Drug and Alcohol Individual and Group Counseling
We believe that chemical dependency is a complex disease process that affects both the individual and their family.   We view chemical dependency as a disease of obsessive thinking, physical compulsion, destructive behavior and disturbed relationships.  Left untreated it can often be fatal.  Treatment begins with a comprehensive assessment to determine the appropriate level of care and determine a starting point for treatment.   Counselors work with clients to develop individualized treatment plans which can include individual and/or group therapy.  Family therapy can be provided as needed as well.   
Substance abuse counseling is available on a flexible schedule and both group and individual counseling is offered at convenient times.  Services are available during the day as well as evening hours.  Specialty groups are available that address issues such as relapse prevention, dual diagnosis issues, coping skills training, as well as a variety of other topics.  Individual sessions are provided based on individual needs.  Cognitive behavioral, reality, supportive and existential therapy are among the approaches used in individual and group settings.  Length of treatment is determined by the therapist and client.
Substance abuse services can be provided on an outpatient basis (less than 5 hours per week) or an intensive outpatient basis (5 to 9 hours per week).  Partial hospitalization services are also available. 

Substance Abuse Evaluations
Substance abuse assessments are conducted by qualified substance abuse counselors who look for patterns of substance use in a person's life, as well as destructive behaviors around or caused by substances. 

Examples include:
Evaluations for DUI Offenders
Evaluations for employers or employee assistance programs (EAP’s)
DOT Substance Abuse Professional Evaluations
Court mandated Substance Abuse Evaluations
Professional evaluations for nurses and other healthcare professionals (ie. PHMP, impaired professionals program, etc.)

Mental Health Individual and Group Counseling
Mental health counseling is available to anyone struggling with mental health needs.  This can include loss or grief, anxiety, depression, bi-polar disorder, attention deficit disorder, stress and/or anger issues, crisis management, as well as many others.  Treatment begins with a comprehensive assessment to determine the appropriate level of care and determine a starting point for treatment.   Counselors work with clients to develop individualized treatment plans which can include individual and/or group therapy.  Family therapy can be provided as needed as well.   

Both individual and group counseling is available and offered at convenient times, running both during day time and evening hours. Specialty groups include dual diagnosis groups and dealing with loss and grief.
Cognitive behavioral, reality, supportive and existential therapy are among the approaches used in individual and group settings.  Length of treatment is determined by the therapist and client.

Co-occurring services
Crossroads Counseling, Inc. is licensed to provide both mental health and substance abuse counseling.  As the only dually licensed provider in the area, we are in a unique position to be able to provide fully integrated care to individuals with co-occurring disorders.  Integrated treatment is a research proven model of treatment for people with mental health and co-occurring substance abuse disorders.  Clients receive combined and integrated treatment from the same treatment team thereby receiving consistent messages about treatment and recovery.  Integrated services include treatment planning that encompasses both substance abuse and mental health needs, individual and group counseling, psychiatric evaluation and medication management

Anger management
Anger management services can be provided in either a group setting or individually. The length of treatment is based upon the needs of the individual.  The goals of treatment are to better understand where anger manifests from as well as determining and implementing effective coping skills.  The individual will work with a therapist to form a treatment plan addressing his or her needs which will continue to evolve throughout the course of treatment. 

Batterers Intervention Program (MAAP)
The Men Against Abuse Program (MAAP), is a 26-30 week long batterers intervention program for perpetrators of domestic violence.  The program meets on a weekly basis and is designed to facilitate men in changing abusive and violent behaviors which are often directed at their loved ones.  It is based on the curriculum designed by the Domestic Abuse Intervention Project / Duluth Model.  The group program focuses on 8 basic three week themes. 

The themes are:
1.Using intimidation
2.Using coercion and threats
3.Using emotional abuse
4.Using isolation
5.Using economic abuse
6.Using male privilege
7.Using children
8.Minimizing, denying and blaming

Domestic violence is about control, it is not about anger.  Batterers use the above tactics, along with the threat of violence to control their partners’ actions.  The MAAP program combines didactic presentations, videos, homework assignments and routine self-analysis to challenge the batterer’s views regarding their interpersonal relationships as well as their controlling behavior.  All members are required to participate on a weekly basis and complete all assignments.  Accountability is at the core of change.

Volunteers are accepted into the program as are referrals as a result of PFA’s, plea agreements, and criminal charges. 

Marital/Relationship Counseling
Individuals interested in marital or relationship counseling will be matched with a therapist depending on his or her needs.  The client will learn to understand his or her partner, improve communication, and understand underlying contributors to marital discord.  The length of treatment is based on the needs of the individuals.

Adolescent Services
Crossroads Counseling, Inc. offers specialty services for adolescents.   Services offered include both individual and group counseling to the adolescent population.  These services are individualized to meet the needs of the youth and length is determined by need as well. In certain instances services are offered in the schools when referred by the school district.
Psychiatric Services
We have psychiatric services available to clients who are currently enrolled in services. Psychiatric services include psychiatric evaluation and medication management if needed.  These services are provided when deemed clinically appropriate and covered by most insurance.

Gambling Treatment
We have a certified gambling counselor on staff who can provide gambling assessments and treatment.  Services are often fully covered by the PA Department of Health. 
Problem gambling is any gambling behavior that disrupts your life. If you’re preoccupied with gambling, spending more and more time and money on it, chasing losses, or gambling despite serious consequences, you have a gambling problem.
Whether you bet on sports, scratch cards, roulette, poker, or slots—in a casino or online—problem gambling can strain relationships, interfere with work, and lead to financial catastrophe. You may even do things you never thought you would, like stealing money to gamble or pay your debts. You may think you can’t stop but, with the right help, you can overcome a gambling problem or addiction and regain control of your life. The first step is recognizing and acknowledging the problem.

DOT Substance Abuse Professional Evaluations
The DOT (Department of Transportation) requires companies employing individuals who hold commercial driver licenses (CDLs) to  perform random, pre-employment, post accident, reasonable suspicion, and return to duty drug and alcohol tests.

Under CFR 49 Part 40, any individual who tests positive for drugs and/or alcohol must be referred to a qualified S.A.P. (Substance Abuse Professional) who will provide a comprehensive face-to-face assessment and clinical evaluation and  recommend a course of treatment A transportation worker who has violated DOT regulations must follow a specific procedure before being considered by any employer for return to safety-sensitive function. This process, conducted by a qualified Substance Abuse Professional (SAP), includes:

The SAP conducts an initial face-to-face clinical evaluation, including standardized testing. DOT’s rule requires a recommendation for treatment and/or education in every case. The SAP must send an initial evaluation report to the employer or, if employee has been released from employment, maintain information for future employer;

The SAP assists the employee in contacting the treatment provider and arranging for services;

The SAP maintains regular contact with the treatment provider, to monitor the employee's treatment progress, and to confirm suitability of the treatment plan;

The SAP will conduct a face-to-face, follow-up clinical evaluation to determine if the employee has complied with the SAP's recommendations, and to measure success of treatment. If the employee has complied with the SAP's recommendation, the SAP advises the employer that the employee has successfully completed the requirements. It is up to the employer to determine whether or not the employee returns to work, not the SAP. The SAP sends a follow-up report and follow-up testing plan to the employer. The SAP may also include an aftercare plan which must be followed even though the employee has been accepted back to work by the employer.

Regulations apply to: FMCSA, FAA, FRA, FTA, USCG, and RSPA.

If the employee has been released from employment, this information is held for the future employer.

 SAP Links:      http://www.dot.gov/odapc

Substance Abuse Partial Hospitalization (PHP)
Crossroads Counseling, Inc. offers a half day substance abuse PHP program in its Williamsport office.  The program operates 5 days a week (Mon thru Fri) from 8:30 AM – 12:30 PM.  PHP is a more intensive program than standard outpatient services and is available to individuals who might not need inpatient treatment but require more structured treatment services than standard outpatient care.  



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