Clinical Benefits

Why Last Door?

We deliver a simple integrated package of services in a single 90 day program that reduces lost work days, reduces costs and delivers results (including radically improved outcomes). Last Door typically delivers results in a single treatment including regular assessments, all group work, counselling and residential costs for around $30,000. Comparing this to other often multiple treatment approaches that could cost over 100 loss of work days and up to $50,000 in treatment and assessment fees and the economics of Last Door treatment makes sense.

At Last Door your employees participate in extensive group work, individual counselling and complete a full set of written exercises that encourages the development of the skills and changes necessary to integrate the principles of recovery. The longer term approach also affords the time needed to repair damaged family relationships, build new circles of support, assess financial damages, assess psychological issues, improve upon limited coping skills and break deeply ingrained habits. Integration of relapse prevention strategies and graduated return to work schedules are more effectively managed in extended primary treatment programs.

Here is a breakdown of what a client’s treatment plan consists of:

Written Exercise Action Clinical Activity Achievement
1 Stabilization Detox, medical assessment, adapts to peer group norms, clinical assessment. Case worker speaks with family to assess family dynamics, orient to terms of treatment Calming, beginning restoration of eating and sleeping cycles.
2 Exercise 1
Life and substance use history
Setting first stage treatment goals, increased identification with peers, increased level of personal honesty, ability to interact with family with less conflict, increased emotional stability and willingness to tackle personal change. Begin value added groups – Media, Lifestyle and Co-Parenting Group. Ongoing contact between Case Worker and family, overview of Family Program Services Identification of personal issues, recognition and acceptance of need for change, Improved peer interaction, improved sleep cycles, Awareness of too much or lack of personal hygiene and appearance.
3 Exercise 2 and 3
Become willing to accept help and work with others
Deepening clinical rapport, cognitive restructuring, introduction to spiritual concepts as life choice, education about inter-dependence and use of support group as resource, active involvement in community based 12 step programs. Clinical contact with client’s partner to set up participation in Last Door’s Family Program, arrange visits Shows evolving sense of direction and commitment to change, improved interactions with peers, improved self care, increased eye contact. Physical improvements – obvious weight gain, improved skin tone, increased energy levels.
4 & 5 Exercise 4 and 5
Historical self evaluation
Guided historical self evaluation with clinical supports keeping focus on today, Rational Emotive Therapy, CBT and introduction to weekly alternate therapies ie yoga and acupuncture. Goal of learning stress management techniques. Full detoxification allows for accurate value exploration, Secondary Assessments of concurrent medical issues such as Anxiety disorders and PTSD Demonstrates humility, seeks sense of belonging, less isolation, improved communication skills eg open posture, less isolation, displays increased trust with peers and more positive world view.
6 Exercise 6 and 7
Set personal goals and practice change.
Personal needs assessment, establishment of mid-term goals, establish plan for self directed daily improvement. Active involvement with family designed to improve relationships – home and family visitation, recreational activities. Identify emotional or mental stumbling blocks for client and develop coping strategies. Begin couples counselling with Family counsellors (continues to tx completion) Obvious reduction of shame based actions – less reactive, shows empathy for and interest in others, more patient. Marked increase in physical energy and willingness to interact socially. Improved level of personal responsibilities
7 Exercise 8
Assessing personal, work and community relationships; making a plan for change.
CBT and Cognitive Restructuring with goal of helping set tone (behaviors, attitudes) for personal change to cement desired change. Establish opportunities to participate actively in community eg volunteerism, assisting peers. Practical daily assignments to improve self esteem and sense of belonging. Eg help others, work projects. Reassess financial and legal responsibilities. Marked improvement in peer and community interaction increased self awareness. Shows and is able to clearly articulate life direction. Eagerness to face the life on life terms.
8 Exercise 9
Take concrete steps to reclaiming personal, professional and community relationships
Review goals and set long-term goals. Clinical support to make personal statement of commitment to change, and personal responsibility in professional, family and community relationships – employer, family, children, finances. Clinical support involves planning of family meetings, financial planning. Client displays elevated mood and demeanor, is able to gain self esteem and freedom from the past. Focus is on the future and achieving long term goals. Clients realize the gifts of being given the option to go to treatment and the importance of these exercises
9 & 10 Exercise 10
Make concrete plans for daily stability by attending to personal responsibilities. Goal of relapse prevention.
Client set up ongoing self evaluation processes. Rational Emotive Therapy as a means of continuing motivation and dealing with fear based relapse to old behaviors and attitudes that can lead to substance relapse. Increased involvement with family including longer visits – home visit or extended family visits. Clinically supported to reactivate social life – dating, participation in social activities, explore hobbies. Attends weekly Alumni Group. Continues to use group and peer support, remains open to change and accepts correction, displays patience, kindness and respect to others in daily interactions and attitudes. Less family conflict, more empathy for partner and increased patience with children and others.
11 Exercise 11
Establishes plans to keep meaning and value in daily life.
Re-exploration of values and goals. CBT to help client link values, behaviors, attitudes to outcomes personally, professionally and socially. Development of plan for daily recovery and mental health maintenance. Continued attendance at weekly alumni group Client displays zest for life, eagerness to face life and engage in relationships, tasks and daily learning. High levels of stability. Actively helping others.
12 Exercise 12 – long terms goal setting designed to entrench positive change. Review of changes and progress to date; re-evaluation of long term goals; plans for return to home community and involvement with local 12 step community. Aftercare plans established – counselling referrals, monitoring, aftercare groups. Displays sense of personal authority and self determination, displays strong sense of community commitment and willingness to help others.
Average Stay 3 to 4 months to complete a full set of written exercises

LAST DOOR WEEKLY SCHEDULE AT A GLANCE

TIME SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
6:30AM   Breakfast Breakfast Breakfast Breakfast Breakfast  
7AM   Therapeutic Duties Therapeutic Duties Therapeutic Duties Therapeutic Duties Therapeutic Duties  
8AM   Morning Meeting Morning Meeting Morning Meeting Morning Meeting Morning Meeting  
8AM     Lifestyle Group Acupuncture Lifestyle Group Media Group  
9AM Brunch           Brunch
9:30 – Noon Recreation Main Group Main Group Main Group Main Group Main Group Recreation
Noon Recreation Lunch Lunch Lunch Lunch Lunch Recreation
1PM TP 5PM Recreation Recreation, Appointments, Written Work Recreation, Appointments, Written Work Recreation, Appointments, Written Work Recreation, Appointments, Written Work Recreation, Appointments, Written Work Recreation
5PM Dinner Dinner Dinner Dinner Dinner Dinner Dinner
6PM TO 9PM Outside Meeting Outside Meeting Outside Meeting Outside Meeting Outside Meeting Outside Meeting Outside Meeting
6PM TO 9PM Yoga 7PM Co-Parenting Group 6PM Gamblers Group 7:30PM
Alumni Group 6:30PM
Alumni Group 6:30      
    Naranon 7:30 PM
Friends and Family Support Group
Partner/Spouse Group Parents Group 7PM      
9PM       Yoga      

Call us today! 1-888-525-9771

Client’s Weekly Schedule *Main Group consists of three group: Group One: Males 14 to 18 years of age, Group Two: Males 19 – 30 years of age, Group Three: 30 years of age and older