Persons appropriate for outpatient programming are in need of structured treatment focused on prevention of illicit use, but are ready to begin incorporating sober lifestyle changes into settings outside of treatment such as family, work, school etc. Recognizing substance use disorder as a multidimensional problem, outpatient treatment plans can address many issues including HIV, Hepatitis C,and other infectious disease prevention, job-readiness, perinatal addiction, domestic violence, criminal justice issues, parenting, concurrent health issues, and mental health in conjunction with the overarching goal of freedom from drug and alcohol abuse. The outpatient service menu includes substance use disorder assessment, group counseling, individual counseling, case management, and periodic drug screening.
For individuals who are addicted to heroin or other opiates, medication management is available as part of a comprehensive outpatient treatment plan. Patients who have continuous opiate dependency are assessed by medical staff for medication stabilization and maintenance. The major goals of medication management are to; alleviate withdrawal symptoms, reduce cravings for illicit opiates, and block the effects of illicit opiate use without producing unwanted side effects such as nodding or lethargy. This is accomplished through continuous assessment of individualized dosing for each patient. Use of medication, primarily methadone, is just one part of the treatment plan. Group counseling, individual counseling, case management and periodic drug screening are provided to address the primary goal of abstinence from illicit drugs as well as related concerns such as; prevention of HIV/Hepatitis C and other infectious disease, parenting, employment, criminal justice involvement, and management of mental health and primary health problems. With effective medical stabilization, the patient is able to begin the work of behavior and lifestyle change necessary for long- term recovery.
The most recent option in the treatment of opiate addiction is Vivitrol. Vivitrol is an injectable medication, when combined with addiction treatment counseling, that provides someone the chance of recovery. Under the direction of a licensed physician, this FDA approved medication, works by blocking the sedative, euphoria producing sensation of all opiates. Vivitrol is not a controlled substance and can be safely administered following completion of an assessment by one of our healthcare professionals. When discontinued, the individual does not suffer any unpleasant side effects. Though not all individuals may be appropriate for Vivitrol, its place in the war against the opioid crisis is well documented.
Intensive outpatient services provide concentrated intervention focused on assisting the patient in establishing initial abstinence. After a comprehensive substance use disorder assessment, an individualized treatment plan and service schedule is established. Patients are educated on the disease process of addiction and participate in highly structured and highly focused treatment sessions. Group, individual and case management sessions address the individual’s personal addictive history and use patterns as well as concrete steps for interrupting the illicit use pattern. Related problems such as employment, family, legal, health and mental health concerns are also addressed. Patients attend a minimum of nine hours of counseling per week and are provided with periodic drug screening to help track progress.
Since August of 2001 FGC has administered medical detox programming in partnership with local hospitals. Currently, FGC administers medical detox programming at St. Bernard Hospital, located in Englewood, and Ingalls Memorial Hospital located in Harvey. Direct linkage to longer-term treatment is a focus of aftercare programming. FGC’s own continuum of care and relationship with the larger treatment community provides patients with immediate, direct aftercare treatment after successful in-patient medical detoxification from opiates and/or alcohol.
The following are a list of services that Family Guidance Centers, Inc (FGC) provides for hospital based medical detox programs that are not provided by any other contractor;
- FGC Detox Counselors on-site at the hospital are state approved and trained clinical assessors and trained and licensed/certified substance use disorder counselors.
- FGC provides daily community intervention and outreach services with 2 staff assigned 100% of their time to conducting these services to assist in promoting and marketing of the unit. The staffs are out in the community meeting with community organizations and with potential patients from 7am to 9pm, Monday thru Friday.
- FGC provides 24/7 Medical Director Services including immediate access to the physicians for patient admission approvals, patient care consultations and patient discharges.
- FGC staff are present 24/7 on the Unit thus ensuring intakes can take place at any time during the day or night. Staffing patterns include 3 staff on each morning and afternoon shift and 2 staff on each evening shift.
- FGC staff provide daily individual and group education sessions with all patients and provide specific and detailed referrals to substance treatment programs upon each patient’s discharge. FGC operates 3 outpatient methadone treatment programs in the Chicago area that receive a majority these referrals.
- FGC staff provide all patient pre-admission screenings and patient pre-certification services with the State and its Utilization Review contractor (HSI) thus ensuring 100% approvals and reimbursement.
- FGC staff are fully trained and conduct performance review/performance improvement processing that ensures the Hospital’s Medical Detox Unit can meet standards from the appropriate hospital certification bodies.
- FGC has written policies and procedures that govern the entire operation of the medical detox unit.
Mental Health Counseling
FGC employs qualified licensed psychologists, as well as master level licensed counselors and social workers to provide mental health counseling. With training and experience in both mental health and substance use disorder, the clinical staff are able to assess the impact of mental health issues on recovery from substance use disorder and dependency. The patient is guided in concrete steps toward healing from trauma, development of healthier family and social relationships, ongoing management of any chronic mental health conditions, and prevention of illicit substance use.
School-based Prevention/ Treatment:
In the spring of 2000, FGC began a youth initiative to serve at risk adolescents and pre-adolescents.
Hundreds of students have been served through creative in-school programming at Frederic Von Schiller Elementary School, Kelvyn Park High School (Chicago) and Metro-Prep School (Arlington Heights).
Adolescent services are integrated into the school’s daily programming. Utilizing continuous on-site collaboration with school leaders and staff, FGC’s clinical staff has provides immediate on-site assessment, prevention and treatment services for those youth most at risk for substance use disorder. Community education is a priority with educational events conducted in close collaboration with community leaders, educators, and parents.
Outreach and Community Education
substance use disorder prevention and treatment work! FGC recognizes the need to actively educate the community on identifying and addressing the devastating problem of substance use disorder so that it can be prevented wherever possible and promptly treated where needed. FGC provides education to community leaders, educators, parents, health care providers, child welfare leaders and workers, social service providers, and members of law enforcement and the criminal justice system. FGC staff are available to give tailored community presentations so that concerned members of the community are better equipped to identify substance use disorder concerns and facilitate coordinated access to appropriate services.
FGC administers The Illinois Network to Organize the Understanding of Community Health (InTouch) Prevention Service Area 6 serving South Suburban Cook County. InTouch, with the major goal of preventing the abuse of alcohol, tobacco and other drugs, is designed to serve as a link between Illinois Department of Human Services funded prevention programs, state government, the research community, and local communities. This unique community-based prevention program is; fostering leadership at the local level through community organizing and advocacy; building community awareness, knowledge and skills; and conducting coordinated planning with other health promotion organizations.
Assessment is considered a pre-treatment intervention for an individual who has evidenced having or being at risk for having a substance use disorder problem. FGC provides assessments for Illinois Department of Children and Family Service referrals, criminal justice referrals, hospital referrals, self-referred individuals etc., assisting in providing timely access to care. Using the Addiction Severity Index, a well-tested and validated tool, a qualified clinician is able to make an initial determination of the individual’s risk factors and offer appropriate treatment and/or referral options.
FGC offers state of the art drug screening using the latest oral testing technology. The non-intrusive, oral swab testing process takes less than five minutes and results from the licensed laboratory are available within a few days. The hours for toxicology testing are flexible making it convenient for pre-employment and/or employee screening.
In addition to the on-site physician monitoring of each patient’s substance use disorder treatment, FGC offers patients linkage to ancillary health services through coordinated partnership with local health care providers. Through collaborative networking, FGC ensures patients are assisted in accessing timely primary medical care. FGC staff engage primary health providers, reducing barriers to medical treatment and arranging referrals for appropriate care including specialized medical treatment for higher risk patients.
Family Guidance Centers Residential Services in Springfield and Manteno utilizes the American Society of Addiction Medicine Patient Placement Criteria (ASAM PPC-2R) as a basis for a full continuum of client care. Within this patient placement system, clients are continually assessed and receive treatment as dictated by their current need.
The primary goal of residential treatment is to provide the substance abusing and substance dependent client with a structured environment that optimizes a positive treatment outcome. Residential Rehab is a residential therapeutic community that is professionally staffed 24 hours a day. This residential community is designed to improve the client’s ability to structure and organize the tasks of daily living and recovery. Clinical programming is designed to develop and apply recovery skills, including relapse prevention, interpersonal choices, and development of a social network supportive of recovery.
Clients admitted to Residential Rehab must be at least 18 years of age. The client must have a substance use disorder which he or she is currently unable to effectively control without the structure of such an intensive treatment environment. The client must be willing to engage in treatment and become abstinent.
For more information about residential services in Springfield call (217) 544-9858 or for Manteno call (815)-468-6556.
To assist in addressing the opioid crisis in Illinois, FGC is a recipient of annual Illinois Opioid-STR and SOR funding to support the following services:
County Jail-based Assessment/MAT/Linkage Services for Detainees with OUD
FGC provides services related to case-finding, Vivitrol injections, and post-release linkage services for persons with OUD who are incarcerated in specified Illinois County Jails in areas of high need. Pre-release assessment and case management services occur while the person is still detained in the jail and includes the offered provision of Vivitrol injection services when determined to be medically and clinically appropriate, and is followed by a “warm hand-off” to FGC’s MAT program post-release. FGC currently works directly with the Will County and Grundy County court and jail systems but additional Illinois county jail and court systems are scheduled for implementation.
Hospital-based Assessment/Linkage Services for Patients with OUD.
The opioid crisis in Illinois has resulted in an increase in opioid-related emergency department and hospital visits across the state. To address this issue, FGC provides OUD screening, recovery coaching, and “warm hand-off” services to persons presenting in hospital emergency departments. FGC maintains a team of recovery coaches and counselors who are co-located in Illinois hospitals in high-need areas and we work with the hospital’s medical team to create a continuing care plan for individuals who present in the ED with heroin or other illicit opioid use. FGC currently partners with: St. Bernard Hospital – Chicago; Thorek Hospital – Chicago; Methodist Hospital – Chicago; Silver Cross Hospital – New Lenox; St. Joseph’s Hospital – Joliet; Memorial Hospital – Springfield and Morris Hospital – Morris.
Access to Medication Assisted Treatment (MAT) Pilot Grant – Hub and Spoke
FGC and Central Counties Health Centers, Inc. have partnered as the central Illinois Hub and Spoke MAT Pilot. The Hub and Spoke Model is recognized as an evidence-based regional approach for delivering Medication Assisted Treatment (MAT) to people who suffer from opioid use disorders. This approach is designed to coordinate opioid use disorder treatment with medical care and counseling, supported by community health staff and services, and effectively treat the whole person as they make their way along the path to recovery.
These services are supported in-full or in-part by contracts to Family Guidance Centers, Inc. from the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery, as part of the Illinois Opioid-State Targeted Response grant from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (TI-080231) and the Illinois State Opioid Response grant from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (TI-18-015).
- Women and Children
- Pregnant and PostPartum Women
- Indigent Adult Males
- Injecting Drug Abusers
- Illinois Department of Children and Family Services Referrals
- Persons Eligible for Temporary Assistance for Needy Families
- Criminal Justice Offenders
- Treatment Alternative for Special Clients Referrals
- Student with specific learning disabilities, emotional disturbance, other health impairment and Autism ages 5-21
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When I first went to FGC I did not expect to get "real" help. Or to actually change in anyway. I was just looking for a temporary solution until I could go back to using and the way of life I wanted to live. I was deep into my addiction and had no plans to change. Until suddenly got the shock of my lifetime when I found out I was pregnant. So I made the hard decision to transition to methadone from heroine in order to save my baby and be able to go full term with her and both of us be healthy. At that time I was only planning to get into treatment for the benefit of the pregnancy and had no future plans for after that. But while spending the last year at FGC treatment center and getting to build positive relationships with everyone there and receive most genuine "real" treatment that I did not expect. I have been so welcomed and felt so accepted from the very first time i walked into FGC. The people at FGC have helped me want better things not only for my baby but for myself too. I finally am staying clean and doing what’s best, not only for my baby but for myself too. I have completely changed my way of thinking and have grown into a much better, responsible, positive and productive person. I am so very grateful for the chance that FGC gave me and my family. My life will continue to benefit from FGC forever. I never thought i could or would be able to be happy in life again, especially while being clean. Now I am at a place in life where I can’t even imagine a life for me and my baby any different than this. I don't crave or think about using anymore because there are so many more things in life to choose instead of using. FGC has shown me that, and helped me believe in myself again. I am now the happiest I have ever been in my life and am so very grateful for FGC. I don't know if I would have made it here without them. Thank you so much to the whole FGC staff!
FGC came into my life in 1995. My name is “Carrie Ann”, and my experience with FGC has been very eye opening and positive. Let’s start with health. I have type I diabetes. The diagnosis was in 1977. My life expectancy was age 40 so as everyone knows, drug abuse did not help it! Through all my life’s ups and downs, FGC stood by and supported, counseled, and taught me to manage my behaviors. With the methadone, the counseling and the friendships I made with the staff at FGC, I have reached many goals in my life that I never thought possible. Today I have two children that were from during my years of methadone maintenance. Both born healthy, opiate and drug free. NO withdrawal or consequences my girls are healthy and perfect thanks to FGC, “right thinking,” and “God”!!! Once I let FGC really help me, my goals became my reality. I gave up the “know it all” game and let the program help me. Now that I am sober, there are not enough words to thank my counselor at FGC. Without his help and advice I would not be in the place I am today. After 22 years, I am sober, have two beautiful, healthy children, a valid driver’s license and a family that I love and cherish!!! Thank you Josie, thank you nurse Jen, thank you D.O.N. Alan, thank you to all at F.G.C. staff that helped me through my years of chaos. All the patience and support will never be forgotten. Keep up the great work. You guys gave me my life back… Thanks again, Carrie Ann
For me this place has been a big part of my life and they have changed my life and have made me a better person. The people who work there are so helpful and caring. I will say that if you are willing to ask for help and you are willing to take the help and use it and are willing to do the work to make yourself a better person this is the place to go to make that change in your life forever.
The Family Guidance Center in Aurora has saved my life. When I started there I was broken, lost and confused. Jorie my counselor has been there for me every week. I talk to her about everything. I am clean from drugs for almost a year. I would not be if it was not for the services they offer. Me going to that clinic makes me accountable everyday. Others look forward to take home bottles, for me I am okay with going Mon-Thur and I want to continue with my program that way. I am comfortable with Jorie and I listen and take everything she says to heart whether I agree or disagree. The Family Guidance Center is a great facility that if you need help and are willing to go the extra mile to get it you will succeed and can live a happy normal life.
FGC has been great to me. It has helped me stay clean and get back to a better relationship with my family. Excellent – A+++