CHA Central Street Care Center

Substance use treatment

Refers to a diverse array of activities and services, which encompass identifying the issue (and involving the person in therapy), brief therapeutic approaches, evaluating substance abuse and associated problems, including histories of different forms of abuse, diagnosing the issue(s), and devising a treatment plan in CHA Central Street Care Center that may involve counseling, medical care, psychiatric care, psychological care, social services, and post-treatment support for individuals struggling with alcohol or drug problems in the Somerville area (as stated by the Institute of Medicine in 1990).

Mental health treatment

Encompasses treatments such as therapy or the use of psychotropic medication that address an individual's mental health concerns, alleviate symptoms, and enhance behavioral functioning and outcomes. More information is available on the CHA Central Street Care Center website.

Treatment for co-occurring substance use plus either serious mental health illness in adults / serious emotional disturbance in children

The housing provided for individuals in recovery from substance abuse is specifically designed to offer a drug and alcohol-free environment along with appropriate support services, facilitating the transition to independent living. This type of housing can be categorized as transitional living, sober houses, sober living, recovery houses, and 3/4 houses and maybe offered by CHA Central Street Care Center in the Somerville area.

Chlorpromazine

A drug to treat various conditions such as schizophrenia, bipolar disorder, and severe nausea or vomiting. It belongs to a class of medications known as antipsychotics, which work by affecting the levels of certain chemicals in the brain to help alleviate symptoms.

Haloperidol

More effective at treating positive symptoms of schizophrenia, such as hallucinations and delusions, but may also have a higher risk of causing adverse effects, Haloperidol is considered a high-potency antipsychotic drug used to treat psychotic disorders. Haloperidol is typically prescribed at a lower dose than Fluphenazine due to its higher potency.

Aripiprazole

A medication that belongs to the class of drugs known as atypical antipsychotics. It is primarily used to treat symptoms of schizophrenia, bipolar disorder, and depression. Aripiprazole works by adjusting the levels of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating mood and behavior.In a drug treatment facility like CHA Central Street Care Center, aripiprazole may be used to help manage symptoms of substance withdrawal, particularly in cases where there is an underlying mental health condition, such as schizophrenia or bipolar disorder. Aripiprazole may also be used as part of a comprehensive treatment plan for individuals with co-occurring substance use and mental health disorders.

Lurasidone

Lurasidone is another medication that belongs to the class of drugs known as atypical antipsychotics. It is approved by the United States Food and Drug Administration (FDA) for the treatment of schizophrenia and bipolar depression. It works by modulating the activity of certain neurotransmitters in the brain, including dopamine and serotonin. By doing so, it can help to reduce the symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thinking, as well as the symptoms of bipolar depression.

Olanzapine

Olanzapine, an atypical antipsychotic, is primarily prescribed for the treatment of bipolar disorder and schizophrenia. It can be used for both long-term maintenance and new-onset disease in schizophrenia, and can be administered orally or via intramuscular injection.

Olanzapine/Fluoxetine combination

Olanzapine/Fluoxetine combination is a medication that is prescribed for the treatment of depressive episodes associated with bipolar I disorder, as well as treatment-resistant depression in adults. It is a combination of two active ingredients, olanzapine and fluoxetine, that work by modulating the activity of neurotransmitters in the brain. This medication is typically used when other antidepressant medications have been found to be ineffective.

Quetiapine

An atypical antipsychotics used to treat schizophrenia, bipolar disorder, and major depressive disorder by reducing the symptoms of schizophrenia, bipolar disorder, and major depressive disorder, such as hallucinations, delusions, mood swings, and sleep disturbances. Aunique aspect of Quetiapine is that it has been associated with a relatively lower risk of extrapyramidal symptoms (EPS) compared to some other antipsychotics. EPS are a set of movement disorders that can occur with the use of antipsychotic medications, and can include symptoms such as tremors, muscle stiffness, and involuntary movements. While Quetiapine may still cause EPS in some individuals, it is generally considered to have a lower risk of these symptoms compared to other antipsychotics.

Risperidone

Risperidone also an atypical antipsychotics thats used in the treatment of schizophrenia, bipolar disorder, and irritability associated with autism, may differ from similar medications in its class because its able to be administered via a long-acting injection that is given every two weeks. This can be particularly helpful for individuals who have difficulty adhering to a medication regimen, as it ensures that the medication is consistently delivered to the body.

Ziprasidone

Ziprasidone is a medication that belongs to the class of drugs known as atypical antipsychotics. It is approved by the United States Food and Drug Administration (FDA) for the treatment of schizophrenia and bipolar disorder. One unique feature of Ziprasidone is that it may have a lower risk of causing weight gain compared to some other atypical antipsychotics. This can be particularly beneficial for individuals who are already at risk for metabolic disorders, such as diabetes or heart disease, as weight gain can exacerbate these conditions. Additionally, Ziprasidone may have a lower risk of causing sedation or cognitive impairment compared to some other antipsychotics.

Nicotine replacement

A form of treatment that delivers nicotine to the body through alternative means, excluding tobacco, and without the presence of harmful chemicals. Nicotine replacement therapy usually takes the form of nicotine patches, gum or lozenges, nasal spray, or inhaler, aimed at curbing cravings and helping a person quit tobacco use.

Non-nicotine smoking/tobacco cessation

Medications that work on the brain to reduce a person's desire for tobacco and are not containing nicotine are known as smoking cessation medications. Some popular examples include Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). These medications are often used along with behavioral therapy or support groups for maximum efficacy in helping individuals quit smoking for the long term.

Antipsychotics used in treatment of SMI

A multi-disciplinary clinical team approach helps individuals with serious mental illness to live in the community by offering 24-hour intensive services within their natural surroundings.

Cognitive behavioral therapy

Refers to a form of therapy that focuses on identifying and changing negative thought patterns. Clients work with a therapist, either individually, in a family setting, or in a group setting, to identify and replace unproductive thoughts with more positive and realistic ones. The client is encouraged to be an active participant in the therapy process.

Cognitive remediation therapy

Both couple and family therapy involve facilitated discussions and problem-solving sessions led by a therapist to enhance understanding and communication among loved ones. This type of therapy maybe offered in CHA Central Street Care Center and aims to address negative patterns of behavior that could escalate into more serious mental health issues. Through education on mental disorders and teaching coping skills, family therapy can help families deal with the challenges of having a family member with mental illness, such as managing feelings of anger or guilt.

Dialectical behavior therapy

A type of therapy that combines cognitive-behavioral techniques with acceptance and mindfulness strategies, with the goal of helping individuals address multiple disorders. DBT has five components, including skills training, individualized treatment plans, access to therapists beyond the clinical setting, reinforcement of adaptive behaviors, and therapist team consultation. The therapy seeks to balance behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

Group therapy

Involves small groups, typically consisting of 4 to 12 individuals who share similar challenges, meeting regularly with a therapist at CHA Central Street Care Center. The therapist leverages the emotional interactions within the group to provide relief from distress and potentially modify the behavior of the group members.

Integrated Mental and Substance Use Disorder treatment

A treatment approach that addresses both mental illness and substance abuse simultaneously, offered by a single clinician or treatment team. This long-term, community-focused program uses specialized counseling specifically designed for individuals with co-occurring disorders.

Individual psychotherapy

Focuses on addressing a patient's current life and relationships within their family, social, and work environment through one-on-one therapy sessions. The aim is to identify and resolve issues with a deeper understanding, and also to build upon the patient's strengths.

Telemedicine/telehealth therapy

The use of telecommunication technology at CHA Central Street Care Center that enables healthcare providers to connect with patients remotely, diagnose conditions, offer treatment, and collaborate with other providers to deliver quality healthcare services is known as telemedicine, teletherapy, telepsychiatry, or e-psychiatry. The facility maf offer it as an option for individuals not located in Somerville.

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