Services Overview
Services are based upon a comprehensive assessment and individualized service plan (ISP). The ISP will identify the individual’s needs, strengths, preferences, abilities, recovery goals, measurable objectives, and clinically appropriate interventions.
Treatment is delivered through a combination of:
- Individual counseling;
- Group counseling;
- Family/significant-other services when clinically appropriate;
- Substance use disorder education;
- Cognitive and behavioral interventions;
- Relapse-prevention interventions;
- Motivational enhancement;
- Recovery-support services;
- Case management;
- Life-skills development;
- Medication education and monitoring;
- Drug screening;
- Recreational and therapeutic activities;
- Vocational and educational support;
- Community integration activities; and
- Coordination with medical, psychiatric, laboratory, toxicology, and other community services.
Substance Use Disorder Counseling
Rebirth provides individual, group, and family/significant-other substance use disorder counseling as clinically indicated.
Counseling will address:
- Substance use patterns;
- Triggers and high-risk situations;
- Cravings;
- Relapse warning signs;
- Recovery motivation;
- Consequences of substance use;
- Healthy decision-making;
- Coping skills;
- Emotional regulation;
- Interpersonal relationships;
- Recovery supports; and
- Long-term recovery planning.
Cognitive and Behavioral Treatment
Our Program specifically serves individuals with functional limitations that may affect cognitive and behavioral functioning, Rebirth will incorporate interventions designed to improve:
- Attention and participation;
- Problem-solving;
- Decision-making;
- Impulse control;
- Emotional regulation;
- Communication;
- Behavioral self-management;
- Organization;
- Planning; and
- Ability to complete routine daily activities.
Relapse Prevention and Recovery Skills
Residents receive structured education and practice in:
- Recognizing relapse triggers;
- Developing coping strategies;
- Managing cravings;
- Developing recovery routines;
- Building sober support networks;
- Developing emergency/recovery plans;
- Identifying early warning signs;
- Maintaining treatment engagement; and
- Establishing continuing-care supports.
Motivational Enhancement
Rebirth uses motivational interventions appropriate to each individual’s stage of readiness to change.
The program emphasizes engagement rather than confrontation and will assist individuals in identifying personal reasons for recovery and developing realistic, measurable recovery goals.
Daily Living and Functional Skills
Residents receive structured assistance in organizing and managing daily activities.
This may include:
- Personal hygiene;
- Medication routines;
- Time management;
- Meal planning;
- Household responsibilities;
- Appointment management;
- Budgeting and financial-management skills;
- Transportation planning;
- Communication skills;
- Community navigation;
- Employment preparation; and
- Educational planning.
Recovery Support Services
Rebirth helps residents develop and maintain recovery-oriented support systems.
Services may include:
- Peer recovery support;
- Recovery coaching;
- Connection to mutual-support programs;
- Community resource linkage;
- Development of sober social networks;
- Family engagement;
- Employment and educational referrals;
- Housing-transition planning;
- Transportation-resource coordination; and
- Connection to community-based recovery services.
Structured Programs and Services We Provide
Case Management & Care Coordination
Case management is incorporated into our service with activities that may include:
- Coordination of medical and behavioral-health services;
- Coordination with the individual’s CSB and/or referral source;
- Benefits and entitlement coordination;
- Transportation coordination;
- Employment and educational referrals;
- Housing-transition planning;
- Court/probation coordination when authorized and appropriate;
- Family/support-system coordination;
- Referral to community resources;
- Coordination with higher and lower levels of care; and
- Continuing-care planning.
Rebirth will maintain appropriate relationships and referral arrangements with other levels of care to support continuity of treatment.
Medication & Addiction Pharmacotherapy
Rebirth supports appropriate medication management as part of the individual’s treatment plan.
The program will:
- Monitor medication adherence;
- Provide medication education;
- Coordinate with prescribing practitioners;
- Assist residents in understanding the purpose and appropriate use of prescribed medications;
- Coordinate medical and psychiatric services as needed; and
- Facilitate access to addiction pharmacotherapy, including medication-assisted treatment, when clinically indicated.
Rebirth does not deny appropriate treatment to an individual solely because the individual requires medication-assisted treatment.
Medical, Psychiatric, Laboratory. & Toxicology
Rebirth will establish appropriate referral and/or contractual arrangements for medical, psychiatric, laboratory, toxicology, and emergency services.
The program will have access to qualified medical consultation for substance-use-related emergencies 24 hours a day, seven days a week.
Laboratory and toxicology services will be utilized when clinically indicated.
Drug screening may be conducted through urine or other clinically appropriate testing and will be used as a therapeutic and monitoring tool rather than solely as a punitive measure.
Dual Diagnosis Treatment
Rebirth recognizes that many individuals with substance use disorders may also experience mental-health conditions.
At admission and throughout treatment, residents will be assessed for signs and symptoms of co-occurring mental-health conditions.
When clinically indicated, Rebirth will coordinate:
- Psychiatric evaluation;
- Medication evaluation and management;
- Mental-health counseling;
- Laboratory services;
- Crisis intervention;
- Emergency psychiatric services; and
- Referral to a higher level of psychiatric care.
Individuals whose needs exceed the capabilities of the program will be referred or transferred to an appropriate level of care.
Residential Structure & 24 Hour Supervision
Rebirth provides a structured residential environment with 24-hour on-site supervision.
The residential environment will provide:
- Safety and supervision;
- Structured daily routines;
- Therapeutic programming;
- Recovery-oriented activities;
- Assistance with activities of daily living;
- Medication-related support within staff scope of practice;
- Crisis identification and response;
- Coordination of emergency services; and
- Continuous monitoring of residents’ changing needs.
Family & Significant Other Services
When clinically appropriate and consistent with the individual’s treatment goals, Rebirth will involve family members and significant others in treatment.
Family services may include:
- Education regarding substance use disorders;
- Communication and relationship skills;
- Understanding relapse and recovery;
- Development of healthy boundaries;
- Support for the individual’s recovery plan;
- Family participation in treatment planning; and
- Preparation for the individual’s return to the community.
Participation will respect the individual’s confidentiality and applicable consent requirements.
Exclusion & Referral Criteria
Rebirth does not admit or retain an individual whose clinical, medical, psychiatric, behavioral, or safety needs exceed the capabilities of our program.
Individuals requiring a more intensive level of medical or psychiatric care will be referred or transferred to an appropriate service.
Examples may include individuals who require:
- Acute medical hospitalization;
- Medically managed withdrawal services beyond the program’s capability;
- Intensive psychiatric hospitalization;
- Continuous medical monitoring beyond the program’s scope;
- Specialized services that Rebirth is not licensed or staffed to provide; or
- A level of care otherwise determined to be clinically necessary.
Such decisions will be based on assessment, clinical judgment, the individual’s safety, and applicable regulations and policies.
Drug Screening & Recovery Monitoring
Rebirth uses random and clinically indicated drug screening as part of treatment and recovery monitoring.
Results are incorporated into clinical assessment and treatment planning and will be used to identify emerging problems, reinforce recovery progress, and determine whether changes in treatment intensity are warranted.
Drug screening will be conducted in accordance with applicable laws, regulations, privacy requirements, and Rebirth policies.
Pregnant Women
Rebirth’s substance use disorder service description and admission procedures will address the timely and appropriate treatment of pregnant women with substance use disorders.
When a pregnant individual presents for services, Rebirth will assess the individual’s clinical needs and coordinate appropriate prenatal, medical, substance use disorder, psychiatric, and addiction-pharmacotherapy services as clinically indicated.
If the individual’s needs exceed Rebirth’s licensed scope or capabilities, appropriate referral or transfer will be arranged.
This provision is specifically required to be addressed in a Virginia DBHDS substance use disorder service description.
Contracted & Referral Services
Where services are not provided directly by Rebirth employees, the organization may establish appropriate contractual or referral arrangements with qualified providers.
Potential contracted or referral services may include:
- Physician services;
- Psychiatric services;
- Nursing services;
- Laboratory services;
- Toxicology services;
- Pharmacy services;
- Medical services;
- Specialty behavioral-health services;
- Medication-assisted treatment;
- Transportation;
- Vocational services; and
- Other specialized services required to meet individual treatment needs.
All contracted or referred services will be coordinated with the individual’s treatment plan and documented appropriately.
Continuing Care, Discharge & Transition
Rebirth works with each resident to develop a continuing-care plan that may include:
- Outpatient substance use disorder treatment;
- Intensive outpatient services;
- Partial hospitalization;
- Lower-intensity residential services;
- Medication-assisted treatment;
- Mental-health services;
- Primary medical care;
- Peer recovery services;
- Recovery-support groups;
- Employment or vocational services;
- Educational services;
- Housing resources; and
- Family/community supports.
An individual may be discharged or transferred when treatment goals have been substantially achieved, the individual can safely and appropriately transition to another level of care, the individual requires a different level of care, or other clinically appropriate discharge criteria are met. Emergency transfers will occur when necessary to protect the health and safety of the individual or others.
