NET STEPS was created in 2003 as a MAR (Medication Assisted Recovery) program that is fully state licensed, state monitored, city inspected and federally approved by CSAT & the DEA. The program is licensed to provide methadone/buprenorphine (suboxone) maintenance and ambulatory detoxification. NET Steps was built upon a recovery model where each person's Higher Power is a major factor in his or her unique recovery process. The model requires a low client to staff ratio so therapeutic intensity can be maintained continuously. The program prides itself on the promotion of a recovery life style with sobriety rates that are extraordinarily good. Operationally the program offers specialized recovery focused counseling via Outpatient, Intensive Outpatient and Transition modalities.
Other services offered include addiction medicine, psychiatry, benefits management and some limited transportation. The program also has a very active People's Advocacy Committee, Methadone Anonymous meetings and maintains a Safe Haven environment. The Advocacy Committee publishes a sophisticated newsletter, entitled "THE NET-WORKS
" In addition, NET Steps has created positions for Persons Served in the children's playroom. These positions provide paid positions for the children's caretakers. The Advocates proposed the playroom idea as a method to reduce a common barrier encountered for person's entering treatment, specifically how to take care of their children when starting recovery.
THE COUNSELING PROGRAMS
The NET Steps OTP is spiritually-based formal treatment designed to attain a state of remission & recovery from the common symptoms experienced by those suffering from the progressively fatal disease of opiate addiction. The program, supported with medication assisted therapy, takes a holistic approach in improving quality in all life areas. Central to this, is intensive attention to healing the broken spirit through the development of a recovery lifestyle and support system.
In recognition of the vast needs of consumers, the NET Step OTP prides itself in its accessibility, flexibility and individualization in treatment planning and delivery. In addition to several levels of care options based upon clinical need, the program offers treatment schedule variety with respect to group days and times, frequency and length. The counseling program is delivered through a combination of group, individual and family therapy.
Group therapy utilizes psycho-educational approaches to develop the competencies related to accepting the disease as a bio-psycho-social-spiritual affliction that adversely impacts all life domains. This is combined with group therapy that addresses the common symptoms of addiction, including the various forms of denial, shame, guilt, impulsivity, obsessive thoughts and compulsive behaviors. Equally prominent in the group treatment process is the development of competencies associated with effective remedies for reversing active addiction through the use of medical assisted therapy and the development of a recovery lifestyle and support system. All people receive this core formal group treatment, however, the heightened needs of some populations are further addressed through placement in one of the targeted specialty groups, which include:
– provides gender specific intimate group size for women who have experienced, or are experiencing, adult or childhood physical, sexual and/or emotional abuse. It strives to enable recovery through healing the trauma, shame, guilt, victim’s syndrome and co-dependency issues. A Children’s playroom is provided to assist women in the care of their children while they undergo therapy.
– provides a cultural perspective in Spanish for non-English speaking persons. A special focus is on breaking through the cultural barriers to recovery evidenced by the historic Latino belief systems about addiction and treatment.
– provides a forum for those struggling with the unique symptoms of cocaine addiction, included routes of transmission, absence of impulse control, high-risk behaviors and consequences.
– provides practical alternatives to the relief of anxiety combined with a CBT approach that challenges self-medicating these symptoms. In addition to developing self-help tools, psychiatric interventions that include management of safe anti-anxiety medications are used.
Relapse Prevention Track
– provides re-tooling for those who have previously experienced a period of spiritual recovery. It emphasizes the redevelopment of a recovery support system and lifestyle and renewed insight into the chronic powerlessness of the disease.
Alternative Learning Track
– provides a unique intervention model through a visual and hands-on approach for those whose learning styles and capabilities are limited by traditional academic approaches. Art therapy and creative expression activities are utilized as tools to enable recovery.
– provides scheduling accommodations for medication and counseling services that allows for full time employment. A special emphasis is on vocational rehabilitation, adjustment to employment demands, triggers and psyho-stressors related to the family provider role.
The program is also highly-equipped to treat individuals who are pregnant, experiencing co-occurring medical and/or mental health disorders, and those re-entering society following incarceration.
Group therapy utilizes approaches to develop the competencies and supports needed to expand the recovery lifestyle. At the core is accepting the disease as a bio-psycho-social-spiritual affliction that adversely impacts all life domains. This is combined with group therapy that addresses the common symptoms of addiction, including the various forms of denial, shame, guilt, impulsivity, obsessive thoughts and compulsive behaviors. Equally prominent in the group treatment process is the development of competencies associated with effective remedies for reversing active addiction through the use of medical assisted therapy and the development of a recovery lifestyle and support system.
In addition to group counseling, individual therapy is used to identify and address the unique barriers and needs of clients in pursuit of developing a a recovery lifestyle and improving quality of life in each of it’s domains. Ensuring that basic needs are met and general physical mental health are stabile are goals of individual therapy. This often involves linkages and coordination of care with external entities that provide direct services and/or support. Formal individual therapy usually employs a combination of client-centered and cognitive behavioral therapy in alleviating impediments to successful recovery. All clients receive formal individual therapy.
Family therapy is also delivered through two tiers: individual family sessions that identify and process unique issues specific to the particular client and his or her family and a formal family group process designed to foster support and family engagement in the treatment process. The family group is intended to develop an understanding of their loved-ones condition and treatment, addiction as a disease that afflicts the family system and results in common symptoms, develop healthy communication skills, establish family goals and agreements
NET at PPS
NET at Philadelphia Prison System (PPS) is an innovative maintenance program that is provided "behind the walls" within the Philadelphia Prison System for methadone maintained people. To be eligible, the newly incarcerated individual must be actively enrolled in a bona fide Opiate Treatment Program (OTP) at the time of incarceration. The program operates 365 days per year within the various correctional facilities at the multi-site State Road campus. NET at PPS has strived to fast track all newly incarcerated patients onto methadone via a "Guest Dosing" protocol. The program has been successfully designed to reduce recidivism. The program offers a specialized re-entry component, entitled 'Bridge Dosing'. This unique service is offered to newly released inmates to receive short term dosing at the NET Steps OTP Bridge Street clinic until they can be re-admitted at their home "OTP" thus preventing relapse. The services offered by NET at PPS within the jail include assessment, methadone maintenance, individual & group counseling, addiction medicine physician's services.