Outpatient Substance Abuse Services

Entrance into the Substance Abuse Intervention programs begins with a comprehensive assessment. Our goal is evaluate and assist each client to make the changes needed to allow her/him to move forward toward valued goals. Clients are matched with the most appropriate services:  individual, family or group treatment or some combination.

We provide services to adults, adolescents and families.

Assessment and treatment planning are an ongoing process of collaboration between client and therapist which can lead to referrals to other services in the community when needed. We have strong collaborative relationships with area detoxification and short-term inpatient programs, local partial hospitalization and intensive outpatient programs and will help clients make those connections when acute intervention in needed.

We offer a range of groups to support the power of connection in facilitating the process of change.

Come As You Are is community “drop in” group free to participants (no intake or pre-registration required). Providing an opportunity for dialogue and connection, this group is often a first step for those unlikely to begin their process of recovery through more informal structures. Rooted and linked within the recovery community, this group is available at the Greenfield Outpatient Clinic.

Acceptance and Commitment Therapy Group (ACT).  A mindfulness-based cognitive behavioral treatment which focuses on helping clients to identify values and make behavioral choices in the service of those values. ACT assumes that substance abuse is one of many ways in which human beings attempt to avoid painful emotional experiences and that these attempts at avoidance along with fusion with certain thoughts are the source of much emotional suffering. ACT attempts to help clients change their relationship with the painful aspects of human experience and create more valued lives. 

Mindfulness-based Relapse Prevention.  A group based on the work of G. Alan Marlatt which teaches mindfulness as a core skill in noticing steps in the relapse process and identifying thoughts, emotions and situations which often prompt relapse. It additionally teaches strategies that may help clients avoid and cope with relapse-inducing situations. 

Seeking Safety.  An evidence-based treatment developed by Lisa Najavits to help people attain safety from trauma/PTSD and substance abuse. Seeking Safety is a present-focused, empathic approach which names (but does not explore/uncover) the trauma experience, validates the connection to substance use, provides psychoeducation and offers safe coping skills to manage often overwhelming impulses and emotions of co-occurring disorders. 

Contemplating Recovery Group is based on an understanding of how change happens (from the research of Prochaska and DiClemente). This group focuses on consciousness raising, self-reevaluation, values clarification and supporting members in a collaborative, experiential process to shift the "decisional balance" in favor of change. The group is semi-structured and moves through an 8 week sequence which allows members to benefit from the experiences of others yet not feel coerced to change.

Dialectical Behavior Therapy (DBT) is a comprehensive and intensive treatment involving individual and group therapy for those struggling with substance abuse and other psychiatric disorders, including self-harming behaviors.   DBT is an evidence-based treatment for those who meet the criteria for the diagnosis of Borderline Personality Disorder and substance use disorders.  We offer both adult and adolescent/family programs.

For appointments and locations, click here.