohol use and its harmful consequences.

Evidence Based Prevention Programs

The Prevention Services Division supports individuals, families, schools and communities to raise healthy, drug-free children and youth in Aiken County. We provide alcohol, tobacco and other drug information to Aiken County residents, agencies, schools and faith based organizations. We implement comprehensive substance abuse
prevention programs that are evidence-based, effective, and research-validated for elementary, middle and high school youth. This information is received through various workshops/trainings, community forums, speaking engagements, health fairs, media
campaigns, and alternative activities, such as youth/adult leadership activities, drug free parties and community service activities.

LifeSkills Training: The LifeSkills Training program is a groundbreaking substance abuse prevention program based on more than 20 years of rigorous scientific research and is one of the most effective evidence-based programs used in schools today. In addition to helping kids resist drug, alcohol, and tobacco use, the LifeSkills Training program also effectively helps to reduce violence and other high-risk behaviors.
Too Good for Drugs: Too Good for Drugs™ is a school-based prevention program designed to reduce risk factors and enhance protective factors related to alcohol, tobacco and other drug (ATOD) use among students. Too Good for Drugs™ builds five
essential life skills:

• Goal setting
• Decision making
• Bonding with pro-social others
• Identifying and managing emotions
• Communicating effectively

Merchant Education: Palmetto Retailers Education Program (PREP): PREP is a retailer and server education program that helps reduce underage access to alcohol and tobacco in our community while also lowering liability risks for businesses and their employees. The goal of PREP is to provide education programs that help managers and
servers/sellers understand the laws and regulations governing the sale of alcohol and tobacco and the consequences for failing to comply with these laws. Community Awareness Programs (CAP): Community awareness programs raise awareness of the harmful consequences of alcohol, tobacco, and other drug use, as a step toward changing attitudes and ultimately changing behaviors. We develop and
deliver trainings on specific topics. These trainings are offered to Parent Education Centers, Community Groups, the Faith Community, Substance abuse professionals and Agency staff.

Prevention Alcohol and Drug Information Library: A county prevention lending library which include items covering a broad spectrum of alcohol, tobacco, and drug prevention, and other health education topics. The print and video resources may be checked out in person or through the mail. Materials include research articles, videos, brochures, posters, fact sheets, and journals.

YADA (Youth Against Drugs and Alcohol) Community Ambassadors- The purpose of “YADA Community Ambassadors” is to provide an opportunity for Aiken County Youth to acquire a greater knowledge and appreciation for our community through active participation in social, educational, cultural, and recreational activities. The youth
commit to impacting our community through prevention, promotion and awareness of the negative consequences of alcohol, tobacco, and other drugs.

2nd Judicial Circuit Alcohol Enforcement Team (AET): The AET is intended to implement evidence-based environmental strategies to reduce underage alcohol use and its harmful consequences coupled with an active public education and prevention strategy.
These include:

• Law Enforcement Operations
• Prevention Education and Awareness Strategies
• Media Campaigns for Reducing Underage Drinking


Evidence Based Treatment Programs

1. Gorski-CENAPS Treatment Protocol

The Aiken Center uses the Gorski-CENAPS treatment protocol. The Gorski Model (GM) is based on the Developmental Model of Recovery (DMR), a cognitive behavioral based treatment. The GM/DMR allows clinicians to assess and match patient needs to appropriate levels of treatment, from denial to primary recovery and relapse prevention.

The protocol provides specific goals for individualized client needs during the client’s progression through different levels or stages of recovery. These benefits of the GM/DMR help guide the counselor and the client as to when and what a client needs to be working on, which provides a more efficient and effective approach to treatment.

The Gorski Model is comparable with the most current clinical tools, the Diagnostic andStatistical Manual of Mental Illness, fourth edition – TR (DSM-IV-TR) and the American Society of Addictive Medicine (ASAM). These are the diagnostic and treatment level placement tools used by the Agency and required by Medicaid, insurance companies, managed care companies, CARF and DAODAS.

The Gorski Model was chosen based on research from the 1980’s and 90’s which indicated that the cognitive-behavioral based treatment approaches were proving to be more effective than the traditional psychodynamic treatment approaches that were inuse at that time. Today the Gorski method continues to gain attention because of its
positive results. In its publication, Approaches to Drug Abuse Counseling (ADAC), the National Institute of Drug Abuse (NIDA) rates the Gorski-CENAPS Model as 3rd in the “best known and most respected treatment approaches in the United States”.

2. Prevention Research Institute

Prevention Research Institute, Inc. (PRI) is a private, nonprofit organization with a mission to reduce the incidence of alcohol- and drug-related problems throughout the
world. PRI pioneered the Lifestyle Risk Reduction Model as a theoretical grounding for alcohol and drug education. The model specifies three equally important, measurable, behavioral goals:

• 1. Increase abstinence for a lifetime.
• 2. Delay the age of first use of alcohol.
• 3. Reduce high-risk use.

PRI’s signature program, PRIME For Life, is evidence-based, therapeutic education with demonstrated success in significantly altering attitudes, increasing abstinence, and reducing high-risk drinking and drug use from early teen years through adulthood. While
PRIME For Life can be delivered to a wide variety of audiences, it specifically addresses the needs of high-risk drinking and drug-using audiences such as impaired driving offenders.

The Aiken Center also employs the PRI product, PRIME Solutions-- a research-based, protocol-driven treatment program developed by PRI and several leading addiction experts, including Dr. Carlo DiClemente and Dr. Theresa Moyers. PRIME Solutions builds on the successful PRIME For Life platform and is designed for use in a broad range of treatment settings, including impaired driving and drug court treatment, outpatient treatment, or as a component of an inpatient treatment program.

3. Motivational Enhancement Therapy (MET) Treatment Model

The Aiken Center CBT services chose to implement Motivational Enhancement Therapy (MET) as its evidence based treatment model. MET was selected because it focuses on building clinician skills and techniques which facilitate a client’s movement from precontemplation
and contemplation to the action and maintenance phases of change
(Prochaska and Diclemente) in a brief, effective and consistent manner, while at the same time keeping the focus on individual change and success and because of its compatibility with the Developmental Model of Recovery.

The Aiken Center introduced formal MET training to the Aiken Center counseling staff in September and October of 2006. The Aiken Center’s Clinical Supervisor is a trained MET trainer and conducts ongoing monthly training and clinical supervision of all counselors’ utilization of MET. Clinical supervision utilizes the Motivational Interviewing Treatment Integrity (MITI) Code to evaluate utilization and fidelity of MET techniques of counselors’ video taped clinical sessions.

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