Promises & Dr. David Sack featured on:
Continuum of Care
Professionals Treatment at Promises offers clients a full continuum of care:
Detox Services & Hospital Care – ASAM Level IV
Evaluation & Assessment
Residential Day Treatment – ASAM Level III
Intensive Outpatient Treatment – ASAM Level II
Extended Care – ASAM Level I
Length of Stay
Professionals Treatment at Promises provides individualized, client-oriented treatment (as opposed to “program-oriented”). No other illness is managed in a “one size fits all” manner and addiction should not be an exception. Specific recovery performance behaviors are identified and clear treatment goals are set and monitored. We also recognize that for high-functioning professionals, especially those in safety-sensitive positions, it is necessary and wise to achieve considerable stability prior to returning to work.
For a free assessment.
PTP’s “client-focused” treatment approach means each individual will receive a customized treatment plan which will include strategic activities, clearly defined recovery goals and an integrated continuing care plan. A client’s treatment goals must be met prior to a recommendation for discharge from the PTP treatment team.
Stages of Treatment
Detox & Stabilization
All clients will need to be stabilized and some will require detox. For these purposes, at the time of admission clients will be housed at our West Los Angeles facility. Once cleared medically, clients will be moved to a Professionals Treatment at Promises residence, either concomitantly with evaluation and/or during Phase I of treatment.
Promises Treatment Centers’ programs are abstinence-based and are rooted in 12 Step recovery. No clients leave treatment utilizing harm reduction or habit-forming maintenance drugs or stimulants. All clients undergo a comprehensive psychiatric evaluation and participate in individual psychotherapy and group therapy, including addiction education, relapse prevention, process groups and gender-specific groups.
Phase I – Stabilization & Introduction to Recovery
During this initial phase of addiction treatment, clients learn and practice basic recovery skills and build a strong commitment to abstinence. Restrictions during Phase I are imposed to help clients focus on themselves and the work at hand.
Phase II – Advanced Recovery Skills
This phase is designed to enhance the quality of recovery. In addition to continuing profession-specific groups and activities, clients participate in In-Site Therapy (volunteer opportunities with local organizations). During Phase II some restrictions may be removed to allow clients to drive their own vehicles, attend meetings of their choice and have greater freedom.
PTP-Specific Treatment Elements
Consultations with the Director of Professional Health Services – Dr. Skipper
Clients meet a minimum of once each week with Dr. Skipper to discuss treatment progress and goals, issues of focus for the coming week, and practice assessment, transition planning and continuing care planning as discharge approaches.
Professionals Process Groups
Dr. Rodney Collins (Healthcare)
Lee Ann Teaney, MFT (Legal)
Facilitators for Other Professions (chosen to meet specific client population needs)
Clients meet twice per week to process addiction issues, recovery challenges and relapse triggers which are specific to their individual profession. A particular challenge facing all professionals is to learn how to communicate with colleagues, patients and clients when they return to work. These groups also serve as a forum for education and discussion of the legal issues and disclosure requirements when working with state agencies and insurance providers.
Profession-Specific Support Groups
- Healthcare-Specific Support Groups – Jim Conway, MFT Pacific Assistance Group
- Legal-Specific Support Groups – Lee Ann Teaney, MFT- LA Lawyer Assistance Program
- Other Profession Support Groups – Facilitators chosen for specific client needs
Many professionals come to treatment fearing that their reputations have been irreparably damaged by their disease and that their careers may be over. PTP clients meet twice weekly in clinically facilitated groups made up of Los Angeles-based professionals in their own field who have recently been to treatment or who are completing their required two to five years of post-discharge monitoring and drug screening. During these meetings they learn about the real-world challenges other group members are facing and solutions for solving them. Clients report these groups leave them better prepared to return to work and effectively manage their recoveries.
In-Site Therapy – Clare Foundation, Salvation Army, hospice, etc
In-Site provides clients the opportunity to volunteer at one or more healthcare facilities in West Los Angeles, including public addiction treatment facilities, hospital admissions or detox units, nursing homes, or hospice. Clients do not work in their professional areas (e.g., as a physician or lawyer), but are available to each facility’s staff to perform a wide variety of clerical or administrative tasks or to comfort patients or clients in that facility.
In-Site offers Promises clients the opportunity to work on three important treatment goals: 1) overcoming difficulties with denial and lack personal insight that accompany the disease of addiction; 2) developing gratitude and beginning to re-learn how to be of service to others; and 3) balancing being a humble, recovering person and a go-to decision-maker at work.
Profession Specific Self-Help Meetings – Caduceus Group, The Other Bar, Little Wings, Birds of a Feather
These weekly meetings, which are restricted to professionals of specific professions, provide a safe forum for professionals to discuss the specific challenges facing other recovering professionals in their field and find solutions. Healthcare professionals have Caduceus Groups, attorneys attend meetings often referred to as “The Other Bar” and airline pilots attend “Birds of a Feather” meetings.
Practice Assessment / Return to Work Schedules – Dr. Skipper
Each professional undergoes an evaluation for fitness to return to duty and an assessment is made, in partnership with the referring agency and/or employer(s), regarding timetables to return to work, restrictions on activities or hours, supervision required and follow-up as indicated.
Transition Planning – Dr. Skipper & PTP Treatment Team
Continuing care planning is extremely important. We believe that long-term outcomes are optimized when treatment is conducted in partnership with the referring agency, especially when it involves transition planning.
Post-Discharge Monitoring and Drug Screening – through referring state agencies or available through approved national providers
Addiction is a chronic illness and should be treated like one, which means long-term monitoring and follow-up are vital to optimal outcomes. At Promises we work hard to creatively utilize leverage to assist in the development of monitoring agreements. A unique feature of the PTP is that whenever possible we begin drug testing during the In-Site phase of treatment utilizing the TPA and/or testing protocols that the client will use when they return home. This makes sense because we can assess their compliance and they can become adept at their monitoring process before returning home.