Parent/Family Frequently Asked Questions

First Week of Inpatient

Promises does not accept insurance as a form of payment, but we do work with a third party provider, Treatment Consultants, that will bill your insurance company.

Here are the steps that need to be taken:

  1. Call us so that we can get all your insurance information, and we will have Treatment Consultants check for the appropriate benefits.
  2. If you have benefits for treatment at Promises, Treatment Consultants will do an assessment with you (preferably prior to admission) and then provide the information necessary for your insurance company.
  3. Promises or Treatment Consultants do not guarantee reimbursement for your insurance company (even if treatment had been authorized, but will provide you with as much support and assistance as possible in receiving reimbursement from your insurance company.

The family therapist assigned to your loved one will contact you about family group. Promises can provide you with the family therapist’s e-mail and phone number so that you can contact him or her with any questions you may have.

That must have been really hard to hear from your son. I will send his family therapist an e-mail explaining your concern, and he or she will get back to you as soon as possible. What is the best way to reach you?

First off, I want to commend you for calling with your concerns, and to assure you that the Promises team is providing your loved one with the best possible care. I can have the detox specialist working with your loved one call you and give you an update on the status of his or her care, and the specialist can answer any other questions you might have about the detoxification process.

This is typical behavior for a patient going through treatment. I encourage you to set boundaries with your daughter and try to remember that love is in the “no.” It’s important to trust the process and know that the Promises clinical and admissions team is here to support you.

This is a great question. First of all, I want to assure you that all your son’s needs are being met. He may not have all the things he wants, but he has everything he needs. Secondly, this is a great opportunity for you to practice setting boundaries with your son. The next time he calls with unreasonable demands, ask him to start making a list of the things he needs. Let your son know that when he is finished with the list, he should give it to his therapist rather than call you. Inform him that Promises does a store run once a week and would be more that happy to purchase those items for him. If more questions come up or you need further support with this concern please call back or contact your son’s family therapist.

Please feel free to always call the admissions team for any questions or concerns you might have about your family member. Our therapists typically call families once a week to update them on the client’s status and well-being. If you choose to contact the therapist, please remember that they are in therapy groups or individual sessions for most of the day. The therapists like to return calls at the end of the day, so if they don’t call back immediately you can be sure to hear from them by the end of the day.

Yes! It is very important to attend the Saturday family therapy sessions because addiction is a family disease, and everyone—including you—is affected. I encourage you to also attend some local Al-anon meetings for further support and education on the disease of addiction.

Yes, addiction is a disease, and no, she can’t just get over it. At Promises we treat the addictions and any other co-occurring disorders that your loved one may be struggling with. Promises is dedicated in helping educate your loved one as well as your family members about the disease of addiction so that the client can live a productive, rewarding, healthy, and sober life, “one day at a time.” This does not happen overnight, so I recommend that you attend Promises family groups as well as Al-anon meetings in your community for ongoing support.

Second and Third Weeks of Inpatient

Sober living is a gradual step-down in structure from residential treatment. It is very important to have a step-down program for clients transitioning out of residential treatment for many reasons, and we will make recommendations for the sober living home we feel is most appropriate for your loved one. Most clients are undisciplined and lack structure in their everyday life, and a sober living environment helps clients as they reintegrate back into the everyday life routine. During the recommended minimum of 60 days of sober living, clients can start to build the foundation for recovery. Every client who comes into sober living receives an assessment with a life coach and goes over goals the client might have for the long term or short term; for example, going back to school, getting a job, returning to work, or dealing with legal problems from their past.

Clients are not supervised 24/7 but are required to do the following:

  1. Undergo random urine analyst tests on a weekly basis.
  2. Attend day patient program Monday through Friday from 10:30 am to 4:00 pm.
  3. Attend seven 12-step meetings in the community including a Promises alumni meeting on Wednesday.
  4. Cook and clean up after themselves.
  5. Maintain a sponsor in a 12-step program.
  6. Continue to meet with their primary therapist on a weekly basis.

Clients may use their cars while in sober living, and for those clients without cars the sober living homes will provide transportation to and from the day patient and outpatient programs.

There is an additional charge for the sober living programs we may recommend for clients.

It’s really important to trust in the process. Clients have a lot of work that they need to do in regards to their recovery program. It’s not about just staying sober. Sometimes it takes a long time for families to see the results they are looking for. This is why Al-anon is so important for you to explore. Al-anon offers you tools and coping mechanisms that will be beneficial in many areas in your life. Your loved one is working on building a support system for herself for a lifetime of recovery, and it will help you to have your own support system.

This is a great question. Each client is different and I think it would be really helpful for you to write down all the questions you might have and then present them to your son’s family therapist.

I’ll answer this question the same way I would answer this question for your son—let’s take this one day at a time.

I commend you for calling before answering your daughter. Let her know that you don’t have a definite answer for her at the moment and that you will get back to her. This is a good question for your daughter’s family therapist, as the answer should be a team decision.

This is probably one of the most common experiences people have when they come in for treatment, as most of our clients do not identify themselves as being religious. The purpose of a 12-step program is to find strength through a higher purpose—whatever that might be for them. Not believing in God or a higher power doesn’t mean a client won’t recover, and attending 12-step meetings will still greatly benefit your loved one. There are plenty of clients and staff members at Promises that have been down this very road and can sit down with your loved one and share their experience. At Promises, we meet the clients where they’re at.

Fourth Week of Inpatient

Yes, there are random drug tests that are done weekly. If your son were to relapse, Promises would be aware of it and you would be notified.

Promises has an amazing alumni program that speaks volumes about our success. I can’t give you an exact number or percentage of clients who remain clean and sober because that information is almost impossible to gather. It might be very helpful for you to have relapse plan for when your loved one leaves treatment. You’ll want to contact your family therapist so they can help you in this process.

Not only will it help you, but it will save your life. If you live locally it would be wonderful if you could attend the Wednesday night family group held in West Los Angeles. If you’re not from the area it would be helpful to talk to an ambassador family member, who is part of out ambassador alumni group. You would be talking to a family member who has been in your shoes and wants to be of service to family members like yourself.

If you want to do ongoing testing for your son it would probably be best to get a third party involved. If your son’s test shows up positive, please contact Promises immediately for support and guidance.

No, you do not need to live in sober living to attend Promises’ outpatient program.

Promises has many resources in the community, and if that were to be a problem we would work to secure a space elsewhere at no extra cost.

No. It is very important to have a step-down program after residential treatment and is imperative for long-term sobriety. Clients who live with active addiction forget what it is like to live without drugs and alcohol. Promises strongly encourages clients and family members to trust in the clinical team’s recommendations for treatment and discharge planning.

Part of the process is a discharge plan. A team of people will be involved, helping make sure that the client has all the tools and resources he or she needs before being discharged.

If there is a concern that transitioning to the night program may not be appropriate at this time, the admissions and clinical teams will get creative and decide what the next steps are.

Your loved one’s life coach (who does the assessment with the client upon entering sober living) will discuss options for employment if it is a goal or a concern.

No—arrangements will need to be made for any pets while the client is in residential treatment or sober living.

There are a few different options if this is a major concern. We have resources in Malibu that can take care of pets for long or short periods of time. We have had many clients in the past use these services and they are always pleased with the level of care given. The second option is that the client can find a local sober living house that allows pets, so they can continue their day patient treatment.

An effective answer to give your loved one is “I will support your recovery, but I will not support your disease.”

Addiction is a family disease and everyone involved with the client is affected. Al-anon is merely a suggestion, but remember that the support given in Al-anon is for you.

This must be really hard for you. Promises is here to help you and I hope you take advantage of all the resources we have to offer. Your son’s family therapist would be the best person to talk to in regards to a relapse prevention plan or coming up with creative new ideas.

Here at Promises we advocate honesty. A simple way to respond is that their father is getting help. You can also contact your husband’s family therapist for other possible answers.

No, it is not harsh. This is something that you’ll want to bring up during your family sessions.

Promises has a family ambassador program that provides support in many ways. You don’t need to go to a 12-step program to get the support you need.

Clients are going through many psycho-education groups on the disease of addiction and are asked to identify what their triggers are, or the things that prompt them to use. This is a great question for your family therapist.

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