Specialized Services & Coordinated
Buprenorphine (e.g., Suboxone, Subutex, Sublocade, etc.) Services
Medication-Assisted Treatment (MAT) with Buprenorphine is available on-site for clients struggling specifically with Opioid-Type Addiction and who are currently using. Initial evaluation and regular follow-up visits with a doctor on-site are provided. MAT with Buprenorphine is provided in conjunction to other therapeutic services as recommended. Typically, clients are assigned to more intensive levels of care (PHP or IOP) when initially beginning MAT.
Cooperative Medication-Assisted Services with Buprenorphine (e.g., Suboxone, Subutex, Sublocade, etc.)
The Open Door has and continues to work closely with other MAT providers who prescribe buprenorphine, providing assessment and outpatient therapeutic services for our mutual clients. The Open Door actively participates in coordination of care and provides documentation of program participation.
Cooperative Medication-Assisted Services with Methadone
The Open Door has and continues to work closely with other MAT providers who prescribe methadone, providing assessment and outpatient therapeutic services for our mutual clients. The Open Door actively participates in coordination of care and provides documentation of program participation.
Cooperative Medication-Assisted Services with Naltrexone (e.g., Vivitrol
The Open Door has and continues to work closely with other MAT providers who prescribe Naltrexone, providing assessment, referral for Naltrexone, and outpatient therapeutic services for our mutual clients. The Open Door actively participates in coordination of care and provides documentation of program participation. The Nurse Navigator and Assigned Clinician will actively coordinate care and provide additional support for those clients transitioning from MAT with Buprenorphine or Methadone to Naltrexone or who choose Naltrexone instead of Buprenorphine or Methadone. Additionally, The Open Door facilitates identification, referral and preparation of clients in the jail setting to receive Naltrexone prior to release from jail; and aids the client in transitioning to a Naltrexone provider in the community following release from jail in addition to providing therapeutic services.
Nurse Navigator Services
The Nurse Navigator (NN) is responsible for assessing the mental health, drug and alcohol, and physical health needs of persons experiencing physical or mental health symptoms related to substance use. The NN provides both individual consultation and interventions in a group setting to facilitate improved self- care, promote physical well-being and provide support for managing physical health concerns appropriately. The NN works closely with staff on-site as well as other providers in the community to coordinate care effectively and facilitate referrals to other needed services. Additionally, the NN facilitates Hepatitis C Education and Support Groups, screens for Hepatitis C, trains individuals and groups in Narcan administration, provides Narcan to trained individuals, Smoking Cessation, Medication Compliance Support, and provides ongoing support and documentation for clients receiving Medication- Assisted of some kind.
Naloxone Training & Distribution
The Nurse Navigator (NN) facilitates training for both individuals and groups on-site and in other locations hosting a training in assessing the likelihood of an Overdose Situation and Naloxone administration. The NN provides Naloxone to individuals who have participated in such training or provide proof / certificate of completion of training online or elsewhere.
The Open Door offers smoking cessation services using the "Smoke Free For Life" program sponsored by BREATHE Pennsylvania. This program covers such topics as: Get ready to quit, The habit and addiction, My quit plan, Quit day, The first 48, The new you renovation, Staying quit, and One-month follow-up. This service is free to current clients of The Open Door, but is also available for a fee to any community member.
Services for Women
Gender Specific Intensive Outpatient Programming and Relapse Prevention Groups are available for Women. Individual sessions are scheduled in addition to or instead of group services as appropriate. Services are tailored to address the specific barriers typically faced by women, and recovery needs of women, in addition to substance use disorders.
Services for LGBTQI Persons
Outpatient Group and Individual Programming is available for LGBTQI Individuals. Services are tailored to address the specific barriers typically faced by LGBTQI Individuals, and recovery needs of LGBTQI Individuals, in addition to substance use disorders.
School Based Services for Adolescents
Assessment and individual outpatient counseling are available to and tailored for adolescents struggling with addiction in the school setting for residents of Indiana County. Referrals for School-Based Services can be made by the student (self-referral), through Student Assistance Programs (SAP) or school staff outside of the SAP Team, or through other local agencies including but not limited to Armstrong- Indiana-Clarion Drug and Alcohol Commission (AICDAC), Indiana County Juvenile Probation, Indiana County Children and Youth Services, and local mental or physical health providers, etc.
Services for Persons Struggling with Gambling
The Open Door offers outpatient individual, couples, and group therapy services for persons with gambling related concerns. These services are tailored to individuals who have difficulty keeping their minds off of gambling, continue to bet more and more, and who are experiencing problems in one or more major life task area (e.g., finances, relationships, work or school related activities, etc.) due to gambling. To find out if you or a loved one may be engaging in problem gambling or at risk for developing problems with gambling, visit PA Problem Gambling www.paproblemgambling.com.
Services for Clients Participating in Drug Treatment Court
The Open Door offers the full range of outpatient services including traditional outpatient, Intensive Outpatient and Partial Hospitalization for individuals with drug-related offenses participating in Drug Treatment Court in Indiana County. Due to the nature of the offenses committed and the intensity, frequency and duration of substance use for many of the individuals participating in this program, participants most often are recommended to complete higher levels of care such as Partial Hospitalization or Enhanced Intensive Outpatient Programming before being stepped down to lower levels of care. The Open Door works closely and collaboratively with the client, Indiana County Courts, Indiana County Probation, Armstrong-Indiana-Clarion Drug and Alcohol Commission Case Managers and other stakeholders on the client’s treatment team to encourage and facilitate successful completion of the program and achievement of long-term sobriety and recovery goals.
Services for Clients who are Incarcerated
Assessment, Individual Therapy, Outpatient Group Therapy and Intensive Outpatient Programming are offered at the Indiana County Jail for those persons who are incarcerated. Groups are often held on blocks assigned if scheduling and volume allows and are gender specific. Services are tailored specifically to individuals living in this setting and addressing the legal consequences of addiction-related behaviors. Additionally, a group specifically geared toward the forensic population once individuals are released from incarceration is offered to aid in transitioning and maintaining sobriety. This group is open to all recently incarcerated individuals regardless of level of care.
Services for DOT-SAP Referred Persons
The Open Door provides outpatient treatment services for individuals referred by Department of Transportation (DOT) Substance Abuse Professionals (SAP) who have evaluated these individuals due to producing a positive result for a substance on a Drug Screen at work. These individuals are required to complete treatment as recommended by a DOT-SAP before returning to their work sites in “safety- sensitive” positions. The clinician completing the intake and the assigned Treatment Specialist works collaboratively with the client and the DOT SAP to ensure completion of treatment, maintenance of sobriety, and to encourage and facilitate the completion of all employer requirements.
Services for Children, Family Members, and Significant Others of Persons with Addictions
Education and outpatient treatment are available for family and significant others of persons struggling with Substance Use Disorders. The Family Education and Support Group is a free service for adults provided for 90-minutes weekly. Individuals only need to call to pre-register. The Open Door also offers Outpatient Individual, Couples, Family and Group Therapy to family members and significant others of persons struggling with addiction.