Intensive Substance Abuse Programs (ISAP)

In order to effectively treat adolescents and parents struggling with substance use or abuse, Southwest Family Guidance Center has created a comprehensive suite of programs and services under an overarching structure and strategy known as “ISAP.”

Every client is unique. Not every referral shares the same drivers, barriers or needs. That is why each candidate for our Intensive Subtance Abuse Programs is thoroughly assessed by licensed clinicians utilizing leading assessment formats and systems, responding to the referral behaviors and relevant issues revealed during the intake process. Based on findings of the clinical assessment process, a treatment plans is formulated which may recommend concurrent or consecutive involvement in one, two, or a combination of programs, tailored to the needs of each client.

  • Seven Challenges Is An Evidence-Based Therapy Program For A Drug-free Lifestyle We focus on the individual in recovery but also engage the family as a whole to reduce the negativity, frustration, hostility, and helplessness that can consume a family with a child in crisis. This approach helps to lay the foundation for sustainable change of…  MORE >


    Seven Challenges Is An Evidence-Based Therapy Program For A Drug-free Lifestyle

    We focus on the individual in recovery but also engage the family as a whole to reduce the negativity, frustration, hostility, and helplessness that can consume a family with a child in crisis. This approach helps to lay the foundation for sustainable change of behavior, improving life skills, communication and family dynamics. Independent studies found a “substantial reduction” in substance abuse as well as impressive mental health improvements for those who have completed the program.

    What Should I Expect?

    • Youth will attend group sessions as clinically appropriate.
    • Parents will participate in group therapy once a week
    • Individual and/or conjoint sessions with their family will be provided regularly
    • Many adolescents may also choose to attend a support group such as Alcoholics or Narcotics Anonymous
    • All services are provided by licensed mental health counselors in a safe environment

    Who Should Attend?

    • Adolescents from ages 14–17 years old who want to live an alcohol or drug free lifestyle
    • Families who are concerned about their teenager’s drug or substance use

    The Seven Challenges

    1. We decided to open up and talk honestly about ourselves and about alcohol and other drugs.
    2. We looked at what we liked about alcohol and other drugs, and why we were using them.
    3. We looked at our use of alcohol or other drugs to see if it has caused harm or could cause harm.
    4. We looked at our responsibility and the responsibility of others for our problems.
    5. We thought about where we seemed to be headed, where we wanted to go, and what we wanted to accomplish.
    6. We made thoughtful decisions about our lives and about our use of alcohol and other drugs.
    7. We followed through on our decisions about our lives and drug use. If we saw problems, we went back to earlier challenges and mastered them.
  • Comprehensive Community Support Services (CCSS) are for clients facing challenges that aren’t exactly clinical. They often need help acquiring certain life skills or accessing community resources. CCSS steps in to fill this gap. A Community Support Worker (CSW) supports individuals and families with the services and resources to help promote recovery, rehabilitation, and resiliency. A CSW…  MORE >

    Comprehensive Community Support Services (CCSS) are for clients facing challenges that aren’t exactly clinical. They often need help acquiring certain life skills or accessing community resources. CCSS steps in to fill this gap. A Community Support Worker (CSW) supports individuals and families with the services and resources to help promote recovery, rehabilitation, and resiliency.

    A CSW addresses goals in the following functional domains:

    • Independent Living
    • Learning
    • Working
    • Socializing
    • Recreation

    Interacting face-to-face and on behalf of the client in community locations, a CSW worker utilizes a variety of interventions to addresses any barriers that impede the client’s development toward independent functioning in the community. CCSS services are provided to eligible recipients that meet New Mexico state criteria for Serious Emotional/Neurobiological/Behavioral Disorders (SED).

    CCSS services are offered in Bernalillo, Doña Ana, Rio Arriba, Sandoval, Santa Fe, and Valencia Counties.

    Printable flyer can be downloaded HERE.
    Referral Forms for services can be accessed HERE.

  • Who Qualifies For Our Intensive Substance Abuse Programs? At Southwest Family Guidance Center, our focus is not on just treating the individual, but the entire system affected by substance use. Any family member (parent or child) who is struggling with substance use or addiction may qualify for one or more of our Intensive Substance Abuse Programs. During the intake process we complete multiple…  MORE >

    Who Qualifies For Our Intensive Substance Abuse Programs?

    At Southwest Family Guidance Center, our focus is not on just treating the individual, but the entire system affected by substance use.

    Any family member (parent or child) who is struggling with substance use or addiction may qualify for one or more of our Intensive Substance Abuse Programs. During the intake process we complete multiple assessments to determine the appropriate treatment course for the referred individual, and potentially for others in the family who are impacted by the substance use.

    After a referral is received, we begin by performing a Clinical Assessment.

  • PRIMARY ASSESSMENTS Biopyschosocial & Comprehensive Assessment Our licensed clinicians conduct a biological, psychological and social assessment with each incoming client. As a trauma-informed agency, the use of this measure comes from a belief that a person’s overall health is best understood through a combination of biological, psychological and social factors. All these domains play a…  MORE >

    PRIMARY ASSESSMENTS

    Biopyschosocial & Comprehensive Assessment
    Our licensed clinicians conduct a biological, psychological and social assessment with each incoming client. As a trauma-informed agency, the use of this measure comes from a belief that a person’s overall health is best understood through a combination of biological, psychological and social factors. All these domains play a significant role in human functioning, and the accurate and effective assessment of the “whole picture” will contribute to the development of treatment recommendations most appropriate for the client.

    In some cases it may be necessary to complete a more thorough assessment that includes: review and integration of collateral documents from outside agencies, multiple interviews with client, and family member interviews.


    SPECIAL ASSESSMENTS

    Adverse Childhood Experience Scale (ACES)
    The ACES Assessment was created by the Center for Disease Control & Prevention as a tool to identify the number of adverse childhood experiences that are present. “Childhood experiences, both positive and negative, have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunity.” (Center for Disease Control) Adverse Childhood Experiences have been linked to risky health behaviors, chronic health conditions, low life potential, and early death. As the number of adverse childhood experiences increases, so does the risk of negative outcomes.

    The survey measures 10 types of childhood trauma. Five are personal: physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Five are related to other family members: an alcoholic parent, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment.

    https://www.cdc.gov/violenceprevention/acestudy/

    Systemic Domestic Violence Assessment
    It is important to accurately assess for the presence of any domestic violence in a client’s system. Domestic Violence is an oftentimes undisclosed and misdiagnosed act that can be occurring between intimate partners (parents/caregivers), siblings or other family members within the client’s family system. While substance use does not cause domestic violence, there is a statistical correlation between the two issues. 61% of domestic violence offenders also use/abuse substances. (National Coalition Against Domestic Violence). Studies show that abusers tend to abuse drugs, and victims will tend to use drugs and alcohol.

    With a focus on improving functioning in all areas of the client’s life, it is important to understand the dynamics of all the relationships within the family context. Our clinicians will not only assess for the existence of intimate partner violence, but will also look for any occurrences of violence or aggression in the home. By identifying the drivers to any aggression and/or violence, we will be able to develop an individualized treatment plan that will address the specific needs of the client and family.
  • Multisystemic Therapy: Contingency Management Adaptation The Multisystemic Therapy (MST) standard model of delivery is an evidence-based treatment model that engages both the client directly and greater social systems they operate within: family, school, work, and community. MST for Substance Use, also known as MST Contingency Management (MST-CM) is an MST adaptation proven effective with youth…  MORE >

    Multisystemic Therapy: Contingency Management Adaptation

    The Multisystemic Therapy (MST) standard model of delivery is an evidence-based treatment model that engages both the client directly and greater social systems they operate within: family, school, work, and community. MST for Substance Use, also known as MST Contingency Management (MST-CM) is an MST adaptation proven effective with youth with substance use and abuse issues.

    MST-CM builds on the strong foundation of MST treatment principles, with additional supports to increase caregiver monitoring skills and youth drug/alcohol-refusal skills. The MST-CM Therapist works closely with caregivers to develop specific plans that are designed to keep the youth from abusing substances. Caregivers are taught how to spot and track drug and alcohol consumption, deliver drug testing to their youth, identify positive supports for the youth/family in the community and how to effectively monitor their child. Youth receive specialized training in drug/alcohol-refusal skills and are connected to positive peers and prosocial activities.

    Qualifications For This Program Include:

    • Youth ages 12—17 who abuse substances (marijuana, alcohol, cocaine, etc.)
    • Has multiple arrests/is a chronic offender
    • Is deeply involved with delinquent peers
    • Is experiencing problems at school or doesn’t attend at all
    • Is currently, or has a recent history of being, a runaway
    • Demonstrates, or has demonstrated, physical aggression in more than one setting
    • Is covered by Medicaid. MST does not currently take private pay or commercial insurance
    • Has at least one adult member of the family willing to take part in services

    What Can Be Expected:

    • Treatment provided in the home and the community
    • Time-limited treatment of 3–5 months
    • Therapist available 24 hours a day, 7 days a week
    • Flexible schedules to accommodate the needs of the family
    • Tailored treatments for the unique needs of the family and its members
    • Therapists with small caseloads to facilitate multiple weekly sessions if needed
  • Sandoval County Juvenile Drug Court Program Southwest Family Guidance Center is the treatment provider for the Juvenile Drug Court Program in Sandoval County. With an emphasis on trauma-informed care, the Sandoval County Juvenile Drug Court Program is designed to address the individual needs of youth who struggle with drug and alcohol abuse. The program utilizes multiple interventions including: drug testing, individual/family/group…  MORE >

    Sandoval County Juvenile Drug Court Program

    Southwest Family Guidance Center is the treatment provider for the Juvenile Drug Court Program in Sandoval County. With an emphasis on trauma-informed care, the Sandoval County Juvenile Drug Court Program is designed to address the individual needs of youth who struggle with drug and alcohol abuse. The program utilizes multiple interventions including: drug testing, individual/family/group counseling, youth support services, regular court appearances, and educational opportunities. Both the Sandoval Country Drug Court and Adapted IOP Programs utilize the Seven Challenges treatment model.

    ABOUT SEVEN CHALLENGES

    The Seven Challenges is an evidence-based, comprehensive counseling program for youth with drug, alcohol and other problems. It is designed to motivate youth to evaluate their lives, consider changes they may wish to make, and then succeed in implementing those changes. It supports youth to taking control of their own rehabilitation.

    The Seven Challenges approach is unique and more effective because it does not assume or assert that the youth should abstain from the use of drugs and alcohol, but instead helps them take a complete and honest inventory of why they use, and the positive and negative effects of these behaviors. A youth who is able to make their own determination that the behavior should be changed is far more likely to have the ability to make the change in a lasting and sustainable manner.

    The Seven Challenges approach is designed to help youth look at what is happening in their lives, recognize what is going well and what is problematic. As youth go through this model, the “challenge process” is used to help them make thoughtful decisions in their life, including about drugs and alcohol.

    In the group, young people address their drug problems, co-occurring life skill deficits, as well as situational, social and psychological challenges. Counselors provide a structure and framework for individual sessions, the content of each session is not scripted, but flexible to the immediate needs of youth. “We do not fit the youth into our program; rather, we wrap the program around the concerns of the youth we serve.”

    The Seven Challenges

    1. We decided to open up and talk honestly about ourselves and about alcohol and other drugs.
    2. We looked at what we liked about alcohol and other drugs, and why we were using them.
    3. We looked at our use of alcohol and other drugs to see if it has caused harm or could cause harm.
    4. We looked at our responsibility and the responsibility of others for our problems.
    5. We thought about where we seemed to be headed, where we wanted to go, and what we wanted to accomplish.
    6. We made thoughtful decisions about our lives and about our use of alcohol and other drugs.
    7. We followed through on our decisions about our lives and drug use. If we saw problems, we went back to earlier challenges and mastered them.
  • Individual & Family Therapy After assessment, it is sometimes determined that an identified client, or specific family members impacted by the clients substance abuse, receive their own individual therapy. This decision is made collaboratively with the client and family to offer individualized support, or to address specific drivers that may impede their ability to reduce, eliminate, or abstain from substance use.…  MORE >

    Individual & Family Therapy

    After assessment, it is sometimes determined that an identified client, or specific family members impacted by the clients substance abuse, receive their own individual therapy. This decision is made collaboratively with the client and family to offer individualized support, or to address specific drivers that may impede their ability to reduce, eliminate, or abstain from substance use.

    SWFGC is equipped to provide clinical services to children, adolescents, and families in Albuquerque, Corrales (serving Rio Rancho & Sandoval Counties), Los Lunas, Santa Fe, and Las Cruces. We have a clinical staff of over 120 therapists, all of whom are licensed Masters- or Doctoral-level clinicians, possessing a variety of specialities.

  • Program Completion, Discharge & Sustainability As clients approach the end of treatment, the status of treatment goals will be assessed and plans developed to help the client and family sustain gains in a post-treatment environment. Sustainability planning can include: Safety Plans IF/Then Plans Aftercare Resources In specific cases, there may exist a need for reunification of family members.…  MORE >

    Program Completion, Discharge & Sustainability

    As clients approach the end of treatment, the status of treatment goals will be assessed and plans developed to help the client and family sustain gains in a post-treatment environment.

    Sustainability planning can include:

    • Safety Plans
    • IF/Then Plans
    • Aftercare Resources

    In specific cases, there may exist a need for reunification of family members. This may be at the direction of CYFD or other outside stakeholder, or may just include family members all involved in the care of a previously identified “at risk child.” Reunification steps are developed collaboratively within the team, and will include outside stakeholders when appropriate.