I hate it when counselors answer a question with a question! None of that "therapist" stuff here. Just direct answers to direct questions.
Hope For Families uses a treatment team model to provide treatment for your family. All of our counselors are trained in both mental health and addiction (Click here to check out our credentials), but what makes us great is our attitude and approach.
In counselor school they teach you to be more like a "blank slate". They say this means you will be able to work with all types of clients. We pretty much reject that philosphy, because we aren't trying to work with "every type" of person. Each of us know exactly what kinds of clients we work with best. When you come to Hope For Families, you should expect to meet real people with REAL personalities. Click here to read about the counselors.
We believe individual problems affect entire family systems and vice versa, so we treat the whole system. Think of it like going to the orthodontist...
I actually had adult braces (while I was pregnant). OMG, that should be against the law!!! Basically, I had one front tooth that was turned out just a bit, but it had bothered me all my life. I really wanted to fix just that one tooth, but I ended up having to wear full metal braces on top and bottom for more than two years! Something is always causing the problem in the first place, so you have to fix the "underlying problem". In the case of my teeth, it was crowding. As much as I hated it, the orthodontist said that If we didn't move all my teeth to accommodate the change, my front tooth would just go right back to the way it was before!
It works the same way with families.... Most of the time, families come to us saying that one person in the family has some sort of issue that is stressing out the whole family. They like to do what I call the "drive by" approach (drop the person off and come back to pick them up when they are "fixed"). Just like teeth, this just ain't gonna work! We have to figure out what the underlying problem is and then shift the family system in a way that will support long lasting changes. Yes, this approach takes time and money, but its the only way to get changes to actually stick.
We help individuals and their families break out of problematic habitual cycles (addictions) by developing positive strategies for each person to get their needs met more productively. Hope For Families is comprised of a team of addiction and mental health specialists designed to meet the needs of the family system, and we create a treatment recommendation based on the specific needs of each person. We treat addiction, alcoholism, anxiety, and trauma related disorders. We will assign each individual their own counselor to work with them on their personal goals. This allows every voice to be heard and creates an atmosphere of safety and trust.
Best of all, it ensures our counselors understand the many viewpoints of any given problem. We will use the wisdom of each person to understand the complexity of each situation as well as identify the unique strengths and skills each family member brings to create a system that supports positive change.
This approach works well with couples, parents, children, and entire family systems. We also are very open to incorporating support persons outside of a traditional family system, such as friends, grandparents, sponsors, church mentors, etc... We don't get stuck in rigid thinking about how to do treatment. WE ARE FLEXIBLE BY DESIGN.
Compulsive behavioral patterns don't just affect the individual, they impact the entire family. This often causes a ripple effect, which can result in the development of various negative coping patterns within the family system. Unfortunately, families can inadvertently reinforce the negative behavior patterns of its members. This is where we are helpful, since we encourage and foster more positive interactions.
Some times unexpected things happen and you need some advice on how to handle a situation. We understand that sometimes these situations even happen after hours. We do our best to be there for the families we serve but we also have to be there for our own families, so here's how we handle these situations...
If you are in need of some specific advice on how to handle a situation, by can reach out to your counselor via phone call or text. Your counselor can provide you with their personal cell phone numbers and they will explain what to expect when reaching out to them, but there are some general guidelines to remember.
1. We can provide some direction to you about how to handle non-life threatening urgent situations. We don't do emergency therapy sessions via phone. Emergencies require more immediate action than we can provide, so if you are in a life threatening emergency, please call 911, go to your nearest emergency room, or call the Carolina Center For Behavioral Health at 864-235-2335.
2. Coaching sessions should be less than 15 minutes. More than that and you're likely getting into a therapy which is best done at a set appointment time so that your counselor can have all their attention focused on you.
Hope For Families Recovery Center After Hour Communication Policy
3. After hours coaching sessions cost $80/15 minute time block and will be rounded up to the nearest 1/4 hour.
4. You should allow up to 2 hours for them to return your call. Your counselor may be in the middle of family dinner, watching a movie, or even giving their kid a bath. (that's why we don't say we can be available for emergencies!) Our counselors stop monitoring their phones at around 9pm, so if you reach out after that time, you should expect a call the following day.
5. Sometimes our clients reach out to us via text message or email. These mediums are best used to rely quick pieces of information, not as a way request advice or get therapy. If you need advice through text or email then the above mentioned rates and expectations apply.
We would much rather our clients reach out to us with questions than to have a big set back, so please feel free to reach out if you need to some specific advice, but we ask that you also be mindful of your counselors personal time as well.
Lots of people ask "How does talking about your problems help?" Why do you need to pay a counselor when you have friends?
This is a perspective issue. Granted, we completely understand wanting to see action over hearing words. We have all been there. However, the reason we say this is a perspective issue is most times, the person who is against talking is frustrated.
Plain and simple, they are tired of the way life is going and want change!
We get that. However, one must understand the root of that frustration is a rigid perspective. The change is not happening because the wrong things are continuously executed. Sometimes, we have the wrong idea about why problems have occurred or how to solve them.
Continuing to expect change from the same methods not only doesn't work, it is the definition of insanity. Maybe the insanity thing is overused, but it is a fitting cliché for this discussion.
Talking about one's problems in counseling, can create a new personal understanding. Sometimes just saying a thought out loud can lead to a revelation. Or healing. Speaking the truth about how you feel can lead to a sense of acceptance, which allows you to move on.
It also increases accountability, as we all need help staying true to our goals and on the path to growth.
One last thing, the resistance one has to talking about their problems often has a direct, positive correlation to how much shame that person carries.
Ponder that for a minute...
When you have had resistance to talking about your personal problems,
what messages were you telling yourself?
Hope For Families Recovery Center Talk Therapy
Get over it?
You should not have done that?
Things will never change so what's the point?
These are dark messages that lead to feeling isolated, lonely, and lost. Talking can reverse this and lead to self-acceptance. That is where hope, courage, and connection are found.
Hope For Families specializes in helping individuals and their families recover from addiction, alcoholism, anxiety, and trauma related disorders. Our counselors are trained to help you discover the underlying causes of these conditions and find more productive ways of dealing with stress.
Each one of our clinical staff are trained in both mental health and substance abuse treatment, but we all have a specialty niche. Amber is our Master Addiction Counselor, Campbell is our family specialist and also works with self injurious behaviors, Kim is our relationship counselor, Cole is our Intensive Outpatient Coordinator and also sees young men with addiction issues, and Virginia has specialty training in anxiety and trauma related issues.
Hope For Families Recovery Center, Family Therapy
Why does the family have to come?
The answer is simple - because we need you!
With addiction and in other crises, we need a whole team in order to be triumphant. Family members are a huge part of the team at Hope For Families. In fact, we really can’t do it without you.
We need your input in what is actually going on with your loved one so we get the whole story, and sometimes, even the truth! We need historical information, medical backgrounds, as well as details about what is currently happening.
As we learn more about what is going on in your family, and with the issue at hand, we often dictate behavioral changes in family members necessary to facilitate change - and frankly, with addiction, this can change from week to week. If we don’t have you in
on a weekly basis, we aren’t able to make the changes we need to ultimately lead your family to healthy and desired change.
Frequently, ongoing behaviors of parents, siblings, grandparents, or even poor Aunt Sally, are actually, inadvertently, part of the problem and we need the family involved in the therapeutic process so we can help redirect or stop any negative issues that may be occurring.
Just like the head coach on a football team needs all the positions to be filled by skilled or knowledgeable players, at Hope For Families we strongly believe we need everyone potentially capable of any degree of change to be involved so we can do our best, with the best possible outcome, for your loved one. What we ask our addicts to do is hard, darn hard, in fact and the family’s love and support is vital for sustainable change. This is another BIG reason we need the family involved as much as your child or loved one. It is important to them you are engaged and involved in learning and changing. It really does make a tremendous psychological impact, helping alleviate some shame - knowing they are not the only ones in the family who need to change and behave differently.
Additionally, and here’s another “biggie”, much of what we ask family members to do is also not easy and they need the weekly support, gently encouragement, and help in doing what needs to be done to starve the chaos happening in the family. Lots of our clients have found themselves in a “foreign country” and don’t even know quite how they got there - let alone how to exchange money, or even what the language is. A huge part of our jobs at Hope For Families is to help you learn how to navigate in this “country” and, hopefully, learn to even enjoy parts of your travels to this new part of your life.
Lastly, and this is vital, working with the loved ones or family members is so important to us we just made it one of our three unbreakable “laws”. For those who know us, it is pretty obvious we don’t really operate under many rules at all! The fact we made family involvement one of the only three we actually have, shows you just how serious we are about the
importance of ongoing family engagement with our clients!
We offer groups for adults and adolescents as part of our Intensive Outpatient Program (IOP).
Those groups meet on Mondays and Wednesdays from 5pm -8pm. There is also a family support group meeting associated with IOP that meets on Wednesdays from 6:30-8:00.
Hope For Families Recovery Center Intensive Outpatient Program
Our groups are co-ed and serve teens and adults. They are generally smaller than your typical IOP group meetings and have a strong feel of connectedness and community. Once an individual graduates our IOP program they are eligable to return as an alumni as long as they are doing well and contributing to the group process. This is a major benefit of our IOP program! Our alumni bring a lot of "experience, strength, and hope" to current group members as they go through the recovery process.
Deciding whether or not you or a loved one has an addiction problem can be a frustrating and heart wrenching process. Loved ones and family members can worry and debate for a lifetime and a half.
The prospective addict, for their part, often seeks to avoid an addiction diagnosis as if it were a military draft or an invitation to be audited. Sometimes, however, things can happen in reverse. The addicted person goes to their family or friends and says "I think I have a problem", and the family or friend responds with "no way, not you". Regardless of who thinks what, this debate revolves around what characteristics classify a person as an addict. The most standardized, effective criteria used widely by clinicians and researchers is found in the Diagnostic and Statistical Manual-V (DSM-V) chapter "Substance-Related and Addictive Disorders."
Addiction, being the wily beast it is, doesn't let itself be too easily identified. You really have to be able to weigh the criteria provided in the DSM against a bunch of other, similar and distinct, cases of addiction to accurately tell an addict from a non-addict. However, this game of comparison can be full of dead ends and wild goose chases. People tend to be tempted into extremes of harshly criticizing or immediately absolving themselves or their loved ones.
Normally in my practice, I'll go over what the DSM has to say about substance abuse with my client and have them compare their, or their loved ones, use and related behaviors. I'll ask them clarifying questions, guide them away from being hyper-critical and, most importantly, hold their feet to the fire when relevant.
This back and forth process is, in my experience, a lot more insightful than just taking the DSM at face value and without context.
Instead of writing a blog-style commentary of the DSM, however tempting this would be, and entertaining to read, I've decided to put together a video guide you can download for free to get a better idea of what you're up against.
This won't be as comprehensive or as tailored as a face-to-face session but I hope you find it to be a great improvement to pouring over a dense, diagnostic manual alone!!
You can also take a self assessment quiz by clicking here.
Treatment cost for addiction is a big question with the unfortunate short answer of "it depends". How much treatment costs at Hope for Families basically depends on what treatment options best suits your, or your loved one's, recovery process. There are a lot of variables to consider so let's break things down into three general parts
1. What are the costs of our services?
2. Why these services cost what they do?
3. What services we do not provide?
PLEASE, PLEASE, PLEASE contact us with any and all questions you have, or for more information either over the phone or via email!
We realize that treatment is expensive, but we don't want you to let that be the obstacle that keeps you from getting the help you need. Financing is available. If you are concerned about the affordability of treatment, contact our business office at 864-906-2395 and ask to talk to Karen. She will be happy to talk to you about financing options.
The bedrock component of treatment at Hope For Families consists of individual counseling sessions for the client suffering from addiction and separate family counseling sessions for family members or loved ones.
Initially we do an assessment session to see if treatment is warranted and to learn more about your specific case. This costs $500, which is a one time fee. The initial assessment includes the following:
1 Individual session (50 minutes)
1 Family session (50 minutes)
CNSVS (CNS Vital Signs) or ASI (Addiction Severity Index) Testing (60 minutes)
1 Urinary drug screen
Following the assessment, additional counseling sessions cost $145 and are 50 minutes long. In the beginning stages of treatment, most clients can expect to pay for 2 sessions per week (one for the addicted person and one for the family member or loved one). Over time, the frequency of sessions can decrease as the situation improves.
We also do joint family sessions with multiple family members and multiple therapists in attendance simultaneously. These cost $145 per therapist in attendance.
We offer two options for phone sessions:
Regular hours phone sessions (during normal business hours 9:30am - 5:30pm) at $80 per 30 minutes
Urgent phone coaching $130.00 per 30 minutes that are rounded to the nearest quarter hour.
Sometimes clients are referred to our Intensive Outpatient Program (IOP). This happens when clients need extra structure, support, and accountability.
Our Intensive Outpatient Program costs $675/week and generally takes around 20-24 weeks for a person to graduate. Graduation confers additional benefits to the client and their family and loved ones. Sometimes people will stay in the program longer than that if they have a lot of ups and downs during their treatment, but you are not under financial contract to stay the whole 20-24 weeks.
Here's what you get each week for IOP:
2 three hour group sessions
Hope For Families Recovery Center Treatment Financing
1 individual session for the client
1 individual session for the family
1 family support group
Urinary drug screening happens at least once a week
If you graduate from IOP, you and your family can keep coming back to
group sessions for free as long as you meet healthy criteria.
In addition to counseling and group IOP, we offer other services to supplement your recovery.
Substance use monitoring services (that go beyond the urine screens
offered in IOP)
SoberLink: SoberLink is an alcohol monitoring device that allows
clients to report their drinking behavior and costs $400/month. There is a one-time $50 setup fee for this service. Should your counselor have to contact you more than 3 times a month, due to Soberlink noncompliance, you will be charged $15 per extra contact instance.
Drug patches: These monitor levels of various drugs and cost $120 per patch and usually requires two patches per month.
Neurocognitive testing and substance abuse reports (CNSVS and ASI testing): Occasionally, clients will request neurocognitive tests or formal substance abuse reports. These are usually helpful and a often required when an individual faces legal trouble and they need special documentation. These tests or reports are generally about $150.
Why our services cost what they do
Let's start with the fact this is a lot of money and it sounds scary. If tomorrow, my son needed this level of care I would find it pretty difficult to just start dishing out this kind of money without a second thought.
However, if we didn't charge adequately for our time here's what would happen:
The quality of service we provide would decline which means the product you would be paying for would decrease in quality.
I am a full blown WORK-A-HOLIC and I absolutely love what I do. Generally speaking, I can work harder and longer than most because I enjoy it and genuinely am invested in the well being of my clients. However, there is only so much compassion and energy a person can have in a day.
If it's 8:00 at night and I've already seen seven other clients before you, I'm probably not going to be able to give you the attention you deserve, which in this case would also be the attention you need.
This wouldn't be because I don't care, or don't want to help, or mean I'm not a good counselor. It would simply be because I was exhausted. If this sounds like I'm speaking from experience it's because I am. I have done this MANY, MANY, MANY times in the past and I'll probably do it again in the future. If my clients absolutely need me then I will do what I can to help.
The clients I typically see are quite short on help at this stage in their lives. Substance abuse is an ugly situation that can really mess up a person's life. I want nothing more than to be there for you at each step along this journey.
An overworked counselor won't be able to consistently provide the requisite level of care and guidance, which is what you need.
What would happen at a regular counseling agency when you suddenly find out your kid or spouse has been relapsing for some time unbeknownst to you?
Do you want to he told "Oh no, I'm sorry, but we don't have anything available for 3 weeks..."
Or would you rather hear "Hold on, let me see what I can do to get you guys in here ASAP. This sounds important!"
I thought you might prefer to hear the second sentence!
We don't provide any kind of inpatient treatment at Hope For Families because we are not a hospital. But here is a information regarding that level of care.
I would guess-timate it would cost you around $5000 for a 5-day detox and around $30,000 for a 30 day residential treatment stay. Most detox places will bill your insurance, however, most insurance companies will not cover the cost of 30 day residential treatment.
P.S. These fees are as of the date this article was written (1/2/17). Occasionally rates may change, but once you are our client your rate stays the same throughout your treatment, based upon the rates we charged when you start with us.
We simply don't take insurance. We also don't bill the insurance company for you, although we encourage you to do so. This may sound selfish, lazy, or at least strange but let me explain.
One of the hardest and scariest decisions I ever made was to de-panel (that means “get off of”) insurance company networks. This means I was on insurance panels and accepted people’s insurance as payment, but I purposefully decided to stop doing that.
When the insurance company is the one that pays you, then you pretty much work for the insurance company. You will diagnose only things they will pay for. You will do treatment in a time frame that suits the insurance company, and you will provide the kinds of treatments they want you to. The insurance company’s job is to look out for the insurance company.
I don’t think insurance companies are “the devil", I don’t even think they are bad. If they didn’t look out for their business,
then they would go under and they couldn’t help anybody either. This isn’t about me thinking insurance companies are EVIL (although, I do kinda think they are a pain-in-the-you-know-what to deal with).
It’s the insurance companies job to look out for the insurance (not a bad thing), and it is my job to look out for you (which is a good thing).
The difference is mental health and substance abuse treatment are not nearly as cut and dry as other medical treatments. For example, you break your leg so you go to the doctor. They do an x-ray, they diagnose a broken leg, they set the bone, they put you in a cast, and send you along, with follow up visits. Okay, I know sometimes things are a little more complicated than that, but by and large most biomedical conditions are much easier to measure and the course of treatment is easier to predict.
I hope one day, mental health gets to that point. We are definitely getting closer, but we aren’t there yet.
Every single person or family we treat is very unique, and we use a different approach for each one of them. The issues we treat are so deep, gray, and complex the worst thing I could do is create some “Standard Treatment Plan” and try to get every person “healed” in 8 sessions or less!
Some clinicians that don’t take insurance will try to scare you and say billing insurance will “leave a mark on your record” and possibly haunt you in the future. It reminds me of being in middle or high school when adults would tell you to not do certain things because it would leave a mark on your PERMANENT record!!!! (Scary music).
Yes, this could possible happen, but honestly it is not very often. This is not the main reason I choose not to bill your insurance.
Actually, we advise my clients to send in their receipts and try to get some of their money back, and we give them what they need to do this, and help them in any way we can. The real reason we don’t bill insurance is we want to be able to provide our clients with what they need. In order to do that we have to create a system that will actually allow for that to happen.
I want our facility to be warm, welcoming, and friendly. I want my staff to be the best trained and most well taken care of I can possibly manage. I know the better I take care of myself and my staff, the better we can serve you! So, because I am so passionate about providing good treatment, I have made a commitment to creating the kind of business that can function in such a way.
Did you know that the average amount of time an addiction counselor stays in the field is 5 years??? Crazy right?!
This is because the work is very emotionally and intellectually difficult. Often, you have people who have worked long and hard to get a Masters degree (or more), they start with enthusiasm and passion, but they are asked to work in a way that is just not sustainable.
Yes, I realize this means we can’t treat everyone, and that does make me sad, because I am truly passionate about my work.
But, we all have to make hard decisions.
This is the basic decision an addiction counselor is faced with - treat everyone, and give them all a little bit of what they truly need, or treat some and give them everything they need.
The decision you have to make is this - see the clinician for which you will only have to pay a minimal co-payment, but who will have less time for you and will be pressured by insurance companies.
****Side note: There are some very good counselors who would fall into this category. I was one of them for a long time, and I gave my clients everything I could give them. But that is just the problem, “you can’t give what you don’t have.”
Alternatively, you could look for the best clinician you can find and pay a reasonable rate to get their services. Most of our clients do it the first way (cheapest and easiest) for a long time and then they come over to us when they are frustrated, worn out, and feeling hopeless because no one can help them. Actually we prefer it this way. Clients with this experience never get upset about the bill because they actually understand the difference in care that they are getting.
Thanks for bearing with me on this lengthy topic and be sure to contact us with any questions!
Warning: Random Side Conversation
By the time you get finished at Hope For Families, we are going to know everything about you. We are going to know your family, everything about your granny, your pets, and what your favorite shows on Netflix are. We will know all about that kid who was a jerk to you in middle school, and we will probably have met your best friend and dog too!
And you will know everything about Hope For Families. You will know where all the good snacks are, you will know Bree is an excellent baker, and Campbell loves elephants, hearts, chickens, & bunnies! You will figure out I am a crazy passionate work-a-holic. You will know Kim is a new mom. You will know Cole likes to mountain bike and you will likely have seen all of his latest scars. And you'll know Virginia needed to be taught not to have just one elephant on her bookshelf!
I mean “we get in there with ya” for real. We aren’t scared of getting messy, it's is what we do.
***You think I am kidding, but I am not!***