Mission: RBHA enhances the quality of life for the people of Richmond by promoting and providing quality behavioral health and developmental services that are available, accessible, and cost-effective.
Substance Abuse Services
Adult Services Unit
Program Manager: Karen Redford, CAC, CCS
Staff Name - Position: Daphine Taylor - Office Associate
Andre Plummer, CSAC/Coordinator of MET Services
Diana Nunez-Hoyle, CSAC - Counselor
Rodney Tisdale - Case Manager
Evangeline Ames, CSAC, ADS - Case Manager
Mary Eaton, CAC - Case Manager
Ellen Hall, CSAC - Case Manager
Jacinta Troublefield - Case Manager
Michael Hanrahan, CSAC – Clinician, Richmond Adult Drug Court
Jesse Brown, CSAC- Counselor, District 1 Probation & Parole
Christopher Coleman, CSAC – Counselor, District 1 Probation & Parole
Sherron Shaw, MS CRC, CSAC– Clinician, District 1 Probation & Parole
To engage and retain RBHA consumers in addiction treatment services in order to assist them in achieving a stable recovery.
Case Management, Treatment Referral, Interim,
and Follow-up Services
Addiction Counselors and Case Managers are responsible for placing consumers in appropriate levels of care and then, to the extent possible, monitoring consumer progress and participation through a continuum of alcohol and other drug (AOD) abuse and dependence treatment services provided by community programs under contract with RBHA, and for communicating with referral sources regarding individual treatment plans, treatment progress and treatment plan modifications. Follow-up and efforts to re-engage consumers who drop out of treatment programs are also important service activities provided by the case management staff.
Motivational Enhancement Therapy (MET)
A limited service designed to provide consumers an opportunity to work through their ambivalence about treatment and explore their motivation for change. This approach encourages consumers to use their own abilities to make an effective change for themselves. It provides staff helpful information to be used in treatment matching by measuring the consumer’s readiness to change. The MET services are provided to groups of consumers in three different formats:
single session MET, or Orientation Group, serves as an introduction to RBHA’s substance abuse services as well as an opportunity to assess motivation and consumer readiness using the URICA;
a brief variable session group, or Waiting Group, is conducted on Monday and Thursday afternoons and is provided as a supportive service for consumers who are waiting for admissions to a treatment program. It is designed to keep consumers motivated and engaged as they wait to enter the next phase of treatment;
an eight-session group, or Exploration Group, is provided on Wednesday evenings and it is designed for those consumers who present with mild to moderate substance abuse, who may have been referred from another community agency and/or who frequently need alcohol and other drug education and motivational interventions before a referral to a contracted treatment provider would be helpful (i.e. chronic relapsers).
A directly operated program of alcohol and other drug abuse treatment provided to inmates in the Richmond City Jail. Services include comprehensive psychosocial/chemical dependency assessment, treatment planning and referral, and case management.
Probation/Parole and Drug Court Services
Addiction treatment services for offenders provided through MOA’s with Richmond Adult Drug Treatment Court and District 1 Probation and Parole. Services include comprehensive psychosocial/chemical dependency assessment, treatment planning, case management, individual and group counseling, relapse prevention, as well as alcohol and other drug abuse education. Services are provided on-site at the District 1 Probation and Parole and Drug Court Program offices in outpatient, intensive outpatient and day treatment modalities.
RBHA refers consumers to our contracted providers in the community for quality addiction treatment programs, options include:
Residential Detox Services
Overnight detoxification services, normally of 3 to 7 days duration, in a non-hospital setting, for adults who are experiencing physical, psychological and/or social dysfunction as result of their dependence on alcohol and/or other drugs. Services include medical and psychosocial care designed to resolve the toxic state as well as educational and other supportive interventions designed to enhance the individual's motivation to pursue further treatment for chemical dependence.
Medically assisted detoxification involves the use of prescribed medication to manage the cravings and physical discomfort during the immediate withdrawal period, as well as regular medical monitoring by nursing staff. Social detoxification generally does not involve the use of medications, but rather relies on the provision of psychosocial support and basic nutritional support to assist the individual going through withdrawal. Fees for consumers assessed on a sliding scale. Primary funding for this service provided through contract with RBHA.
Outpatient Treatment Services
Non-residential counseling services provided on scheduled (regular or intensive) basis, in an outpatient clinic setting, to adults suffering from alcohol and other drug abuse or dependence. Services may include: assessment; individual, group and family counseling of an educational, supportive and therapeutic nature; referral for ancillary social, medical and/or psychological services as needed; aftercare services for persons who have completed a course of residential or outpatient treatment; and a specialized counseling program designed for the significant others of an identified alcohol and/or other drug abuser. Outpatient and intensive outpatient services provided for teens after school and early evening. Fees for consumers assessed on a sliding scale. Primary funding for services provided through contract with RBHA.
Outpatient Opioid Treatment Services
(Methadone or Buprenorphine)
Outpatient services coupled with the use of methadone or buprenorphine (Suboxone) to treat and/or detoxify adults suffering from opioid (i.e. heroin) dependence. An Intensive Outpatient Program is combined with the use of methadone or Suboxone to detoxify opioid dependent individuals. Consumers receive a physical examination and are prescribed methadone or Suboxone for a variable period ranging from 30 days to several months. They will receive group counseling three times per week during the detox phase of treatment. Upon completion of the detox protocol with medication, consumers will advance to the second phase of the program, participate in two group sessions per week and may be prescribed Naltrexone, an opiate antagonist. Phase two participation is for approximately six weeks, and then consumers will move into an aftercare status indefinitely. Regular participation in Narcotics Anonymous is encouraged and transportation to some meetings may be available. For methadone maintenance services, or opioid replacement therapy, consumers receive required counseling and daily methadone or Suboxone dose administration as long term treatment for opiate addiction. Consumer fees are required, in addition to the RBHA’s subsidy. Primary funding for these services provided through contract with RBHA.
Overnight alcohol and other drug abuse rehabilitation services provided to adults in non-hospital settings, in conjunction with supportive living and other supportive, training and rehabilitative services within the context of a psychosocial therapeutic milieu. Program design may include group and individual counseling, alcohol and other drug abuse education, special focus groups such as relapse prevention planning, stress management, nutrition in recovery, etc., and referral for ancillary social, psychological and/or medical services as indicated. Length of stay is variable, depending on the needs of each consumer. Long term treatment is available for consumers who need to pursue employment and housing before discharge. Consumers need physical exam and T.B. test prior to admission to facility and must be detoxed. Normally this is done with admission to Rubicon Detox first, for 3 or 5 days. Fees for services assessed on a sliding scale. Primary funding for this service provided through contract with RBHA.
Our Accomplishments: ————————————————————
Approximately 85% of consumers engaged in a treatment program at any one point in time
Developed treatment protocols utilizing medication assisted therapies for various treatment populations (i.e. residential treatment, and mentally ill consumers)
Provides case management to an average of 465 active consumers
Primary Funding Sources:——————————————————
State General Funds & fees for services
Unique Attributes: —————————————————————
Focus on case management for consumers with addictive disorders by dedicated staff with several years of experience (average length of service at RBHA = 14 years)